Wednesday, September 24, 2014

100 Days Into My Son's Life - Here's What I've Learned and Loved

100 or so days ago my son came into my life. I've learned and loved a lot in these days. In fact, I'd say I've learned and loved 100 things...

1. I've learned each day just how impressive my wife was during the two-month stretch she was feeding him overnight and during the day every two hours.

2. I love it when I'm a zombie leaning over my son's crib to pick him up for a 1 am diaper change and feeding, he cracks a smile that briefly reminds me it's not really 1 am or 2 am or 3 am...

3. I've learned that raising a baby is a spectacular challenge whose rewards match its difficulty.

4. I love that my wife has given me the chance to provide full-time daycare to our son.

5. I've learned just how fortunate I am to have this opportunity as a SAHD.

6. I love how he's learned to grab objects when he wants to grab them.

7. I've learned that all parents should immediately add "logistics management" to their resumes.

8. I weirdly love that he produces so many bubbling gallons of drool that I think he's in the spectrum for rabies instead of early teething.

9. I've learned that having the energy to blog, play PS3, research fantasy football, and teach myself piano is hard to find between my son and I getting sleep, giving him playtime, both of us getting fed, me washing bottles, and getting my own exercise.

10. I love the huge sigh he shares when he feels it's okay to rest his head on my shoulder.

11. I've learned that baby clothes for boys are boring compared the numerous combinations for girls especially when you talk about hair accessories.

12. I love the pterodactyl-like sounds he makes when I'm not playing with him.

13. I've learned that changing a diaper after a blowout isn't as bad as Mr. Mom would have you believe.


It isn't THAT bad if you move fast enough.

14. I love that my son now holds his head up with very little trouble, allowing me to pick him up and carry him around that much easier.

15. I've learned that putting a diaper on correctly to avoid a blowout is as important as making sure you're wearing pants during a late-night infant Tylenol run.

16. I love how he gives all of his attention to my wife when she sings him a song with her great voice.

17. I've learned it's a good thing he looks away when I sing him a song because I can't sing.

18. I love hearing people tell me he looks just like me.

19. I've learned that having your mind taken over by a baby is a real thing, causing me to forget important dates like wishing my parents a happy anniversary. Happy anniversary!

20. I love the smell of my son after bathing him and putting some baby lotion on his skin.

21. I've learned that to "sleep when the baby sleeps" is a sweet thought, but that just means he'll wake up 15 minutes after I finally doze off.

22. I love seeing that he has been in the 99th percentile for height from day one.

23. I've learned that being in the 99th percentile for height from day one means outgrowing clothes and diapers quicker than we can put them on him.


He's growing like this oak tree!

24. I love seeing my son reach for his foot on purpose and hold on for dear life.

25. I've learned that the best way to accidentally wake up any baby is to brew a cup of coffee, pour milk into a bowl of cereal, or really make any food for yourself.

26. I love making silly faces at my son while in public and entering a world that only he and I live in and understand.

27. I've learned that washing a cloth diaper after a poop isn't the end of the world.

28. I love hearing a deep, guttural burp from my son during feeding.

29. I've learned that with some of those deep, guttural burps I get to see a few ounces of his meal again.

30. I love that we keep an emergency bottle nipple in the diaper bag.

31. I've learned that saying my son had a poop sounds better when I say he just gave me a big hug in his diaper.

32. I love how my son knows where the baby monitor camera is and stares into it and my soul in search of a diaper, food, and love.

33. I've learned that if your son flails his legs for fun, it's not good to lay his head on your knees and his feet at your groin.

34. I love how my son recently learned to bring his hands together like a James Bond villain.

35. I've learned that placing your son on your newly-shaved chest will leave red marks on him that look like rashes.

36. I love being able to tell the nurse who last week asked, "Is today daddy's day?", that "every day is daddy's day."

37. I've learned that my son has learned the art of stoically "hugging" me and revels in the time it takes for me to smell another one of his signs of affection.

38. I love knowing that if I can handle cleaning my son after a blowout by changing him in my car without getting any of it on any thing, then I can clean him anywhere.

http://i.walmartimages.com/i/p/00/08/93/05/99/0008930599335_500X500.jpg
That's not a diaper bag, it's a poo(h) bag!  Hahahaha!

39. I've learned that making sure the diaper bag is ready is always worth doing, even if you think you didn't use any supplies yesterday.

