Monday, January 19, 2015

Wyatt is 2 months old!

Well I haven’t gotten around to a Wyatt post yet.  It has been a kind of crazy 2 months.  I can’t decide whether I want to write about all the NICU drama and the colds and everything or just focus on the fun stuff, but I’ll do a quick recap and then move on.

NICU
After Wyatt was born he had a low blood sugar reading (turns out was much higher when retested upstairs) and that required him to go to the NICU about an hour after birth.  He was also cold.  In the NICU, they gave him a tiny bit of formula and were able to get his blood sugar under control.  He had to stay under the French fry lights though for 8 hours.  In that time, they monitored him and found some arrhythmias.  Apparently this isn’t uncommon but since he was in the NICU they saw it.  Additionally he has a few episodes where his heart would skip beats.  All in all he spent 3 nights in the NICU and left with no problems.  No one has heard the arrhythmia since we was about 5 days old, so it seems to have resolved, as they suspected.  We were so grateful when we were able to finally bring him home.  3 days isn’t much, but it is a long time to have our family separated and it was an icky place to be bonding with a newborn.  I feel so much for all the nicu parents out there.  I am grateful to the wonderful nurses we had while we were there though!

Reflux and colds
Logan never spit up and it was clear a day into Wyatt’s life that things were different.  He was constantly spitting up on himself (challenging the nicu nurses to keep finding outfits for full size babies since they mostly have premies!).  It got worse and worse as he got older and drank more.  He was diagnosed with reflux at about 3 weeks old.  He started medicine and I have changed my feeding pattern and amount.  He also got a cold at 4 weeks and still has some lasting congestion now.  The congestion makes the reflux worse.  Thankfully the cold didn’t get too bad and he didn’t get an infection.  It made for some nervous nights though.  I cut out dairy from my diet when he was about 6 weeks old to see if that helped his reflux and diarrhea (many reflux babies have a dairy protein intolerance).  The reflux has improved and so has the diarrhea.  There are bad days and bad meals but overall things are better.  Hard to tell if from dairy or because cold is subsiding or if because older, but I am glad to see him doing better.  We still do A LOT of laundry, but most days he isn’t as uncomfortable.  The goal isn’t that he doesn’t spit up, but rather than he isn’t in pain from acid.

Anxiety
Well this doesn’t really fit here but with a different start to Wyatt’s life we have definitely been more anxious parents.  Between NICU, reflux, and his cold (and some almost hospital worthy fevers) it got hard to not worry about his health.  I also think my hormones are more aligned to post-partum anxiety this time, but hard to say if just driven there situationally.  Honestly he is a healthy happy kid who is an amazing sleeper.  However I find myself worrying more than with Logan (as first time parents).  I find it hard not to worry at each little new thing.  Each day he gets older his risks for colds and other problems goes down and I am grateful as that eases the panic some.  Overall just being aware that I am more anxious makes handling the emotions easier.

Ok the good stuff
Wyatt is the best sleeper ever and doesn’t suffer from the same colicky problems that Logan had.  Boy did we order up the right kid to be number 2!  Only a few weeks into life he started going long stretches at night and never had any of the day/night confusion that Logan had.  His current record is 9 hours!  He also doesn’t seem to suffer from the witching hour (6-9pm) which was horrible with Logan for months.  I am eager to get him on a napping schedule because I like routines. He seems to be regulating his schedule a bit, but there is still a lot of variability.  Logan was pretty regular early, which spoiled us a bit, and I think Wyatt is more normal in that he is still figuring it out.  Wyatt also eats more frequently than Logan because of his reflux, so that makes establishing a schedule a little harder.  Logan could eat, play and then sleep for two hours.  For Wyatt, he eats every 2 hours so there is less time.  Also he has to be held upright for 20-30 min after eating, so he tends to fall asleep after meals and play after waking up.   Unlike Logan, he is also a good napper on his own. He doesn’t require someone to be holding him in order for him to sleep, which is a great change of pace for us.  Overall his sleep is great. 

