|
« May 2009 |
Main
| March 2009 »
Wednesday, April 01, 2009
Al held Grace until 11 pm last night before she went back into a sleep /
feed / sleep / feed pattern. Jack then woke up at 5:50 upset, so Al
hasn’t gotten much sleep. Al then had to carry Grace around for most of
the morning, but we got her Mother down to help out for the afternoon.
Jack has now gotten so big that he basically does not fit on his potty
anymore. After a few too many escaped wee incidents, we have moved him
back to sitting on the toilet. This has seen him take a huge backwards
step. We went from having him wet 2 to 3 nappies / pull ups a day, to
him having wet them by every toilet visit. It had been more than a month
since we had to change a soiled nappy - but since going back to the
toilet every poo has ended up in a nappy. He is even back to his delay
tactics of rushing to fill his nappy when we ask him to go to the
toilet. It has been quite frustrating.
Last night he filled his nappy while playing on Al’s computer – a big
no-no considering the price of her chair! Given it was something we had
drummed into him for quite a long period, we changed his nappy but
banned him from playing on the computer for the rest of the night. He
was distraught.
This morning he was playing on the computer again when he actually took
himself off to the toilet in a rush. He was too late, and had obviously
filled his nappy at the computer. We think the realisation hit that he
would be banned from playing his game again, so he made a go for the
toilet. It was only a small step in the right direction, but it at least
gave us a tiny hint of hope.
Posted by Doug at 3:06 PM
Saturday, April 04, 2009
It's now 4 weeks since Grace arrived in our lives,
and I finally have time to catch my breath and try to capture my
thoughts and feelings from the past month.
As Doug has already posted, a day after Grace was
due, our OB announced during the regular visit that the baby may be in
breech position. The baby had been in breech position up until week 34,
but it was unexpected to find out she had turned again at term. It
didn't come as a complete surprise, since I hadn't been feeling the
expected lead up to the birth that I had experienced with Jack, as far
as prelabour signs. I had only had occasional cramping and Braxton Hicks
and wasn't feeling like it was all building towards a birth. It came as
a shock to suddenly realise I might be facing a caesarian birth. I had
always had the view that I preferred to have a natural birth, but if
there was ever a compelling medical reason to have a caesarian I
wouldn't hesitate. I know some mothers have an intense fear of natural
birth and opt for a caesarian instead, whereas I had viewed having a
caesarian (being a major abdominal surgery and involving a needle into
the spine and the longer recover) as more scary than a natural birth. I
developed a headache following the OB visit that didn't subside until
about a week after coming home from hospital.
The next few days felt surreal. We went from
feeling stunned from the OB visit to waiting for an ultrasound the next
day. This confirmed the baby was indeed breech, and that the feet were
below the bum. This led us to madly reading up on breech on the internet
that night, and both feeling that given the breech position and the size
of the baby indicated from the ultrasound that the caesarian was the
safest and best approach. We then feared having a confrontation with the
OB if he wanted to push us to a natural birth (given we know he is pro
natural birth), but went in to the OB visit the next day knowing what we
wanted but also being open minded to first listen to what the OB
presented. Thankfully he was on the same page and immediately announced
that there was no chance to turn the baby, and as we had read from the
baby's size and position there was no choice but to have a caesarian. We
then waited while he rang around to confirm whether he could get us in
that night or the next morning for the caesarian. Once the next day was
confirmed, we went home somewhat dazed and made final last minute
preparations.
In some ways it came as a relief to now have a
scheduled birth (although with the chance I would go into natural labour
hanging over our heads all week although I still didn't feel like
anything was imminent). Given my labour with Jack was under 5 hours
(considered very fast for a first labour) we had been told to go into
the hospital at the first contraction. I also heard of friends who had
first labours of up to 9 hours whose second labours were 30-60 minutes.
So I was worried about making it to the hospital on time. Having been
identified as having Group B Strep, we were also told it was imperative
to get to the hospital as soon as possible (which with a caesarian now
no longer presented a threat to the baby).
Finally with having to make arrangements for Jack
while I was in labour I was fearing there would be no options to get
someone to the hospital on time to look after Jack, and that Doug may
miss the birth (while I felt it important for him to be there to
experience it, and to provide me with support). So I was feeling rather
stressed about the whole timing and practical aspects of the birth,
rather than the birth itself. Now that we knew the day and time of the
scheduled caesarian we were able to ask my mum to come down that night,
and know that Jack was being looked after in his own home by someone he
was used to be looking after by, so I no longer had to worry about him
during the birth process. We could also explain to him that the baby
would arrive the next day, rather than previously when we could never
answer his question adequately about when the baby was going to finally
be here.
