Sunday, June 15, 2014

Our Rebirth Ceremony

    Rebirth ceremonies can hold many different meanings for different people. Often times, a rebirth ceremony is chance for a mother to heal after a traumatic birth experience or even a fulfilling birth experience that didn't go as expected. Sometimes the birth itself was wonderful but the baby had a hard start, such as a NICU stay. Or some people just like to celebrate the most amazing day of their life by doing it all over again! The ceremony can be as long and drawn out as you want it to be, or simple and sweet. A lot of people like to incorporate a bath since the water represents the baby's life in the womb. Some include prayer or meditation. It's really up to you.
     Our birth went wonderfully, but I was very tired from the long labor and felt like I wasn't all "there" for those first few moments with Perrin. I also suffered from severe post-partum depression, so those first few weeks were especially rough. So to celebrate Perrin's birthday, I wanted a do-over, a fresh start. Joey suggested going around town to the different places we visited while in labor. We didn't go to every single place, but we hit the big ones and reminisced about those few days that led up to Perrin. For dinner, we made eggs and toast- the same meal that the midwives prepared for us after Perrin was born. Then Perrin and I shared a special bath. I filled the tub with warm water, bath salts, and lavender oil and dimmed the lights and lit some candles. We snuggled in the bath and nursed while I talked to him about our past year together. I told him his birth story, laid him back in the water in my arms, then pulled him up onto my chest just like when he was born. By that time he had had enough of pomp and circumstance and wanted to play, so Joey came in and sat with us while Perrin played and splashed and snuggled some more. After the bath was done, we all went and cuddled in bed. The whole thing was barely half an hour. But it was a nice way to reflect on Perrin's first year and commemorate the event of his birth.

Saturday, June 14, 2014

Happy Birthday Perrin

   Today Perrin turns one year old. We made it! We all survived! We may have barely stumbled across the finish line, but we finished. Only it's more of a first mile marker than a finish line. The only thing even that even remotely resembles a finish line is still 17 years away. So, what is one year old Perrin like?

  Well, he's an adult portion of crazy stuck in a two year old's body with a one year old's brain development and motor skills. Imagine if you gave a kangaroo crack then set it loose in the McDonald's play place. It's slightly exhausting. I know I write a lot about the struggles of motherhood in an effort to help normalize the unromantic parenting experience. But today is not that day. Today is the day to celebrate all the stuff that doesn't suck and is actually pretty fun. So Perrin, these are the things I love about you:

- You are super affectionate. You started giving hugs and kisses around six months old and they have only gotten better. Now you'll get in our laps to snuggle and hang on to our necks so tight it's hard to breath sometimes.

-You are a really good climber and have great adventures. You are always willing to explore and take the risks and leaps that make me feel like I'm going to have a heart attack. But you usually reach whatever it is you were going for and then you look back at me with a huge smile to make sure I saw you. Sometimes you don't make it, and you cry and it hurts, but all it takes is snuggles and milks and you are right back at it.

-You are incredibly social, which is strange because neither your dad or I are. You make friends easily and will play with anyone. You warm up to new places and new people quickly. You are generally pretty at ease, which makes me feel better because I worry that my anxiousness will rub off on you sometimes.

-You are INTENSE. Happy, sad, mad, excited...it's all 100% emotion. You don't hold back. You have feelings and you make them known. You are incredibly confident in yourself and never hesitate to express!

-You are the most curious baby I have ever met. You watch and observe with purpose. You explore and investigate and try new things without a second thought.

-You barely got your 4th tooth before this birthday. Your gummy smile is fading fast but I love it and miss it.

-You are still the world's worst latcher, but you nurse like a champ and your preference for nursing probably has a lot to do with us getting this far. I'm so glad you are getting so much out of our breastfeeding relationship and that you stuck through it with me even though we struggled so much at first.

-You are an adventurous eater. You love spicy foods, and sushi, and pretty much any vegetable you've ever tried. You LOVE when we get Ethiopian take out. And if you had it your way you would eat yogurt with everything.

-You like being in groups with mixed ages. You like to watch the older kids and interact with adults. We could be at the museum or zoo when it is complete chaos and you will make your way across the room, in between people's legs if need be, to do your own thing. You are so sure of your place in the world.

