Friday, May 6, 2022

Happy Mother's Day!

 It is Tuesday afternoon and I am driving, still slightly out of breath from my sprint to the parking structure, and I am watching the clock as I sit in traffic and mentally calculating how long it will take me to get to daycare and if I’m going to make it on time, and my phone is pinging with emails that I didn’t get to before I left work, and I’m remembering that I need cupcakes for my son’s birthday the next day, and I am listening to someone on the radio talk about the debate over whether I should even have the right to decide to be a parent and I want to fucking scream.

On a purely physical level, this decision, whenever it comes down, does not impact me. I live in California, for one thing. More importantly, I had a tubal ligation during my last c-section and I will never have to think about being pregnant again and let me tell you, I didn’t realize how much the possibility of pregnancy impacted my life until I could stop thinking about it for the first time since puberty.

And yet it feels deeply personal, one more chisel chipping away, one more reminder that my body is up for debate, that it is not entirely mine. As women it feels like we are taught to care for our bodies but we never fully own them. We are expected to maintain them and present them in a specific way, to guard them from threats both real and imaginary. We are told that virginity is somehow sacred, that our bodies are easily violated and rendered less valuable. We are vessels. I don’t believe any of this anymore and yet it’s still a constant process to escape it.  

Fundamentally, I believe that people have a right to their own bodies, even if they make choices that we are deeply uncomfortable with. You don’t get to control anyone else’s body, which probably feels pretty hard to accept for some people who are used to getting to control just about everything.

I believe that everyone has a right to abortion, that they don’t need to justify it, that they don’t need a sad story to earn it. I also believe that there are a lot of sad stories, and many of them stem from the fact that women’s bodies are valued as commodities, are not seen as their own.

If you have the time and energy and love children, maybe channel that into agitating for subsidized childcare or universal healthcare or raising the minimum wage or more money for schools or better sex education, literally anything that actually might benefit children. I am very privileged person and a lot of the time being a parent in this country still feels like drowning. Our daycare bill for two kids under five is the equivalent of 87% of my take home salary every month and it’s not because our daycare providers are overpaid. And yet I couldn’t quit my job even if I wanted to because our healthcare is tied to it. Our daycare is open from 8am – 5pm and my commute is 45 minutes each way (not unusual for LA) which means that it is physically impossible for me to get in a full 8 hour workday and still manage drop off and pick up on my own. Again, I’m privileged. I have a partner and we can split our days so that one of us does drop off and one of us does pick up. We both have the ability to shift our days around to some extent for doctor’s appointments, etc. But being a parent is relentless and there is basically no support and you absolutely cannot mandate that someone take this on.

To be clear, even if the government was paying all my childcare expenses and providing me with housing and a stipend, I still wouldn’t think that they had the right to force me to bear a child against my will. But it would at least make more sense logically. If their goal is to convince people to carry pregnancies to term, maybe they should try making it just a little bit more appealing. If their goal is to remind women that they don’t give a fuck about us, congrats! You are succeeding. But also, we were already well aware, thanks.

Friday, October 1, 2021

Fall feelings

 It's a Friday morning and I am taking 15 minutes to write. I don't write that much anymore, unless you count the essays I compose by talking to myself out loud in the car on the way to pick up my kids from daycare. I do count these, kind of. I miss writing, but I also miss a lot of other things. I miss cooking, the real kind, where I can stand in the kitchen for a couple hours with a glass of wine and not have anyone interrupt me. I miss running, not the process of getting good at running, which is terrible, but the part where I'm already good and can jog along in the crisp fall air and just enjoy the time to myself, the satisfying heaviness of my limbs when I'm done. I miss sitting in a very clean, very quiet house with a candle burning and reading a book, quietly. 

I miss being alone. 

We are starting to find our footing as a family of four, and it feels a little more manageable every day, but a 1.5 year old and a 3.5 year old are a lot, even on the most manageable days. This is not my stage, I think, and then I worry that I'll never find my stage, that I'll spend the rest of my life feeling like I'm drowning under everyone else's needs. I don't believe that, really, but the worry is there all the same. 

I knew that having two kids would be more work, but I pictured it as the work of one child, doubled. Two bodies to feed, bathe, clothe, rock. Two sets of knees to bandage, two pairs of hands reaching for me. I didn't realize that when you have a second child there is a third being brought into the world - the relationship between your children occupies a nearly physical space and there are days (many of them) where managing this relationship is more work than taking care of either child. I am exhausted almost all the time. I can't figure out how to stop being exhausted, but I think it has less to do with sleep and more to do with tapping into the parts of myself that have been buried. 

We are 19 months into this pandemic and I am immensely privileged. I'm working from home for a few more months, my kids are in daycare (barring the sick days that seem to pop up every couple weeks lately), we own a home, which I never thought would happen. 

So why do I still feel like I'm under water most of the time? Every day I tell myself that I'll write up a schedule, block out windows for chores and work and myself, I'll maximize my time. And every day the minutes slip away and then I'm not sure what I have to show for it. A pile of work emails sent, too much time scrolling on my phone, the frantic feeling of another day wasted. 

Maybe the problem is the maximizing. The sense that I need to use all these precious minutes in the best way possible. I have spent my whole life trying to maximize my time and all I want to do right now is curl up on the couch without a clock running, reminding me that my hours are limited. 

