Showing posts with label breast feeding. Show all posts
Showing posts with label breast feeding. Show all posts

Wednesday, 10 March 2010

The Nanny State

Let's be clear, my wife and I are committed believers in breastfeeding - she is breastfeeding our son as we speak.

However, after 48 hours of our son being born at 6lb 6.5oz it was clear he was not getting all the food, and especially liquids, he needed to thrive via the breast only. Having given a fair amount of the vital colostrom, my wife was simply not producing enough milk for the baby and he was not finding feeding easy. At that point my wife made the decision to supplement his feeding with SMA formula and we have done so ever since in conjunction with both breastfeeding and expressing. Three weeks after he was born, my wife is still not producing enough milk for him and we supplement with a bottle.

Today, the Health Visitor declared that he was 8lb 5oz and has put on over 1lb in a week. He is thriving and well fed.

If we had followed the NHS and Government dogma of 'breast alone is best' then our little boy would not be thriving today. A very good friend of ours had six weeks of bullying, haranguing and general put downs by various mid wives who told her that she was a failure because she was not feeding her boy enough. After six weeks of hell and a 'Failure to Thrive' notice on the her son by the Health Visitor, she decided to supplement with formula. He is a fine bouncy boy today and thrived the moment she made that decision.

Our sister-in-law had twins and her milk took six weeks to 'come in' before she could feed adequately on the breast. Thankfully, like my wife, she followed her maternal instinct and used the bottle to supplement - her twins are wonderful specimens today.

I'm not saying that that 'breast is best' is wrong, but the clear over-riding concern is to ensure the health of the baby and that's the mother's responsibility and objective over anyone else's. Who are the Government or the NHS to bully people into believing otherwise?

To stir this debate up, I called at Boots today to buy some SMA in cartons for supplements. Naturally, we have clocked up a great many points on our loyalty card and so I tried to redeem some to buy the products only to be told that was not possible. The Government had decreed that no loyalty points could be accrued on the purchase of formula of any type or points be redeemed to buy any. Such is the rabid dogma of the Government and the total Nanny State attitude that their intelligence and instincts are better than any mothers'.

Delay in milk production or lack of is a common phenomenon, you have only to ask people you know to understand this. If mothers are being bullied into believing they are failures by not producing enough or forcing the feeding of their child when there is simply not enough milk there to feed them, then I think the Government are lining themselves up to potentially cause harm, or worse, to young babies.

It's not about the discount points, it's about life and the health of babies and the mother's instinct to protect. In an ideal world, breast is the only way. But if there is not sufficient milk for the baby to thrive, mothers must make their own decisions to ensure the health of their babies and ditch dictats by the Nanny State for the sake of their babies.

Tuesday, 2 March 2010

In Praise of Paternity Leave

It's not often, as an employer, that I praise Nanny State initiatives which are funded by private sector companies at a hefty cost, particularly if your business is a small one, but I find myself heartily behind the concept of Paternity Leave.

In my case, as I employ myself alone and therefore every hour I am not doing what I do I simply do not earn, Paternity Leave is funded 100% by myself as a lost opportunity to bill clients. However, I think it's worth its weight in gold as I am already not looking forward to going back to work on Monday and leaving my new son. This early time with him has been precious and I recommend it to all new fathers.

It's been a while since I last wrote so there is a lot to catch up on. Has age played a downside side so far as a Geriatric Dad of 50? In some ways it has taken a few years off me, believe me. It is always on my mind, in point of fact. Already, I am thinking what I will miss when my son is 18. I will be 68 then and likely not able to bowl at him in the cricket nets, play fathers vs sons at the school soccer match or be his doubles partner in tennis or even his Sunday League buddy in golf. But it has its upside for him - at least he will not have to wait so long for any inheritance as the rest of his friends. It's macabre, but these thoughts go through your mind. I also have been conscious of the older looking parents when I was a kid at school and when I have picked up my nephews. People do notice and we are going to have to deal with that when it arrives - and even though I am a young looking and behaving 50, I still look older than most parents.

Yesterday was an interesting test of my manhood. My wife was visiting an elderly friend who had suffered a bereavement and I was entrusted with junior, who took for his first walk in our Mamas & Papas Pliko Switch Pramette. After struggling to work out how to build and deploy the swish looking lining we had bought, I managed to have it all ready in time. It was a beautiful day and we walked along the rutted path - you get to feel every bump left by the zillions of cable companies these days on your aluminium frames - how the boy slept through that, I don't know. As we walked, I got a call from my wife's best friend who lived near by and had a friend and her mum in from New York - they wanted to see the boy if I could stand three clucking women. I steeled myself and walked there.

