Showing posts with label midwife. Show all posts
Showing posts with label midwife. Show all posts

Tuesday, 30 July 2013

Daisy: Part 2

I had hoped my wife and daughter would be home three days after the birth.  They weren't.  They spent the first five days and nights of Daisy's life in hospital.  Even though I knew they were in incredibly capable hands, it was exceptionally difficult to drag myself away from them each night.  In fact, I hated it.  My wife was unable to move from her bed on the first night and whilst she was healing well during the subsequent days and nights, being able to lift our daughter from her cot any time of the day or night wasn't an easy task.  I wanted to be there to help.  I wasn't allowed.

Why did they have to stay longer in hospital than we had anticipated?  The short answer is that they were struggling with feeding.  It hasn't come as a galloping shock that my daughter is a strong-willed little lady.  After her battle of wills with gravity and nature during the pregnancy and a consultant during the ECV, it was obvious before she was even born that she would have a strong personality.  Her determination and stubbornness became apparent very early on.  People spend a lot of time discussing who a baby looks like when they are born.  (Fortunately, my daughter has her mother's looks and doesn't have my nose!)  However, I've spent more time thinking about my daughter's personality over the past two weeks.  She certainly has the stubborn, determined and strong-willed characteristics of the female members of my mother's side of the family.  But I'm really struggling to place her attitude towards food.

From the first few feeds it was clear that breastfeeding our daughter wasn't going to be the walk-in-the-park that it is made out to be by some healthcare professionals during pregnancy.  Daisy wasn't latching properly and seemed to spend a great deal of time becoming frustrated and angry about it.  She would scream, wriggle and squirm and a feed could take over an hour and a half, if indeed it happened at all.  This was heartbreaking for my wife and I.  My wife found it very upsetting,  She had the 'equipment' and plenty of milk but our daughter didn't want to, or couldn't, drink it.  I was upset that my wife was upset.  Daisy, who isn't the biggest baby, was losing weight as a result.  She had lost slightly over 10% of her body-weight within four days of her birth.

My rapidly expanding waistline is testament to the fact that I don't share my daughter's current attitude towards food!  Her mother also has a healthy attitude towards food, although looking at her fantastic figure you wouldn't have any clue about how much she enjoys eating.  However, I didn't like food much as a child.  It worried my mother immensely.  I was small and skinny and not that healthy looking.  I certainly made up for it in my late teens when I went to university and was able to cook myself whatever I wanted.  Thanks to my wife, I now have a more mature attitude towards food and my diet isn't all bad!  So, maybe Daisy is following my food journey.  I hope not!  I was a pain.  I wouldn't eat anything good for me for my entire childhood despite my mum's greatest attempts.  I want my daughter to have a better attitude to food than I did.


Finding out that Daisy had lost so much weight was the lowest point in the past two weeks.  Fortunately, it also seemed to be the spur that Daisy needed and following that very hard and upsetting day she started to get the hang of feeding.  I'm not saying she got it straight away and feeding no longer caused any anxiety or temper tantrums.  But, she did start to feed better and she did start to gain some of the weight she had lost.  The midwives and their assistants in both Gloucestershire Royal Hospital and Stroud Maternity Hospital (where we had asked to transfer to after a day) were wonderful.  They were patient, caring and understanding and helped my girls every step of the way.  By the time my wife and daughter were finally ready to leave hospital five days after the birth, Daisy had gained an impressive 6 ounces over the course of the final two days.
 
Now we are home, Daisy and my wife are still finding feeding difficult.  But, due to my wife's patience and determination, they are getting there.  Thankfully, Daisy is still gaining weight.  She is almost back to her birth weight and the midwives who have visited us have been pleased with the progress she is making.  She feeds well once she is latched.  However, she has certainly had her moments.  There have been temper tantrums and it took 45 minutes to start one feed recently.  But we are picking up tips from the midwives and from a breastfeeding counsellor from an organisation called MOBS (Mothers Offering Breastfeeding Support).  Every feed that goes well helps to improve my wife's confidence and reduce our collective anxiety towards the whole process.

I am very proud of my wife and daughter.  They haven't given up.  I would totally understand if my wife decided that she wanted to try formula milk instead.  But she has persisted, as she feels that breastfeeding is the best option for our daughter.  It still worries me (and her).  I want them both to enjoy feed times, I want them enjoy each other's company and I want them to be happy.  If feeding is a constant battle then these things can't happen.  Formula milk might be the best option in the near future and we shouldn't feel guilty about it if it comes to that, but for now I will support my wife and daughter in any way I can as they continue to get better at feeding every day.

