Thursday, July 10, 2014

Travling with infants - in bullet form

Started this MONTHS ago. Don't want to bother finishing it now so am publishing it.

Here are some thoughts about traveling with infants. We took our 6 week 1 day old infants from Portland to Australia and back again. Total, they each took 10 flights, the longest which was 12 1/2 hours, the shortest was 1 hour.

  • pack as LIGHTLY as you can for the airplane - seriously, you do not want to have to deal with more than you need. Check as much, even if it costs you extra.
  • planning on pumping on the flight? Get a window seat if you can so you get extra privacy. Wear a cardigan or button down shirt that you can use as a shield and put on backwards over your pump equipment once you're set up. And put your pump bag on the tray table for extra privacy.
  • bring a SMALL cooler bag and ask the flight attendants for ice.
  • stay hydrated. Drink way more than you need. Tell the flight attendants that you're nursing and will be bothering them for water constantly, could they please just give you a bottle. I was given so many bottles of water (and I still got horribly dehydrated - which made my milk supply take a hit).
  • bring packages of electrolytes to add to your water - will help with hydration.
  • using a wrap to carry your baby? Reconsider the Moby. It's awesome, but it takes so much space and time to put on properly. Most airlines will make you take baby out of the Moby and into a baby seatbelt. And international airports won't let you walk through security with baby in a wrap (the US airports DO allow you to go through with baby in a wrap that has no metal on it). The Ergo works as does the BabyHawk MeiTai. 
  • consider offering to buy your seatmate a drink. The person will probably decline, but good will is offered and the person will be nice to you.
  • remember that most everyone on the plane is a stranger you'll never see again so if your baby is crying or fussy, who the F cares! Worry about calming your baby and ignore any bad looks you get. If someone says something stupid to you like "can't you stop your baby from crying?" respond with "don't you think I would if I could?" Fortunately, we didn't have to deal with this at all because our babies did not cry even once, but I was fully prepared to go mama bear on any dumb ass.
  • stupid US airlines don't allow families to board early. So consider paying extra to get priority boarding and extra leg room. It'll be worth it!
  • Going through customs somewhere? Both when we entered Australia and re-entered the US, we found someone with authority and said "we have ___ week old twins. We'd rather them not be exposed to all these germs and this long wait. Can you please help us get to the front of the line?" Both times, we were escorted to the VERY front of the looooong line and got through immigration in about 10 minutes total. Again, go mama / papa bear.
  • Are you nursing? If you are, or even if you aren't / don't want to in public, bring a pacifier to help baby on the ascent and descent.

Monday, July 7, 2014

The first few weeks

This is rather late, given that our babies are 7 1/2 months old, but I wanted to write about the first few weeks of being home with newborn twins. It. Was. CRAZY. Seriously. Neither hubby nor I really remember those first few weeks. We've talked about "what was it like?" or "were we really awake that much?" and we settle on "I don't remember, but it was nuts."

Our girls were 4 weeks early and even though we were blessed with big babies (5 pounds 9 ounces for baby A and 6 pounds 4 ounces or baby B) and NO nicu time needed, they were still preemie babies. Our lactation consultant had us on a grueling schedule: feed them every 2 1/2 hours. And she had them on a very limited amount because babies that tiny don't need tons of food. Each feed took us over an hour (I nursed for about 20 minutes, with or without the SNS, and then we did bottles. I would then pump for 15 or so minutes, sometimes longer, to "send a message to my body that more milk was needed." At first, I would get 15 ccs. Over time, I had enough that my babies were entirely breast milk fed, and by about 8 weeks, I had some leftover at the end of the day that stayed in the fridge. I never ever got to freezing my own milk, but I was proud to have entirely breast milk fed twins.

So, back to the schedule. Most times, because they were preemie, we'd wake them up for a feed. And have to keep them awake for a feed (tickle them, blow on them, strip them of clothes so they weren't too warm). We had live-in help for the first 8 weeks in the form of grandparents.