Personality wise, Wyatt is a little charmer.  He is a happy kid and he loves to flirt, smile and coo.  He also will stick is tongue out if you do and loves to chew on his right hand (nom nom!).  He doesn’t yet interact with toys but he does all the developmental stuff and will turn his head to track sound.  The only little item we have to work on is that his neck is really stiff (torticollis).  He is going to start physical therapy to help with that soon.  It should be something that can be solved relatively easily (though Wyatt hates having to turn his head that direction so I imagine it won’t be super fun).
He is starting to enjoy more things around him including baths, mobiles and playing.  He flirts with his mobiles like crazy and it is adorable to see.  They also help him fall asleep so we have used that as a tool for him to put himself to sleep.  Sometime he just wants to play with it, but usually it will distract him enough to fall asleep.  There is a little mobile on his swing, which he loves and will fall asleep with just that (swing can be off).  We also rigged up his crib mobile to a chair and put it over his sleeping wedge in our room so he can use his mobile at night.  He loves to play and will crack giant smiles on the changing pad or whenever he can.  It is impossible not to give him the biggest smile back.  He is such a charmer.  I love getting to finally interact with him after so much blobness! 

Well it has definitely been different but still hard with number 2.  I am so glad Wyatt is part of my family but I’d be lying if I didn’t say I am glad when every day passes and we get a little closer to him being more of a person and less of a baby.  I love that we can have whole conversations with Logan and I look forward to seeing who Wyatt is and playing with him.  It does seem to be going faster this time, again probably, like the pregnancy, it involves the distraction of having another little one.  The next big milestones are him holding his head up and him getting more consistent naps.  This will allow us to hopefully take him out a bit more and do some front-pack carrying.  I’m also hoping that every day that passes will mean less reflux or at least closer to solid foods which often improves reflux.  I am also eager to be out of this flu season.  Logan and Julia have another cold so hopefully Wyatt doesn’t get this one!

Welcoming Wyatt Jeffrey McClintock!

Like last time, I am going to take the time to write down what I remember about the birth.  It might be interesting to some of you but also it will be interesting to look back on, years down the road.  Wyatt’s actual birth was very different than Logan’s but the lead up had some similar aspects.  I had a few preterm contractions with Logan around 33 weeks and then nothing until 6 days before his birthday, where I started to contract regularly but didn’t actually have true labor until the night before he was born.  Similarly, with Wyatt I started having contractions around 33 weeks but instead of small and lasting only 2 days, they were very very regular and stronger and never stopped.  It turns out I have something called an irritable uterus where my uterus likes to contract a lot.  Doesn’t necessarily result in premature babies (uterus can contract without dilating cervix), but it could.  Also with Wyatt my arthritis flared at 33 weeks and it seemed like the contractions and the arthritis were egging each other on.  I took some medicine to slow/reduce contractions which helped me stay rested.  Unfortunately I also had to go on a lot of prednisone for the arthritis. I stayed on the contraction meds a few weeks and came off around 36 weeks when I started to get headaches.  My contractions returned and I learned to live with it (was easier once not worried we were about to have a premie at any second) and to manage my pain.  It was actually great for my labor that I had so many contractions and was able to practice my coping techniques.

