Milk coma in infants?

September 22, 2009

I learned a new term today – milk coma.

Apparently it is the state of the baby after it has fed well, and can barely keep his eyes open. Like this:

Talk about drunk
That’s it – not a drop more!

I used to call it Niarg getting tipsy on milk and then blackout, but “milk coma” describes it good too….

Categories: breastfeeding, infant, newborn.

How to play with a newborn

September 16, 2009

I read a lot about the importance of play in the growth and development of a baby. However, there was little I found on when to begin and how to go about it with a newborn baby.

Of course, like any other parent, I was eager to “test drive” my brand new son. Unfortunately, said son had other ideas. He was hopelessly unable to smile, make interesting sounds or move in any way that could lead to playing. Now what. Here are some tips fom experience and what little information I could find.

  • Forget about “training” baby to do anything. Doesn’t work. The idea is to train yourself to do stuff he can relate with or find interesting.
  • Singing: This guy knows my voice and he loves to listen to it. Singing makes him look intently at me if I’m close, or in my direction if he can’t focus on me.
  • Chatter: Talk to him. Doesn’t matter what. Stocks will work, as will romance or fairy tales and chemistry equations. Just keep your tone relaxed and go on.
  • Cuddle: You will love this and so will your loved one.
  • Don’t expect enjoyment to mean smiles. If it ain’t crying or avoiding looking at you, its good with what you’re at.
  • Hand holding: Give him a finger to hold… or not. Whatever. Don’t expect too much every time your finger is offered.
  • Be brief: Conclude while its good. Everything is new to the baby, so your efforts could just end up tiring it out. begin when he seeks eye contact, and stop after a while (particularly with talking while looking at his eyes). No limits to cuddling though.

Categories: infant, newborn, play time, tips.

Baby's naming ceremony

September 13, 2009

We had a small naming ceremony for the baby yesterday. We have named our son Nisarg.

Since Nisarg is still quite young, we decided on an immediate family only event, which went exactly as we had hoped. With lots of love, cheer and caring.

Nisarg means nature in Marathi.

Categories: infant, milestone, newborn, traditions.

Sunlight for newborn jaundice

September 8, 2009

Blue light has long been accepted as a way of treating jaundice. This treatment came about through the observations of a very smart nurse who observed that babies near windows had less problems with jaundice, which led to research…..

Another separate study assessed the use of sunlight (which is abundant) as compared with the special blue lights (less available in resource poor regions in the middle east) and found that it works just fine and in fact better, though I guess medical facilities would prefer to avoid risks of sunburn or infection for severely jaundiced babies.

Here is what to do if your baby is mildly yellow.

  • Figure out a place where the baby can enjoy sunlight. This may be near a window, balcony, or, like in our case, the terrace of our building.
  • Morning or evening light is what you want. Day is too harsh for baby. Morning is better if you live in the city – less pollution.
  • If you are at home, lucky you. If like me, you head out, prepare well.
  • You will want to expose the most skin, but protect the eyes. If you have special dark glasses like in the hospital, great. If not, creating shade for the eyes works well, particularly if you are careful about timing. This can even be in the form of a cap or bonnet.
  • Stuff you want to take along, or keep handy. A mat to lie on, some means of protecting eyes and ideally, some way to create a darker area in the direction the baby is facing.
  • I take along a tent-like mosquito net, which I used to place over the baby and drape a dark cloth on the side opposite to where the sun rays hit. Then I used to place the baby inside with his head toward the sun, so that he had a nice dark area where he was looking.
  • Careful placing of the shade for the eyes, and this dark area worked well to protect his eyes so that he wasn’t squinting while still allowing him to sunbathe.
  • Duration is important. 5-10 minutes is good. You don’t want to cook the baby. 5 minutes or less on his back and similar on his tummy should do the trick.
  • Watch baby carefully. My baby loves this time. He used to “unfurl” from his preferred curled up posture and really stretch out when the sun rays hit him. Watering eyes, squinting, fussiness should prompt you to immediately pay attention to protecting his eyes.
  • Do this for a couple of days till the yellowness goes away.

Please note that I’m not a doctor, and this is not medical advice. I am simply sharing suggestions based on what I did. Might be a good idea to bounce this off your doctor first before trying it out.

Categories: health, jaundice, newborn, tips.

Newborn jaundice

September 5, 2009

Today, baby looked slightly yellow to my inexperienced eye. Various visitors, depending on whether they were trying to reassure me or talk straight disagreed or agreed, but the bottom line was that the guy looked rather yellow.

