Learning to Tune out the Noise

There are approximately 940 weeks between when your child is born and when your child graduates from high school. The term “it goes too fast” is an understatement. We all want the best for our babies, but with so many choices out there, it’s difficult to know what “the best” really is. Should I birth at a hospital or at home? Should I breastfeed or bottle feed? Should I wear my baby or put her in a stroller? Should I use a pacifier? Should we co-sleep? When should we start solids? Should I let her cry it out? Should I stay at home or should I go back to work? Ahhhhhh…..!!!!!

So many questions.

And no matter how firm you believe your own convictions are, it is so difficult to drown out all the noise and avoid questioning yourself when everyone seems to have an opinion. It starts long before baby ever gets here. Months before we even started trying to have a baby, I remember telling my husband that I wanted to birth without medication. I felt so convicted and confident about this decision…..Then I found out I was expecting and I had the ultimate “oh shit” moment. This seemed like such a good idea until I actually had to do it….And so, it begins.

The truth is that there’s no right way or wrong way. With the exception of allowing your dogs to babysit your baby or putting peanut butter on your nipples to get her to latch, at the end of the day, it doesn’t really matter where she sleeps or how she eats or if you use cloth diapers or disposable ones or if you (gasp!) set her in front of a cartoon while you cook dinner. And yet we spend so much time and energy apologizing, asking for others not to judge us, questioning ourselves, and praying that we are not screwing them up.  Like many expectant mamas, I spent 9 months trying to read and absorb as much information as possible. The problem is that there are so many conflicting theories and ideas out there – it’s hard to decipher what’s valuable and what’s bull shit. The Womanly Art of Breastfeeding said I should make food available to my baby at all times and that it is great to nurse your baby to sleep while Baby Wise said that the key to getting her to sleep through the night is to focus on full feedings every 2 1/2 – 3 1/2 hours and to never let your baby fall asleep while eating.  Baby Wise says that babies should nap for at least an hour and a half, but never more than two hours. You want to drive yourself crazy? Try to get a child who loves to sleep for 45 minutes to sleep for at least an hour and a half for every nap. Postpartum anxiety is real, people, especially when there is so much information out there.

So, what do we do when our baby won’t “perform” like the app/book/pediatrician says she is supposed to? We ask other mamas for advice! Don’t get me wrong, I am so thankful for all of the listening ears out there who have helped me to problem solve when Ellie has a particularly rough week, but I have also found that there’s a considerable amount of criticism that exists out there. You still swaddle your baby? She goes to bed at what time? Wait, you didn’t feed her in the middle of the night, did you? Where are her socks? All of a sudden I’m questioning everything. Aren’t we all supposed to be on the same team? So, why are we so critical of one another? It baffles me.

I was at a party the other night with other mamas in my neighborhood. I had a couple of glasses of wine. Yes, I occasionally have a glass of wine after my baby goes to bed {insert judgement here}, and I started to talk about how we still swaddle Ellie and how she still sleeps in a cradle. I had my armor ready for the inevitable criticism, but what the mom said to me in response was so perfect and exactly what we should all be saying to one another. “Does she like being swaddled? {yes}. Is she sleeping well? {yes}. Why are you worried about it? {great question!}.”

As mothers, we spend so much time counting and worrying. How many hours since her last feeding? How long did she nap this morning? How many ounces did she take? It took months, but one day it finally clicked for me. Why was I spending so much time counting and so little time listening to my own child? It wasn’t until I threw out the “rulebook” and started listening to myself that I finally felt free.

940 weeks. That’s all we get and it goes too fast to spend it worrying about what others think. So, next time you find yourself judging that mom for letting her little one chew on her keys at the grocery store or drinking a cup of coffee before she feeds her baby, remember we are all on the same team. We all want what’s best for our babies, we might just get there in different ways. Choose kindness.

