not crying over spilled milk, part two

In case you missed it, you can read part one of this post about dealing with potential breastfeeding problems and an underweight baby here.

As soon as we had gotten home from the pediatrician’s office I had downloaded the World Health Organization’s (WHO) charts for healthy baby weights.  Pickles wasn’t even on them, her weight was so low.  Hmm, I thought, well that doesn’t sound good.  But she had been gaining, and I remembered the words of my midwife, who had also pointed out Pickles’ low-end weight gain during her many post-partum visits.  “If you were both the size of bears I might be worried, but look at the two of you.  She’s probably just going to be small.”  Was she just gaining at her own pace?  Or was this a serious problem?  Was she going to be a dwarf?  Did she already have a tapeworm?  Had her metabolism stopped working?  Was she going to die?

One little rock, and there goes the whole mountain.  It doesn’t take long for me to jump from worry to WORRY WORRY DEATH DEATH DEATH FUCK HOLY SHIT WAAHHH.  Not long at all.  I feel like I spend most of my emotional life trying to get the emotional voices in my head to listen to the intellectual voices.  The intellectual voices are almost always right, but the emotional voices just seem to put their hands over their ears shouting “lalalalalala” every time they try to talk the emotional voices down off the ledge.  The two of them spend a lot of time screaming at each other in there.

It was the doctor’s opinion that I didn’t have enough milk to feed Pickles.  But did you know it is actually really rare that a woman’s body is physically incapable of producing enough milk to nurture her baby?  There is only one condition that does it, and it is a lack of tissue in the breast.  All the other issues a woman might have with breast milk supply usually come from outside factors—things like c-sections, bad latch, lack of support or information, painful nipples, breast surgery, and on and on—and many of these factors are fixable.  Why would a doctor assume I had this rare condition immediately, without asking a single god damned question?  Why would she recommend something less healthy than breast milk for my baby without even examining my breasts to see if I actually had the rare condition that she claimed was causing the problem?  Forgive me for the repetition, but I still can’t believe that a pediatrician could know so little about breastfeeding, a subject that impacts every single one of her patients.  It strikes me as ludicrous, as irresponsible.  But you’ve got to be your own advocate, other people be damned.

After getting my sack o’ herbs and talking to our La Leche League leader, I made an appointment with the midwife filling in for my own during her vacation.  Turned out I was kind of glad that Clara was on vacation.  She may be Ina May-esque in her philosophies when it comes to birth, but when it comes to feeding she is of the “one bottle won’t kill her” school.  (And no, one bottle won’t kill a baby.  Formula doesn’t kill babies.  Well, unless you’re talking about the African babies who starved to death because free samples got them onto formula, their mother’s stopped lactating, and then, when the family couldn’t afford to keep buying formula, could no longer feed baby.  But formula comes with a set of risks that I preferred to avoid opening the door to.)  But Anna, Clara’s replacement, turned out to be an adamant proponent of breastfeeding, which not only made me feel comfortable with her, but meant she was also very well informed.

When Anna arrived at our home, the first thing we did was to weigh Pickles.  Her scale showed 100 grams more than the doctor’s.  It didn’t put Pickles on the weight charts, but it did mean that she had continued gaining at her pace, that her weight hadn’t stalled completely.  Then we talked.  She asked me about our breastfeeding habits, how often, how long, and did Pickles generally seem pretty content?  She examined Pickles, who didn’t show any physical signs of being malnourished, and whose head was developing just fine.  (Development of the head is apparently a far more important benchmark than weight gain, the brain being our most important organ.)  We told her what Clara had said, what the doctor had said, and that we had both been “underweight” babies.  She asked me about the birth (and was relieved to hear that despite the c-section, we were successfully breastfeeding as soon as I had been stitched up).  She watched Pickles latch on and drink.  This is the kind of care I wish the health care system offered.  At least it still exists in certain corners of the industry.

So what now?  There was one option remaining, and that was that maybe I did have that rare condition.  Anna examined my breasts.  “I just took a seminar about this, so it could be I’m just seeing it everywhere because of that, but your breasts look like the breasts we saw pictures of during the course.”  Awesome.  Because having small breasts in a country obsessed with big breasts wasn’t awesome enough (America being that country, Germany is less with this), their smallness had to fuck me over as a mother too.  Thanks body, thanks a lot.  But Anna presented a plan.  I should pump my milk to see how much I had, and then feed it to Pickles using a contraption she would bring me, a bottle attached to two tiny tubes that would allow me to supplement Pickles’ diet directly at the breast, thus avoiding any interruption of breast feeding, any nipple confusion, or any further depletion of my milk supply (through a lack of sucking).