Because of my active arthritis my induction date was set for 39 weeks, which was 11/14/14.  I was hoping to avoid an induction, so I was certainly hoping baby would come earlier.  Logan was great and came a few days before his induction date.  My doctor tried to strip my membranes on 11/10/14 at my doctor apt but my cervix was only a fingertip so the best she could do was poke my amniotic sack.  She did and said it might result in something, but hard to say.  I went home and my uterus was super tight all afternoon and evening, like one big Braxton-hicks contraction.  I expected it was from the poke but it didn’t seem to be doing much.  Then as usual at night, my contractions got much worse and started becoming regular.  I didn’t think much of it because it was an every night occurrence, but like those other nights, I went through “the list” (as my doula calls it) to try to rule out false labor and get the contractions to go away so I could sleep.  Only this time the contractions persisted regardless of shower, rest, walking, eating, and drinking.  About 2 am, after 4 hours of every 3 min contractions lasting a min I started to wonder if I was actually in labor.  Instead of trying to rest them away I decided to try some walking to see if I could encourage things to move forward instead.  They got much more intense and it felt good to move around.  At 4am we had my dad come over because things were getting pretty intense and we thought we might head in soon.  I had hoped to labor at home as much as possible and get to the hospital closer to 4cm or more, so I decided to wait a bit more.  By 6am things changed and my contractions, while still intense, started to get shorter and more spread out.  Instead of 1 min long every 3 min, they were 30-45 seconds and anywhere from 4 to 8 minutes apart.  My dad went home and decided we were in no hurry to go to the hospital.  Charles went to the gym.  I had the day off (veteran’s day) so I relaxed and watched tv and rested.  However, my contractions kept coming and they were pretty painful.  I debated about whether to go in but kept deciding against it.  It didn’t seem like it was worth the trip in.  I had had so many contractions without change to my cervix it seemed like it was probably the same thing this time.
At about noon I was talking to Charles and he was trying to compare this labor to Logan’s and thought we were nowhere near the end point.  I was trying to say that I think after one baby my pain scale had adjusted and although I might be complaining as much as I did early in the Logan process, I think it hurt much more.  I ended up getting frustrated with the conversation and crying.  Since I cry about once per year, and cried only once with logan, when I was 4 cm and my water was about to break, I decided maybe I was in labor and it was worth checking out.  Either way, my body was tired from the relentless contractions and I figured my doctor could strip my membranes if I had made some (but not enough progress).  I called my doctor office but had to leave a message since it was lunch time.  They called me back and said I was welcome to come by and have the doctor check me (even though I didn’t have an appointment).  Charles and I left for the hospital about 1:30 or 2, I can’t remember exactly.  Just getting to the car was tough because I kept having to pause for my contractions.  We got to the waiting room where we ended up waiting for a bit (since we didn’t have an appointment).  The receptionist, who had become my friend over my millions of doctors visit, and who was also pregnant with the same due date as me was very concerned about me being ignored while I labored in the waiting room.  She was so sweet and kept calling the nurses to tell them to come get me. 

They finally brought me back to an exam room and asked me to undress.  As I was taking off my underwear I hear an ominous splat and then a following gush as my water broke.  Charles went to tell the nurse and they brought (an insufficient number of) towels.  Unlike Logan, who was really low and therefore my water eeked out slowly with each contractions, Wyatt was still very high so it kept gushing and gushing.  I felt bad I was making a mess of their exam room, but luckily I wasn’t in the waiting room anymore!  It was awfully amusing as goo poured everywhere. Of course my mood was also light because once your water breaks they want you to deliver within 24 hours so one way or another, I would be meeting my baby soon.  Dr Kline came in and was excited because we were going to have the baby (as was I).  She checked me and I was already 5 centimeters, but the baby was still very high and I wasn’t fully effaced.  I told her I would like an epidural and she left to call the hospital to admit me and get the epidural ordered.  I tried to put some clothing on (luckily my water had broken after my pants came off), and I got in a wheelchair to be pushed over to the hospital (the dr office and hospital are on the same property).  Luckily we had brought out overnight bag but we had left in car for visit figuring we could get later if it was real labor.  For now, we all went across to the hospital. 

Once they checked me in I got my iv and then soon after the anesthesiologists arrived to do my epidural.  At this point I was pretty nauseus and the contractions were way more intense (common after water breaking) and they had gotten much more regular again.  I had been mostly coping with breathing up to this point but it was getting harder.  My friend Kira trained us in hypnobirthing and although I was a pretty bad student in general, what I really liked from it was this long 20 count in and 20 count out breathing during contractions.  I had used this a lot in all of my pre-labor and had gotten good at it.  One of the biggest advantages is that the breaths are long enough that you only need 3 or 4 to get through a contraction.  This allowed for my second coping technique which was internal pep talks.  I would say to myself “you can do this.  You are a strong mommy.  1 down and only 3 more.  See that wasn’t so bad, you can do that three more times.  Oh now you are halfway, only have to do it 2 more times, you did fine for the last two, you can do fine again.  Alright, now only 1 left, if you already lived through 3 how hard can one more be.”  And then the contraction was over.  It kept me from panicking or feeling despair as the contractions hit.  I had a hard time with Logan keeping my act together and although I don’t care how I perform for anyone else, the lack of control of myself and actually made the contractions harder for me.  By staying in control this time I was calmer and happier both during and in between contractions.  Once my water broke, I added one more coping technique which was squeezing Charles’ hand.  There is so much tension and pressure with each contraction and no outlet for it and my squeezing Charles’ hand (to death) I was able to release that energy from myself.  Plus having Charles near me always helps me feel better.  He was great about staying nearby and aside from one request to have his hand so he could remove his ring before his finger lost circulation permanently (reasonable I suppose ;P), he never complained or shied away from his important job!
For the epidural you have to sit on the edge of the bed and curl your shoulders forward and put your heels together and have your knees fall to the side so your hips are open.  I was having a ton of hip pain with my contractions (happened with logan too), so this was a might uncomfy position.  Charles was right in front of me and I gripped both of his hands to help.  I stayed perfectly still and calm.  Again, unlike logan where I had lost my cool during triage (which I thankfully skipped this time), I kept my center and therefore found the epidural process easier because I didn’t have to calm down, I just had to maintain the calm I had.  In my view, comparing contractions from the waiting room until this point, they were about 100 times more intense.  The pep talks had to get more rigorous because there was moments where I wasn’t sure I could take it anymore.  Labor isn’t for whimps, that’s for sure!  It tested me to the limit but I did great and didn’t move.  I’m sure I could have gone without the epidural, but knowing that there was an end to my agony made the contractions easier and I had one with logan with no ill effects, so I figured, why not.  Honestly the fact that I had to stay calm during these super intense contractions was probably the best thing ever, since by staying calm they weren’t nearly as bad.  Pretty soon they were done and it was in (since I had stayed calm it was much easier than with logan when they had to poke me more than once to get it to work). 