Ellie’s Birth {a love story}

Millions of babies are born every year. That means millions of stories, millions of tips and strategies, millions of woulda, coulda, shoulda’s. There is so much power in the sharing of stories. When I was expecting Ellie, I found strength and courage in reading the courageous birth stories of other women. And so, in the spirit of sharing, here is Ellie’s birth story. At the end, in case you’re interested, I have listed a few of my favorite places for reading the birth stories of other women.

There is a lot of research that says that women tend to birth a lot like their sisters, which for me is incredibly lucky. I have had the great privilege of being present for all three of my sister’s births, all of which have been pretty quick and without complication. The only issue is that my sister does not go into labor. Neither does my aunt. Both have consistently gone far enough past every baby’s due date to necessitate a pitocin-induced birth. Hoping for an intervention-free birth, this fact gnawed away at the back of my mind as my own due date came and went with no signs of labor. My midwife said that I could “stay pregnant” for up to 2 weeks past my due date before we would need to induce. I tried to prepare myself that things might not go as planned as I scheduled another midwife appointment for a week later.

I woke up around 1 a.m. three days past my due date with some pain in my back. I tried re-positioning how I was sleeping (not easy at 40+3) and get back to sleep. Here’s the thing about contractions – no one can really tell you what they feel like because they’re a little different for everyone. What I expected was what I had seen on television and in the movies, but for me, contractions really just felt like back spasms that came and went. It took nearly an hour before I realized that I might be in labor. Knowing that this could be an incredibly long day, I did not wake up Brian. I downloaded an app to my phone to begin timing my contractions. From the beginning, my contractions were consistently 1 minute long and about 8-9 minutes apart. Brian’s alarm clock went off around 6 a.m., but I told him to turn it off because he was not going to work. At that point, the contractions were about 7 minutes apart and very consistent. I called my midwife to let her know what was going on and to let her know that I was planning to labor at home for as long as possible, but that we would likely head to the hospital later that afternoon. I had so much nervous energy that I wanted to get out of bed and call everyone we know, but Brian reminded me that this was probably the last morning we would have to be lazy in bed for quite some time. I remember lying there and realizing that life would never be the same once we got out of bed, but in that moment, it was just us. With the quiet around us as we dozed in and out of sleep, I prayed for this new life and for all of the joy and wonder it would bring to our home.

I tried to wait until an acceptable hour to begin calling friends and family, but I also wanted to give them plenty of notice that today was “Ellie Day.” I remember feeling a little nervous to call everyone. I did not want people to begin calling babysitters and calling off of work if I was wrong. I let everyone know that they had some time as we were going to labor at home for as long as possible, but not to be far from their phone. The morning was pretty uneventful. I laid on the couch and watched a few episodes of Parenthood and ate some breakfast, still timing my contractions with the app. We were sticking to about 6-7 minutes apart, but I was still feeling pretty good, so we decided to take the dogs for a walk. It was the most beautiful day outside – the sun was shining and it was finally getting warm enough to be outside without a jacket. As an English teacher, I had a difficult time not reading into all of the symbolism of the weather and imagined that if I were writing a novel, this is precisely the kind of weather that I would write for my daughter’s birthday. We walked the dogs over to campus where the students were out and about also enjoying the beautiful weather. When a contraction would come on, I would often slow down or stop, and Brian said that students were beginning to stare with concerned looks. We laughed about how foreign a pregnant lady in labor probably is on a college campus as we headed back for home. Brian asked what I wanted for lunch. What I was craving was blueberry pancakes from our favorite local breakfast spot up the street, but as I began to imagine what it would look like if my water broke in the middle of this restaurant, I suggested take-out Panera bagels as a distant alternative.