Other than our parents and a couple of close
friends, we chose not to announce the caesarian to all and sundry. Given
we had only one day, I preferred to spend the rest of the day getting
organised and prepare myself for the caesarian, including reading up all
the information provided. I also didn't want to worry people
unnecessarily about the breech position, or feel that too many people
were anxiously waiting for the news of the birth. It felt very strange
going to bed that night knowing that the next day we would finally meet
our baby. It also felt odd going through the bed-time routine with Jack
that night, knowing that it would be the last time I would do so as a
mother of one and not be trying to divide my attention between his needs
and that of a baby.
We got to the hospital earlier than advised, then
needed to sit around and wait for several hours, with various medical
staff coming in throughout this time to ask us questions, and start
preparations. Given we were only in hospital for less than 2 hours
before Jack arrived, we actually spent longer sitting around waiting for
the caesarian than going through natural birth at the hospital first
time around! When the time finally came and I was wheeled to the
operating theatre waiting room, I commented to Doug that it felt like I
had suddenly become part of one of the TV hospital shows I watch. We
then spent around half an hour with numerous hospital staff introducing
themselves to us. I finally went into the operating theatre and had the
spinal anesthetic. It was very painful but only for a minute or so. It
was then a very odd sensation when the caesarian finally started. I
could feel people touching me, but no pain as such. It was the strangest
sensation I can recall experiencing in my life.
I was thankful for the high screens so that I
couldn't see anything of the procedure. I remember feeling a bit
nauseous and asking Doug to advise staff (as they had said they could
alter the dosage of medication if this occurred). Before we knew it,
they suddenly held up Grace for us to see. The first thing I saw was
that she was indeed a girl. They then handed her for us to see. My first
thoughts were that her features (eyes, nose, mouth, hair) all looked the
same as Jack's although I wasn't sure of the head shape (when looking at
Jack's birth photos at home, Doug quickly confirmed they looked almost
identical at birth). It is such a thrilling moment to finally see the
baby you have imagined for so long. With all the last minute worry
regarding the breech, it was also a strong feeling of relief that she
was out and that she was safe and healthy and normal. Doug was quickly
whisked away with Grace, while I was stitched up. I was feeling very
sleepy but fought to stay awake. I felt that if anything went wrong I
wanted to know about it and also to remember anything that was said.
Thankfully it all proceeded routinely. It was a
reminder of just how routine it all was to those operating when I spent
the time listening to the medical staff discussing their weekends and
catching up on any news since they had last met. I then went to post
recovery where again I fought to stay awake. I did find myself falling
asleep and hearing myself snoring loudly to then jerk myself awake again
several times.
When I finally made it to my room, Doug indicated
Grace had been beside herself looking for me for a feed the whole time
(she had come out hungry). She fed well from the start (whereas I seem
to recall Jack didn't feed much on the collustrum, and only really got
into feeding once my milk came in). Once again in hospital I found I
needed some help with attaching at times (particularly on one side) but
once my milk came in she seemed to attach much better and haven't had
any problems since coming home. Most of the first day was a blur as I
was feeling very tired and sleepy (obviously the drugs were contributing
to this). It was also a strange feeling to be in bed for the whole day
attached to a drip, and with a catheter. Aside from meeting Grace, my
most special memory of the day was when Jack came in to meet his new
sister. He came in with his Dad, clutching the big pink teddy he had
made for her at the make-a-bear workshop. His face was a mixture of
excited anticipation and nervousness and meeting his big sister. His
eyes lit up when he saw her and I was relieved and excited to see his
immediate positive response.
After being in bed all the first day on high
medication, the second day was the most painful once I was out of bed
and starting to move around. I was still on quite high medication on
this day which was gradually reduced down to panadol by the end of the
hospital stay. It was most painful any time I had to get up out of bed,
or up from a chair. It was hard to stand up straight and I felt like a
bit of a cripple hobbling around partly bent over for the first couple
days out of bed. Just when I would think it wasn't that bad, the pain
medication would wear off, and the shooting pain from where I had been
stitched up would quickly inform me it was very painful. I appreciated
that a friend had told me that the first few days are the worst and by
about a week after the operation you start to feel relatively normal, so
I could hang in there knowing there was an end in sight. Each day it got
better and better so that by the time I left hospital the pain was
mostly bearable, and as indicated by my friend, a week or so on, I
started to feel mostly normal. Even now I still find it can ache a bit
after I carry Grace around too much or move in a way that hurts it.
I found the days in the hospital relatively
relaxing. I had the chance to read some magazines, catch up on a day
sleep, and enjoy the visits from family and friends, as well as enjoy
the opportunity to get to know Grace one-on-one and be able to just
focus on her and my recovery. After having a caesarian I definitely felt
that I needed that time to recover before coming home. At the same time
I found the hospital environment far noisier than I had remembered.
Unfortunately at nights I found myself between two rooms where on one
side I had a baby crying all night whose cry reminded me of a yowling
cat (I had in fact thought there were cats fighting outside my room the
first time I heard it until I realised it was actually a baby cry). On
the other side of me, the mother had young children visiting her room
until around 10:30 at night and they were noisy and racing up and down
the halls while I tried to sleep. I also seemed to be opposite the
nurses room so each change of shift I would hear them all loudly
talking. Again I found some nurses very friendly, helpful and
understanding while others were very much just doing their job, and
others who seemed put out if you asked them to do anything for you at
all. I am sure it is the same in any hospital you go to as this comes
down to individuals. It was great to get meals brought to me and not
have to think about doing anything other than rest, relax, recover, and
get used to a new baby.