When she left to pick up the supplementary feeding contraption, I felt a little better, like maybe there was a chance that there was nothing wrong with me, and that we could get to the bottom of Pickles’ low weight.  The Beard was glad to see me less freaked out, and he headed off to work.  A half an hour later, Anna was back with the feeding contraption, which she showed me how to use.  But suddenly she was talking about formula again, about how I could feed Pickles as usual and then offer the formula to see how much more she drank.  If it was a lot, she obviously wasn’t getting enough.  If it wasn’t, then the problem lay elsewhere.  But why was she talking about formula again already?  When we had just discussed a plan to figure things out without it, putting off supplementation for one week of detective work before going down formula road?  I was confused.  She left.  I started to cry.  Stupid broken body.  I felt so angry at it, that it could let me down like this, that it couldn’t even feed my baby.  Maybe I was never supposed to have children.  Maybe I should have died at birth myself (I was a footling, born by planned c-section, so it is likely that I would have).  I called the Beard, and he came home.  He can be stunningly optimistic sometimes.  It helped.

We decided to go through with our week of detective work.  I would take the herbs, and we would borrow a baby scale from the pharmacy so we could track Pickles’ weight ourselves.  I tried the pumping experiment, but the pump hurt my nipples something fierce (while pumping and for several days afterwards), so I decided not to take that road.  I made a conscious effort to eat more, double-checked that I was drinking enough.  I offered Pickles a drink more often, and I started using the compression method (explained in an article here), which helped Pickles get all of the milk out.  And at the end of the week Pickles had, according to the numbers we’d observed on our own scale, gained absolutely nothing.  A slow weight gain was potentially acceptable, but no weight gain in an infant is bad news.  I had enough evidence.  I went to the organic grocery store, and I bought a box of powdered formula.

Apparently this is the longest story ever.  Because here I am finished with another post, and I still haven’t even told you about what we’re doing with feedings now and how it’s going.  I almost did it here.  But sometimes a sentence just feels like it is the end of a post, and I like to go with that.  So once again, tune in again later for The Tribulations of Baby Pickles or Operation Tube Milk.

 

 

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Tuesday May 01st 2012, 9:00 am 13 Comments
Filed under: conspiracies,gorilla parent (year one)

13 Comments so far. Please leave a comment.

It all sounds so stressful hun. I’m sorry to hear you’re struggling so much. I look forward to reading the next installment and hope things are getting a little easier.

Comment by Radical Ramblings 05.01.12 @ 11:45 am

ack that is one of my favorite pictures! i think it is the one that i am going to print out to put up on the family wall.

that part about the emotional voices sticking their fingers in their eyes sounds EXACTLY like what’s going on in my head right now… i have always thought about it in terms of this internal battle between the different voices who refuse to listen to one another as they are currently doing. i’ve been very concerned about how this would affect my parenting- knowing intellectually things will be all right and emotionally freaking that all will be death and destruction. fortunately we both know how this particular mental argument ended… !!

Comment by fishinthewater 05.01.12 @ 4:19 pm

hey, sorry to hear about the ordeal. I agonized over supplementing when I went back to work part time and couldn’t pump enough, totally different situation, I know, but…
won’t do any good to dig yourself into an existential crisis though, you are here and doing the best you can, Pickles will turn out great either way. I made myself feel better by knowing Jane is still getting all the benefits of breastmilk because that’s majority of what she’s eating, but now at least she’s full (and less crabby too!).

Comment by Frugal Vegan Mom 05.01.12 @ 5:07 pm

1) doing your best to raise your child in accordance with your ideals, 2) recognizing a problem, 3) carefully assessing options, 4) compromising when necessary for the health of the child.

sounds like you’re doing things right, which means the emotional agony is to be expected. perfection is over-rated, anyway.

Comment by Andrew 05.01.12 @ 6:32 pm

Aaaah, cliff hanger! I hope things have gotten easier and that you’re at peace with whatever had to be.

Comment by Rachel 05.01.12 @ 7:03 pm

Wow, how upsetting! I am sending you milky thoughts and hoping it all works out for the best. As with the birth, it may be that “the best” for your particular baby is not what you planned, and I hope you’ll be okay with that…but I know it will be so much happier for you if the formula is only a temporary need and your own milk ultimately triumphs, so I’m hoping that’s what happens!

I hope you don’t mind my posting a link to my recent article on breastfeeding while working outside the home for any of your readers who are doing or considering that and would like some specific tips.

My son is 7 now and weaned 5 years ago, but I still miss breastfeeding. What a sweet, sweet feeling! I hope you’ll continue even if formula supplementation is necessary for the long run.

Comment by 'Becca 05.01.12 @ 8:30 pm

Why does it have to be powdered formula?

Why can’t it just be cow’s milk?

Comment by paula 05.02.12 @ 4:56 am

Radical Ramblings: Thanks and it def has. I’m going to try to finish writing all about that today so it can go up tomorrow. Don’t want to leave everybody hanging.

fishie: Indeed!

FVM: Yeah, it’s not so much the formula giving that had me feeling so shitty as the “my body is incapable of doing what it’s supposed to” feeling. And yeah, I am SO happy that I can still give Pickles mostly breast milk and just a little formula top up. So at least there’s that.