-You nurse less at night now. Sometimes I wake up and you aren't even touching me; you're sleeping on your own in your own space. So I scoot closer and snuggle you up.

-You are my tiny little side-kick. This has been the hardest thing to get used to- having you with me all the time, never being able to do anything on my own whim but always having to plan you into daily life. But it's also fun, because for you everything is an adventure. It's all new and exciting. And you don't need to have a plan or purpose. We can roam around or just sit in the floor with blocks all day or lay in bed and read books. We kind of rock. Some days are really rough, but then are others where I feel like we really "get" each other.

So here's to you, Perrin! Happy Birthday! I'm sorry this year has been a bit of a bumpy ride, but straight and narrow just doesn't seem to be your style. As much as I am sure it may kill me some days, I wouldn't have it any other way.

Sunday, June 1, 2014

A Scary New Trend

    My apologies if this seems like one of my ranty posts, but I’m starting to get kind of annoyed with a new trend that seems to be popping up. This is purely anecdotal, but from what I can tell natural and or evidence based birth has become some kind of marketing strategy. Now, part of this is desirable and to be expected. More women are being informed about their rights and options and are pushing providers to, well, provide. So in a way it is kind of encouraging to see hospitals remodeling L&D to be more family friendly and comfortable and to see places offering tools like birth tubs, stability balls, and wireless fetal monitors.  One would expect that more doctors and midwives would be looking at the actual research on things like doulas and VBACs and the hydrotherapy and adjusting their practices accordingly. These are all wonderful things.
   The problem is- from what I can tell, there also seems to be trend of providers paying lipservice to these practices and the failing to deliver. I’m talking about OBs saying they are supportive or pro natural birth and VBACs, but then at 38 weeks talking big babies, ruptures, inductions, failure to progress, and c-sections.  Or OBs and even pediatricians who claim to be pro breastfeeding or even having lactation credentials suggesting formula and supplementation without even addressing latch issues or supply. It’s like they realize that women want these things, but they aren’t invested enough to actually help them achieve it. There could also be a more insidious reason, which I hope isn’t the case- providers patronizingly assume that these women are jumping on some trendy natural birth bandwagon and don’t really know what they are asking for (and I guess ignoring the fact that these practices are based on the best medical evidence).
   Whatever the reason, it’s a worrisome trap because we have women who are well informed who are actively seeking out support for their choices- they know they need to find a OB who is on board and seek one out- only to find out at the eleventh hour that they were mislead.  So how do you tell the phonies apart from the real deal?
-          Interview. You are hiring this person to assist you in the birth of your child. Get recommendations, interview several people, and pick the one who feels like a good fit.
Red flags: If you don’t have enough time in your initial visit to go over your questions or the provider seems annoyed with you, it’s a good indication that they are not going to be very helpful or supportive. They are used to doing things their way and everyone else is just along for the ride.
-          Ask them to walk you through a typical birth of theirs. What procedures are standard? It is true that you can opt out of whatever you choose, but if your provider is used to doing things the exact opposite of what you want, there will be stress and friction and that is bad birthing mojo.
Red flags: If they say “everyone” or “all of my patients,” be suspicious. Unless they have only had one patient, I highly doubt that every birth, mother, and baby were exactly the same. You want someone who can recognize each birth as a unique and individual situation and can do what is best for YOU and YOUR BABY.
-          Ask for stats to back up their claims. They say they are pro-VBAC? Ask what their VBAC success rate is. Ask for their c-section rate, their rate of induction.
Red flags: If they don’t know or won’t tell you, it’s a bad sign. Doctors with good rates are proud of them and they are happy to tell you.
-          Get the specifics. Under what circumstances would they recommend induction? C-section? Supplementation?
Red flags: Be wary of dismissive language. Any “you don’t need to worry about that” or “just leave that to me”s. You are asking for their professional expertise. Hell, you are paying them for it. It shouldn’t be guessing game.
-          Don’t be afraid to switch. This is your birth and your baby. It’s kind of a big deal- like, way more of a big deal than some doctor’s ego. If you don’t feel 100% comfortable with that person, find someone else. There are way too many amazing doctors and midwives out there for you to be giving the shitty ones your business.