Posted by Al at 4:48 PM
Tuesday, April 07, 2009
Our hope about Jack’s toilet use on April fool’s day was misplaced – the
only effort he has made since has been to fight all attempts to get him
to use the toilet. It is driving us crazy.
We waited for more than a year for him to show interest without luck,
and then offered him encouragement, and then offered rewards (bribes) –
all the while being as positive as we could. Now we have restored to
exactly what the books tell us not too – punishment. We have had enough
of his tantrums, lying, lack of progress, and his sanctimonious smiles
when he has filled his nappy before we get him to the toilet. So now
after he soils his nappy we are banning him from playing on the
computer, or having ice cream after tea, or playing before bedtime.
And since we don’t think that is going to do much – we expect after
Easter that we will start putting him in underwear and dealing with the
constant washing and mess, in the hope the sheer discomfort prompts him
to at least try.
Grace had another Maternal Health Nurse visit today – where she regaled
everyone with one of her full on screaming sessions. At least it gave
the nurse an indication of what we had been talking about.
Grace’s nights have been good and getting better. She has settled into a
pattern of feed / sleep / feed / sleep – with the gaps between feeds
getting longer. Her days on the other hand seem to be getting worse.
During the day she insists on being carried and walked around. The
moment she is put down, scream. Al stops moving, scream. Take too long
to feed her, scream. Take too long on the change table, scream. Not sure
what she wants? Scream.
She does have some quiet time, but it just doesn’t seem to be
particularly long. A few minutes here and there of quietly looking
around before, bang, she is screaming again.
To be honest it is driving me crazy. The tone, the forcefulness, the
utterly pointless stupidity of much of it. She can be lying there
screaming like there is no tomorrow. You pick her up and the screaming
instantly stops. She looks around calmly, decides this isn’t want she
wanted, and the screaming instantly starts up again. You can’t be
screaming like the worst thing in the world is happening to you, stop in
an instant and look around calmly as if you don’t have a care in the
world, then slam back into screaming again. It makes no sense to my male
mind.
The solution so far has been for Al to carry her around all day, but
this is very hard on Al and Jack. Today we started with putting her down
in her cot, letting her cry for a few minutes, checking on her /
rewrapping, letting her cry for a few minutes, patting her, letting her
cry for a few minutes… and on four occasions she ended up putting
herself to sleep after 4 or 5 cycles. The sleep lasted for between 15
minutes and several hours – and gave us a tiny glimmer of hope.
Posted by Doug at 10:42 PM
Thursday, April 16, 2009
Grace will be 6 weeks old tomorrow. In some ways
it feels like she has been with us much longer. It's amazing how quickly
the pregnancy recedes from your mind as the 24/7 work of looking after a
newborn consumes every thought. It's hard to now remember every detail
of these first 6 weeks but here are my overall impressions.
We were thankful to have Doug's mum staying with
us the first couple of weeks (the first few days of her stay was while I
was in hospital). Between her and Doug it meant all the meals, dishes
and housework were being taken care of, and I could just focus on
looking after one child at a time, as well as my continued recovery from
the caesarian. I also found myself more prone to swinging emotions in
the first couple weeks (a common thing after birth) than I remember
experiencing with Jack. I thought I would feel more prepared for the
demands of a newborn, and the night feeds second time around
(particularly given I had been dealing with Jack's night time waking
since birth), but I still found the reality packed a solid punch. It
didn't help that on the first weekend Grace appeared to have a stomach
bug, then I picked it up from her for several days. Not able to eat
proper food for several days left me feeling even more tired and
emotional.
Concerned that Grace may have similar allergies to
Jack, I have immediately taken out any things out of my diet that we
remember affected Jack (including dairy, broccoli, corn, beans, and
citrus fruits). The health nurse who did the home visit suggested that I
try just feeding one side each feed, given she suggested the 'foremilk'
has lactose in it (so if a baby is lactose intolerant that is the part
of the milk they will react to, and to ensure she got more of the hind
milk). Given I know other people have had their health nurses recommend
just feeding one side at a time also and it has worked out well for
them, it seemed like a reasonable suggestion. Given this I would keep
offering the same side over and over, until she turned her head away or
cried. If she cried I would sometimes offer the second side also -
sometimes she would take, sometimes refuse, or sometimes just take a
tiny bit before crying and not seeming to want more (this made me think
she didn't want more and stop feeding, and concerned me that it was the
foremilk upsetting her tummy).