I rented a scale so I knew how much the babies were transferring and I'd know how much to supplement them by way of a bottle (of formula at the beginning or breast milk over time). Each baby would get weighed, then a grandparent would  pass me one baby, then another. Using the nipple shields, I'd get them both latched. They'd nurse for as long as we'd let them, but only efficiently for the first 10 minutes we learned (the scale told us a lot of things). Then a grandparent and my hubby would take a baby and I'd get a few minutes off. Then I'd start the pumping process. And this is where amnesia set in. I don't remember what else happened. I don't remember when I napped or when I showered or when I ate. The same applies for every adult in the house: when did we do these self-care things?

The nights were tough. The babies were still eating ever 2 1/2 to 3 hours hours. From day 1, they slept in their nursery, in one co-sleeper. They were swaddled and tucked up next to each other. We were too nervous leaving them in there alone, so one adult slept in there with them at all times. We took shifts. My hubby usually took the shift from 9pm to about 1am. My mum would help him with the feed just before she went to bed, that would end around 10pm. Then hubby would sleep in there with them on camping pads on the floor. He'd wake me up for their feed that happened around 1am. We'd feed them together (I'd nurse then we'd bottle together) and then he would shuffle off to bed. He'd sleep through until about 8am. I would take the shift from 2am to about 5am, at which point, my mother would wake up. She'd help with that feed and then I would shuffle off to bed to sleep until about 8am or so. She'd sit up with the babies (it was her time to sit with them either in their co-sleeper or on her lap and she'd watch tv on her iPad). Then the day would start over again. It. Was. Nuts.

We had a meal train for the first 6 weeks (until we left for Australia) and there were days when (1) we'd get to dinner time and panic because we didn't know what to make, forgetting entirely that we had meal train. We were just that tired that we didn't remember meal train. Or, (2) someone would show up with a meal and we would not expect them because we had no idea that it was dinner time. The days just slipped away, blending into each other. They were each a patchwork of individual minutes somehow loosely sewed together to appear to be a day.

I cried so much those first few weeks. And I threatened to quit breastfeeding so so so much (another post on breastfeeding coming your way). The hormones from giving birth was raging and the sleep deprivation (the same thing that causes people to admit to heinous crimes they never committed and the same tactic used against prisoners of war) was overwhelming. And then there was the feeling of gratitude of being a new mom along with the feeling of sadness to my friends still in the infertility trenches. Slowly, my hormones got under control and I stopped threatening to quit breastfeeding. The ONLY reason I continued breastfeeding (and still AM breastfeeding) is my husband. He urged me to continue, one meal at a time. I did. It was hard. We fought. I pushed him for making me feel pushed. But in the long run, I am glad I continued. Breastfeeding is not for everyone, but for us, it is good.

The first few weeks home, my hubby was paranoid of all things dirt / dust. We live with two cats and a dog, so pet hair is inevitable. He had my mother (because she had free hands more than the two of us) on a rather grueling cleaning schedule. She did love it, but it was overwhelming to me so eventually, I put a stop to it. She vacuumed probably twice a day and mopped the floors every day. We were doing baby laundry twice a day (now I do it every couple of days and we use a lot more items so twice daily was too much - but we didn't know it at the time). There was a list of daily chores that needed to be done, including feeding / watering the chickens, walking the dog, feeding the  cats / the dog, changing the cat litter. Rarely did we get to the store for more than a few items and we relied on the generosity of friends and loved ones to bring us dinner - so we got at least one decent meal a day.

Then there were the bottles, nipple shields, SNS tubes and the pump parts. A never-ending mound of plastic and silicone that grew in the kitchen until someone brave tackled it. The pump parts got changed every few hours / pumps. The nipple shields got washed after every use, as did the bottles.

My mother was a true blessing. Whenever I turned around, before I knew I needed it, she had a snack (almonds, apple slices with peanut butter, cheese and crackers) waiting for me as well as a GIANT bottle of ice water. I certainly was well proteined and well hydrated!

There were a few changing of the guards - my mother was with us from their birth on November 18 through Thanksgiving, at which point my hubby's dad and step-mom arrived for 5 days. Then my mother came back through December 26. My hubby's mom and step-dad arrived on Christmas day and stayed through New Years. We then left for Australia, where my dad and step-mum picked up the responsibilities. We got home at the end of January and for the first time in almost 10 weeks, were home alone with the babies.

