Lucien’s NICU Story, Concluded

The eating and weight-gain requirements for discharge were the trickiest, mainly due to the NICU’s asinine policy on feeding. I am a firm believer in feeding infants on demand – allowing them to eat when they are hungry, stop when they are full, and repeat as often as necessary. All babies in the NICU, however, are placed on a strict feeding schedule. Lucien was supposed to be hungry at 2:30, 5:30, 8:30, and 11:30. First of all, Lucien has no sense of what a scheduled mealtime is, or how to read clocks. He is simply hungry when he is hungry. And three hours is a very long feeding interval for a newborn. He had –and still does have – a small stomach, which means that he eats small and frequent meals.

But in the NICU he was only allowed to eat once every three hours, and at each feeding he had to consume 50 mL of breast milk. 50 mL is larger than his stomach capacity. It is an entirely unnatural system that worked contrary to his physiology and hunger cues. He would occasionally wake up before his scheduled meal time, giving hunger cues and eventually crying from hunger, and if the nurses were around there was nothing I could do about it except try to soothe him back to sleep.

(If they were not around I would surreptitiously pull him out and give him a quick snack. Not exactly the relaxed bonding experience that I had hoped early nursing to be, but it at least took the edge off his hunger. I got caught once and got a talking-to, but I kept it up anyway. The only reason they could give me was that letting him snack made it more difficult for them to keep track of his total intake, and that was not a sufficient reason for me to let my newborn son cry and scream in hunger.)

And then when he did have his scheduled meal, he and I had a time limit – 20 minutes and he had to go back into his isolette. He was not the most efficient nurser in the first days of his life (as I would have expected), so getting a full meal took a little bit more time than that. And besides, nursing is also supposed to be an enjoyable bonding experience between mother and child. One night when my least favorite nurse was on duty (we called her Nurse Ratchet.) she told me to pull him off the breast when he was still nursing. I categorically refused, so she lectured me and stood over me, watching, for however many more minutes Lucien stayed latched.

On day four I had to harass three different nurses to get his feeding tube taken out, but it was finally done! It felt like such a victory for me, and such a huge step towards getting him home.

This same day a wonderful nurse came on duty, somebody who I considered a real ally in taking care of my son and getting him home with me. She explained the hospital policy about how all babies have to nipple all feedings and meet their required minimum of milk intake for 48 hours before they are allowed to go home. She also explained that getting my expressed milk out of a fast-flow bottle nipple would be a lot easier and quicker for him, and if I wanted to be sure that he got all of his feedings maybe I should use a bottle instead of trying to breastfeed. It would have been extremely difficult for him to get his minimum in at the breast with only eight scheduled 20-minute feedings per day.

I knew she was right, but I had always sworn that no child of mine would ever get a bottle, so it hurt a bit to agree to go along with her plan. But I did, and pumped and gave him a bottle, and he ate everything that he had to. I cried because it was so far from the natural bonding experience that I wanted, because I knew full well I was disturbing his natural hunger and satiety cues, and because I felt like I was stuffing a foie gras goose instead of nourishing my baby.

He took all of his feedings, though, and we only had one hurdle left – we had to prove that he was gaining weight. His last full day in the NICU he gained 5 grams. Not surprising that he had a bit of trouble gaining weight, considering how not relaxing and not natural his feeding environment was, but it was enough to get us home. My favorite nurse was there when we were discharged. Nick and I both thanked her profusely, and she told me to go home, toss the bottle, and nurse my baby on demand from my breast. Which is exactly what I did. And lest you worry about his slight weight gain, since returning home and switching over to on-demand breastfeeding, he has been gaining an average of 1 ½ ounces per day – over 40 grams, or eight times what he was gaining with the NICU policy.

It was only six days we spent in the NICU – a very short duration for a baby of his gestational age – for which I am incredibly grateful. And though the first days after birth are very important as a bonding period, six days is still a short period of time in the grand scheme of things. As my parents encouraged me, now I can go home and nurse him on demand for the next two years if I want. And that is exactly what I intend to do.