But honestly my hours are limited so instead I'm making a list of the things that make me feel human, remind me of myself. What matters to me, what do I want to do, what will energize me? How can I fit those things into my life? And should I block out time for lying on the couch, even though that seems like a very bizarre activity to schedule?

This morning I told myself that I would light a candle and sit down for 15 minutes and write something, anything. And here I am (45 minutes later but who's counting?) and I have this shapeless, meandering essay to show for it but I also feel a little lighter and a little more resolved.

Fall is blowing in, which always feels like a fresh start to me. I hate the phrase self care but I'm not sure what else to call it. The hardest part about caring for yourself is knowing how to do it, especially because it changes all the time. I don't think that forcing yourself to muscle through a list of activities is how you care for yourself, but neither is letting go of everything (I have tried both, with mixed success). I think about how I care for my toddlers, how I set a schedule so that they know what to expect, knowing they find comfort in the predictability but also delight when we break the routine, how I have already learned so well how to listen to them, not their words but their expressions, their tears, the motion of their bodies, so that I know when they are hungry or tired or need to be held. Can I learn to listen to myself this way, after all these years of trying to rationally decide what I should need at any given time? Maybe I can. Maybe this is a start.

Tuesday, May 4, 2021

One year

 It feels unreal to say a year has gone by. Last week I prepared for our small celebrations - cupcakes and balloons for daycare, a morning outside at the park with our immediate family. We helped Adrian choose a gift for Ian and let her look at party decorations options on my phone (she chose "cars" as his theme).

And then last night I was surprised by the sadness that hit me like a wave right around 9pm. I've had a year to recover from Ian's birth but the memory of it still bites into me. I scrolled through my photos and texts from that night, and thought how strange it is to have this concrete, time stamped documentation to overlay my own recollection. I can't decide if this is good or bad. I don't feel tempted to delete anything, although I wonder if my memories, left to their own devices, would start to round off, become fuzzy. I hate that I look back at those newborn photos and don't feel any joy, but why would I? His birth was the loneliest and most painful experience of my life.

So how do I move forward with this day? This day that belongs to Ian but also to me, and where I need to celebrate the fact of him while also being confronted by my own grief about how he entered the world. I don't really know yet.

I'm grateful that as my PPD has receded I've been able to bond with Ian. There is so much to take delight in - his love of music, his determined crawling, his ability to climb on anything, his ready laughter. I hold him in my arms when he wakes up every morning and I memorize his face. Ian is not his birth, even though it's taken me the better part of a year to untangle my emotions on that point.

I tell myself I can separate this day into two boxes, hold them side by side in my mind. I can celebrate Ian's growth and appreciate this milestone, and I can also give myself space to grieve, to acknowledge that this birthing experience and the months that followed took away pieces of me that I'm still trying to recover, somehow. 

I'm hoping that this year is the worst, that as he grows and the birth recedes that it stops feeling so sharp. I feel sure that this is true, maybe even by next year it will feel like a distant memory. But I'm also trying to let go of the guilt that I feel about this sadness. I am not my feelings, and if I need to take a moment for myself on the eve of his birthday for the rest of my life, we'll both survive.

Monday, February 8, 2021

Postpartum depression during a pandemic

Here’s what having two kids feels like, for me, a lot of the time right now - it feels like failing, over and over again. It feels like never being enough for anyone, no matter what I do. It feels like wanting to kick something, throw something, break something, leave the house and never come back. It feels like needing to yell “fuuuuck” at the top of my lungs but holding it in because even when I hate my life I love my kids and I don’t want to scare them. It feels like my ears echoing with sound all the time - straining to hear my toddler talking over the sound of the infant crying, three different sound machines running all night until I start to think they are driving me insane, like I’m hearing things in the white noise.

I wrote those words back in August, when I was still struggling to accept that I was experiencing postpartum depression. I touched on this in my sleep training post, but I've been wanting to write a bit more about my experience with PPD after Ian's birth. One of my big fears about having a child was the risk of postpartum depression. I've experienced both clinical depression and anxiety in the past, which I knew put me at higher risk. After my first birth I actively made a plan for myself in the hopes of lessening my chances, and I was lucky and didn't experience any PPD/PPA symptoms, which was a huge relief. I did end up regretting my decision to take so little maternity leave, and I wished I'd had more time to just enjoy her and relax, but the stress I experienced was pretty run of the mill working + parenting stuff.

For my second (and last) pregnancy, I planned to do things differently. I researched my maternity leave options in much more depth. I decided I was going to take off two weeks before my due date and just sleep, get a pedicure and a massage, see friends, cook some freezer meals - basically have a luxurious vacation while Adrian was in daycare and try to set myself up as best I could for the newborn exhaustion. I was going to take a full 12 weeks off after the birth and then work part time for a couple months to ease back in. Knowing this was my last baby, knowing I would be stretched thinner with toddler care, I wanted to fully enjoy that small window of time. 

