Update on Mary

Thank you to everyone for their advice, sympathy, and virtual hugs. I know it’s going to be fine; I’ve done this before. But it’s hard, and it’s frustrating…and I’d much rather have an easy life.

The pediatrician wants her patient to gain weight. I understand that she isn’t going to care much about how that is accomplished. Even if I did exclusively bottle feed formula for a week (I’m not!), it doesn’t mean that I wouldn’t be able to breastfeed my child eventually. It would just be even harder. And I’m all about making my life easier.

Mary gained 3 ounces between 1 pm on Wednesday and 11 am on Thursday. I recorded giving her a total of 6 ounces of bottled nutrition – only 1 3/4 ounces was formula. Nobody is suggesting that the pump is measuring my production – I just preferred to give her breast milk and was attempting to keep my own supply stimulated.

But there is no way that I will be able to continue to pump much – not long term. I need to be present for my other five children, and it is very difficult to pour juice and tie shoe laces while pumping. Plus, the pumps (I have an old, but reliable, Medela pump that I used when I returned to work after Fritz was born…plus a brand new Medela pump the midwife loaned me) are only yielding about a half ounce for thirty minutes of pumping. That’s too much time for too little result.

I prefer to stimulate the milk production naturally, and the midwife gave me a nipple shield. I need a bigger size, but am managing to use it, and it does work. It’s very annoying that my daughter seemed to prefer the rubbery taste. I also managed to have her latch on without it, but only after the other kids went to bed and it was very calm in the house. And it wasn’t for a long time.

I also have some breast shells, and we’ll see if that makes a difference.

I’m guzzling Mother’s Tea. It contains fenugreek.

I’ve been in touch with a lactation consultant. I have her number if I need any more help.

I have an appointment this afternoon and Monday afternoon to weigh the baby. A normal, healthy weight gain is one ounce per day. As long as Mary is gaining weight, it doesn’t matter how the nutrition is delivered to her little body. Right now, my plan is to nurse the baby as often as possible (au natural or using the nipple shield if necessary), and supplement with formula up to about 6 ounces in 24 hours.

I’ve switched to using a syringe to give her the formula. This is a tedious, messy procedure, but delivers nutrition and avoids nipple confusion by denying her the pleasure of sucking. I did use a bottle around 1 am, because I wanted to get some sleep, but during the day time, I don’t intend to use it. We’ll see how it goes. The proof is in the weight gain.

We’ll get through this. And it probably won’t be very long until it is all resolved – maybe a week or two. I remember looking back at some dated items when I was suffering through this with Jenny, and I realized that the whole ordeal was about three weeks in duration. I was shocked. It really felt like it had taken months.

It’s kind of like when I ran the Army Ten Miler. The finish line is around a bend. I ran with Bill, who had run the race the year before. He kept telling me, that last agonizing mile, that we were almost done. I couldn’t see the end, though, and despaired at how far I had to go. If I run that race next year, as I intend, I will know where the finish line is. I won’t need to see it.

I can’t see the end of this situation, but I know it is not too far up ahead.

Frustration and misery

Generally, I expect the silver lining of experience, especially painfully-earned experience, to be the ability to avoid the same situation in the future. Unfortunately, this is not always the case, and I find myself going through the same thing again. All experience gets me is a calm reassuring pat, and the knowledge that this too shall pass.

Last evening found me sobbing in a black pit of misery. I am still miserable – woefully so – but I have the advantage of a fresh morning and some good hours of sleep to bolster me. Experience tells me that I will be feeling every depth of despair this evening after yet another difficult day.

I really can not believe that once again I find myself, as I did over four years ago, pumping milk, using bottles, and praying a novena to Our Lady of La Leche for her intercession with my starving child. The baby has lost entirely too much weight in her week and a half of life. Even supposing an inaccuracy in the midwife’s scale used at her birth, it is still too much. I have to take her to the doctor’s again this morning to reweigh her and see if she’s gained anything in 24 hours.

When this happened with Jenny, it was assumed that the stress of Bill’s deployment affected my milk supply. Although I’m sure it was a major contributing factor, I think more so it was her difficulty in latching on strongly. Pete seemed to have some trouble too and was diagnosed with a tied tongue (I’m not too sure that this is true, since he has no speech problems and seems to be able to stick his tongue out now), and I had to take him twice to be weighed to prove that he was thriving. He didn’t lose that much weight all told.

Mary, like Jenny, has had difficulty in achieving a firm latch. We’ve been banging our heads in frustration since her birth, and she has spent most of her days and nights either struggling to latch on or nursing. Much to both our exhaustion, she has rarely been out of my arms and, if so, has usually been crying. Being hungry constantly will do that to you.

Despite her extreme weight loss, it’s not been as bad as it was with Jenny. Jenny experienced dehydration and lethargy. It was a scary time. Mary’s constant nursing managed to bring in my milk supply, and she was producing wet diapers. We were making painful progress. With Jenny, I was scared into supplementing with a lot of formula. I then had to wean her off bottles (she had nipple confusion) and gradually increase my milk supply by pumping. With Mary, the doctor wanted to record how much she was getting, so I have had to pump, and, if the pump failed to produce enough (and sadly, this seems to be the case), supplement with formula.

I’m worried about my milk supply. I’m worried about nipple confusion. I’m worried about my child’s health.

And after she drinks one ounce of expressed milk and then sits alert and content in someone else’s arms or falls into a good, deep sleep for two hours, I remember that it’s not normal for even a newborn to cry all the time. I feel guilty and frustrated for failing to take care of my child properly, for failing to be a good mother.

It’s a dark pit.

Experience soothes me. With Jenny, one week I was crying because she would sleep for two or three hours, satiated on formula, and the next week I was crying that she was up every hour to nurse. It’s a black pit, but, not only do I know there is an exit, I know the way out.

Our Lady of La Leche, pray for me.