I skillfully negotiated the step in with the pram and took out the baby. Passing him around was easy and everyone was delighted to get a while with the baby. The inevitable happened - the baby woke up and he was hungry. The big test was on as all six eyes drilled down on me. How was I going to handle this amongst highly experienced mums. I reached for the Pod bag, removed a feed I had prepared, took out the muslin and put the boy in the crook of my arm and calmly fed him the bottle. Half way through, I put the bottle down and without missing a beat, I sat him up and, with no mean skill, deftly yet authoritatively, winded him, eliciting several load burps for the audience who applauded him warmly. I repeated the procedure before putting him over my shoulder and getting the last of the wind, then setting him to sleep to be passed around again. Hardly a peep out of the baby and a duly impressed audience. I was as nervous as a kitten to start but those who say you should never work with animals and kids in a show are wrong. I felt at the end as if I had passed an initiation test and had joined a sororiety as we all talked of 'cannonball breast syndrome' when the milk builds up and the merits of breast over bottle as if I was one of them. It was a curious feeling of being part of a 'coffee afternoon' and I felt as if I should watch 'Loose Women' as my next learning step, so much a part of the team I felt.

People always ask about nappy changing and how I coped to start with. To be frank, I found there was not much to it. Once you learn that you need to stop the squirming with a good grip on the feet to move the lower half and clean it, you are on the winning track. Modern day cleaning tools like cotton balls and warm water are great but when drying with cottonwool it leaves furry pieces in the cracks, literally. That can't be comfy so Pampers Sensitive wipes are an essential as they clean efficiently and leave a nice rubbery feeling to baby's bum after, ready for a nice new nappy. While we are into saving the earth, disposables are the practical way and it will all decompose nicely somewhere I am sure to become part of the cycle of life.

And there is the poo. Yep, you can have your own university course on the changes you will encounter. First couple of days it was the tarry meconium of the first born which needed soaking and a chisel to remove from baby's skin. Then you get some yellowy stuff which is best described as someone taking an open peanut butter sandwich and slapping it heartily onto baby's bum. Now we are at the roughly chopped, boiled and buttered spinach phase which is a little more gruesome to deal with. The volume is growing and so the 'spread' is getting larger while the smell is getting a little more toxic. You have to remember to look in all the nooks and crannies when cleaning and bathing but realistically, it is not that tough to deal with. Just wait until 'solids' kick in and the real pongs start, allegedly.

On the way home last night, after a day visiting, we decided to call in at L'Italiana Restaurant in French Row in St Albans - a favourite of ours and comes with our highest recommendation. Like all family run Italian businesses they love kids and they greeted us warmly and cooed over the baby. Such is the incredible generosity and warmth we have received from everyone, after we dined well and junior slept throughout, we walked out with a free drink each and a bottle of wine from the owners and the well wishes of the lovely staff including the prettiest of waitresses. Everywhere we go, we just find a warmness from everyone and that has been one of the most remarkable observations I can give. Except from the swine of a traffic warden who had given us a parking ticket. St Albans is an absolute nightmare when it comes to parking and enforcement - after 6.30pm you have crowded, impassable roads as people park everywhere while wardens still patrol 'soft areas' to hand out tickets causing traffic chaos. It really is the classic 'commission based' parking enforcement gone wrong - the council ought to be ashamed but they aren't as they they love the easy money it brings in.

And yes, fellahs, babies are babe-magnets. Young and old, women throw themselves at you. Well not you, the baby. Get with the program, they may smile and tell you nice things but they really just want to coo at and hold the baby - you are merely the object they have to sweet-talk to get what they want. But the attention is great - a bit like when the dogs were puppies. Like the dogs, make the most of it as when they get more mature, the girls no longer want to know.

Today we have the first visit from the Health Visitor, having been signed off by the mid-wife yesterday after Scott had put on nearly a pound in weight in the first 12 days and there is no longer any sign of jaundice - shame as that mid-wife was really nice. It's the next hurdle in what has been a real voyage of discovery.