And then there was a global pandemic. Our daycare shut down in mid-March, and I spent a month working full time from home, scrambling to adapt to an online environment, while caring for a toddler full time, while 8 months pregnant. Dustin and I were both doing everything we could and it wasn't enough. I cried every day, I stayed up at night trying to catch up on work, I had panicked phone calls with my OB trying to stay on top of all the changing hospital regulations around my birth. I still took off two weeks before the due date, but wrangling a toddler full time is not exactly what I would call relaxing or luxurious. And there was the constant pandemic stress. The worries about what would happen if I tested positive for COVID when I was admitted, because at that time they were recommending taking the baby away for two weeks, the stress of how to get milk for Adrian, which sounds so ridiculous and mundane but ended up being a weekly source of anxiety as we tried to stay super isolated the month before the birth, the guilt about being away from her for any length of time, when her world had suddenly been reduced down to just the three of us, the uncertainty of how to plan for childcare when it become clear that daycare would still be closed when I gave birth. 

I hated myself for being pregnant, I desperately wanted to be able to narrow my focus and just take care of her. I was terrified of going to the hospital, scared I’d get sick, that I wouldn’t be able to come home or that I would come home and then get us all sick. I just wanted to not do it.

I tried to come to grips with the situation and I made plans as best I could, I even managed to rally some optimism and a semblance of peace in the days before my scheduled c-section. But then I went into labor early and the birth experience was traumatic and when we came home nothing felt the way I'd expected.

 I hoped that when he arrived I’d be struck by instant blinding love, but I was so traumatized by the birth and so exhausted that I struggled. I loved him, but the feeling would come and go, and I had so little time to appreciate him. He spit up, constantly. I was changing my shirt six times a day. I had to bulk order bras just to keep up. My attention was pulled in two directions constantly. My whole plan for this time period had hinged on Adrian being in daycare. She would have a safe, unchanged space where she could go every day and get her energy out. I would rest and focus on Ian during the day and then be able to give her quality time in the mornings and evenings. Instead we were all together 24/7 without any of our usual weekend activities - no parks, no museums, no play dates.

 I didn't feel that magical heart expanding love that people talk about. A lot of the time I felt more like his babysitter than his parent, and there wasn't ever time to focus on him or soak him in the way I had with Adrian. I was still having nightmares and intrusive flashbacks to the birth, and at my six week follow up my OB referred me to therapy, suspecting both PTSD and PPD. But how would you even know if you have PPD in a global pandemic? Isn’t everyone depressed right now?

My plan to work part time for a few months had been based on the idea that I would just be keeping things on track at work over the summer, but the pandemic meant that instead I was reinventing the wheel every week. It was impossible to stick to a part time schedule. We sent Adrian back to daycare in June, after a lot of anxious waffling, but the hours were reduced a bit to allow staff more time to clean, so we had less than eight hours a day toddler free, and we were both working full time with an infant (who refused to EVER nap in his crib). Unsurprisingly, these circumstances didn't facilitate bonding.

We were already on fairly rocky footing when Ian started going through the usual sleep regressions. I could feel whatever tiny reserves I had evaporate. I could hold it together during the day, mostly. But at night I fell apart. Adrian would fight her bedtime or Ian would throw up on me right after I’d showered and the rage I felt was all out of proportion. I wanted to cry or scream or quit. My anxiety would ramp up as evening approached, as I anticipated yet another sleepless night. At 3am frantically pacing the living room and attempting to get Ian to stop crying, hoping he wouldn't wake the toddler or the neighbors, I hated him with an intensity that took my breath away and made me grit my teeth. I wanted to throw him across the room. I wanted to run out of the house and drive away and never come back. I couldn't see a way out, and I hated my life. As the weeks went by I alternated between rage and numbness. It wasn't exactly unrelenting - sometimes we'd have a decent stretch of sleep and the next day I would feel more like myself, but those days felt fewer and further between. We ended up putting Ian into daycare in October as originally planned, despite my reservations. It didn't feel like we had much of a choice, as my work was about to ramp up significantly and we were barely surviving as it was.

I was speaking to a therapist on the phone semi-regularly, but in a lot of ways it made me feel worse. We'd talk about strategies and she'd urge me to try to figure out what I could take off my plate. But in 2020, a lot of the solutions you might use in normal times felt impossible. We couldn't even have someone come over and hold the baby for a bit and the repeated suggestions that I "remember to make time for myself" only made me more angry. I felt like I was failing at being a mother and failing at therapy, because I could never manage to follow through on even the simplest suggested actions, like taking time to call a friend or getting outside for a walk. They sent me the link to a virtual postpartum support group multiple times and I never even opened it. The unread mail sat there like a silent rebuke every time I opened up the app. I had gone to a breastfeeding support group after Adrian was born and I remembered discussing struggles with bottle acceptance and tummy time strategies and debating the merits of different carriers. How could I go to a bunch of moms I'd never met and tell them that I hated my baby and I wished I weren't a mother? How could I explain that I was sometimes so angry that I had to step outside of our apartment because otherwise I might scream at my toddler? 

At my lowest point I started wondering if it was possible to give Ian away, convinced that he deserved a better parent. I was afraid to even tell my therapist how deeply broken I felt, because my depression brain was convinced they'd separate me from my family. And here's the shittiest part - the thought of being away from my children didn't even sound that bad in the moment, but I was overwhelmed with guilt at the thought of leaving Dustin stranded alone in this situation. We were barely surviving with both of us doing everything we could, and I couldn't imagine how one person could handle it alone. So I pushed on, doing my best at going through the motions of daily life, feeling increasingly disconnected from the world around me.