40. I love the tuft of hair in the back of my son's head giving him the only mullet he'll ever have (if I can help it).

41. I've learned to love that my son stays where I put him on the floor....for now.

42. I love that I can defeat my son in a thumb war whenever I want.

43. I've learned that if rocking climbing walls used male nipples for grips, my son would already be a world champion climber.

44. I love that pictures from three months ago are now considered old.

45. I've learned that it isn't very easy to break into stay-at-home-mom groups when you're a SAHD.

46. I love that my son takes his longest daytime naps on my chest.

47. I've learned that my son has an extra pitch and volume for crying when he gets his regular shots from the doctor.

48. I love that this mega-cry is short-lived and the event is entirely forgotten by the next hour.

49. I've learned that the hardest thing to do to a baby is cut their fingernails; so I let my wife bite them herself to avoid repeated painful cuts.

50. I love that I'm still able to rock my son against me while I'm sitting down. An inch more and he's too long for my torso.

51. I've learned that starting one load of laundry each day is enough to celebrate like I've climbed a mountain.

http://www.thecoersfamily.com/wp-content/uploads/2013/11/funny-laundry-meme-3.jpg
Exactly my point!

52. I love having a trashcan in the nursery that actually keeps odors inside.

53. I've learned that despite having multiple pacifiers/binkees around the house, I'll never find one when my son is crying and needs it most.

54. I love it when my son sneezes.

55. I've learned that the likelihood and quantity of spit up increases with the quality of the clothes I'm wearing.

56. I love that when my son has the hiccups, he doesn't cry.

57. I've learned that it's okay to start drinking coffee each morning in order to function before crashing for an afternoon nap.

58. I love that morning cup of coffee.

59. I've learned that house projects just don't get done with a newborn and that's okay.

60. I love my son's toothless smile.

http://dentureprofessionals.org.uk/cms/wp-content/uploads/2013/07/Mike-Ricci.jpg
Sorry Mike Ricci, but a toothless smile is only cute when you're young.

61. I've learned that my son has no shame letting gas come out of either end, no matter how close my face is to either of those ends.

62. I love that he can move each toe individually.

63. I've learned that unsolicited advice comes with having a child and that it's a good idea to roll your eyes in your mind and not in reality to the person's face.

64. I love how small socks are for babies.

65. I've learned that socks for babies only exist for them to be kicked off and lost on a walk around town.

66. I love that his foot is now just as long as my thumb.

67. I've learned that when pulling back diaper lining to check for a hug, you shouldn't and don't need to go more than 1/2 centimeter in to see what's lurking.

68. I love that a bowl of oatmeal retains its heat long enough for me to change my son's diaper and feed him.

69. I've learned that it's great having podcasts to listen to during early morning feedings while rocking my son to sleep.

70. I love how my son's eyes turn marble blue when he looks up at the sky and trees.

71. I've learned how powerful guilt can be when another parent suggests adding a blanket to my son "so he doesn't get cold."

72. I love how deep he sleeps when he's riding in a baby carrier against my chest.

73. I've learned that shaving my chest hair is key to stopping my son from providing me with instant pain when he's doing pull-ups.

74. I love that my son frustrates himself by pulling out his binkee without knowing it's his fault.

75. I've learned that cleaning bottles and pumping parts ensures there will always be another chore I could do.

Looks like my setup, it's just missing the bag used to steam the parts.

76. I love how hard he tries to learn new things and the grunt he shares when it doesn't work.

77. I've learned that air conditioning in the car is for the baby's comfort and only the baby's comfort.

78. I love the dimples on his pudgy elbows.

79. I've learned that my son doesn't mind sleeping on his ear when it's folded over for at least an hour.

80. I love how he gets stuck halfway when trying to rollover and he's content with that.

81. I've learned that we are never more flexible than we are as babies.

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My son had better enjoy his flexibility while he can.

82. I love when he tries to grip things with his toes.

83. I've learned that combing dandruff out of my son's hair only creates more dandruff.

84. I love that I can stay still for longer than I thought possible just to keep my son sleeping on me; lower back pain be dammed!

85. I've learned that in the last week how sleep regression is a very real thing and I should've appreciated sleeping through the night a whole lot more.

86. I love that my son finds the webbing between my thumb and forefinger the world's most comfortable pillow.

87. I've learned that getting out the door to go anywhere takes at least twice as long as you think, even if you think you prepared the night before.