Grace quickly picked up that nights were for
feeding and sleeping (either falling asleep immediately, or being able
to be put down awake, and self settle) which was a relief. She
regularly has a sleep between 5-8 hours overnight. However she quickly
became difficult to settle during the day. Similar to Jack, it didn't
matter if we walked holding her for 5 or 50 minutes, the minute she was
put down she would instantly wake or only last 5-10 minutes before
waking and crying. Further, she settled much more with me holding her
than if Doug or his mum tried to hold her (which made it hard for me to
take a break to catch up on sleep or spend time with Jack, knowing she
was screaming for me in another room with Doug or his mum). She was
often only settling down for one good day sleep in her pram or cradle,
and the rest of the time found me having to hold her pacing the room
(even sitting down seemed to regularly wake her). This was extremely
frustrating. Given all the sleep issues we have experienced with Jack
right from when he was a baby we were really wanting to get on top of
sleep issues early this time, so it was the one issue I had most feared.
I had read up a number of new books leading up to the birth to get more
settling ideas and tried them out in the first few weeks although with
trying various strategies I was not being consistent. While some
techniques helped and gave extra things to try, nothing was entirely
successful. She does respond to white noise, so I often start settling
her downstairs in front of the washing machine, dryer or dishwasher. We
also have the 'sounds of silence' cd (complete with heartbeat sounds,
other white noise and classical music) playing non-stop in our bedroom.
We also quickly found Grace going from no crying
to full scream which doesn't give time to avert the reason for the
crying. She doesn't like having a dirty nappy and instantly cries
whenever she does a poo, and will stop feeding and cry any time she
dirties the nappy.
At our second health nurse visit, we commented on
all these things to the health nurse. Thankfully she took our concerns
seriously (suggesting that things didn't seem entirely normal and called
it 'colic' - ie excessive crying for unknown reason) and came up with
some suggestions to try. I fed in front of her and she suggested I offer
the first side twice, then offer the second side, and keep offering it
even if she cries. To my surprise at the visit she then took both sides
despite crying at end of first side and start of second side. So since
then I have continued to feed her both sides. She has however ramped up
the nappies (doing on average 2-3 dirty nappies every feed cycle so we
are going through about 20 nappies a day or around 150 a week) so we are
a bit concerned with how much poo is coming out of her.
She does often still pull off and cry during feeds
which does continue to concern me, as it seems she is either
uncomfortable or something is hurting her tummy. So I now wonder if I
had not been feeding her enough in the first few weeks which may have
caused the excessive crying and settling difficulties (given she had
been putting on reasonable weight I had actually thought she had been
feeding well so came as a shock to realise that I had been misreading
her signs). We have also removed soy from my diet (which I had used as a
replacement for dairy as I did with Jack - now replaced with rice milk).
Given I had previously had soy milk on my morning cereal (and sometimes
additional soy cheese and yoghurt during the day) it could explain why
she had not been sleeping well during the day if she does have an
allergy, and the soy was hitting her first thing in the morning and
taking part of the day to get out of my breast milk each day.
Finally she suggested we work more on a consistent
settling routine, including putting her down before she is fully tired.
I am not sure if one of these things, or the 3 things in combination has
been the reason combined with her now accepting the dummy (which she had
rejected in most of our early attempts since one week), but since then
the settling during the day has definitely improved. I now try to watch
her diligently for the first sign of being over-tired, swaddle her and
walk her around until her eyes are starting to close but not fully
asleep and put her in the cot, with another blanket tightly wrapped
around her, her sound of silence music playing, the same lighting each
time (dark room with just little bits of light coming in), and pat her
and 'shush' her for a couple minutes, then leave the room. Sometimes
(rarely) she settles immediately, and other times she will settle if I
come in once or twice patting and shushing her and putting the dummy
back in her mouth. Other times, I will have to go in numerous times,
sometimes have to change her nappy and pick her up for a few minutes
then put her down again. In worst times sometimes I have to keep
repeating for up to an hour, and sometimes she will only finally go down
when it is time for another feed, or miss a sleep cycle entirely.
However, the rapid improvement has given us hope (although we barely
dare hope we have really turned the corner) and has made everything far
less stressful and more manageable. We also have an appointment next
week to see the pediatric chiropractor (after our experience with Jack's
neck issue which wasn't picked up until 17 months we want to get an
early check this time for peace of mind and the health nurse further
recommended this from her observations of her crying and given she was
breech).
Grace still isn't what we would call an 'easy' or
'placid' baby, but things do seem to have improved. Now that I have more
chance of getting her down, and not having to hold her so much while she
is sleeping, I can also try to wait until she is sleeping (or in the cot
even if I am going up and down every few minutes) to do things like eat,
go to the toilet, or do things for Jack rather than while she is awake,
as far as possible, rather than having to put her down (even if crying)
to do those things previously. It also means I can focus on playing and
interacting with her more while she is awake rather than be trying to
get things done during this time. As she gets older she is able to have
longer awake periods without getting instantly overtired and overwhelmed
for being put down for more than 5 minutes as she did in the early days.