The nurses assured me that mild jaundice was normal and not an issue. The pediatrician agreed with that statement, and was fine with us taking the baby in its yellow colour home on the next day.

Needless to say, I hunted on the net, and this is what I discovered.

  • Jaundice is common in newborn infants and resolves in a week to ten days
  • If it lasts longer, talk with doctor
  • Jaundice is more common with breastfed babies
  • And for once…. jaundice is less prevalent in newborns of mothers who smoke. Though I guess this is not any benefit considering how easily jaundice can be sorted out and the other messes smoke creates on the health front.
  • Exposing baby to mild sunlight will help with jaundice. Precautions for it and stuff is material for another post.

Categories: health, jaundice, newborn.

Newborn's first poop

September 4, 2009

Okay, so I asked around to find out when a newborn begins pooping. Peeing happens almost immediately. Pooping is basically that sticky tar like meconium stuff. My son hadn’t pooped for a full 24 hours after his birth, and that is considered fine. Most babies I asked about pooped some time during the second day for the first time. One had pooped almost immediately after birth, but apparently, he had also pooped inside mom before birth, so…..

The nurses in the maternity home said that the newborn should have pooped at least once before he will be cleared for discharge. Apparently this is to ensure that all the machinery inside is working how it should.

I waited impatiently for that first poop for a day and a half, and spent the next couple of days wishing I hadn’t. you see, that black-green poop is rather strange. its sticky, stains stuff, and doesn’t smell like poop at all. For my son, once he began passing meconium on the second day (third if we go by date, since he was born at 11pm), he kept passing it if he so much as looked at my breast. Cleaning it was rather yucky. Luckily we were done with the yucky stuff and on mostly normal poop by the time we headed off home, so it was good.

Unfortunately, he passed the yucky stuff easily, but started straining in a manner that looked rather painful once we began with the yellow stuff.

Categories: newborn, poop.

11 First breastfeeding tips

September 4, 2009

The first breastfeeding can be a stressful time for the new mother, particularly if its your first baby (as mine was). There is so much happening. You have barely registered that the painful labour is now over, you are excited about the baby, family is usually clustered close to see the baby and wish you well…. Well meaning relatives want to “help” you….

I was lucky to give birth at night so that I had time to rest before the visitors started flooding in. A friend delivered in the late afternoon, and the visitors were in her room before she returned from delivering.

All things considered, it is a rude shock to discover that babies don’t instantly feed absolutely “correctly” and the maternal instinct (if present after the ordeal – sets in later for some) doesn’t extend to knowledge about breastfeeding.

Here are some things you can do to make life easier for yourself and the newborn. Please note that these are based on personal experience and yours may vary:

  1. Kick everyone who doesn’t belong in the feeding plan out of the room. This is one lucky time in your life when no one will think you are anti-social for doing that. It could even extend to the husband if he is the type to hover over your shoulder anxiously. The only two people required are you and the baby – everyone else can go.
  2. Ensure that the room is warm enough for you and the baby or keep a blanket handy. The one on your bed will do fine.
  3. Strip from the waist up. I can’t stress this enough. Its “logical” that nothing except the breast needs bared, but my experience was that I didn’t need the fidgeting and fumbling with clothes in addition to the fidgeting and fumbling with baby that was inevitable.
  4. Take a moment to calm down. There is no wrong way to do this at this stage as long as milk enters mouth. Blessedly, the newborn doesn’t depend much on milk at this stage as it has glucose and fat reserves that get him well through the first day. Also blessedly, you will likely have a few drops of colostrum that can be expressed from your breast, so its not like you’ll be managing a fire hose. You can get those few drops into baby anyhow. So chill and enjoy!
  5. Calm baby, change diapers, etc. Get a warm, dry cuddly baby ready for a meal. Most people recommend that you strip the baby to diaper as well to ensure he stays awake. Others would recommend swaddling since that takes care of unpredictable limbs that could challenge your unproven “fielding” skills. My experience was that the baby was wide awake with no intentions of sleep at this feed. However, skin to skin feels good for both of you. Still, there is so much going on, and figuring out baby to nipple is going to be a big challenge, so fair enough if you want to take the limbs out of the dexterity equation. Whatever appeals to you.
  6. Bring baby to breast and get nipple into mouth. Do it however it works as long as baby’s neck is supported and you move entire baby (not just head) to fit mouth to nipple. Worry about posture later. This is about the time when a spare pair of hands would come handy. So if your husband (or boyfriend, friend, sister, relative…. if there is someone you’ve kept in the room to assist you) is the useful type, he could help get the nipple into the baby’s mouth when in range. Believe me, as excessively personal as it sounds, all the other stuff is best done by your hands.
  7. Baby will open immediately and suckle. That’s one thing that works as advertised. Correct latch and positioning and all is described all over the net, so I don’t repeat it here. Anyway, my experience was that it can’t be learnt from reading. What works is whatever gets milk into mouth, manages safety and doesn’t hurt me. The pillows for the baby to breast campout mission are unnecessary at this stage (for me). There isn’t enough milk for baby to be doing this enough for me to tire of holding this miracle to my breast. More so, it takes a whole load of fidgeting to get to a place where things work, which is impossible to predict and prepare pillows in place for and once you manage it, the last thing you want is to move to adjust pillows and risk having to start over. Don’t even think of pillows until your milk comes in. Something to lean against is plenty.
  8. Don’t worry if it doesn’t all go how its supposed to. I kept pressing on the nipple and when the milk beaded out, brought baby to it to lick it off. Baby used to latch on briefly. Lather, rinse, repeat. Slowly, you will automatically figure out how you can hold the baby so he stays on longer.
  9. Remember, you have stripped, so don’t worry about any drips of the sticky stuff. Just wipe off with wet towel when done.
  10. Express all the colostrum you can into baby’s mouth. For these first few days, the “feeding” of breastfeeding is more active than the “suckling”, since it takes some getting used to for both of you. This means that you are doing it all correctly even if you are expressing every drop the baby gets into his mouth. Eventuall practice and laziness will collaborate to get you there, as your milk increases and you try to get the baby to suckle more effectively, since you can already see that expressing will only go so far.
  11. Done. Cuddle baby and celebrate these first quiet hours before the poo and pee parade runs you over.