And the sleep? Yes, there is lots of intermittent feeding during the night and so sleep is still an issue. The real 'Parent Fatigue' wears off and you get a routine, but yesterday I did a full night shift and let my wife sleep through - that's an advantage of mixing bottle and breast that the NHS dogma on 'breast is best' does not promote. Last night she returned the favour and, refreshed, I took over at 7.00am feeling like new. I am concerned for next week when I return to work duties as I will be travelling a lot in Europe and mum will have to cope without me for at least two nights a week. We have worked so much as a team on this that I do feel as if I am letting her down but I hope that we can get the routine just right so that she does not get too exhausted initially.

That's pretty much up to date. So far, age has not been too much of an issue but I can feel those old bones creaking a little. But there is nothing like a little baby in your arms to renew your vigour for life and peel back those years.

I feel very much younger every time I pick him up and that's a really good feeling for an old fart to have.

Monday, 22 February 2010

Blurry Eyes

It's been a blur.

Mum and baby arrived home on Friday and the first night was troublesome so neither of us slept well as we were on tenterhooks. Baby has found feeding on Mum's colostrum difficult, which is the vital early milk produced for the few days after birth that is rich in crucial ingredients for baby's development. It is rich, quite thick and is produced in small amounts - making it tough for baby to draw down. Mum noticed on the second night that baby was distressed at feeding and decided to supplement with a bottle of SMA formula despite protests from the mid-wives. She has also taken to expressing extra colostrum to ease pains in her breasts but to produce more for the baby at feeding times with less difficulty.

At this point, you have to understand my wife is committed to breast feeding but she also knows you have to trust your motherly instincts. If baby needs more - give it. What he clearly needed was more volume and, specifically, fluids. Due to that early trouble feeding he developed mild jaundice, but now, in a combination of breast and bottle feeding, he has had his 6 day check up where it is typical for a newborn to lose 10% of body weight and he has lost just one ounce. That's a small victory for common sense over dogma and my simple advice to would-be parents is to use your own judgement as the NHS is so fixated on 100% breast feeding it is actually putting children's health at risk - or at least that's my opinion.

The other thing we learned early on is that 'skin to skin' is both awesome and really helpful at feeding times. Part of it is the shock of coolness on the skin from the air but most of it is the touch of the mum and it really helps in breast feeding. Another thing we learnt is that mid-wives are no experts - they have great experience but there is a huge volume of differing opinions and no actual right line. You have to take advice and trust your own judgement.

The first few days at home have been a huge learning curve amidst lack of sleep. I am exhausted so just imagine what mum feels like while baby is thriving - at the least the priorities are right. We found ourselves to be more prepared than we thought we were - the cot is ace, the moses basket excellent and the tons of outfits and nappies all went down well. Then came the overwhelming and incredible generosity of others - family and friends. Neighbours decorated the porch, sister-in-laws brought us box loads of hand-me-downs, the flowers were copious and then there were the gifts.

Tons of clothes - tons of clothes - some disguised at flowers in bouquets, shawls of vintage wool, toys of all sizes with a rat or mouse playing a lullaby if you tug its tail, a Welsh pillow with a sheep on it (well he has to grow up in the right environment), a silver spoon, books, DVDs shoes, mittens, socks, outfits - it is endless. We have a had a constant stream of visitors with neighbours walking across the courtyard to family arriving from Wales for just a few hours. The emotions have run high, the tea has flowed and the cakes have been vital. It's been a roller coaster of feelings and we still have to catch our breath when we look upon our little miracle and think how long we have waited for these moments and realise it was well worth the wait.

We've had a few wailing fits, plenty of soiled nappies, a few baths, baby weeing on himself when you are fumbling for a clean nappy, little bits of vomiting though not much, a couple of feeding issues but no real hassles, but nothing really prepared us for the 'Gestapo' or the initial visit of the mid-wives. Like 'dementors' from Harry Potter they arrive unannounced, creep around you and quickly suck the euphoria from you as they assume that you are bad parents and you have to prove them otherwise. Their line of questioning was to challenge my wife's decision to supplement breast with bottle asking for justifications. I was seconds away from asking whether I had missed something and that non-breast feeding had been outlawed in statute. Fortunately my wife had more patience. Another mid-wife arrived today when I was at the dentist and she was excellent, applauding the supplementary bottles and my wife's attention to the baby ahead of all else, echoing the Paediatrician's views in the hospital. A victory for common sense.

The feeling of tiredness is debilitating but you just take one look into his face and you get all the adrenalin you need.

Thursday, 18 February 2010

24 Hours

Meet Scott Edward at less than 24 hours old. He's a handsome little fellow who we all agree has his father's nose and his mum's toes. These may not be things he thanks us for as a start in life but at least we will be able to pick him out in a crowd.