Similar to Jack, after 3 weeks of beautiful clear
skin, she is now covered in baby acne and rashes easily to her clothes
or mine, and wraps. It remains to be seen how long it takes to clear
this up (Jack had the acne, rashes, bad cradle cap and scratches on his
face from the obviously itchiness of it all until around 5 months). This
can all be a further indication of allergy (given we were told it is all
in the same family as allergies, and hayfever).
On the positive side, Grace has had good neck
control since birth, and getting stronger over time. She is already
smiling (she particularly loves Jack's voice and face and regularly
smiles at him). She loves watching the mobile above her change table.
The health nurse commented that babies often only see the mobile above
the change table at the 8 week checkup rather than the 4 week checkup.
Grace definitely has the 'Carter frown' and frowns a lot as she looks
around the room or as we walk her around but seems to regard everything
and take a lot in. From 4 weeks she has been batting at the animal
skittle soft toys with her hands. She sometimes can follow a squeaking
toy with her eyes. She can cope with a couple minutes of being put on
her tummy and tries to hold her neck up (although quickly gets upset at
the effort). Although she gets upset at a dirty nappy, she is very calm
once up on the change table for the actual nappy change. She loves the
bath and is very calm in the water, right from her very first bath at
the hospital. From very early her tongue was moving around in her mouth
trying to make sounds, and for past couple weeks she has been making
cooing noises. She can be very noisy in her cot - grunting and groaning
as she moves about. She is very determined and will grunt and groan to
get her hands out of the swaddle if she wants them up around her head to
sleep. She doesn't always instantly wake up crying in the cot, and can
be awake and calm for a while before demanding to be picked up at times.
She can sometimes enjoy a few minutes in her rocker looking out at the
garden, or in the pram looking out the window, or on walks.
Jack has been amazingly positive around her. His
eyes light up as soon as she is awake, and he is instantly wanting to
talk to her, hold her, play with her, and interact with her (although
this can sometimes cause issues if he inadvertently wakes her up, or if
he tries to interact with her at times she is upset). At times when I
have been in the kitchen, he gets to her first when she cries in the
pram and says 'I'm here Grace' and tries to rock her cradle, or pat her
gently or talk to her, to try to stop her crying. He is being very
gentle with touching her, and one of the carers at his childcare
commented that they have noticed that he has been extra gentle with the
other kids at childcare since she arrived (although they also said he is
such a gentle kid already - the most gentle kid they have ever met, and
have never seen him react in a rough way to any other kid). The
childcare workers also commented that he talks about her all the time,
and is clearly excited to be a big brother.
Jack was on his best behaviour for his dad and
grandparents when I was in hospital (which made it easier for me to
relax knowing he was responding well overall to the enforced
separation). It would have been unthinkable previously for me to have
spent 5 nights away from him. Since then Doug has also taken him to stay
with his Grandparents C without me for a night (his first night away
from home without me). Doug commented that Jack missed me more than
usual, but for the most part coped well with it. Before I went in
hospital I was still sitting on the couch outside Jack's room when he
went to sleep at night, but since coming home (with his dad not waiting
outside his room while I was away), he has accepted me to just say
goodnight to him and walk away. Sometimes, particularly if I haven't
spent much time with him on a given day, or we haven't connected well
(one or both of us having a grumpy day with each other), he gets up a
few minutes later and comes looking to cuddle me in our bed (although
sometimes I haven't realised he was there and found him there 30-60
minutes later when I return from downstairs). Doug has got up to him a
couple times in the middle of the night, and I have had to go in a
couple times when he has had nightmares, but by and large even though he
would obviously be woken by Grace's loud crying at times at night, he
has gone back to sleep himself. He still enjoys coming into our bed in
the morning for a morning cuddle. Given all the sleep issues with Jack,
I had feared the nights being problematic so it is a huge relief that
this issue has resolved itself.
While Jack has been really positive to Grace, he
has increased whinging and tantrums (throwing himself down on the ground
at times which he hadn't done for a long time) at times since Grace came
home. So at times he is expressing his frustrations at Doug and I over
the less attention he is getting (especially from me), or that it takes
us longer to attend to his needs, or that he has to play by himself more
than he was accustomed. He was particularly frustrated when I was having
to carry Grace around for much of the day (demanding I put her down to
play with him and not being able to understand why I couldn't - or that
when I would she would wake up 5-10 minutes later). I have also of
course been more stressed with trying to look after him and Grace
simultaneously, or been desperate to squeeze a bit of quality time in a
short period in between Grace outburts, then disappointed and frustrated
if he doesn't respond well during those times. So it is getting a bit
easier now that Grace is going down more regularly during the day, as I
can then get more quality and quantity time with Jack at times. He still
doesn't always understand that when she is crying I have to make her my
priority, and can't respond much to him or play with him at those times.
He also gets frustrated at times when she has a particularly long,
sleepy feed. He mostly enjoys coming to interact with her/help us when
she is on the nappy change, or playing on the ground, or having a bath,
but other times loses interest quickly or doesn't want to get involved.