Categories: breastfeeding, newborn, tips.

The story of his birth

September 2, 2009

I had had a dismal experience with my gynaec (and all other options in our area I tried to explore). Thus, I had little clue as to what exactly was the point at which to hit the maternity home for delivering this little one. I’d been told rather vaguely to come if contractions came around every 5 minutes, or if my water broke, which would be something I’d notice.

Well. since the night of the 30th of August, I’d been having tiny amounts of fluid coming out of my vagina. Definitely not a flood, and to little to know if it was urine, secretions or “water”. More like increased moisture. I was vaguely anxious about it, but since it didn’t seem something alarming, I let it be since I had an appointment next morning anyway.

The next morning (1st Sept) I mentioned it to the doctor, who assured me that increased vaginal secretions were quite normal, and not to worry, and repeated (on my insistence) the same information on when to come in for labour. Fine.

That night, I thought that the secretions had increased. It felt like the occasional flow from my period every couple of hours. Not heavy, but for comfort, I added a pad. It was still alomst weeks to delivery, so I didn’t really think I was due or anything, particularly since I didn’t have any pain. That night, I couldn’t sleep. That was normal too, since I hadn’t slept much since I hit my seventh month. What was new was that I was HUNGRY. Big time. I raided the kitchen in the middle of the night to eat and ended up having the equivalent of a full meal.

Then I slept soundly for the remainder of the night right until later morning.

The secretions continued, and I changed my pad. Then, in hindsight, just as the morning clinic would  close, I thought I’d ask the doctor again, if such secretions were okay. I was thinking that it was probably the mucous plug (honestly, I still think it was).

Telling my husband to take me for a quick trip to the doc (on the motorcycle, which remained comfortable for me all through pregnancy, or maybe Raka just drives so carefully…), I freshened up and told the mother-in-law that I’d be back in half an hour or so and we headed off.

To my surprise, on examination, I was told that my waters were leaking, and that I’d be admitted till delivery to avoid infection. Then, the doctor recommended an induction, which went against everything I’d planned, not to mention that it was early for the baby too. However, when a doctor tells you that your baby is at risk, you tend to be willing to do whatever it takes and to hell with your plans.

So, I was induced.

The whole thing felt invasive and artificial. The enema, inserting tablets to start contractions…

The blessing was that the maternity home is in a good location, surrounded by trees, and when I insisted that I would be walking around in early labour, no one stopped me.

Thrice, I was hauled back to my room for non-stress tests, which involved me lying on my back without moving for over half an hour each time (I discovered later that no one I knew had experienced this for normal labour). It was horribly uncomfortable the first time, and downright utterly painful the final time.

Raka was a rock, and pretty much did all he could, which was a blessing and what made this birth special in spite of the nightmare experience in medical services. Though toward the end, he chickened out while I was in agony, and mentioned that he hadn’t eaten anything since morning and could he go out for a bite? Read “I can’t take this anymore” as I suffered, and the nursing staff was utterly oblivious to my suffering as long as the medical side didn’t show any problems. I raged at him for being insensitive, and that was that. He got his guts together and continued on.