How can I describe our feelings at the moment? Exhaustion springs to mind. Mum had about one hour's sleep on the first night, I found it difficult to nod off and so had a stiff Scotch then fell into a deep slumber and overslept. So we were both not at our best for baby.

The problem of the day was that he had difficulty in feeding - he fed at 4.30am and then slept a good deal and had the most enormous ejection of meconium which I had to deal with and is a 'first baby thing' to remember, believe me. But baby decided that feeding was passe and so slept on the boob until he finally decided to latch on and feed at 5pm and then did not feed again until 10pm. By that time he was way crotchety and despite the best advice from the mid-wives he had studiously avoided slurping.

The trick, we have found so far, is to make sure he is wide awake and then to get 'skin to skin'. There is a lot of 'faddy' research on this but I cannot recommend it enough as a) it works and b) it's such a feeling for mum and dad alike - I am getting choked up just writing that as it is so special to have your new baby actually sleeping naked (bar a nappy) on your own bare skin. You see, the problem was not wanting his mum's boob - he was using it as a comfort - but to stimulate the action of feeding. By cooling him down, upping the lights and tickling his feet, he really got stuck in and his last feed before I left was a big one and he was much, much more settled. Mum was hoping to get at least a little sleep as she was far more tired than me. Having said that, I got to sleep just after 1am and was up again at 6.00am and I can tell you I am shattered with blood red eyes.

But that's a minor issue. The actual joy of being around this little bundle of delight is amazing. And we are just so chuffed at not only how many people have contacted us from far and wide but how touching all the thoughts are. It seems that not only we were trying hard to have this baby all this while, many of our friends and family were praying equally hard. That's a great start in life for the boy - no pressure then.

Talking of that - I had this from my brother, who has just gone potty over his new nephew. "I had a dream last night. There was Scott stood on top of Mt. Everest wearing his Emeritus cap and gown as Professor of Nuclear Physics from Cambridge University holding the Ashes urn in his hand. You'll have to have a harsh word with him as I don't want under-achievers in the family." No pressure at all then.

We are hoping that everyone can return home today. The doctors are happy with mum's progress and baby is looking fine, passing his early hearing test with flying colours and he looks good. So I lectured the dogs again last night and got them to sniff the baby's dirty clothes I brought home. Both seemed very excited but I have seen that sort of activity at Christmas time when they think each gift is for them and so they unwrap them. We shall see how jealous they get later - plus no jumping on mum's tummy.

I got home late last night and the neighbours (I am not sure which ones, but I have my suspicions, Lindsay) have decorated the archway outside our porch. It brought a huge smile to my exhausted face - and a second one in the dead of night when I awoke with a start and realised I had not put the recycling boxes out as it was bin day today. How stupid was that as I was up long before they arrived anyway - so be prepared for addled brains as part of the fatigue.

One of my sisters has indicated she would like to travel up from Wales for a short visit on Sunday and lots of friends and relatives will descend on us over the weekend. It augments my view that lots of people are rooting for this boy.

No pressure at all, really.

Monday, 8 February 2010

The Final Countdown

Oh yes, there are just 9 more days to go and this household is getting nervous.

Over the last week there have been a few scares and pains from the remaining fibroid and we are getting nervous that things may start early but other than that there are no warning signs. Bags are packed at the ready and my phone is constantly on, waiting for a call.

The week kicked off well as the delivery of the 'heavy' items arrived from Mamas & Papas which included the pram, the car seat and cot as well as the isofix base unit. There was also the mattress for the cot and the whole thing looks bigger than expected and may test the roominess of our baby room. I have committed to work up to Monday of next week and then it is 3 weeks off to savour the early days of our baby. After a long, long wait over many years, it's hard to believe that this is all really coming true. After so many setbacks and disappointments, we are still not counting our chickens and so we are tempering excitement with the calmness of those used to let downs. But now we are well beyond 37 weeks and little can go wrong - or so we hope.

We met with our NCT class mates last Friday and the ladies were all visibly larger than 10 days earlier and there was a growing feeling of trepidation and excitement for all the dads. They are a genuinely lovely group and we look forward to being a part of it for a long time. A young couple, Jess and Allen, were due on Sunday but as yet no word. We are due next although we may get beaten by a couple new to the area, Stuart and Rachel. Then, in quick succession, come the rest. It could be either one massive 'baby's head wetting party' or several - either way I think there will be lots of proud mums and dads.