Once it was in they gave two doses and told me to lay down on my side.  I curled up in the fetal position on my side as the contractions kept hitting me fast and furious.  The second I laid down I felt this really strange sensation and the nurse yelled at me “stop pushing!!!”  I hadn’t realized it but I was pushing already.  They immediately called for my doctor.  Unfortunately for her, I couldn’t stop (apparently there is a lot of required paperwork if the doctor isn’t there to catch the baby).  Unlike Logan where pushing was an active venture where I had to concentrate and breathe, Wyatt was coming out whether we wanted him to or not and my body seemed to be pushing out of reflex in order to help.  The nurse kept imploring me not to push and I kept explaining (in between contractions, I was useless during them), that I couldn’t stop pushing so they should do what they had to do to prepare for that!  My doctor wasn’t expecting me to give birth within about 45 minutes of her checking me at 5 cm so she didn’t even have scrubs on yet.  However, she ran across the street and got on enough gear to catch my baby a few minutes later.  When she came in she asked if I wanted to move and I remember yelling “no!”  So I pushed out my baby laying on my side in the fetal position.  Pushing was a breeze for me.  I remember yelling out in some sort of African tribal way but interestingly it felt like the right thing to be doing.  It wasn’t a scream in pain but rather a part of the pushing and like squeezing charles’ hand, seemed to help.   I also vaguely remember the room filling up with people in quite a hurry.  There are lots of people there, both for baby and mom in case anything doesn’t go well. 

In a few short contractions, Wyatt was born at 4:09 pm on 11/11/14.  My doctor said “she’s perfect.”  It was all so overwhelming she had forgotten he was a HE.   However, we quickly straightened out that “he” had boy parts!  He wasn’t put immediately on my chest since I was curled up, but after a few minutes I was able to roll on my back and hold my sweet Wyatt.  He was very alert and looked up at me with his beautiful eyes.  It was so different holding him than holding Logan.  With Logan there was this overwhelming flood of thoughts and emotions as you instantly become a parent and you hold YOUR BABY for the first time.  This time, I had already done all of that I and I got to enjoy meeting Wyatt.  It was a more peaceful and neat process in a lot of ways than the first time.  I felt so much more relaxed.  After a bit Wyatt nursed and he was a serious go getter!  As with Logan I remember the overwhelming relief at just having it all over.  It was even stronger now with all the pregnancy worries this time.  It was all behind us and our healthy baby boy was here. 

I’ll do another blog about his first two months, but this ends the birth story.  It was an amazing journey.  I don’t want to have any more kids (2 is our perfect number), but it was wonderful to get to experience this miracle of life.  I am proud that I survived two pregnancies and two deliveries and have my two PERFECT boys.  I know it sounds cliché but I can’t imagine life without them.  I can’t imagine living 80-100 years on this planet without experiencing being a parent.  It would be like going to Disneyland and never going on a ride or going to paris and not seeing the eifle tower.  Being a parent has brought a dimension of happiness and meaning to my life that has redefined everything.  There are hard moments and hard days but I am so glad that I was blessed with these two little kids.  So many people don’t have this chance and I won’t ever take for granted how lucky I am.