Other red flags: Watch out for the words “try” or “let” or “see how it goes”, i.e. “we can try a VBAC” or “I will only let you go to 40 weeks before inducing”.  You need someone who is completely supported and invested in your birth. You need a provider who is going to say “you will have a wonderful natural birth”, “you are going to VBAC this baby”, “ I recommend X, but the decision is up to you”.
You have a right to change your mind. If you decide you want that epidural, or that induction, or that c-section, or that you don’t want to breastfeed- that is totally okay. It’s one thing for people to try and help you stick by your original decisions (the “Are you sure?” and “But you said…”s), but no one should make fun or belittle you or make you feel guilty about changing your mind.
Don’t put up with providers who make fun of or talk down doulas, birth plans, etc. It’s not uncommon to hear statements like “one way ticket to the OR” or “oh, one of THOSE patients”. These birth practices are based on the soundest medical research and backed by ACOG. Would you go to a heart surgeon who scoffed at evidence-based medicine?


I know it seems sad and suspicious to be so distrusting of providers, but I have seen too many people get railroaded into a disappointing and even traumatic birth experience by someone they thought had their back. Do your homework and trust your gut. 


Thursday, May 29, 2014

On Entitlement and Respect

          This may be another hard to follow post due to the sheer amount of ideas floating around in my brain. Most people have probably read about the recent shooting in Santa Barbara and the vitriol that the shooter had been spewing beforehand. The incident is disturbing, if unfortunately not surprising, and brought up some familiar thoughts that I have in regards to raising Perrin. What strikes me the most about these events is the sense of entitlement. Not entitlement as in “kids nowadays have no respect” blah blah blah, but entitlement to other people. To their bodies and their behavior. This man thought he was entitled to other people’s bodies for his own personal gratification and when he didn’t get what he wanted he threw a tantrum- with a gun. This situation is not uncommon. Those in power feel that they have the right to get their way from the disempowered. The disempowered are not individuals in their own right but a means to an end- the gratification of the empowered.
     So what does all of this have to do with Perrin? Well, two things. First of all, these same exploitive power structures can be found in parent-child relationships. Because the parent is bigger, older, more cognitively developed, they have the ability to exact their will on the child without regard to the child as an individual. Second, my hope is that Perrin will understand how to respect others as people and not be given a sense entitlement. I truly feel that the best way to teach him this is by treating him with respect  Because if I tell him he must respect others while not showing him that same respect and dignity, all he is learning is that respect is something that the disempowered owe the powerful. And that when you are in power, you can demand respect without ever having to give it. That is not the lesson I want to bestow on Perrin. But I think for some this is a hard distinction to make. How do you parent- guide, teach, and keep safe- without overstepping your role and infringing on your child’s rights (because let’s be clear, children are people and just as deserving as basic human rights and dignity as anyone else)?
   With this in mind, there are a few things we try to be very aware of with Perrin in order to try and instill this sense of respect and empathy. I am by no means saying that families who don’t do these things are disrespecting their children and the list is by no means exhaustive, but these are a few ways in which we try to respect Perrin.
-Bodily autonomy. This is a big one for us. Perrin’s body is his own and we try our best to not make any decisions about it that do not have to be made for medical or safety reasons. We don’t cut his hair because it’s not our hair. We don’t try to discourage him from touching or exploring any part of his body. It’s his body. Obviously there will a conversation about privacy when he is older and can understand, but for now we keep our expectations developmentally appropriate. This also is a partial factor in our decision not to vaccinate as I explained in this post. Preventative medicine is tricky because you aren’t actually addressing an issue, you are acting on a “what if…” and we carefully weigh what risks we are willing to incur without Perrin’s consent. We present him with healthy choices, but at the end of the day he eats what he wants and how much he wants. He eats when he is hungry and stops when he is full. As he gets older and is more capable of making decisions about his body (such as clothing choices, body modifications, vaccines, etc.) we will leave those decisions up to him. We ask before picking him up. We put him down when he wants to get down. If he doesn’t want to interact with someone, we don’t force it. He doesn’t owe anyone affection or attention.
-Giving him a voice. Just because he doesn’t yet say actual words doesn’t mean he doesn’t communicate. He has been communicating since day one and we have done our best to acknowledge what he is trying to tell us. We work very hard to read his body language to and remember that even crying and “fussiness” is communication and not something to be ignored anymore than I should be ignored when I’m trying to talk to Joey and upset.
- We don’t downplay or dismiss his emotions. When he falls down or is upset, I don’t tell him he is “fine”. I don’t know if he’s fine. He may not be physically hurt, but he could be scared or tired or frustrated. Those feelings are real and he has a right to express them. He isn’t punished for expressing frustration or anger. As he gets older we can help him learn healthy ways to display those feelings, but he has a right to let them out.