As expected and pointed out before, we are the oldest of the group by far but the bonding is more about the impending birth rather than a focus on age and that's really quite reassuring and nice. All of us are from very different backgrounds but by coincidence two of the ladies work in offices near my wife's while we are all linked by area. The whole NCT experience has been great for getting to know one another.

The final class had been on the subject of breast feeding and I assumed that this had little to do with the dad. Far from it. Clearly, we dads have an important role in keeping the mum on a routine and helping her cope through a fairly sleepless early period. Also, I think there is a role for me as chief nappy changer so that short course at the last NCT class will come in handy but the thought of a wriggling, weeing real baby poses a few more problems than the plastic dolly.

I suppose when you don't know about these things you just make simple assumptions. The baby will naturally want milk and therefore will find a nipple and get cracking. If only life were that simple. We were given a short lesson in the modern techniques by a mid-wife with fine credentials of her own (if you know what I mean, men). Holding the baby in the right position was a revelation obvious when you thought about it but a mystery to me beforehand. Addressing the nipple was not as I remember it, lads, and the baby has some important techniques to learn which may pay dividends in later life. Then we found out that rates of flow of milk can be different and the baby may draw less or more resulting in the body varying its production. We understood that 'expressing milk' was not a reference to a bloke arriving on a logo'd milk float but the mother inducing milk without the baby and storing it. A pumping device is used (or by hand) and I had thought it more appropriate to an Ann Summers shop rather than Boots but you live and learn.

Several men had important yet daft questions - we all now so little in reality. For instance, if you store expressed milk, should you note the time and day on the bottle and then try and match that when you actually feed the baby with it as milk produced at different times of the day has different constituents. A good question but too technical for our course leader who said just give them the milk and be done with it. I liked that simple approach.

Attitudes to breast feeding have changed. It is common place to see women feeding in public whereas growing up I can't ever recall such an occurrence. My wife is not the type to 'strip off' in public but she plans to have no issue with uncovering and feeding wherever she may be. Some people get offended by it and, to be honest, I don't know what I am going to feel about my wife baring parts of her top half but it is the most natural thing of all. Given we watch plenty of titillating, half naked women most nights on TV, I can't see what there is to get upset about - even if you are having your pie and chips at the time. I may be a grumpy old man, but at least I am a modern grumpy old man.

One thing I had not really understood was why we had bought so many nappies in advance of the birth. I mean, it's only small, how much excretion can a tiny baby do? Apparently a great deal. If the baby feeds every two hours in the first few weeks then the poor mite has to be changed after every feed. That's a lot of pee, poo, smells and nappy bags. I can see our investment in a nappy bin or two is required. I can also see plenty for me to do in that department.

People have been incredibly generous and so warm hearted in the run up to this baby. My sister-in-law arrived with a a whole kit of clothes, a toy and a tidy box with a complete start up set for a new born including nappies, baby oil, creams, wipes, Calpol (newborn) and more. It was so touching. A colleague of my wife's sent around a spare car seat and pram which was fantastic, while a couple arrived for a cup of tea last week and brought us a lovely pair of moccasin booties which we had to get back from the dogs who eyed them up as toys. We have been asked to produce a list for other family members and friends which I found curious but now we have a small list including a 'Glo Egg' lamp, a timer to help us keep a regime, a Bumbo rubber seat for the baby, a BabyBjorn carrier and a sling for lugging the baby around amongst a small amount of other stuff while recent parents have offered 'hand me downs' like toys and the like. We feel very humble.

Others have rung up just to offer support and help should we need it. Perhaps they know something I don't, but I am grateful for the offer anyway. It's all very appreciated. Maybe we are getting special treatment for being older parents or that people understand it is a special one for us after so long waiting - it doesn't matter, we have both been blown away by the generosity and well-wishing from all quarters.

I am glancing at my watch more often now, checking time and date. The big day looms and kicks off Monday with a visit to the anaesthetist and then it is plain sailing from there. The dogs are getting nervy of late and we saw a change in temperament from both over the weekend. Again, we are not sure they know something that we don't but they have become very nervous and little more clingy of late. Perhaps because they are walked less at the moment or they sense hormonal changes or whatever. It's going to be a big change for those two so it may be as well that they are sensing things are different. Let's hope that's for the better.

I shall try and keep a more regular log of the countdown but it's T-minus 9 days and counting. All systems nominal, as they say in the movies. Whatever that may mean.