88. I love that prayers about parents and their children now apply to me.

89. I've learned that gaining as much weight as my son has so he doesn't have a body image issue is not healthy for me.

90. I love learning about being a parent with on-the-job training.

91. I've learned that it's impossible to reach the bottom of folds in my son's neck during a bath.

Once you place a wash cloth in my son's neck folds, it will never be seen again.

92. I love that eating a box of Cheez-Its is always an option for lunch; albeit not a good one.

93. I've learned that a distracted baby does not feed well.

94. I love knowing we are well stocked with infant Tylenol.

95. I've learned that getting in touch with all of my son's bodily fluids (spit, snot, pee, hugs, and spit up) in one day is not something to brag about.

96. I love storytime at the library because it gets me to shave, shower, and change into (temporarily) stain free clothes.

97. I've learned not to expect any of my comfy, around the house t-shirts to survive my son's first two years.

98. I love it when I change a diaper before that feeling of fresh air causes my son to take aim and fire upon me.

99. I've learned to be thankful for so much to love.

100. I love that my wife gave me a wonderful son to add to our family.

Wednesday, August 6, 2014

A Baby Boy's Bathing Battle

Call me Ishmael. Or just a stay-at-home-dad, that's fine with me too.
I'm here to gloat for learning a new task and now I want my due.

For I battled a mighty beast whose flailing limbs he had no control,
Making it through this without tears from him - this was my goal.

My wife did the deed three times before and found great success,
Now it was time for me to learn how to clean our son after a mess.

Oh how his fresh face wailed and pinged my ears with such great fury,
All taking place before he was undressed and already full of worry.


I cleared the kitchen sink and counter of any items that could pose a danger,
Then gathered a towel, some washcloths, and baby soap; this was no manger.

I plugged the sink and ran the water until it warmed to the right temp,
Then removed his diaper and hoped he wouldn't get verklempt.

I placed him in the three inches of water while his cries continued,
He didn't like what was coming his way; it wasn't time for tissues.

I placed some fingers under his far armpit and used my wrist to support his head,
I learned the technique from my wife, "Oh you're doing great," is what she said.

Then I realized why he was paining my heart with his very loud chord,
He was on the pointy sink stopper, so I covered it with a plastic cutting board.

I soaped up a washcloth to clean his limbs, torso, and each nook and cranny,
Then I cleared him with a cascade from the sprayer; gotta clean his fanny.


I dabbed soap on his face so it would remain baby smooth and baby soft,
Then I cleaned his scalp and his hair; can you tell I'm no Robert Frost?

I turned off the water, gave him a smile, and carried him to the kitchen table,
Where I wrapped him in a fresh towel that instantly soothed and made him stable.

He gave me a sigh, flashed his blue eyes, and may have cracked a sweet, loving smile,
As I quickly applied a fresh diaper, now that he was clean, making this worthwhile.

Feeling confident with this babycare task considering that I didn't completely fail,
I'm ready to improve future battles with this great beast that will occasionally wail.

Sunday, July 13, 2014

Sacrificing Friendship for a Newborn

My great friend and I had so many memories growing up together.  We shared so many experiences, events, and places that we were inseparable.  We stuck together like glue and I didn't want to go anywhere without him by my side; I was happy to have him in front and lead the way.  He was that kind of friend.

We met when I was a teenager during those awkward years called puberty and I haven't regretted being introduced in the 20 years since.  He has been a confidant who didn't question my choices, both good and bad, and didn't judge me with each of my life's turns.  He was that kind of friend.

During the cold winter months in the northeast he'd join me to throw snowballs, build snowmen, and swing our limbs to make angels on the ground.  In the summer he protected me from the sun, making sure I wasn't alone in wearing gallons of sunscreen just to play outside for 30 minutes.  He curled away from humidity, but put up with it to be in my company.  He was that kind of friend.


My friendship lasted many winters, springs, summers, and falls...

But 20 years of great friendship has a way of eroding when communication decreases, geography gets in the way, life events occur, and shared experiences don't come as easily.  My friend and I survived all of these except my most recent life event and the impetus for this blog.  He was that kind of friend.

My son is now one month old and doesn't know right from wrong, right from left, and write from well, anything in the world.  He curls his toes, wrinkles his forehead, and smiles without thinking.  He's surprised by sneezes, farts, burps, sneezes, and hiccups.  He also grabs without purpose; something my friend could not stand.  He was that kind of friend.

