Aug. 23rd, 2006

ailbhe: (Default)
After Emer was born, we went into recovery, and Rob had cups of tea, we called my mother and Rob's parents, I got given drinks of water, and I gave baby Emer her first feed. She did it as efficiently and competently as Linnea had, in spite of being much, much smaller.

Somebody somewhere messed up badly when it came to having me give birth, but they sorted it out with the breastfeeding thing. I get babies who know how, and that's all there is to it.

We took photos and chatted in the recovery room, and Rob and Fiona dressed Emer in her first vest and babygro, dyed especially for her by http://www.happybabysling.com/. Since she was over a kilo smaller than Linnea had been, the gro was a little loose on her, but she was fine.

There was some argument over my refusal of an electric bed. I really, really wanted a bassinet for Emer that would clip onto my bedframe so I could get her without sitting up or getting out of bed; these do not attach to the electric beds which would enable me to sit up without others' assistance. I later discovered that some of the staff don't much like the bedside bassinets anyway because they are harder to move around and make the bed much wider. But I stuck to my guns and got the bed I wanted. Then they moved us upstairs, and had some real trouble finding me food, since I was insisting on dairy and soya free things, given the dire warnings I've had about post-section digestion anyway.

I got crackers and biscuits, in the end, and a dietician came to talk to me about dinners. I hope to make a whole post about that later, because it was shocking and amusing and edifying.

I don't remember a great deal of that day. Linnea came to see me, and said "You have a baby Emer out of your tummy!" and stroked Emer's head gently and touched her hands gently. She's very gentle to Emer, in fact, and was incredibly pleased to see her, pleased she'd been born, pleased about the whole thing. Still is, a week later.

My mother came, of course, exhausted from several nights of broken sleep and two days' toddler-wrangling.

Rob spent a lot of time sitting in the bedside chair holding Emer and being tired and happy. He also left to get lunch and dinner. He changed her nappy - meconium is very, very black, and very, very heavy, and I am convinced that had Linnea waited until after being born to pass hers she'd have weighed a full 10lb.

Rob went home to dinner, and stayed home, to get to bed early, and Mum came back in to sit with me for the permitted time. We overheard some nasty arguments, from behind my curtains. Those probably need a seperate post too.

They brought me some dinner while Rob and Mum and Linnea were away eating; it was weird. They had real trouble finding something dairy-free, soya-free, and light enough to eat after abdominal surgery. What I was served in the end looked like a toddler meal of the kind one can buy in its own plastic bowl, designed to be microwaved and eaten with a fork. It was pasta and tomato sauce, soft and flavourless and overcooked. Glutinous. I ate it anyway; I don't know a whole lot about surgery but I do know that the body needs fuel to heal, and I don't intend to do anything to slow the healing process down a nanosecond.

The first night was all about breastfeeding, really. And the first day. Everything noteworthy that happened to me or that I overheard on the postnatal ward was about feeding the newborns, one way or another. So that needs its own post too.
ailbhe: (Default)
The first was when I asked a woman in staff clothes - I think she was a Maternity Assistant, not a nurse or a midwife - to help me by giving me a cushion to keep the baby off my wound, and hand me the baby. She wanted me to try the "rugby hold", and I said "It never worked with my other daughter." She argued with me, saying that feeding the baby held in front of me wouldn't work and would cause pain to the wound. When it became clear I was going to try it my way, she walked away. Had I needed further assistance, I would have had to buzz again - as it was I had to position the cushion with one hand while holding the baby with the other, less than twelve hours after abdominal surgery. The good news is that the cushion supported my arm, which supported the baby, and we had a comfortable feed.

The next I don't really remember, but feeding lying down a Staff Nurse reached out and touched my breast to help position it. I don't remember whether I said anything, or what she was trying to do.