The therapist gently suggested medication, and I kept refusing. I'm still not sure where my reluctance came from, other than my strong belief that most of my rage stemmed from exhaustion. I think it's also possible that my resistance was simply a symptom of my depression - I felt so hopeless and I didn't feel like I deserved the help, since I was failing at doing anything to help myself. It's hard to explain this feeling but it was something like "Look, you can't even get it together to take a fucking walk or do the sleep training, so why do you deserve medication?"

I want to be perfectly clear here - this is not my actual stance on medication! I am strongly in support of medication, or whatever other interventions can help. I've taken meds for depression/anxiety for a few years at a time twice in my life, and I know they can be life changing. I look back on this experience and wonder if/how things would have been different if I'd accepted help sooner, if I'd truly explored all my options. And I feel guilt about that. I wish I had put a plan in place before birth, maybe had a defined cut off point where I told myself that I would do xyz (sleep train, take medication, etc) even if my depression brain was telling me it wouldn't make a difference or I didn't deserve it. I wish I hadn't let myself get so deep into it that I couldn't see a way out.

As I wrote in the sleep training post, I was also resistant to starting sleep training, even though it had always been our plan, even though I wanted to believe that getting more sleep would help me. I couldn't really visualize my life improving, and I was so terrified that sleep training wouldn't work. I finally agreed to do it after a particularly bad evening, when I was going on three days with almost no sleep and it was my turn to put Adrian to bed. She was playing around and being mildly uncooperative and I was so tired I could feel myself losing it. I forced her into her pajamas as she became increasingly angry and then I just roughly dumped her into her crib, turned out the lights and left the room while she screamed frantically for me, confused and scared. I felt trapped inside my body and the need to escape was so strong that I ran out of the house, down the street, away from her cries. Every part of me was vibrating with anxiety and frustration. But there was nowhere to go. I couldn't even go for a real walk because I'd hadn't grabbed my mask. So I turned around and came back, and listened to Dustin soothing Adrian and getting her settled. I thought about how I didn't recognize myself anymore, and now I was losing the ability to even keep a veneer of functionality intact. When he came out I cried and said yes, let's do the sleep training. 

The process was hard, but I was amazed by how different I felt after even a few nights of sleep. The fog started to rise, and even though life with a baby and a toddler in 2020 was still not ideal, I was able to start seeing moments of joy and brightness. The sleep helped put me on the right path, and the kids also moved towards an easier age. Over the winter break I looked over and noticed that both kids were playing independently for a few minutes, while I sat on the couch and drank some tea. It felt huge, and I could suddenly imagine a time in the near future when life would seem more manageable. Two weeks after we started sleep training my depression index score was so drastically different that my therapist initially thought it was an error in the system. 

To be clear, we are still in year one with two small kids. I'm still tired a lot of the time, I'm still sick of being isolated, I still feel stretched thin. But the difference is that I feel like myself feeling all those things, and I can clearly visualize our life gradually continuing to get better. I feel hopeful again, most days. And I can see Ian for the first time, it feels like. The exact shape of his smile is finally imprinted on my brain, I can take delight in the rolls on his thighs. I still sometimes think about our pre-pandemic decision to have a second baby, and I can imagine how much simpler our life would be right now with just one kid, but I don't regret the fact of Ian anymore, and I'm looking forward to seeing how his little personality, already so distinct, develops over time. 

I'm still very vulnerable to PPD and it can come in waves. In fact, last week, after I'd written the first draft of this post, we had a rough few days where Ian was getting four teeth at once and Adrian had a couple 3am wake ups, and I could feel myself spiraling down again. The fact is that I'm living right on the edge of enough these days, in terms of sleep and time and energy. I'm trying to build in little bits of joy for myself - a quick walk outside at lunch, a cup of tea on the couch after they go to bed, a shower where I've actually taken the time to put away the bath toys first so I'm not stepping on plastic buckets while being serenaded by baby shark (possibly the best/worst bath toy of all time). I'm hoping that these moments will be enough to shore me up. This is what I can do right now.

As I've started to recover, I'm also able to grieve the new baby experience I had imagined for myself. I feel guilty that I didn't learn to love Ian until he was nearly 8 months old, that I don't have many sweet memories of snuggling him when he was tiny. I have to let that guilt go. Ian is fine, he is loved. I feel the pain of those first months deeply, and it is a real loss, but when Ian sees me he reaches out his arms for me. Despite being deeply imperfect, I am still his home. We survived and we'll keep surviving.

Tuesday, January 12, 2021

Sleep training, again

I always like to start baby sleep discussion with a HUGE disclaimer - all babies are different and all families are different. You should be doing what works for you (baby + family). If what you are doing is working FOR YOU then why would you change? I'm a huge fan of sleep training because it saved my life, but I don’t believe everyone needs to sleep train. Some kids are good at sleeping, some parents are more able/willing to live with less sleep, etc. We sleep trained Adrian around 9 months using the Happy Sleeper method, and it was the best thing we did for our family. I swore that if we had a second baby I wouldn’t wait until I was desperate.

Then we actually had a second baby ...