     It may not seem like much, but I hope that by instilling a sense of self in Perrin, he will learn that respect and dignity are the default ways in which to treat human beings. A person does not have to earn the right to common decency. I hope he learns that kindness isn’t something you do expecting something in return. It’s something you do because it’s the right way to treat each other. 

Monday, May 19, 2014

Update on the PPD

      As most people know because I try to be very vocal about it, I have been dealing with post-partum depression and anxiety since Perrin was born. I was put on a low dose of Sertraline (Zoloft) when he was about 5 months old and have been doing individual and couples counseling with Joey this whole time. I haven't mentioned it in a while, so I thought I'd be honest about where things are currently at.

  I am currently still taking the medication but have been talking with my FNP and counselor about possibly starting to wean off of it soon. I'm excited to be done with the stupid pills, but also kind of scared that I won't be able to manage without them. However, because I now have new insurance, I also have a new counselor and I am very excited to be working with her. My previous counseling has mainly focused on developing tools to cope with my issues and find healthy ways to deal. However, my goal with this new counselor is to actually start working through some of the underlying baggage that leaves me so disposed to depression and anxiety in the first place. I'm glad because I feel like I will finally be solving the problem rather than just sticking a band-aid over it. It does feel weird to be paying someone to basically just ask random open-ended questions, but I really feel like this talk therapy may be the "cure" I've been hoping for.

  Mostly I am excited about it because I feel like by letting go of my own baggage I can save Perrin from it becoming his baggage. I know he will accumulate his own junk to deal with as he gets older, but at least I don't have to worry about contributing to it before he's walking. It's odd how much clearer our own psyches become when we are suddenly responsible for the development of someone else's. I want to get rid of all of the negative energy in my own life so that I'm not radiating any of that onto Perrin's fragile little being. The wonderful side affect will also be my own mental health, which is nice.

   So that is where things currently stand. It could still be months or even years of recovery, but I am okay with that. As Perrin's first birthday approaches, I'm partially in awe of how far we have come and at the same time completely surprised at how much today still feels like that very first day he was born. He is still that same incredibly spirited little person he always has been and this whole parenting thing is still so incredibly hard. I still wonder sometimes- if I had known it was going to be this hard, would we have made the decision to have a baby? I really think we would have, if only because we would otherwise always have wondered what would have been. But we have done our best and continue to try and do better. I just hope that if Perrin chooses to have his own children, I can be honest with him about our own journey.

Sunday, April 27, 2014

My Two Cents on Baby Gear

    I love reading lists of "Top 10 Things to Buy for Baby" or "5 Thing You Don't Really Need for Baby". I think for the most part what baby stuff you will end up needing or even using at all is highly dependent on your own preferences and your family situation. I always find it interesting to see what other people couldn't live without and which things just didn't do it for them. So for what it's worth, here are my baby gear opinions. Also, know that no matter what you decide you need, you can always borrow or buy used. Baby stuff is everywhere.
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Essentials

   These are the things I would bring if stranded on a desert island. You'll notice this is the shortest list. I am kind of minimalist sometimes, especially when it comes to Perrin stuff. Babies really don't *need* anything other than YOU, but the following items can make parenthood, especially the early days, a little bit easier.