So it is still all very early days and we are all still adjusting, but
slowly things are becoming a little easier as we all get more used to
the juggling act. Unfortunately we are still battling the toilet
training with him as Doug has documented, so that is additional daily
stress for all of us. Jack has also often whinged about eating lunch and
dinner so is also a regular battle to get him to finish his meals, which
also adds stress to timing of our days. On the whole though, Jack has
been far better than we feared, and this is a huge relief.
I have just had my 6 week OB visit this morning
and all is well with my recovery and I have been cleared to drive. I
have felt a bit stuck at home during this time, although at same time it
has made life much easier to be at home to recover, and focus on Grace's
cycles rather than have to interrupt her food and sleep cycles more than
necessary. Given how loud she is, and the difficulties in settling her
during the day, I have also preferred not to get out more than necessary
in these early days. It is also hard to fully envisage how I will
manage carrying Grace, a bag, and manage Jack when out by myself with
them both as yet. I have enjoyed trying to get out for some pram walks
on days that Jack is at childcare. It has made life so much easier for
me with Doug working from home, so he is on hand when needed (although
having to be mindful not to interrupt him more than necessary when he is
working). Doug has also taken on all the running around of shopping,
and getting Jack to/from childcare and all his activities thus far, as
well as taking over Jack at times when I am having a difficult time with
settling Grace. It is great that Jack's activities haven't had to be
interrupted with Grace's arrival, to keep him on as normal a schedule as
possible. We have also had many family and friend visits during these
early days so I don't feel isolated. We have taken the opportunity to
have my mum or sister down each Wednesday also (when Doug works a full
day and Jack is at home) to reduce stress on all of us, and give me
extra support. The days Jack is at childcare also give me a chance to
catch my breath, catch up on sleep if need be, and have some time to
myself. So while it has all been hard work and not an easy first 6
weeks, I do feel thankful to have plenty of support and assistance.
Posted by Al at 2:19 PM
Sunday, April 19, 2009
Jack hasn’t had Ice cream or played on his Mum’s computer all month -
since we started banning them if he didn’t go to the toilet.
On Easter Monday we started putting Jack in underwear during the day.
For the first 6 days he soiled or wet himself up to 3 times a day, and
never once initiated going to the toilet. Some of the cleanups were
disgusting – but Jack did not seem to mind that much. In fact, most of
the time we knew he hadn’t just had an accident because of how he
behaved before and afterwards.
We did have some small steps forward. Jack has previously held off doing
anything on the toilet – but early in the week he managed to do the
occasional wee. Towards the end of the week he managed his first poo.
Each small milestone however was diminished by how much he fought not to
go to the toilet beforehand, and was seemingly immediately followed by
him doing something in his underwear (on one occasion within 15 minutes).
Today he wet his pants once – but then managed without prompting from
us, to take himself to the toilet twice to poo.
Sadly this doesn’t mean Jack has turned a corner, or that this long saga
is nearing an end. I’m not sure he has made that decision to really try
yet – I suspect he might have made the effort today for a couple of the
rewards he knew were waiting for him. Still – at least we know he can
do it.
Posted by Doug at 11:01 PM
Monday, April 20, 2009
After the last Maternal Health Nurse visit Al made several changes to
her routine with Grace. She took Soy out of her diet; she increased
frequency and volume of feeding, and she has kept at the process of
putting Grace down in her cot.
This has seen some improvement. Grace now tends to sleep once or twice
for a reasonable period of time over the day, saving Al from having to
carry her. This has however come at a cost – that being a fair amount of
stress.
Sometimes Grace goes straight down. Sometimes she screams, but if Al
resettles her every 4 to 5 minutes, she finally goes to sleep. Sometimes
no matter how many times you try to resettle, she won’t sleep. Sometimes
she sleeps for 10 minutes then can’t be re-settled. Sometimes she might
sleep for 4 hours. You never know, and you can’t make any assumptions.
For the most part Grace doesn’t get the sort of distraught crying Jack
used to give us, where he would quickly become inconsolable. For her it
seems to be anger that ramps up quickly to pure rage. She is so forceful
- and puts every ounce of her being into it. She still turns it on or
off in the blink of an eye. She will even ramp up just by being walked
close to her cot. She knows what you are doing, and she knows she
doesn’t want it.
What makes all of this so hard is the fact Grace is still only a very
young baby who gets over tired quickly. Then she doesn’t know what she
wants – so ends up just screaming, and screaming, and screaming.
I don’t settle Grace all that often – I still don’t have much patience
for her screaming. More often I bundle her into the pram and walk her
around the streets to give Al a break. Thankfully Grace will generally
go quiet as you push her around, although that is not always the case.
Sometimes she screams the entire way. More often she screams for the
first minute, goes quite, screams every time you stop (waiting to cross
a road), and then resumes full screaming the moment you stop back at the
front door.