After that, my mother and I heard the woman in the bed next to mine having a long argument with a midwife because she and her baby had been just about discharged, gone to change the baby's nappy before leaving, and found crystals in it. This can be a sign of dehydration so they were asked to wait to see a paediatrician before leaving. There was a delay of more than six hours to see the paediatrician, during which time the woman was given no help at all with latching, positioning, determining whether the baby was sucking effectively (you can often tell by looking). She wasn't told that there was a breastfeeding clinic downstairs she could drop in to without an appointment. She wasn't offered a meeting with a lactation consultant. She was just told that the baby could be dehydrated, that this was "because feeding wasn't going well," and that she "had to" wait to see a paediatrician before she could go home. (Eventually, her mother, who is a doctor, came in and got them released somehow, after both parents and the grandmother spoke to the paediatrician - luckily the paediatrician spoke German, because the baby's mother was German and though her English was excellent she was too upset to have to cope with new-baby-panic in a second language. The grandmother's English wasn't as good as the mother's, either).

Later that evening the Staff Nurse dropped by my bed to ask how things were going and I said "Fine," and she asked how feeding was going and I said "Great, she's been on most of the day, really," and I was in the process of latching her on again as I said that. The Staff Nurse reached out and sort of squeezed my breast above the nipple to try to push more if it into Emer's mouth. I said "Please don't," and she explained that she was trying to make sure the latch was ok. I assured her it was fine. She said it couldn't be because the baby shouldn't be hungry enough to suck all day, the colostrum should be enough, and if she was sucking all day it was because the latch was bad. I ended up repeating over and over that I thought the baby just liked to suck. She'd only been born that morning, after all - and that was early. (Latch fine, baby fine, c-section babies are often very clingy and needy the first day because it's a very sudden way to come into the world).

At some point that night someone told me I shouldn't feed her when she started mouthing, I should wait until she "really wanted it" so that she'd "have a really good feed". Er, yeah. Ever tried to latch on a really, really hungry and frustrated newborn? No joke.

And the final straw was at about 1 am. Around 8 pm Emer was declared a bit cold, and they put her on a heat pad under a plastic dome in the bedside bassinet (a whole nother post about the skin to skin thing follows, I promise). At 11 pm I couldn't bear it any more and I buzzed for someone. A midwife arrived, told me to turn on the light - I had no idea how and it took a while to get her to tell me how, turns out there's a button on the buzz-for-a-nurse thing - and asked me impatiently, in a daytime voice, what I wanted. I said "I want to touch my baby." She said:

"What for?"

I said "Because she's my baby," and we had a little argument. She insisted that the baby should not be disturbed, I said I didn't want to disturb her, just touch her, she said that I ought to leave the baby alone and rest... it went on and on. Eventually I said "But how can I rest if I can't touch my baby?" and she gave in. She did a full check of blood pressure, temperature, and pulse, and then tucked Emer in beside me for skin to skin, and I fed her. The midwife asked if I'd fed my other daughter and I said "I still do," and immediately her attitude changed: now I was a Good Mother, a Good Patient, and she was going to be nice to me. She even said she'd make sure I was checked a couple of hours early to get the catheter out before breakfast time.

And a while later the woman in the bed opposite buzzed for her, for help breastfeeding. I don't remember the whole conversation, but the gist of it was that the woman had had trouble feeding earlier in the day and asked for and been given a bottle of formula. The night midwife harangued her about it - strongly implying that she was stupid, repeating and repeating that she was sure to fail if she had given a bottle, that bottles are very harmful to breastfeeding, that she needed to never give a bottle, that she shouldn't have given the bottle... she didn't stop until the woman was crying. And nowhere in the "conversation" did I hear helpful advice, or a question about what precise problem the mother had with feeding, or anything useful or supportive like that.

I was furious, but far too ill and tired to buzz for the midwife to tell her what I thought of her. I wanted to. I almost shouted across the bloody room, but I was too ill for a confrontation at 1 am - I was too ill to hear other people's confrontations, for heavens' sake. And I was sick of being given breastfeeding advice by unqualified people myself, so dishing it out wasn't really a good idea.

Next day I moved to a private room, and we found out that there's a patient-midwives meetings scheme thing to improve midwifery services. I intend to get involved. Hooboy do I intend to get involved.

March 2025

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