1. Baby carrier. Do you like doing things, ever? Get one. You can nurse, hold, rock your baby while you make dinner or vacuum or build a chicken coop or do any other random tasks. Babywearing is great for fussy babies who need to be in arms and for colicy and reflux babies who are more comfortable upright. There are a thousand different kinds, so find one that works for you. Some of them can get kind of pricey, but since you will be cutting out all the unnecessary crap, you should have sufficient funds. Borrow different carriers from other mamas to find out what your style is, then try to look for a used one if you want to save some money. They are out there aplenty.
2. Pillow for nursing. Note I did not say a "nursing pillow". While there are some great pillows made specifically for nursing (i.e. Boppy and My Breastfriend), you don't have to get anything fancy. Just make sure you have a thick, firm pillow that makes you comfortable. They key to a comfortable nursing position is to bring the baby to the breast, not the breast to the baby, which means unless you are wearing the baby or side-lying, you are going to either need a pillow or some wicked biceps.
3. Cloth diapers. I love our cloth diapers. We have saved so much money. I honestly don't even know how to use disposables. What size would I buy? How often do you change them? How many do you need? Like babywearing, there are a million different ways to cloth diaper. We kept things simple. I have 18 one size pocket diapers. The same diapers Perrin wears now and for the foreseeable future are the same ones he wore when he was a week old (we did use one pack of newborn disposables for the meconium phase). We have moved up to the larger inserts, but the diapers came with a set of large and small. The only extras I have bought were a set of large hemp inserts I use for nighttime diapers. I strip them once every six weeks and voila! Brand new.


Maybe for some folks

  These are things may not be usefully for everyone, but may be a life saver for others.

1. Baby monitor. We never had a baby monitor. Even if Perrin didn't always sleep in-arms, our house is tiny and there is no place where I could not hear him. However, if you do have a baby who sleeps alone for naps or goes to bed before you and your house is large, this might be a good idea.
2. Double electric pump. If you aren't planning on working or going to school while breastfeeding, you may not ever need to pump. Or you may find a manual pump or hand expression to be easier for you. I however LOVE my Hygeia Enjoye double electric. I have been able to donate over 3,000 ounces at this point and it has been great when I have had to leave Perrin for a few hours. That being said, if I wasn't donating I could probably have gotten by with just a manual pump.
3. Moses basket/ Bassinet. Since you will be skipping out on a crib (which we will discuss below), you may want to have a moses basket or bassinet for when the baby naps or goes to bed before you. Perrin always slept either worn or in arms, so we didn't end up using his much, but most babies will sleep by themselves at some point. When are they are too big, you can just put them to sleep in the family bed and either use a side rail, pillow wall, or pillow landing pad in case they wake up feeling adventurous. (*Note- young babies should not be in a bed with pillows or thick blankets due to the risk of suffocation.)
4. Baby bath. Once again, we never had a baby bath. For starters Perrin didn't get his first bath until he was a month old, and then usually only got one a week or so. When he did get a bath, Joey always bathed with him. It's a great way for the non-breastfeeding parent to bond with the baby and get some of that amazing skin to skin time. Once Perrin was old enough to support his head well, we would sometimes bathe him in the sink. And then once he could sit up, we would just sit him in the bottom of the shower with us. However, if you don't plan on bathing with the baby in the beginning, you will probably need some sort of baby bath. My recommendation is to once again buy one used or borrow one from a friend.


Don't bother


    These are things I really see no point in spending your money on. Save the money and put it towards a labor and post-partum doula. 