Ian had pretty normal sleep, for a newborn. We knew a little more this time around, and we purchased the Taking Cara Babies newborn course, and he actually did better than Adrian had initially. But a four hour stretch doesn’t go quite as far when you’re chasing a toddler around all day and can’t ever take a nap or even just veg out on the couch. We broke down and bought a used Snoo at 6 weeks, and it did help but as he went through the normal ups and downs, and the four month regression, we were getting progressively more sleep deprived, and I was falling apart. We have a two bedroom apartment, so Ian shares a room with us and I swear he could smell me. He started waking up every time I would creep into the room or when I'd roll over in bed.

I’ll probably get into this more at some point in the future, but the first several months of Ian’s life were incredibly difficult for me. I had given birth, alone, during a pandemic. We were isolated, trying to care for a toddler and a newborn without any of the social outlets or help we had planned for. I don’t know if it was circumstances or just the luck of the draw, but I was hit hard by postpartum depression. I was trying so hard to be a good mom, a functional partner, a productive employee, and I was just white knuckling it through each day. I felt like I was watching my soul walk away from me down a long hallway, like I was dematerializing, like I might suddenly just dissolve in a puff of air. I cycled between rage and apathy and guilt, but the constant was regret. I regretted this baby. I resented the fact that I wasn’t even able to enjoy my toddler, who used to be the light of my life. All I wanted was to be alone, in a huge white bed, where I could sleep and no one would bother me. The thought of it consumed me.

We had said we would sleep train at 6 months, and Dustin was ready but I was so tired that I wasn’t sure I could do it. And there was this strange barrier for me - sleep training was my one hope. I kept telling myself that if I could just get some regular sleep that I would be myself again. I held onto that idea so tightly and it helped me keep going. But it also held me back because I was so afraid that sleep training would fail, and then I would have nothing, not even hope. I was convinced that if sleep training didn’t work my life would be over.

I was speaking to a therapist for my PPD and we talked about how this was ridiculous (not her words) thinking. Because if the specific method of sleep training didn’t work, we would try something else - a different method, a sleep coach, something. We would not just give up and accept never sleeping again. I knew this, but I still delayed.

By 7 months it was clear even to me that we had no choice because I’d hit a pretty brutal breaking point. In order to give me enough rest to get through the process, Dustin slept in the bedroom with Ian for a few days while I slept on the couch (something he'd been begging me to do for the last month but I'd felt too guilty to actually do it). I felt so much better after just a couple nights of rest that I knew this was the right decision for us. 

We share a bedroom with Ian, and will until it feels like he's sleeping well enough to move in with Adrian, so we set up a little bit of separation by finding the narrowest mini crib we could (the Bloom Alma Mini) and fitting it into our smallish closet. I hung a blackout curtain in the closet doorway, so that we can keep it dark for him. We have a portable noise machine under his crib. We had stopped swaddling when we moved him out of the Snoo, and now he uses a regular sleep sack. During the initial sleep training process we slept in the living room for two weeks, so that we wouldn't risk disturbing him.

We decided to go with the same method we used for Adrian, following The Happy Sleeper book. It's a modified Ferber method, which means you do let your baby cry but you do timed checks to reassure them that they aren't alone. We had already introduced a consistent night time routine, so it was really just a matter of accepting the crying. Ian is very vocal, and very stubborn, so I was dreading this. When we sleep trained Adrian she cried for a little over an hour for a full week and I didn't know how we could do it again.

Well, Ian cried for over three hours at a stretch, and then woke up and cried again later the first night. I was in agony, in a very physical way, just listening to it. I wanted to crawl out of my skin, I wanted to quit. But what was I going to do? I was a shell of a person, I still hadn't managed to bond with my baby, I needed to sleep. So we kept going. We stayed committed to the method, we stuck with the timed checks and the scripts. He cried for two hours the second night. Then on the third night, we laid him down and he babbled to himself for 10 minutes and then fell asleep and slept through the night without crying. And every night since then he's gone happily to bed. After the first two weeks we moved back into the bedroom and it's been fine, although I do think that we probably wake up more often than we would otherwise, because I'm aware of even his small wake ups where he rolls around for a few minutes and goes right back to sleep.

The difference I felt was immediate. I actually had a follow up appointment with my therapist two weeks after we started sleep training and she always has me fill out a depression index survey, and the improvement was so huge that she thought there was an error in the system. Nope. It turns out that yes, massive sleep deprivation will absolutely make it hard for you to function. We are coming up on two months now and I feel like myself again in so many ways, and I've been able to bond with Ian. At night I can enjoy reading him a book and feeding him, knowing that he'll go to sleep and I'll have an hour or two to clean up the house or relax or (gasp) watch an episode of something. In the morning I'm excited to get him out of his crib and I appreciate his toothy grin so much more.

This isn't to say that he never wakes up! He's still a baby, he still wakes up, we are still tired a lot of the time. When he's popping a new tooth he'll need extra snuggles and help sleeping. If he's going through a developmental spurt he'll have trouble with waking up at night. We feel pretty confident handling those situations at this point, and I just trust my gut for the most part when deciding whether to let him handle it or to step in. He got sick over winter break (did you know that the roseola virus lies dormant in your body and you can periodically shed it and infect your baby and send yourself into a tailspin about how your baby could possibly be sick when you didn't even see family for the holidays?) and we did a lot of rocking and holding and comforting for a few nights. 