I paid the price whenever my son came in contact with my friend.  My son would grab, tug, and pull on him and it hurt me.  My son slobbered on him, spit up on him, and even peed on him.  My old friend deserved better.  Call it jealousy or what you want, but my son had no trouble making me pay the price for my 20-year friendship.  I had to decide between my son, my comfort, and a friendship's value.

I chose my son and my comfort and shaved my chest hair.

Tuesday, July 8, 2014

A Magic Trick That Works Without Explanation

My son is now three weeks old, doing well, and I have no clue why.

Oh, we're feeding him on demand, changing his diapers, giving him skin-to-skin contact, spending quality tummy time, holding him in our arms, singing and talking to him, watching him sleep during the day and night, and laughing with each sign he has his father's petulance for flatulence.  These are all things we should be doing as first-time, or anytime, parents.  I get that.

What I don't get is how he's a functioning newborn.  How all of his organs and body parts create and process his blood, urine, and stool.  How his lungs and heart pump blood and receive oxygen over and over and over again.  How his brain works to make him cry for food, a diaper change, or an extra blanket.  How he has tiny bones that allow him to curl his fingers and toes.

How his eyes focus on our faces or a picture on the wall to bring him relief.  How his fingers, arms, and legs move independently and randomly.  How other times his fingers, arms, and legs move in unison to grab my chest hair, support his leaning when being burped, and kickoff his blanket (he probably doesn't mean to do that last one).

How he turns his head to feed and snort like a warthog when he wants more.  How his mouth works with his throat to take food while breathing through his nose.  How he learns to hold his head up for a millisecond more each day, turning it side to side to either see his mom's smiling face or the window shades.  How he gets hiccups at least once a day and is not bothered.  How he can go from a crying baby shaking his lower jaw to one that's calm, sleeping in my arms, and even more precious than the day before.

I know he and these things can and will change, some good and some bad.  I'm just amazed that any of this happens at all.

Wednesday, June 25, 2014

You Say Frenulum, I Say Friend You, Um?

"Wakey wakey.  Time to wakeup and get your late night meal."  I stroked my son's cheek to let him know it was time for some yummy colostrum.  I unwrapped his blanket exposing him to the cool nighttime air that was moving his nursery's white, sheer curtains and managed to make some hairs on his head wave.  Four days old and he's already spoiled by the nice weather.

It was 10 pm and he had slept solidly since his last feeding three hours earlier.  He probably was just tuckered out from an extended fussy session in which I tried every hold, off-key lullaby, and swing motions I had in my developing arsenal.  Sometimes the best medicine for a child that won't sleep is to have them tire themselves out; yet another maxim I've made for myself so I know everything's right.

I unbuttoned his onesie and saw his diaper's wetness indicator was a solid green.  I put him on the changing table, wiped him down with water, restocked his urination catcher, and picked him back up.  He slept through it all.  Just a tired boy who's growing.  Plus some books advise you to wait for a baby to wake for feeding and this was surely one of those times.

It looks just like my son!

I touched his cheeks, rubbed his hair, and tickled his feet and got no reaction.   I tried my cache of positions, bouncing patterns, and songs again without any luck.  He felt like a wet pasta noodle.  More angel hair than spaghetti because he's my angel and has my hair color, but limp nonetheless.

I placed my finger in his mouth to kickstart his sucking, but he had little desire to open his lips more than a few millimeters and refused to open his eyes.  His chest continued to rise and fall at a calm rate which seemed to be his only functioning bodily function.  Why wasn't he responding???!!!  Our first-time parents' anxiety levels went up or down another DEFCOM level; whichever direction means a situation is more serious.

We called the Kaiser-Permanente 24-hour helpline and were told that it's okay for a newborn to sleep through a feeding, but if he doesn't wake for the next meal in two hours, more action would be necessary.  We sat with him in the nursery with this new knowledge that should've provided comfort, but didn't.  We just wanted him to wakeup and couldn't wait until his next scheduled meal and our next attempt.  He was limp in our arms afterall and wouldn't open his eyes!  Normal is fine for everyone else after a situation is resolved, but we didn't know if that normal applied to our son here, right now.