The contractions began to pick up in intensity and consistency, so after lunch, I decided to take a shower, hoping that the warm water might provide some relief. The shower felt great, which made me excited to be able to use the tub at the hospital to manage the pain. Around 1:00, my contractions were about 4-5 minutes apart, so I told Brian it might be time to think about heading to the hospital. He encouraged me to continue laboring at home bringing up the point that once we went to the hospital, we were going to be stuck for the rest of the day. By 2:00, I told him that we really needed to go, so we called the midwife, loaded the car, let the dogs out one more time, and closed the door, knowing we would return as a family of three. When I spoke to the midwife on call, she explained that she had a laboring mother at a different hospital, but would do her best to make it to our hospital in time for Ellie’s arrival. This made me a little nervous, but I knew she was doing the best she could and found peace knowing I would be in good hands, no matter what. When we arrived at the hospital, I walked in the front door and the woman behind the counter asked how she could help us. “I’m in labor,” I said with a smile. I’m 102% sure she did not believe me (plus I carried really small, so I probably only appeared to be about 7 months), but she checked me in and took me to a triage room. The nurse came in with a gown and ran my vitals. She definitely did not believe that I was in active labor and said to me, “Don’t you know you shouldn’t come to the hospital until you’re really in labor? Now you’re just going to have to sit here at the hospital for hours.” Theresa, the head nurse on call, came into the triage room to check and see how dilated I was. 5 centimeters and 0 station. I wanted to look in the triage nurse’s face and say, “Told you B****,” but I’m a lady (and I really wanted the nice room with the tub).

The nice room with the built in tub was currently in use by another mom, so they put me in another room and promised to move me there as soon as it opened up. My sister arrived just in time to help me change out of the icky hospital gown and into the black cotton nightgown I had purchased from Target. (Most hospitals will allow you to wear what you’d like during labor, you just have to ask). They hooked me up to a fetal heart monitor to monitor Ellie’s heart rate for about 10 minutes. Once they established that everyone was healthy and that both Ellie and I were handling labor without any complications or stress, they detached me so I could labor as I pleased. I shared my birth plan with the nurse on call who came in every so often to check on us and use the doppler to listen to Ellie’s heartrate, but who really let us be (which I so appreciated).

Long before D-Day, Brian and I had carefully thought about the people who we wanted to be present for Ellie’s birth. My sister was my no brainer. In the 28 years we’ve been together, we’ve never missed a  major moment and this would be no exception. I took great comfort in her presence and felt so relieved when she walked through the door. With the exception of my husband, she is the person who knows me completely and I knew she would know what to do in moments when I was at a loss. The other two people I invited to be there are two of my best friends, Anna and Brit. Both bring an incredibly calming presence, and if I was going to be stuck in a hospital all day, I knew they would bring great distraction and entertainment (and maybe even a dance party if Ellie was up for it). Brit is a physician’s assistant and works for my midwife group, so the plan, if everything went smoothly, was for Brit to deliver Ellie. Brian and I talked about it and we loved the idea that the first human hands that would ever touch our daughter were the hands of someone who loved her, who had been praying for her since before she existed, and who would have a hand in her life as she grows. These people are my tribe, and as things progressed, I became ever more thankful for their presence and the roles each of them played in caring for me and Ellie.

The nurse came in around 5:00 p.m. to let me know that the room with the tub was now available and if I wanted to, we could transfer. The contractions had started to get really intense, so I was relieved to know that I could go and get into the tub. The nurse had just checked me and I was 6-7 cm. I waited for a break in contractions, we packed up the room, and waddled next door. I found great comfort in laboring in a rocking chair (the rhythmic movement was something that I could focus on as my sister counted….20 more seconds, 10 more seconds, coming down now, breathe), so I went straight for the chair while my friends began to fill the tub with water. The nurse came over and kneeled down in front of me to let me know that she had just spoken to the midwife who asked that I wait until I was 8 cm to get into the tub. The warm water from a tub will sometimes slow down labor, and I was progressing so well that they did not want to risk it. I told her that things were really starting to get intense and asked that she please check me. As soon as I stood up from the rocking chair, my water broke. I moved quickly to the bed as there was no longer much of a break between my contractions. The nurse checked me and with surprise (and I think a little panic) said, “You’re fully dilated!” At that point, the urge to push was too great, so I began to just listen to my body as the hospital staff turned the room into a delivery room in a matter of minutes. There was a lot of panic surrounding the fact that the midwife was still in transit, so they called in the on-call doctor just in case. I was very much in a zone at that point, but there are snipets that I remember. I remember my friend Anna running around asking if she could please call the midwife herself. I remember Brit trying to explain to the on-call doctor that she is supposed to deliver the baby (which he did not seem to think was a good idea – and to which I had to say, yes she will be delivering her, and no, you don’t get a say in that). I also remember at one point lifting my head and opening my eyes and realizing that the room had literally filled with people, all of whom were staring at me. This was it. The moment I’d been waiting for. I was about to meet my little girl.