We had originally planned to drop all night feedings because his weight gain was good and he was drinking so much milk at daycare. That worked well for a couple weeks but recently we noticed that he was struggling with waking up around 3-4 am and having trouble going back to sleep. We tried watching his daytime wake windows, making sure his naps were the right length, etc. After a couple weeks we decided that maybe it was an indicator that he wasn't really ready to drop all night feeds. This might be because his solid food intake has ramped up and he's less willing to drink milk during the day. So for now we are back to one night feed if he wakes up around 3am. We'll adjust that when it seems like the right time for us. Adrian still did a night feed most nights until 17 months, when she gradually dropped it on her own. You can absolutely sleep train even if you don't want to night wean. 

Managing two kid's sleep schedules is still much more exhausting than one, but I am so grateful that they both have a solid sleep foundation. The weird upside to the pandemic for us is that we're both at home for evening routine, which was never the case in the past because we worked offset schedules. So for now we get to handle bedtime by alternating nights, with one of us putting Ian down around 7pm and the other one putting Adrian down around 7:30/8pm. Whoever puts Ian down comes out and handles the dishes/tidying, so by 8pm we generally have a fairly clean slate for the next day. 

Sleep training does not necessarily give you a kid who sleeps 12 hours a night without fail. I don't think that either of our kids is a naturally good sleeper. Even at nearly three years old, Adrian still has phases where she struggles with being awake for a few hours in the middle of the night. But because she has that solid foundation and feels comfortable putting herself to sleep she gets through most of it on her own. I will sometimes turn on the monitor at night and catch her rolling around, looking at a book, or playing with her stuffed animals. We leave her to it unless she calls out for us but if she needs us we'll come in and take her to the bathroom or offer some milk or just give her a hug and remind her that it's still night time. 

Big sleep transitions we'll be looking at in the coming year - moving Adrian to a toddler bed (insert scream emoji, I am not mentally prepared for this), moving the kids in together and getting them on a single bedtime routine. I'm not looking forward to these things, although I will really enjoy not having to creep into my room in the dark every night. But I feel confident that we'll somehow get through it, because I know that the kids are capable of sleeping independently most of the time.

Do I still sometimes dream about getting to sleep/read/sleep without interruption for a full weekend? Absolutely. But for now I'll take this.

Friday, May 15, 2020

Giving birth during COVID

I’m a little reluctant to share my birth story because I think there’s enough panic out there right now for pregnant women, and there are so many people who are having perfectly normal births despite the circumstances. When people ask me how it went, I tell them it was hard but we’re fine. And we are fine. I’m usually a results driven person, so I tend to focus on the outcome and not the process. So it’s natural for me to tell myself that it’s fine because in the end I am here and I have a baby and we are okay. 

But I’m also not okay. The actual birth was a perfect storm of circumstances that led to the worst few hours of my life. It’s going to take me a while to process it, but right now I’m just accepting that it was scary and I can feel angry about it. 

I was scheduled for a c-section on Wednesday, which I knew was pushing my luck because Thursday was my due date. But Adrian had been a full week late and I really wanted to schedule with my own doctor, so I decided to do that thing where you trust in the universe and just believe that it will be okay, which is very out of character for me. I told myself that this baby would wait, I visualized a smooth hospital experience. I knew Dustin wouldn’t be allowed in the actual OR with me, due to the COVID precautions, but he would be there as I was prepped and he would be there in the recovery room. We asked my mom to self-quarantine for two weeks prior so she could come up and watch Adrian for the day. Our back up plan was to drop Adrian off at her in-home daycare, which has been closed since mid-March, but had offered to watch her during the hospital stay. 

On Sunday I packed a small hospital bag, and typed up an obsessively detailed explanation of Adrian’s schedule, food options, and stuffed animal preferences. I got in bed around 9pm, feeling peaceful and truly believing that this whole trust exercise thing was working, looking forward to our last couple days as a family of three. And then my water broke. Thanks, universe. 

The contractions started right away but they were still 10 minutes apart. I talked to the L&D nurse and she said to monitor for an hour. I called my mom and told her I was pretty sure this was it. I showered and washed my hair and got dressed. By 9:45pm the contractions were 3 minutes apart and I knew we couldn’t wait to go to the hospital. My mom got in the car and we called a friend who lives close by to come sit with the baby monitor until my mom could arrive. We were at the hospital by 10:30pm. 

I was prepared for the screening at the hospital entrance, where they check your temperature and ask a few questions to assess COVID risk. But when Dustin tried to pass through they stopped him and told him that partners weren’t allowed in L&D until the patient was actually admitted. I tried to explain that I was having a c-section and was definitely going to be admitted, but they told him he’d need to wait in the car for the time being. I was so desperate to get upstairs that I accepted it more quickly than I might have otherwise, but I remember standing in the elevator alone as the doors closed and just crying. 