We never ever ever could have gotten through those first 10 weeks without live-in help. To anyone reading this who is expecting multiples, consider having live-in help. The more-than-one-baby thing is just NUTS at first.

By the time 10 weeks rolled around, we were grateful for the time to ourselves.

And then we missed the help and thankfully, grandparents and uncles / aunts made long weekend trips to visit. For the most part, that meant good breaks for us. Someone else held babies while we (mainly me) had time without being touched. Time to shower a long showed without the door open to hear babies. Time to walk the dog without worrying about being gone too long.

People have often said - and I say to my friend with triplets - "I don't know how you do it." But for us, it was all we knew. These are our first babies, so we have never done the new parent thing with one baby. We have nothing to compare it to, so we just did what we had to do. And I suspect that is what parents of triplets / quads or parents with toddlers and then twins do - just do what they have to do. We had no choice but to get through each and every day. Each and every hour. Each and every feed. Each and every minute. And get through it we did.

At almost 8 months postpartum, we have beautiful, healthy, thriving babies. They are hitting milestones and growing and changing on a daily basis. Whenever we see our pediatrician, she remarks "they are just perfect." We certainly think so.

Life is much calmer now. For the most part, we have a schedule. It's still a rigorous one that involves multiple feeds a day, naps, bedtime, bathing two babies, playtime, starting solids But it works and it's our life and we love it.

Sunday, July 6, 2014

I'm baaaack!

Sometime in February, I think it was, I spilled water on the keyboard of our 2007 Mac laptop. It sizzled and hissed and I knew it was over. Our faithful computer was dead. I maaaay have been holding a baby at the time and I maaaay have been distracted. Oops! Well, this 4th of July weekend we finally replaced our laptop. We have iPhones and iPads at home so we weren't really in the dark ages this long, but I certainly did miss a real keyboard. Typing a blog entry on an iPad or iphone - especially with newborn twins - was just NOT going to work for me. So here I am, poised to get back into blogging. I'm not sure where to start, but I know I will get started somewhere, and I'll get started soon.

Thanks for your patience!

Thursday, March 6, 2014

"Could it be your period?" Again!

So many of you blog about your hiatus from your period. Your beloved seven to eleven months period / pad / tampon free. After having a textbook perfect, 28 day cycle since I was about 13, I was ready for my deserved break. But it didn't come!

You'll remember I blogged about calling my healthcare provider from Australia because I thought I was hemorrhaging. The on-call doctor asked "could it be your period?" and stunned me into silence. Had not even thought about that, since I was only 7 weeks post-partum and breastfeeding my babies. Sure, at that point, they weren't both entirely breast fed, but I was breastfeeding and pumping enough and often enough to entirely feed one baby (if I had only one) so I figured my body would know that.

Nope. Period came.

A friend suggested that maybe I wouldn't get another period for a while.

Nope. 27 days later, my period showed up again.

And three weeks after that, it was baaaaaack! I almost worried I was pregnant, due to the intense cramping a few days before hand. I don't get cramping. At least I used not.

Now, 15 1/2 weeks post-partum with two ENTIRELY breastfed babies, my period is threatening (by way of cramping) to come again.

Sheesh!

Monday, February 10, 2014

Where oh where do I pump?

I'm keeping a running list of all the unusual places I've pumped. I am firmly committed to breast milk feeding these babies, so I pump wherever and whenever I have to.

Here goes:
  • Flight from San Francisco to Auckland (and return)
  • Flight from Auckland to Melbourne (and return) 
  • Flight from Melbourne to Brisbane (and return)
  • Portland International Airport
  • San Francisco International Airport
  • Auckland, New Zealand Airport
  • Melbourne, Australia Airport
  • Brisbane, Australia Airport
  • Gladstone, Australia Airport
  • the back of a BMW
  • the passenger seat of an Audi
  • the driver's seat of my Subaru
  • the backseat of my Subaru
  • walking down the street pushing my stroller after my OB appointment (I looked like Madonna in the late 90s with a crazy pointed bra!) (my favorite on this list!)
  • in bed
  • in my bathroom
  • on the floor in my living room while the babies do kick and tummy time
  • at my dining room table (while typing this up!)
  • the bathtub
And recently:

  • my office at work
  • an unused jury room in the courthouse I work in

Thursday, February 6, 2014

DE - from the other side

It was suggested to me by a friend and fellow blogger that I write a blog post about donor eggs from the "other side." Now that I have donor egg babies, how do I feel?