Tuesday, 2 July 2013

The Little Lady's Not for Turning


It became very obvious to us today that our unborn daughter is firmly in charge.  She is displaying all of the traits of the women on my mother's side of the family.  Strong willed, stubborn and in-control.  Before I'm inundated with complaints from angry female relatives (by which I really mean just my mum!), I should point out that these women are also incredibly caring, loving and generous.

It has been a pretty fretful baby week so far.  Let's take a step back to yesterday afternoon.  You may or may not remember that our daughter was breech at her last scan.  Yesterday was the presentation scan to see if she had decided to turn herself.  My wife was sure she hadn't.  She was right.  As she always is!  Because she was still breech, we were then offered the chance to have an ECV, where the consultant tries to turn the baby externally.  Our other option was to book in for a Caesarean-section.  We felt we owed it to ourselves and our daughter to give the ECV a try.  We knew it would be painful and uncomfortable for my wife and would have only a 50% chance of working.  But my wife wanted to give birth naturally, knowing that it would be better for both of them if she could.  So, we agreed to the procedure and were booked in for this afternoon.


Full of worry and trepidation, we put the hospital bag in the car (as there is a very small chance that the ECV can distress baby so much that an emergency C-section could become necessary) and headed for the hospital.  Once in the delivery suite, my wife was attached to a machine, which listens to the baby's heartbeat, for half an hour.  Then came the tough part.  A softly spoken and gentle looking female consultant came in briefly to introduce herself and then she left again.  It was at this point that my wife commented that at least she looked gentle and wouldn't be able to be too brutal.  I retorted that it is always the quiet looking ones who are the toughest (I'm not sure why.  Thinking about it now, it wasn't the most supportive thing to say!)  I was right.  As I never am!  She came back in and wasn't gentle.  She was pretty brutal.  Of course, she had to be.  She wasn't just some kind of sadist.  The procedure requires a lot of pressure and force.


It was hard to watch my wife and daughter being so forcefully manhandled.  The consultant was impressed with my wife's pain threshold, as she said that most other women would have been screaming out in pain under the force and pressure she was having to exert to try and turn our stubborn little lady.  It became clear after a while that she wasn't budging.  She's very happy that way up thank you very much!  So, much to the relief of my wife and probably my daughter, the consultant decided to call it a day.  My wife was reattached to the monitor to see if the procedure had caused our little one any distress and almost immediately my daughter started to wriggle.  A victory dance perhaps?  She had her own way, that's for sure.  And, thankfully, her heartbeat was fine.  In fact, the midwife said it was better after the ECV than it was before.

We're now booked in for a C-section on 17th July.  We were so convinced she was coming sooner through induction that today feels a little anti-climatic.  But they are both well and that's the only thing that matters after the stresses of today.  I am unspeakably proud of the strength and courage my wife displayed today.  Everything she did was for our daughter's well being and health.  As for our daughter?  Well, I know that her great nanny Beryl will be looking down on her, proud of the stubbornness she is already displaying and also more than just a little pleased with her little victory over the healthcare profession today!

Saturday, 29 June 2013

Nappy Days

One of my first duties as a new father, as I understand it, will not be an altogether pleasant experience.  Of course, I'm not talking about any of those things I can't wait for, like holding and cuddling my daughter for the first time or seeing her in her mother's arms.  No, I'm referring to changing the first dirty nappy.  I'm led to believe that it is a scenario which strips both parties of their dignity.

For those of you who have already experienced these meconium nappies, I take my hat off to you.  (Well I would if I was wearing one.  I'm not.  I don't like them messing up my hair!)  You survived to tell the tale, which gives me inspiration.  I am, however, still fairly worried about what lies ahead.  Everyone I have talked to about these first nappies describes them as disgusting and impossible to clean up.  Now, I would love to believe that my daughter will be like the Queen and not do anything in her nappy other than the occasional wee.  But, the reality is that she will be like all other babies and I will be called upon to do the honours whilst my wife recovers after the birth.

During our final NCT class this week, we were given the opportunity to change a nappy.  We were allowed to select our own 'baby' from a basket full of them.  Don't panic.  They weren't real babies.  They were dolls.  We'll skip over the fact that my wife chose the weirdest looking one in the basket for us and move straight on to the nappy changing.  Assuming that the nappy I was changing was just a clean nappy (because after all, dolls don't poo or wee), I happily started to undress the doll and take off the nappy.  It was at this point that I realised everything was not quite right.  The reaction of those around me tipped me off to the fact that there was something unexpected to be found in our dolls' nappies.