I went through the intake process and got settled in a triage room by 11pm. A frazzled young doctor came in to check on me, apologizing and saying that they were really busy that night. I was 5 – 6 cm dilated and having contractions every 3 minutes and he confirmed that my water was ruptured. The next hour is a blur. I was in a lot of pain, more than I remember from my labor with Adrian. The contractions were starting in my lower back and wrapping around my abdomen and I was feeling like I couldn’t manage them. A nurse came in and put in an IV, the doctor came back and swabbed me for COVID. I have never come closer to hitting a medical professional than when he reprimanded me for not holding still enough while he was reaming my brain out through my nostril and I was having a contraction. By 11:45pm I was starting to panic. The anesthesiologist was still busy, the pain was increasing quickly and I was starting to feel like I needed to push. With Adrian, I’d managed the contractions by having Dustin watch the monitor and tell me when a peak was coming and talk me through it as it eased off. I tried to do it alone but everything was hazy. I was distracted by pain and couldn’t figure out which monitor was tracking the contractions and which was tracking vital signs. All I could hear was the baby’s heartbeat, thumping and speeding up and down. I wanted to get up and move. I called out for the nurse and told her I needed to get up and go to the bathroom. The doctor came in and asked if I was saying I needed to push and I told him I didn’t know but I couldn’t sit here. He sighed and said he’d check my progress, telling the nurse as he was gloving up that he was only checking because I said I needed to push. And then he said what you probably least want to hear when someone has their hand inside your body, which is “Oh shit.” He told the nurse to get me into the OR immediately, that I was over 8cm dilated and they needed to move. The nurse reminded him that the anesthesiologist wasn’t free yet and the doctor said they’d get him to meet us, and if need be they’d just put me under general. 

At this point I freaked out. Looking back I realize it wasn’t totally rational, because I was at a good hospital about to undergo a routine surgery. But I was suddenly terrified that I was going to die. I didn’t trust the doctor, there was no way I was going to agree to general anesthesia when I was alone and had no one to advocate for me or the baby. I was in so much pain, and I thought about bailing on the whole surgery but I knew that if I did I would be having a completely unmedicated birth, possibly alone, and I was in no way prepared for it. I’m not sure I can really communicate the level of desperation I was feeling in that moment, when it just seemed like I didn’t have any good options and no one was listening to me anyways. 

I was in the OR by midnight and the luckily the anesthesiologist was the kindest and most reassuring presence I’d encountered since I got to the hospital. I was sobbing and telling him I wasn’t sure I could hold still for him to place the spinal block. My contractions were coming every two minutes and they felt like they were ripping me apart but somehow he managed it and as the pain from the contractions eased up my mind started to clear a bit. The surgeons came in and there was some consternation over the fact that my COVID results hadn’t come back yet and they tried to figure out what to do because they didn’t feel like they had enough time for everyone to get the additional PPE needed if I did have COVID. Just as they were deciding to move forward as is, the results came in negative and everyone cheered. The rest of the c-section was uneventful, and pretty similar to Adrian’s, except that I was alone and the surgeon was less communicative and I cried a lot more. Ian was born at 12:39am and we were in the recovery room by 1:30am. I thought Dustin would be allowed up but they told me that he’d have to wait until we were actually taken over to our hospital room, so I held Ian and just luxuriated in the knowledge that we were both alive and safe.

I was moved into a room around 4am and Dustin was allowed up. They reminded us that he was allowed to stay as long as he wanted but once he left he wouldn’t be able to re-enter. We were already prepared for this and knew that he would be staying for the day and heading home in time to put Adrian to bed. We were worried about how she would react to both of us suddenly disappearing when we were the only two people she’d seen in two months. 

I still don’t know if that was the right decision. The first night alone was incredibly difficult. Ian was having trouble regulating his blood sugar, and they needed to test him before every feeding, and then they wanted me to triple feed him each time (breastfeed, hand express and feed with a cup, then give formula). At this point I had been awake since 7am on Sunday morning, nearly 48 hours without any sleep at all, and I was starting to feel like I was losing my mind. He cried most of the night, and instead of being able to just feed him on demand I’d have to call and wait for a nurse to come in each time for the blood sugar checks and they kept reminding me that if he didn’t get three good readings in a row they’d take him to the NICU and I wouldn’t be able to see him. I was struggling just to be able to sit up with the c-section incision, and having to get up to change diapers and walk him around the room felt like a brutal physical endurance test. 

On Tuesday morning when the doctor came to check on me I just couldn’t stop crying. Physically I was okay, and able to move around, but I was deliriously tired and missing Adrian so much and just feeling like I couldn’t take much more. The doctor told me that she’d be willing to discharge me earlier than normal, as soon as Ian was cleared to go home. And then Ian miraculously got a couple decent readings in a row and the pediatrician agreed to discharge him. We were out at 1pm on Tuesday and I have never felt so relieved. 

The first week at home was hard, of course, with a very active toddler and a newborn and the c-section recovery, but I did much better than with my first one, probably because I was more aware of how careful I needed to be. 

In our second week we’re settling into a routine and just missing the presence of family and friends. I’m so grateful for how well Adrian has handled the transition. She’s excited about her baby brother and just loves seeing him. It makes my heart ache to not be able to lift her up, but it isn’t as bad as I was expecting. We explained to her that I have a boo-boo and in a few weeks I can lift her again, and in the meantime she can always snuggle with me on the couch and I’ll read to her. 

In retrospect I would have scheduled the c-section for 39 weeks, I would have gone to the hospital immediately instead of waiting for an hour. In short, I would have trusted my own instincts and not just hoped for the best. 

Again, I don’t think that my situation is representative of giving birth in this time. My labor was moving quickly, there were way more patients than usual which spread all the staff thin, and it would have been a stressful and painful situation even if everything else in the world was normal. The only difference COVID made is that it was a stressful and painful situation that I went through alone (and that’s huge – I know that it would have been so much better if I’d had D with me to talk me through it and help advocate for me). I am grateful that everything worked out, and I’m also allowing myself to acknowledge that the process was really fucking hard and it’s okay for me to not feel okay about it.