At the moment the good times are a little too few, too short, and too
spread apart. At least she is still sleeping and resettling well over
night.
Posted by Doug at 12:33 AM
We all seemed to have a surprisingly good day - worthy of note.
While Jack had two “accidents” at childcare, he had none at home. He had
a longer day than normal in care – 8:45 to 4:30. When I picked him up
however he actually looked disappointed, and said that he wasn’t ready
to go yet. He had been having fun playing outside with a girl named
Miranda.
As we left he said that he had told the room careers that his mum would
not be picking him up, since she had to stay at home to take care of
Grace. He actually seems ok with this. He then was pretty well behaved
for the rest of the evening.
Grace wasn’t frowning as much, was calmer, slept better, and cried less
than usual. She even seemed to crack smiles regularly that were not
related to gas.
Similarly Al was more relaxed. She managed to prepare the meals, keep
the kitchen clean, give Jack his night time bath and bedtime routine,
and juggle Grace without getting stressed. She even got some downtime to
catch up on her TV shows.
I managed to get a very solid day of work covered off, had some positive
interactions with Grace, and was able to watch Top Gear without
interruption or resorting to recording it.
All told – probably the best day we have had since Grace was born.
Al also drove for the first time (having been given the ok by the OB
last week). She took Grace to get an ultrasound done on her hips, a
standard procedure for babies born in the breach position. We get the
results next week, but the technician told Al it looked unlikely that
the reviewing doctor would find an issue. Grace travelled well, but
screamed furiously during the scan. Al took that in her stride.
Posted by Doug at 9:38 PM
Tuesday, April 21, 2009
Jack got all through childcare and the evening at home without messing
his underwear, so he got to have Ice Cream after tea and play Batman on
Al’s computer.
Grace basically didn’t sleep properly all day, which has left Al
exhausted. She seems to have gone down fine now that it is night – so Al
quickly followed her to bed. As long she was being held or interacted
with, Grace did get through most of the day without too many screaming
fits.
Posted by Doug at 9:48 PM
Thursday, April 23, 2009
Maybe Jack has turned a corner with his toilet training.
He got through yesterday without messing his underwear. On a number of
occasions he went to the toilet without prompting from us.
This morning when Al first got up with Grace she was startled to walk
past the toilet and find Jack sitting on it. He had taken off his night
time nappy (which was dry), and was busy doing wee. He then asked for
underwear for the day.
Obviously putting him in underwear and being forceful about it has
helped push Jack towards this point. However – I also wonder at the
influence of one other little change we made in our approach. We had
started to ask Jack to take himself to the toilet, and only accompanied
him when he asked or was fighting the process. Once he was on the
toilet we would then walk away. Encouraging this extra level of
independence seems to have also helped.
Posted by Doug at 12:30 PM
Friday, April 24, 2009
We took Jack and Grace to see the baby chiropractor yesterday. It was a
stupid decision – taking them together. By the end of it Grace had had
enough – so the drive home was horrendous, with her screaming her head
off, and the rest of us wishing we were anywhere else but in the car
with her.
Jack was good this visit. His neck was still a little out – as it is
every time we go. His first few visits made such a tremendous
improvement – but since then the adjustments don’t seem to do much aside
cost us money. We had already cut the visits back to twice a year – but
now we might have to consider taking him to someone else for a second
opinion. We do however know the underlying issue does still exist –
Jack’s lack of balance is still pretty obvious to see as he traverses
obstacles at Gymbaroo.
Grace took the visit rather well – until near the end when she decided
the process wasn’t interesting after all, and began vocalising her
annoyance. The Doctor found Grace actually has a problem with one
shoulder – something he was able to easily demonstrate, and funny
enough, something we had already known but not actually pieced together.
We have to take her back weekly for a few visits to get the arm and
shoulder aligned correctly. Al might have to take her – without Jack and
I in the car. Or we can go in separate cars…
For the third day straight Jack didn’t mess in his underwear. Today he
took himself to the toilet half a dozen times without prompting,
dropping whatever he was doing and suddenly rushing off. He is actually
making a real effort. I can’t tell you how pleased Al and I are.
Since I have been taking Jack to all his activities the last couple
months, I should also make note on a couple other milestones. Today at
Gymbaroo Jack did his very first forward roll all by himself. He has
also (with some prompting) mastered some of the equipment that he has
previously resisted using. There really is a balance with Jack – giving
him room, but also pushing him hard enough to try things he might never
get around to otherwise.
Jack also had a good first swimming class of the term. He is floating
on his back really well, and after some panicky weeks seems to have
picked up dog paddle with a lot more confidence. He is also putting his
head below the water and holding it there trying to pick up things off
the bottom of the pool. His jumping in from the side and his treading
water however need some work.
Posted by Doug at 10:48 PM
I forgot to mention. This morning Jack took himself to the toilet again
before we had gotten up. Because he had to remove his night nappy, he
then went and grabbed a pull up nappy from the nursery and put that on.