From the moment our son was born, he had difficulty latching to breastfeed.  Pushing his face into my wife's chest, as encouraged to do so by the nurses during his first two days only upset him.  It didn't help that he had and still has a strong preference to suck in his top bottom lips.  For the first two days in the hospital and the three days afterward at home, our routine had my wife pumping colostrum, me pulling it into a syringe, and together we'd feed it to him via a small wiry tube while he nursed (or pretended to) so that he'd enjoy the process of, ya know, taking in calories to survive this crazy mixed up world.

Midnight approached and two hours had passed since the last try.  Please show more signs of life!  By some miracle he opened his eyes briefly and moved his arms.  He wasn't as limp of a noodle, something closer to al dente.  My wife took him in her arms and coaxed a small opening in his mouth.  I pulled 6 ml of colostrum into a syringe and connected the small tube to the end.  My wife placed the other end in our son's mouth and I lightly pressed a few drops into his mouth with him against her chest.

His throat moved with every third tongue depression and he slowly took our offering.  Never was it so good to hear his gulping noises that are mistaken for a warthog in heat.  By the morning he had had his regular 5 or 6 ml feedings, but without the aggressive desire you want a newborn to have.  His skin had a yellow tone and the whites of his eyes looked like watered-down mustard you get at ballparks.

We called the helpline again and with the impression of a jaundice case, saw a pediatrician at 4:40p.  Our son didn't have jaundice, but had lost 13 ounces since birth.  Babies are supposed to return to birth weight by their two-week appointments, but at this rate our son wasn't going to get there.

The doctor's bedside manner was just what the, um, doctor ordered.  He recognized our fears, worries, and son's correct diagnosis (he's hungry and needs supplemental formula).  He spoke in plain English that even sleep deprived parents could understand and use to make informed decisions.  No question was dumb, silly, or too small.  Even at the end of his long day he still had a relaxed manner and made an awesome first impression.

Our pediatrician pulled some strings and got us a visit with a lactation consultant just before everyone left at 5p.  We gave our son a sample 60 ml bottle of formula and he ate it like it was his last meal, or rather, his first meal.  Never had we seen him eat more than 6 ml at a time and now he destroyed 10 times that amount!  Turns out a newborn can take 30 to 60 ml of liquid food per feeding, 8 to 12 times per day.  We had no idea.

Had we been starving our child?  Was he so dehydrated he couldn't move to take in calories?  What if he hadn't shown signs of jaundice leading us to a pediatrician appointment and lactation consultant just before the day was done?  How long would we have waited for him to be limp before calling this helpline again or taking a trip to the ER and dealing with that many more hours of worry?  I sure hope the helpline would've told us to simply get him some formula, but who knows.  If we were told to wait until the morning, that would've been agony and I wasn't going to wait that long to help my son; he's five days old!

This made me realize that Kaiser failed us in the post-delivery stay and instructional period for feeding our son.  Considering he had issues latching early, whether my wife wasn't producing enough right away or he had trouble or both as they need to work together, why weren't we told that if we continue on this path of low production and our son's high caloric output from trying, he'd get hungry and scare the crap out of us by going limp?  Why not send us home with some formula to get through until our first appointment of any kind within the Kaiser system or tell us to buy some?

It seems that if a woman is having trouble feeding, for whatever reason, then you can't count on the newborn to get enough calories because you can't tell how much is coming out.  In our son's case he'd act like he was nursing and would swallow, but he wasn't getting enough.  He'd hang out there for almost an hour, occasionally making the motions.  So the test that says a baby will stop sucking and fall asleep when they've had enough may not be reliable because the baby could just be tired of trying.

I'm no doctor, but I think if a mother or child is having trouble feeding in any way, perhaps they should pump the colostrum/milk so you can see exactly how much is coming out so you know how much the baby's getting.  You don't jump into a bathtub assuming the faucet knows how hot you want the water; no, you have to test it first using measured results so you know what you're dealing with.

Eventually the consultant in delivery just said that our child was special in that he nurses for 45 minutes to an hour to get his food.  Okay, but this should've also set off alarms that maybe there's not enough colostrum for him or he can't get it working which, in two to three days, could lead to a hungry hungry boy and super worried first-time parents.  Where was the foresight and projecting of problems down the road?  We were told more about caring for his circumcision than we were for possible problems later related to less desirable breastfeeding results.