Finally, it was time for the delivery room, and I was more than ready to end this show.

To our surprise, Raka was stopped outside. We had clearly stated and it had been agreed that he would be in for labour. They said that they would call him in when it was time, and naively, we believed. After that, every time I asked for him, they said there was still time, and everytime he asked to come in, he was ignored. Turns out (from the impression we got) that it was already late in the night (I went in at 10pm) and people wanted to wind up this delivery and head to their respective homes.

I didn’t get the “competent doctor” who is the reputation of the place and instead got some insensitive man who handled me roughly in places best not mentioned.

The star doctor arrived as my son crowned, and I was unceremoniously cut and the son delivered when she had scrubbed.

Finally, with all my soul feeling for my husband who was missing this moment, I delivered a tiny son who broke into a ear shattering wail before I even realized that he was out of me. My heart lit up in joy. This horrible place was redeemed instantly.

I watched, bereft, as he was taken to a nearby table to be cleaned and wrapped before they showed him to me. Gone were those dreams of cuddling my baby as soon as he was born. It was obvious that there was to be no immediate breastfeeding, as the doctor impatiently kept spewing out orders for me to position myself for being stitched back together. Still, my naivete knew no bounds. Heart breaking for the husband who missed this moment, I asked the nurse to give the baby to him.

Much later, when I came out, I discovered that the baby was kept away in a small box awake and staring at the walls and my husband got just a glimpse and was not even able to touch his newborn son, and the nurses were already putting on the pressure for him to leave for the night. An intense moment for the three of us spent with each of us being alone.

He was almost in tears as he embraced me, and promised to come in the morning. My heart broke for this man who so much needed to be with me and our son in that moment. Turns out he spent some time clicking pictures of the road outside the maternity home before going home.

I am a cheerful person mostly, but hurt me and mine, and I’m a tigress. This is one thing my heart will never be able to forgive the hospital for. Removing all the joy from the birth of our child.

My mother in law stayed with me that night (they didn’t allow men for some reason). We were to get the baby after two hours in that awful box, and she went and got it half an hour early without waiting for anyone. After that, he was with me all through, though there was no way I’d let anyone take him away.

For those who want to deliver at the Mamta Maternity Home in Borivali, here is what I would say. The doctor has a good reputation. From my experience there, I certainly didn’t experience or notice any medical complications. If you are the traditional type where the husband being present at birth doesn’t matter, and the baby being wrapped when you first touch it is normal, you will probably love the place. There are plenty who swear by this place.

However, if you are the emotional type and want your husband there, remember that it is your priority and they don’t care. It is your once-in-a-lifetime moment, and their attention and stress is on how routine it is and following speed and efficiency at the cost of your emotional needs. They also don’t care about the baby being put on your chest immediately, or early breastfeeding, etc. Just forget about all the beautiful plans based on all the reading about the best for your baby. You will get solid tradition here. New research hasn’t touched this place, and will likely not considering how busy the doctor is, and how closed to listening and sensitivity the culture is. Nothing wrong with tradition – look at the population of the world – if that is what you want. If you want any customization, prepare for heartbreak in your most life changing moment.

In fact, my son was given cow milk as his first feed because I didn’t have “enough milk”. I objected, but when
I was told that he was underweight, I shut up fearfully, not wanting my ignorance to harm my child. Turns out, it wasn’t necessary at all, as newborns don’t need much in that first feed, regardless of their birth weight.

We had planned one baby, but the moment he was delivered, I was wishing another – not because I wanted two, but because I knew how much my husband had needed to see his child take his first breath. On some level, I wanted to create that experience for him. Logically, I know that it is a moment gone. Even if we did have another child, it wouldn’t be our first miracle and would have its own place in the scheme of things. Strangely, while I never spoke of this, my husband has teased about trying again a couple of times too, though he insisted he wasn’t serious when I picked up on it. We can’t afford two kids, but there is this hole in our heart we are expressing in our own ways, even as we move on celebrating this guy.

Categories: labour, newborn.

From birth onwards

September 2, 2009

On the 2nd September, I gave birth to a son. We are calling him Nisarg.

An incredible determination to create the best possible life for him filled me since then, and hasn’t let go at all. I thought that recording my efforts and their results would be something that would interest other parents and prove to be something beautiful to look back on, rather than simply scribbling in a milestone book and reducing this vibrant experience to statistics.

So, the beginning.

Categories: newborn.

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