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Lucien’s NICU Story, Continued

The other day I left off on Lucien’s story when he was exactly one day old. I was almost overwhelmed with feelings of helplessness. He was stuck in the NICU and there was nothing I could do about it, he had tubes and electrodes and I was not able to hold him constantly as I wanted, and it all seemed to be a very frightening and unkind experi Continue reading

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Lucien’s NICU Story, Part I

The last time I wrote (a week ago, I know – sorry, but I have had other priorities!) I left off with Lucien on my chest immediately post-birth. He screamed like a champ when he came out – I was glad to know that he had strong, mature lungs – and then when I held him he quieted right down and we had an absolutely beautiful few minutes until the NICU team arrived and took him to an examination table in an adjoining room for Continue reading

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Lucien’s Birth Story

Lucien’s birth story begins the evening of Wednesday, September 7.  I made the drive up to Madison and picked Nick up from law school, and then we went together to our first birthing class. Our instructor was a very nice woman who has been teaching birthing class for about 15 years, is also a doula, and just happens to live on a farm and raise free Continue reading

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Mommy Brain

New mommy hood has me sleep-deprived and just a little brain-fried, and not quite functioning at full capacity.

I had been looking for my ipod since we returned from the hospital. I am not sure how or when, but it ended up in the dirty clothes basket. Just in case you were wondering, an ipod cannot survive a trip through the washing machine.

No more tunes or podcasts for me, but at least Lucien has clean clothes.

And yeah, about the birth story, NICU story, and post-partum fitness plan – all coming . . . sometime soon.

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Welcome, Lucien!

Lucien James
Born 9:02 am, September 8, 2011
Five and a half weeks premature
6 lbs 6 oz
18 ½ inches long

We are so happy to welcome our new baby boy!

Just a quick post to let the world know that he has arrived, and then I am back to enjoying my time with the little man. Since he was premature I had to give birth to him in a hospital, but it was a beautiful, natural, entirely drug-free birth under the care of my midwives. His birth was amazing, but was followed by a harrowing (for his mother) six-day precautionary stay in the NICU. He had a slight case of jaundice and the doctors were worried about his ability to nurse at such a young age. But he is healthy, growing, nursing like a champ, and finally, home! For now we are simply enjoying being together, but watch for his birth story, coming in the near future.

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Stealthy Zucchini Brownies

Here is another delicious recipe for camouflaged zucchini – again in baked goods, although a sweeter version this time! Adding zucchini to brownies works surprisingly well because of the moisture (or gooey factor) that it provides – just be sure to shred the zucchini finely if you have picky eaters who might be bothered by the texture. I set my food processor on high. The coconut oil, coconut flour, and coconut milk provide lots of healthy fats and only the subtlest of flavoring – plus they have a mild natural sweetness, so I can get away with adding only 1/3 cup of honey to my batter. These are not going to be the Continue reading

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Herbed, Oranged, and Roasted Chicken

Yes, I did just make ‘orange’ into a verb. This is a very yummy way to prepare a whole chicken – I love the interplay of fresh citrus flavors and herbs. The crispy roasted skin was so amazing I absolutely devoured it – Nick had to rush to the table to get his share, which is not typical. We had no leftovers at all after this dinner. Yes, the two of us polished off a five-pound chicken. Continue reading

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No-Brainer Paleo Monday: Beefy Zucchini Skillet

I was honestly in the mood for zucchini the other night – no camouflage required – so I whipped up this no-brainer one-skillet dinner that showcases the flavors of zucchini and tomatoes from our garden, and ground beef from our steer yard. Simple, easy, filling, and delicious. Continue reading

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Diet, Acne, and n=1 Experimentation

I found an interesting blog post the other day over at Seth’s blog about the perverse incentives of the modern healthcare system to let people get sick. It provides expensive treatments for symptoms while failing to investigate the underlying causes. If we understood the underlying causes of acne, for example, prevention would be easy, and expensive doctor visits and pharmaceutical treatments unnecessary. Continue reading

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