The next morning my wife had a previously scheduled lactation appointment which showed that overnight our son had put on 8 ounces. Phew!  We asked that he get weighed again because we were in such shock.  The consultant thought our son had an issue with his frenulum, preventing him from extending his tongue far enough to adequately nurse.  Poor nursing by our son means less milk produced by my wife or vice versa.  Considering it hasn't worked well since his birth, we were well behind the training schedule.

Not pictured: our son's frenulum below his tongue

The consultant referred us to a pediatric ear. nose, and throat doctor in Oakland.  After some aggressive calling tactics on our part, we managed to see the doc on Tuesday of this week.  Turns out that Kaiser has about 100 ENT docs and 3 pediatric ENTs so getting in can be difficult.  This coupled with the fact that the phone tree you go through for an appointment had us on hold for phenomenally long periods of time.  We never got a callback on Monday as promised and after being disconnected after a one-hour hold, my wife found a workaround with the ol'choose the wrong extension and in just a few minutes we were given two hours to make the drive.

Seeing a need to cut a frenulum (from what I've gathered) doesn't become apparent until a child has difficulty nursing or has speech challenges in their preschool years.  Frenulum checking just isn't part of a newborn's long checklist.  Some sites have said that "back in the day" midwives used to keep an extra long fingernail just to cut the frenulum at birth.  These days it's also difficult to find physicians who will do the procedure.  Some of this is because breastpumps can get the food and the newborn may feed by bottle; akin to circumcision, cutting a frenulum isn't a necessary procedure for survival.

In our son's case, the doctor said his anterior frenulum below his tongue was fine, but his posterior frenulum could use some assistance, as could his upper lip.  He told his the pros and cons and that little data is available about the improvement gained by cutting the posterior frenulum; however, it would cause very little pain, infection is incredibly rare, and has the only downside of not improving things.  We went ahead with the both two-second clippings knowing that it's isn't a surefire fix.

All of this could've been avoided.  Besides the head's up that we should buy formula on the way home, all lactation consultants should check newborns for proper frenulum sizing.  Had our lactation consultant, with whom we saw three times in the three days we were in labor and delivery, checked his mouth as a possible cause to latching issues, we could've had him "fixed" on site, thereby not delaying his training, and maybe delaying his learning that bottle feeding is the only source for the good stuff.  I recognize cutting a frenulum doesn't guarantee success, but it could surely help to know if it's a possible issue and if there's a latching issue, why not take a look for frenulum challenges?

In the first day of trying to nurse after the frenulum was cut, he hasn't had an overnight turnaround, but it's still early and frankly, he probably needs to be trained again like it's his first day out of the womb.  Until then, we will continue to pump and then feed him by bottle, hopefully increasing the percentage of milk as more is produced.  From the looks of his diaper, he's definitely getting plenty of liquid while saving up his larger and smellier displays of thanks every two to three days.  And wouldn't you know it, he was weighed again today and has matched his birth weight.

My mom said it best as I paraphrase, "welcome to parenthood and all of its ups and downs and times full of worry. It doesn't stop for your child's entire life.  You did the right thing by being proactive."

Tuesday, June 24, 2014

This Whole Keeping Baby Going Thing Sure Takes Time

The great news is that my son was born in time for Father's Day, coming in at 8 lbs, 14 oz, and 22 inches tall (or should that be 22 inches long until he can walk?).  The first week of fatherhood has taught me many lessons, the most important of which for this blog is that free time vanishes until we figure things out that'll lead to more time to type my incessant thoughts as a first-time father.

To be fair just writing this brief update is a sign that my wife and I are getting more efficient with babycare.  We've begun to realize that it's okay to hang out with him outside of the nursery because a diaper change can wait the extra ten seconds it takes to walk down the hall. When he sleeps in the nursery, listening to podcasts  are fine, but watching the World Cup and Netflix are so much more entertaining.

It's also okay to have him sleep in his bassinet.  Not every nap must be skin-to-skin, no matter how cute and awesome it is to hold him next to me, zonked out from his latest food coma.  We've learned that it's okay to put him down for a moment while we brush our teeth.  We still check on him every 30 seconds to hear his breathing or see his chest rise and fall, but that's 30 more seconds of two-handed functionality we didn't have a few days ago.