If you’re pregnant right now and feeling anxious, I will say that the L&D department felt safe, so the precautions do seem to be helping. Every hospital has different restrictions and they change as the current situation changes, so I think the only thing you can do is keep in touch with your doctor as the birth approaches so you know what to expect. And if it’s at all possible, I would recommend having someone with you. I thought (and still think?) that I probably could have handled the scheduled c-section on my own, if I had my own doctor and I wasn’t in labor it would have been hard and sad but okay. But laboring alone was terrible, although I admit that I’m not the best candidate for it, since I had an emergency c-section pretty early on with Adrian and was not mentally prepared to labor with this baby. Right now, I am just very grateful to be home with my family, and the birth experience gets a little further away each day.

Wednesday, October 16, 2019

Loss and closure

Summer 2019 was a whole thing.

I got quarantined by the department of public health due to possible measles exposure and wasn't allowed to leave my house (thankfully lifted after a week when they were able to run additional tests and confirm that I had immunity but it was a whole bunch of drama).

Dave died at the end of July, almost 11 years after the accident that made him into a totally different person. The actual death was sudden, although it feels strange to describe it that way when really it feels like it happened in slow motion. I used to mark the anniversary with a post each year but I stopped after year six, when I realized that nothing about that situation was fixable and I needed to spend some time working on acceptance. What that really meant, for me, was accepting that Dave was gone in most of the essential ways. I never was able to let go of the resentment I felt for the new person that took his place. I've tried to stop feeling guilty about that. If we're being honest, the new person was generally an asshole. That wasn't Dave's fault, and it wasn't the new person's fault, but it wasn't my fault either and it was the truth. It's hard to keep loving someone who is more often than not, obstinate, irrational, and mean. In many ways, I still resent that person, because I feel like the last decade has slowly stolen even the memories of Dave away. If he'd died in the accident, it would have been sudden and horrible and we would have grieved deeply but he would have been frozen in time at that moment. Instead, the memories of Dave pre-accident are all buried and mixed up with years of resentment and ambiguous grief. Now that he's truly gone, I'm hoping I can slowly let go of the anger and try to remember him as two separate people. Brain injury is complicated and individual and it'll probably take all of us years to process this experience. I feel like this paragraph reads as cold, a strange, dry ending to what was a huge chapter in my family's life, but that's where I am right now. I have some work to do, clearly.

Moving forward to unambiguous grief, our beloved Circe died in August, and we're still missing her feisty presence every day. At 14.5 years old, she'd been dealing with complicated health issues for a while, and we'd finally gotten a definitive diagnosis of Cushings disease just a week before. That Saturday I'd put Adrian down for a nap and I was freaking out because we'd just noticed the telltale red spots that signal hand, foot and mouth disease, and I was anticipating all the misery that would entail. So I was standing in the kitchen feeling stressed when Circe walked in, stumbled and then collapsed on the floor. I panicked, cradling her in my arms and shouting for Dustin. She was alert but not able to stand, so I rushed her to the vet's office, crying the entire way. They ran tests and checked her out but nothing was "wrong" - other than the clear fact that she couldn't walk and seemed to be getting less responsive. She was peaceful and didn't appear to be in pain so I decided to bring her home and let her pass in her own time (although we did call a vet who could come out to our house to euthanize her, in case she started to seem uncomfortable). It was a bizarre day, because we were hosting a family birthday party and everyone arrived just minutes after I rushed to the vet. So I came home, with a dying dog, and we just took turns holding her all day and eating cake while watching Adrian's spots get progressively worse. Circe finally passed away in our bed, early Sunday morning. We took her to back to our vet's office because I couldn't stand the thought of having her taken away by strangers. Our vet was there when we arrived (she doesn't work on Saturdays so we hadn't seen her the day before) and she hugged us and cried, and told me she'd reviewed Circe's chart first thing that morning and she felt sure it was a stroke, which was what I'd suspected as well. I'm still struggling to adjust to not hearing her little nails click as she walks around the house, to not having her snuggled up against me at night.

circe + squirrel

And yes, I know it's strange to post about losing a person and losing a dog in the same breath, and I realize that I'm grieving Circe far more than Dave right now. That's where I am. Missing Circe is uncomplicated, pure grief and it's easier to process. She was such a constant presence in our lives, and I'm grateful that she was happy right up until the end, and I feel lucky that she had her stroke on a Saturday because I don't know how I could have handled the irrational guilt if I'd come home from work to find her there alone.

Loss comes in so many shapes, and my struggle is always to accept it, to let myself feel it and to stop trying to rationalize it.

P.S. - Adrian did indeed have a raging case of hand, foot and mouth, and I can say with authority that having to wake up multiple times a night to slather cold yogurt all over your hysterical toddler in the bathtub (because you read somewhere that maybe, possibly, it could help) provides a bit of temporary distraction in the midst of grief, or at least makes you wonder what the fuck you did in a past life to deserve this.

P.P.S. - I know I keep promising posts to people and then forgetting to write them. I'm sorry! If I promised something and didn't do it, let me know! I have a bunch of drafts that I'll try to revisit and polish up when I get a moment (although my moments are few and far between these days).