After a bit of coaching from the wonderful nurses, I got the hang of pushing and began to make good progress. The experience was intense, but I always felt like I was in control. Pushing was physically exhausting, but oxygen helped me to catch my breath between contractions. I was having a difficult time getting her head to move under my pelvic bone (which can be difficult when you’re laying on your back). At that moment, my midwife stormed into the room. I felt so relieved that she had made it just in time. The midwife explained that I should try to push toward the ceiling (a weird concept, but it actually helped), and she got a mirror out so that I could see what I was doing (which was also a huge help). I could see the dark hair on the top of her head each time I pushed, and while it was the most intensely physically exhausting moment of my life, I knew that we were getting close and that the only way to get rid of the pain and pressure was to get her out. Ellie did not make her appearance slowly. Once I finally got her to move, she just sort of slid out all at once. It was the greatest feeling of relief and joy. Brit caught her and immediately laid her on my chest. Our little girl was finally here. During those moments directly following Ellie’s birth, time stood still. We did what parents do in those first moments. We counted toes and fingers, we marveled at her full head of hair, and we teared up as she let out her first cries before settling in on my chest. My sister (the pro) helped Ellie latch within the first hour and my girl and I learned together how to breastfeed. Family and friends came to visit and celebrate. I held my emotions together pretty well until my mom came in the door. It was as if in that moment, I finally “got” the depth of love that she has for me and my sister in a way that I couldn’t before that day.

There are moments of that day that are a little fuzzy, hours that went by that felt like minutes, and things that I see in pictures that I have no recollection of – but meeting my daughter for the first time is a moment that I will never forget. This is our story. It’s filled with moments of joy, moments of pain, moments of laughter, and moments of tears. Birth is not an end, it’s a beginning. A beginning of millions of moments as a Mama.

Want to read more birth stories? Here’s a few of my favorites:
Baby Catcher: Chronicles of a Modern Midwife by Peggy Vincent
Birth Without Fear – Blog and Facebook site
The Business of Being Born – documentary available on Netflix

Achieving the Birth YOU Want

Before I get into this post, I’d like to make something clear up front. I don’t care if you had a scheduled c-section, if you got an epidural as soon as you checked in to the hospital, or if you gave birth in a hammock in your backyard. What I care about is that you were not pressured or frightened into making decisions you did not feel comfortable about your birth and that you received the support you needed to achieve the kind of birth you desired.

When you tell people that you birthed without interventions (or that you intend to), you get a host of reactions:
1. They will just flat out tell you that you’re nuts.
2. They will get defensive believing that you are judging them for using interventions.
3. They will nominate you for sainthood.
3. But I think my favorite reaction of all was from a male friend who told me that this was America, so why on earth would I consider not taking the drugs that were so readily available to me.