Andrew: Thanks :)

Rachel: Hihi, didn’t want to leave you all hanging. Also thought I should take at least a one-day break from breastfeeding posts. But I should have the next installment of this story up tomorrow!

Becca: I am hoping my milk ultimately triumphs exclusively as well. !!! Fingers crossed.

Paula: They shouldn’t get it until they are about a year old, but now I can’t remember why that was exactly. The short version is that it simply is not close enough in build to human milk to supply everything the baby needs, and because it is so different, it can be hard for the baby to digest.

Ah just found some more specific explanations: “Babies who are exposed to cow’s milk before their first birthday are more likely to be anemic, have diarrhea or vomiting, and/or experience an allergic reaction (the proteins in milk are more numerous than those in other milk products, such as the yogurt). The excessive protein load in cow’s milk can also overload a baby’s kidneys. It is deficient in vitamins C, E, and copper. It is harder to digest as well, often causing intestinal blood loss. A number of studies have also indicated that early introduction of cow’s milk may contribute to the development of Insulin-Dependent Diabetes Mellitus.” -http://kellymom.com/nutrition/milk/milk-supplements/

Comment by clickclackgorilla 05.02.12 @ 10:57 am

Thinking of you! Don’t beat yourself up over all of this. Parenting is just a ball half the time: it unleashes your guilty conscience and lets it run wild. P.S. I will email you my number in case you do ever need a chat x

Comment by fiona 05.02.12 @ 1:59 pm

Do you have a source for raw goat’s milk? I know a lot of moms do that if need be. But it sounds like you’ve already come up with a solution we all will read about soon! Unfortunately, those “my baby’s gonna die” voices don’t quiet easily. My oldest baby is turning 16 soon & the voices are screaming bloody murder over this driving business!

Comment by Dime Farm 05.02.12 @ 2:50 pm

I went through exactly the same ordeal when my baby was 15 days old, and you’re describing with eerie accuracy what was going on in my mind. What happened with me and my baby was that I had cracked nipples and my baby wasn’t latching on properly (because breastfeeding was hurting like hell!!!), but the only person who diagnosed it properly was a friend living 10K km away by e-mail. No doctor even suggested it, not nearly.

I hated giving my daughter formula, but it helped in two ways: one, it demonstrated factually that my baby didn’t have any growth issues, and two, it lifted some of the responsibility off my shoulders (my breasts, actually).

She took formula for a full total of 5 days, and never again accepted a drop of it. Yay for breasts! I never managed to pump enough milk (I had one manual Avent pump), and that killed me. My friends and my sister in law’s fridges had been full of milk and I couldn’t fill one fucking bottle. What a loser I still feel about that.

Going back to work was quite a difficult experience, but somehow we managed – and they’re super tolerant in my job and I worked only 3 hours.

I started giving her cow milk when she turned 6 months old, and it was 2 weeks before she deigned to try one swallow of it. Against what everyone told me she was with ME when she finally accepted it, and again, against what everyone would tell me she then perfected the latching and suckling (felt pretty much like liposuction).

Nipple confusion? What’s that? Let’s fill my tummy!

So, every baby is different. And what Andrew says rocks. That’s the illuminated truth.

Comment by Julia 05.02.12 @ 4:33 pm

I’ve just read your explanation of why not cow milk before the first birthday.

I forgot to mention that it was 2/3 milk 1/3 water.

Have I compromised my daughter’s health? I hope not.

Comment by Julia 05.02.12 @ 4:40 pm

Hi Click-Clack
I’m at the health department as we speak, reading blogs instead of “working” but this feels like work. I”m a BF peer counselor and I”m gonna share a little info and a couple of links with you in hopes that I can help out a bit.
First, I feel for you. In the internet world of mothering magazine and earthy-momma blogs we are marketed this “perfect-world” idea of natural parenting. Homebirth, Bfing, co-sleeping, clothe diapers etc. The real world is darker and sweeter and much harder to understand.
Anyway. Here are some links:
http://kellymom.com/
Best Bf site ever.
http://newborns.stanford.edu/Breastfeeding/
check out all the options on the left. Maximing breast milk is ground breaking!
Finally, Breastfeeding is like making love. Have your man rub your shoulders and listen to your favorite music and light a candle while you nurse. Sing low. Deeply, Deeply relax. I often tell women to do this with the pump as well and we call it “romancing the pump”. DO this with formula! Get topless, snuggle your peanut light that damn candle and give her the bottle. Life is delicious! This is what our body wants. This is what her body wants.
Finally:
http://www.elephantjournal.com/2012/04/skip-your-morning-meditation-watch-this-instead/
Good luck. Feel free to correspond with me further, if you like. wicpeer-leelanau@bldhd.org
Katie

Comment by Katie 05.03.12 @ 4:06 pm




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