The answer is simple: like a mommy.

Most moments - scratch that, 99.9% of moments - I don't even think about them being donor egg babies. It just doesn't come up in my mind or my heart or my soul. These are my babies. My body grew them and birthed them. My body recovered from the 9 month experience (scratch that: the FOUR YEAR experience). My body feeds them. And they gaze up into my eyes and smile and coo and fall asleep, my body cherishes them. These are my daughters, no doubt about it. And when people tell me "they have your eyes" (because, honestly, they do!), my heart sings. When my own mother told me that they look like me, we both almost cried. That they don't have my DNA is simply a technicality, not worthy of much thought. This process helped me realize that making a baby takes more than just having sex and converging DNA. It takes daily consideration for what mom eats while growing baby (and, for me, it was really intense because of the single placenta and TTTS risk). It takes careful planning and attention to detail. It takes love and patience and longing. DNA is, thanks to modern medicine, an afterthought. And, thanks to epigenetics, these babies have more of me than I used to think possible. My body was responsible for switching on and off certain genomes. My body made and grew these babies, and it did it well. My body responds to their needs and as of about a month ago, they are both 100% breas milk fed babies.

As I sit here, typing this between spells of checking on sleeping babies, with the Portland snow storm happening outside our beautiful front picture window, my last day of FMLA leave being tomorrow and my first day of official "leave of absence" until September (read: unemployment!) begins Monday, you know what I am NOT thinking about? Well, you know. My heart is full, my family is complete, my life is amazing, and my babies are as mine as they could ever be.

Saturday, February 1, 2014

Almost 11 weeks have passed

Finding time to do anything for myself, let along blog, is really hard with newborn twins. That said, we managed to fly to Australia with them! They got their 6 week inoculations and we boarded a plane the next day. My whole family is from Australia and my grandma was very sick. It has been a dream of mine for 4 years to the month that she would get to meet great grandbabies. Realizing we didn't have much time, we decided to do the unthinkable - and take the babies to Australia. They met her and 10 days later, she died. It was remarkable and I cannot help but think that the universe helped a little and the babies knew they had to come early and be healthy. Had they come on their due date or even been only 2 weeks early as opposed to 4 weeks, I'm just not sure my grandma could have held on.

The babies were AMAZING and didn't cry once the whole time. Seriously, I'm not kidding. And they didn't get so much as a cold or cough. Tough little suckers!

What else? Oh, the babies are entirely breastmilk fed! I am really proud of that. They don't transfer great from the breast, so I do what is known as the "triple feed" - nurse them, then bottle feed them what I pumped the previous time, then pump for the next feed. My mantra is two fold: "this is only temporary" and "my friends still in the trenches would kill for this opportunity." I actually love it and love feeding them, as exhausting as it is.

My hubby went back to work this week and it has been actually really enjoyable. I like having the day entirely to myself to schedule and do as things come up. Being in Australia (read: summer!) gave us the confidence to get outside with the babies daily. Now that we're home, I've committed to getting out for a long walk once a day. So far, it has happened and I feel great!

What else? Oh, I called my on call provider from Australia because I was bleeding suddenly a few days after arriving in Australia. I worried I was hemorrhaging. I explained my symptoms and the doc said "are you sure it's not your period?" There was radio silence on my end. Neither my hubby nor I (nor my family I confided in) had even considered that! I was only 7 weeks post partum and nursing two babies! Turns out my body really likes to recover quickly. Was it my period? I wondered until this week when, 26 days later, IT CAME AGAIN!

Apparently my body and nature think I can handle another baby?! God forbid I was a fertile (who had time for sex!) and I might have three under one year old. EEK! Fortunately, I have little to zero chance of that happening.

OK, babies just woke up from their nap with their dad. Gotta go!