Here’s the truth. I chose to birth Ellie intervention-free for no other reason than that it was the best choice for me and my family. I truly believe that my body was designed for this and that when given the chance, it would rise to the occasion and not fail me. I felt a primal camaraderie with other women who had come before me and others who would come after. But I also had a deep fear of ending up on an operating room table, and the more that I read, the more I began to learn that unplanned C-Sections are almost always a result of interventions that cause stress on either the mama or the little one. In no way do I believe that my birth choices are better than others, and trust me, in the thick of it, I truly understood why epidurals are such a popular option! But my choices don’t have to be your choices. The important thing to know is that you HAVE choices! Here are a few of my suggestions for achieving the birth YOU want:

  1. Before you call and make your first appointment, think about what is most important in your pre-natal care and birth. Do you want to use a doctor or a midwife? Do you have a preference for where you want to birth or what kind of birth you’d like to have? Know that you have options. If you want to birth at a particular hospital, find a caregiver who has privileges at that facility. If you’d like to birth at a birth center or at home, find a caregiver who can give you that experience. Know that finding a midwife who will perform a home birth varies from state to state depending on insurance laws, so do your research. Talk to other mamas. Go on hospital tours. Ask questions. You don’t have to make this decision on the same day that you find out you’re pregnant!
  2. Before your first appointment, write down a list of questions that you have. Decide what’s important to you in your prenatal care and birth and then frame your questions around those priorities. And be upfront about what your ideal birth experience looks like. If your caregiver questions it, it’s okay to find a new caregiver.
  3. Know that you have options and that you can say no to things along the way (barring your own safety and the safety of the baby). Be open with your caregiver about what you are and are not okay with and ask questions if you’re not sure.
  4. Find your tribe. You’re going to need people who are supportive of you during your pregnancy and during birth. Think about who you want to be in the room with you. Don’t feel like you have to allow someone to be there out of obligation. Birth is a deeply personal experience and you’re going to need people who are going to bring a calming and supportive presence. Once you decide, be upfront with people about your decision. And if you don’t want your family to host their annual family reunion in the hospital waiting room, be upfront about that too. There’s a lot of evidence that shows that the pressure that can come from knowing others are literally waiting for you to deliver can have negative effects on your body’s natural ability to labor. Repeat after me: “We will call you once the baby gets here and then we’d be happy for you to come meet him/her!”
  5. Craft a birth plan. It doesn’t need to be something you laminate or fax over to the hospital nursing staff to brief on, but think about what is important to you and put it in writing. And make sure that the people you’ve chosen to be your advocates know what’s in your plan and know that you’d like them to advocate for you if you’re unable to do so for yourself. The end of my labor went vey quickly. I went from managing my labor very well to “get this baby out of me now” in a matter of minutes. The hospital staff moved quickly to prepare, but the midwife was on her way from another hospital and had not arrived yet. I don’t remember a lot from those moments, but I do remember my friend Anna running down the hallway lighting fires under people and letting everyone know that this baby was coming whether they were ready or not. You need an Anna.

Lastly, and most importantly, know that you have options. You have a voice. Do not allow your caregiver to talk you into something you don’t feel comfortable with out of fear. Birth can be a magical and empowering experience, no matter how you choose to do it, if you receive the support you need along the way.

Let’s Get Real {what no one tells you before you have a baby}

I knew that as soon as the stick showed a plus sign that my life and body were going to change, but no matter how educated you think you are, there are still dozens of surprises that leave you wondering, “Why did no one ever tell me that….” Here’s a few of the good, bad, and just plain gross things I wish I had known before I had a baby:

  1. When it came time for my husband and I to talk about starting a family, I always assumed that I’d be cool, calm, and collected about the whole process. I even uttered words like, “we’re not trying, but we’re not ‘not’ trying.” The truth? It’s a stressful process, especially in an age where information is so readily available and there’s an app for anything. Cool, calm, and collected quickly turned into a person who tracked mucus daily on a calendar and who spent four hours on a website called ‘is it a line?’ The truth? Fertility is a scary adventure filled with what if’s and it’s okay if you no longer recognize yourself.
  2. You might not start showing as quickly as you expect. I started wearing maternity pants during the second month….mostly because it’s kind of like wearing pajamas to work….but I probably didn’t actually need them until I was 6 months pregnant. I spent the first six months of pregnancy waiting to be big enough that people didn’t just question if I had just put on a few pounds and the last three months wondering why I ever wished to be big enough that I could no longer reach my feet.
  3. People think that the bump gives them full permission to offer you any and all advice about birth and child raising. And when you say words like “I’m not planning to have an epidural” or “I’d love to have a water birth,” you’d better have your thickest skin on because people will question your sanity. For me, it was about being informed and confident in my own choices so that I could use these as opportunities to educate others……but get ready, because the 80 year-old woman in the seafood aisle will tell you all about the 12 pounder she gave birth to.
  4. There are so many variations of normal – which is why all those books and apps that you read can be so unnerving. Just because you’re carrying big or small or high or low or your ass has literally blown up overnight, as long as your doctor or midwife says that everything is okay, take a deep breath because there is no typical pregnancy.
  5. Speaking of variations of normal, birth also comes in all different forms, which for me was the most unnerving part of the whole experience. Not knowing when it was going to happen and then not knowing how long it would last or how painful it would be was enough to make me crazy. I found comfort in the stories and experiences of others and in daily affirmations that I was built for this and that I was strong and did not need to be afraid. Talk to your mom, your sister, your friends who have had babies. Read a lot (but not too much!) Prepare yourself as much as you can, but also know that birth can be unpredictable and you might have to alter your expectations a little bit too.
  6. You might poop while you’re having the baby. There, I said it.  And if you don’t have any medications, you’ll probably know that you did it too. It’s what everybody fears, right? Let me assure you, right now, this seems like the worst thing that could ever happen, but when you’re in the middle of bringing life into this world, you WILL. NOT. CARE.
  7. Healing takes time. Don’t expect your body to just bounce back a week after you have a baby. Give yourself time to heal and take good care of yourself. Say yes when people offer to bring you dinner or hold the baby while you take a shower. And sometimes there are complications that can arise later on down the road. I had scar tissue that formed as a result of tearing during delivery and I had to have it removed. If something doesn’t seem right, it probably isn’t. Go to the doctor and get it checked out. No one likes problems in funky town, but it’s important!
  8. If you can survive the first four weeks of breastfeeding (barring any complications), you’re golden. I remember sitting there on the couch, the first few weeks after Ellie was born and wondering how on earth I was going to do this for a year. It seemed like this tiny human was permanently attached to me. But it gets better. She gets the hang of it, you get the hang of it, and one day, you realize that it actually is really wonderful. It takes some time, so if it’s important to you, boob on sister!
  9. There are days where at the end of the day, you’ll feel accomplished because you managed to go to the grocery store, do three loads of laundry (and fold it and put it away!), cook dinner, call your mom, and even stay awake for an hour on the couch with your husband after the baby went to bed. And there are some days where at the end of the day, you’ll feel accomplished because you managed to keep the baby alive. It’s a balance.
  10. There’s a method and a theory for everything. What you hear from your pediatrician might be very different from what you hear from your mom or from the 5 books you have sitting on your nightstand (that you’re way too tired to read). It’s good to heed advice from others who have weathered the storm, but not at the expense of your own instincts. You know your baby better than anyone else. At 3 a.m. when the baby is screaming, you won’t have time to refer back to chapter 5 of that parenting book. Go with your gut and know that you’re not going to mess up your baby if you ______(insert parenting method here)_______ (let her cry it out, feed her, put her in the car and drive her around the neighborhood).
  11. Your capacity to love this child is so much greater than anything you’ve ever experienced. Everyone has told you this, but you won’t feel the full extent of it until your baby is here. And it gets so much better. What I felt in the moment the midwife placed Ellie on my chest and told me to meet my daughter has just grown with every day I spend with her. Oh, and get ready to fall in love with your husband all over again too because I promise you, there’s literally nothing better than witnessing the love of your life rocking the other love of your life to sleep.