Good on the little guy.
Today was also another hard for Al. After a relatively good morning,
Grace didn't do more than nap for short periods between 11am and 9pm. Al
was exhausted by the end of it.
Posted by Doug at 10:54 PM
Saturday, April 25, 2009
Slowy we are starting to see expressions from Grace that don't just
involve frowning.
Jack is rather enthused to hold Grace - for short periods of time.
Posted by Doug at 9:16 PM
Sunday, April 26, 2009
We are into day five, and still no accidents with Jack in his underwear.
(With the exception of a misdirected wee while sitting on the toilet
this morning, which as we explained to a teary Jack, doesn’t count.) We
have cut back on asking him if he needs to go, and stopped forcing him
to. So far, at home, we have been able to trust him. We are still
putting him in a night time nappy just before he goes to sleep – but
only until we all get more confident with the day time routine.
We all seem to have colds at the moment. This means Jack is extra teary
and complaining more than usual, Al and I are more grumpy than usual,
and Grace is harder to settle and prone to more crying. It is not
constant, but there have been too many stressed and harsh tones in
everyone’s voices. The household is not a particularly pleasant place to
be.
Jack has to spend a lot more time by himself now. In the past we
couldn’t leave him for 30 seconds without him coming to look for one of
us. Now Al will disappear for 30 minutes trying to calm Grace, and Jack
will just continue doing what he was doing. I think it helps that he
prefers Grace being at the opposite end of the house when she is
screaming. I do too.
Al is still struggling with the impact this is all having on Jack. She
worries so much about the lack of uninterrupted and quality time she is
getting with him that it impacts on the time she does get. Very much
like Jack was, Grace is extremely demanding and draining on Al, which
makes it impossible for Al to support Jack like she wants to.
Further, while Jack still has his childcare days and activities, he has
lost out on visiting play centers, parks, and even just general family
outings since Grace arrived. We are just unable to take Grace out at the
moment – we can’t rely on her sleeping, being ok in the car, or being
able to settle her once she does start screaming. (As a consequence of
this - Al is suffering a dose of cabin fever.)
Having a sister is going to cost Jack in many ways over the years. I am
thankful though that it has also been good for him so far. It has forced
some independence on him – which he has sorely needed, having to share
his mum will be a good thing, and I even think it has reinforced the
concept of family with him. His childcare workers have all remarked on
how positive and enthusiastic he is when he talks about Grace.
Grace is a little more engaging now – she has some obvious favourite
things she enjoys, and can spend short periods playing. Just as she
seems to be endearing however, her face screws up and she screams. I
hope this starts to improve – I hope she becomes less demanding, more
relaxed, even a little happier. Even though we generally have coped, I
have not found these last 7 weeks to be particularly enjoyable.
Posted by Doug at 3:49 PM
Wednesday, April 29, 2009
Jack is onto his 7th day in underwear without an accident. He gets a
reward at bath time tonight if he stays dry. The difference is amazing
now that he has made the decision to try. He has even been insisting on
wear underwear out to his activities and appointments – which although
I’ve had some trepidation, hasn’t resulted in any accidents.
Al has taken Grace out to several appointments over the last week, which
have gone well. Grace doesn’t seem to mind the car, although the moment
she decides she wants to be elsewhere anyone within 500 meters knows
about it.
While the house never really got into a state of total disaster, the day
to day cleaning and routines were obviously knocked around by Grace’s
arrival. I’ve noticed now however that we seem to be back towards the
pre-Grace days. The kitchen is often cleared of dishes after each
meal, the shopping lists are back to being relatively short, the dirty
(and washed) clothes are not piling up quite as high. I am also not
finding it as difficult or as stressful now to cover my work hours each
week, so we do seem to be getting into more of a pattern.
In reality, and ignore the fact I can hear Grace screaming in the
background right now, we are coping reasonably well 90% of the time. It
is the last 10% which is not so good. Both of our workloads have
increased, we are constantly busy and juggling, and we are obviously
stressed. Even when things are going well, we are on edge. As such when
things don’t go to plan we are more prone to overreacting.
I don’t think either Al or I would win contests at the moment for
friendly personality of the year. By the end of the day I am usually
tired, grumpy and complaining. (If not verbally, you can see it clearly
on my face.) When Al is having a hard time she is rather irritable and
short, with the occasional dose of spite thrown in.
We are also not really focused much on the journey we are going through.
It seems like we are just concentrating on each new hurdle in front of
us, and as we surpass them, we just focus (and stress) over the next
one. We are not reflecting much on each achievement, or allowing
ourselves to enjoy them. I think we are in the mindset that these first
few months are going to be difficult, and we are just looking towards
when they will be over.
Posted by Doug at 5:01 PM
Oops - I just realised we have been counting wrong. By the end of today
it will have been the 8th day he has kept his underwear clean and dry!
He should have got his reward yesterday.
Posted by Doug at 5:05 PM
|