Our NCT course leader hadn't been sourcing actual baby poo to put in these nappies, but she had done the next best thing.  She had used various condiments to simulate baby poo.  My nappy contained a runny yellow substance which turned out to be Dijon mustard.  The couple next to me had one with treacle in it to simulate meconium.  We were given just water and cotton wool to get our dolls clean.  Why no baby wipes?  Good question.  It is frowned upon to use baby wipes on newborns.  So, when we got home, we removed our pack of wipes from our hospital bag as neither of us wants to be tutted at by a disappointed midwife.  Cleaning my doll was easy enough.  Yes, I did get some on my hands.  But, I managed to clean it up and put on a new nappy quite successfully.  Those with treacle in the nappy struggled.  Warm water and cotton wool aren't enough to get treacle, or meconium, off of a baby's bum.  You need a chisel, blow torch and some sand paper.  Although, I think that you might get more than a disapproving look or a less than subtle tut if you unloaded any or all of these from your bag at the hospital.

I'm hoping that I will be so euphoric after the birth of our baby that changing even the most disgusting of nappies will not affect my mood.  If not, I guess that's what therapists are for!

Friday, 21 June 2013

Our 'Naughty' Daughter

Already I feel like one of those parents whose child can do no wrong!  My unborn daughter was called naughty by two different healthcare professionals on Monday.  I didn't like it.  The reason was that, during our scan to check on her size, it was discovered that she is still breech.  She has been breech for at least 4 weeks now.  The chances of her turning before we need to have an induction are getting smaller. 
Some of our rapidly expanding reading materials 

We had been so busy worrying that she would get too big because of my wife's gestational diabetes, that we had just assumed her position would take care of itself.  We had got used to the idea of an early induction and now we have some other possibilities to get our heads around.

The good news is that her size is perfect.  This means that, with everything else being normal, my wife would be induced at about 38 weeks.  However, the sonographer, of course, found that our baby is the wrong way up.  She was the first to comment on our little one's behaviour.  I know she was only joking, but I felt very defensive of my daughter.  It doesn't bode well for the future.  How am I going to react when my daughter's teachers say she has done something wrong?  Will I believe them?  I am delusional enough at this point in the pregnancy to believe that my daughter will be perfectly behaved all of the time once she is born.

One bit of other news from the scan is that we are definitely having a daughter.  This will stop me worrying about what happens if, when our baby arrives, we hear the words 'It's a boy!' when we have spent the last 6 months getting prepared for welcoming a daughter to our family.  She also has hair on the back of her head.  We don't know about the top!

We then had an appointment with the obstetrician.  During these appointments we are seen by a midwife first.  She was the second person to admonish our baby bump.  Silently irritated, I listened as we were told everything else was going well by the registrar.  Then we were told what would happen next.  This is the moment where things get a little complicated.  Bear with me.

At 37 weeks, a little over a week from now, we go to the hospital for a presentation scan.  This will tell use which way up our 'naughty' little girl is.  If she has turned, then we will be on for an induction during the following week.  We have been told that the induction process can take a few days for some people, which we are obviously very excited about!  This is the ideal scenario.  But, if she is still breech then we will be given the option of having an ECV.  This is an External Cephalic Version.  It is a process where the obstetrician externally attempts to turn your baby.  I've seen this done on TV and it looks pretty brutal.  If we choose this option, then we will need to take our hospital bag, as there is a very small risk that baby won't like it and become distressed, which may need an emergency cesarean section.

If the ECV is successful, and our little one doesn't decide to immediately turn herself around on the way home (she is naughty after all), then we'll be back on for an induction at 38 weeks.  If it isn't (and there is close to a 50% chance) then we will be booked in for a cesarean section a couple of weeks later.  We were helpfully informed that people do come in for their cesareans only to discover that their child has turned!  We are not sure what would happen to us at this stage.  We were feeling a little overwhelmed and didn't think to ask this question.  My guess is we'll be induced that day.

So we're a little confused and quite uncertain about what will happen and when it will happen, but we'd be even less certain if everything was going normally!  We'd have no idea when our little lady would be making an appearance.  The important thing is my wife and baby are well and are being very well looked after.  Aside from the behaviour issues we clearly have to address with our daughter the moment she is born (maybe some time of the naughty step will do it!), that is all that matters to me.