1. Bibs. Ok, I may be alone in this but I just don't see the point of bibs. We have a metric shit ton of bibs that we were given and we never ever use them. I don't understand when I was supposed to use them. We tried putting one on Perrin when we introduced solids and yeah, it kept that one part of his shirt clean but the rest of him was filthy so what difference does it make? He still got changed and bathed. I know some people use them for drooling and teething, but for whatever reason they just never were that useful for us. If you do need bibs, let me know and I will send you a bunch.
2. Crib (or nursery for that matter). Newborns should be cosleeping- that is room or bedsharing- with you. It is the safest place for them to sleep as it reduces their risk of SIDS. They need to be near their mothers because her heart rate, breathing, and sleep patterns will help their young brains regulate their own bodies. If you don't want to bed share or something precludes you from bedsharing safely, all you need to do is use a bassinet or cosleeper. Instead of buying a crib that they will grow out of, just get a twin or even double bed for them. By the time they are done cosleeping, they will do fine in a real bed. If you are worried, you can always just start with a mattress directly on the floor. One day when I get around to it we will set up Perrin's "room". I ordered him a day bed from Ikea, but I doubt he will be using it anytime soon.
3. Baby receptacles. I include in this bouncy seats, swings, Bumbos, Exersaucers, Jumperoos, walkers, and the like. Just wear your baby. He will be happier and get more developmentally important stimulation. Now, I know there are times when you need to put the baby down, but I suggest waiting it out and learning a bit more about your baby before dropping a ton of money. We found out that we needed somewhere safe to place Perrin while I showered in the mornings, so we bought a $30 bouncy seat (which I should have gotten used but didn't think about at the time). Other than that, I just wore him because that is what worked for us.
4. Infant bucket seat. Just go ahead and buy a convertible seat. Our Graco My Ride goes from 5 to 40 lbs. rear facing and up to 70 pounds forward facing. I know it can be tempting to carry baby around in the little bucket seat, but it's not great for the baby. Wear the baby and save yourself the expense of buying two separate carseats.
5. Changing table. You can change diapers on the floor, the couch, the bed, the top of a dresser, the back seat of the car, a patch of cushy grass. There is no reason to buy a changing table.
6. Baby food maker. You can even skip "baby food" altogether. Learn more about baby-led solids and just feed your baby (who is at least 6 months old) whatever you are eating. No disgusting rice cereal or jarred food. No need to buy some kind of expensive food processor or spend all that time preparing extra food.
7. Nursing cover. Ok, this one should probably go in the "Maybe for Some Folks" category, but I'm going to be selfish here. I know there are some moms who just prefer to use a nursing cover, and I know there are even some babies who get distracted a nurse better with one at certain times. But I am going to ask you, beg you, to not get a nursing cover. If some one gives you one, return it. Do it for me. Do it for people like me who had almost no exposure to breastfeeding and have no clue what they are doing and need the camaraderie and support. Do it for my child and your child so they grow up in a world where feeding your baby is so normal and commonplace that it is completely unremarkable. It's not a topic for magazine covers or talk shows. Twitter doesn't flip out every time a celebrity does "it". It's just- normal. Normalize breastfeeding, please?

Sunday, April 13, 2014

Crunchy Confessions: Household Products

    Continuing on with the series, I figured I'd share some of the household products we use. Much like our personal hygiene products, we make it a priority to avoid toxic or harsh chemicals as well as those that are damaging to the environment. An added bonus is that most of what we use is also dirt cheap. Yayness!

   So let's start with cleaners. Vinegar. Baking Soda. Yup, that's about it. Seriously though- I have a spray bottle with half vinegar and half water. I use that for the laminate floors, glass, kitchen and bathroom. I use baking soda for stuck on grime or anything that needs a little extra scrubbing power. I've found they work just as good as most commercial cleaners; they just require a little more elbow grease. But really, who out there is adverse to burning a few extra calories? Vinegar is antibacterial, so it's a great replacement for bleach and other harsh chemicals.

   I also make our own laundry detergent. I make 5 gallons at a time and it only costs a couple of bucks per batch. Here is the recipe I use:
      Fill a 5 gallon bucket half way with hot water.
      Add 1 cup Arm & Hammer Super Washing Soda and 1/2 Borax and stir until dissolved.
      Grate 1 bar of soap (we use a castille soap with tea tree oil)
      Heat a pot of water on the stove and gradually stir in the soap flakes until completely dissolved.
      Mix into bucket.
      Fill the rest of the way with hot water.
      Let sit for 24 hours.
       Stir before each use

That's it! We have an old plastic detergent dispenser that we fill with our soap so that we don't have to get the big heavy bucket out each time. I think the original recipe said to fill the dispenser with half soap half water, but Joey gets really sweaty so we've always just used our double strength (it still lasts forever, so why not?). This works great for us. Joey has a reaction to some detergents so this is a good option. We used in on Perrin's newborn clothes and I even use it on our cloth diapers. If I need to get something extra clean (like dingy whites or stripping the diapers) I just do a prewash with some vinegar and baking soda (you can also add a little Borax if you have hard water).

   Another thing we try to limit is our consumption of paper products. We still use toilet paper (so far...) but Perrin's diapers are all cloth. We also don't buy paper towels. I have a ton of rags made of cut up t-shirts that we didn't want anymore and we use those to clean up day to day messes. We even stopped buying paper coffee filters and got a reusable metal one.

   The few things we do still buy are hand-soap, dishwasher detergent, and dish-soap. I have found some good recipes to try to make our own, but I just haven't gotten around to it yet. But we like the money we save and it's nice that I don't have to worry about Perrin or the animals being affected by any of the products. And did I mention how cheap vinegar and baking soda are?!