When the in-laws visit, it's okay to be happy that someone else is holding your newborn so that you can brush your teeth, wash your face and put on deodorant.  Shaving my face happens on a three-day cycle; not because I don't have the time, but because there's no real point these days.  I don't want my son to know just yet that he's destined to a life of facial hair in which his mustache will never connect to his beard.

Ah, time's up.  Diaper change commence!

Saturday, June 14, 2014

The Greatest Contraction Tracking Chart I've Ever Seen

As contractions have become more frequent, it's time to track them.  Because I'm still rocking a dumbphone, I won't be tracking them with an app.  Somehow I'll survive by using pen and paper.  Oddly enough there are no contraction charts in either of the What to Expect or Mayo Clinic pregnancy books.  I looked to the world wide web for a contraction tracking chart and found them lacking so I created my own.

So far the chart has satisfied my needs in figuring out how far along things are going.  And with any luck my next post will be the glorious birthing story.  As the creator of this chart, I highly recommend it!  I hope it fills the void of contraction tracking charts.

Here's the chart as a PDF:

https://drive.google.com/file/d/0B-bPZhhjLP78M0VpN3luVXFsUmc/edit?usp=sharing

Here's the chart as a Word file in case you want to edit it yourself (no offense taken, but let me know how I can improve it for all of us):

https://drive.google.com/file/d/0B-bPZhhjLP78Vy1DZjBmMnZMODQ/edit?usp=sharing

Tuesday, June 10, 2014

Bringing a Father to Happy Tears

While we await our bundle of joy...I dare you to watch this video without tearing up.  Tell me parents; it's moments like this, when your child shows such great love and care for you that makes it worth it, right?  I sure hope that all the diaper changes, teenage angst arguments, and unfounded temper tantrums will yield precious moments like this, when a child shows appreciation for the work done by parents.

Some 20 years ago, an eight-year-old son promised his father that he'd get him a '57 Chevy for his 57th birthday.  Well, he followed through with his promise.



Wednesday, June 4, 2014

Nervously Excited and Thankfully Prepared. I hope.

Now that we’re in our final days before our due date, friends and family regularly ask how my wife’s doing; she’s doing well, thanks.  Then they’ll ask me how I’m doing.  Well…

I’m excited to be a father; raring to get going, like a car revving at the start line.  Sure, I’m supposed to slow down and take advantage of these final days sans childcare, but I REALLY want to start rocking this kid’s world, rocking it to sleep, and rocking this parenting thing with my wife.

http://www.mikemartinelli.com/images/Tree.jpg
Ready...set...go!

I’m nervous to be a father and have more questions than I can list.  But that won’t stop me from still listing a few in no particular order.
  1. What if I can’t calm the baby?
  2. What if it only cries when I hold it?
  3. How will I deal when it doesn’t act like me or have my personality?
  4. How will I not be a super-worrier when it gets its first fever and we call the doctor?
  5. How will my relationship with my wife change?
  6. What if it doesn’t sign a contract to play small forward for my New York Knicks in 2034?
I’m aware that being nervous is normal and healthy; so to answer the questions above:
  1. There’s no manual to calming a baby that works every time; what worked yesterday may not work tomorrow.
  2. Invest in a good pair of earplugs and continue showing it 100% love and patience; the cries stop eventually.
  3. Each baby is unique and its personality should be celebrated as long as it also learns to set the dinner table.
  4. Embrace it by telling yourself that being a super-worrier simply means you’re a super-caregiver.  Yeah, that’s it!
  5. It will become stronger through this powerful bond that we created.  Our love and care for each other will be shared with the baby, even when we’re zombies from sleepless nights.
  6. Signing with the Warriors would also be acceptable because it’s a local team so we could attend games.  Otherwise, we’ll fall back on hoping our kid maximizes its opportunities, treats others with respect, and lives a good life.


It’s the final countdown!

I’m prepared as much as I want as a soon-to-be father.  I’ve spoken to dads (and moms), I’ve read articles, and I’ve viewed videos.  Better than all of those is that I’ve experienced my mother’s and father’s tender, loving approach.  I can only hope that my child also learns the value of having emotions, expressing love, and seeking the joys of life.

One person’s overpreparation is another person’s starting point

I’m anxious
to raise, with my wife, a human to function in this world, interact with others, and navigate large and small problems as they age.  I’m very curious to see and experience the world through a child’s eyes.  Things I know how to do (and take for granted) were learned through the lessons of my parents.  It’ll be amazing to teach and pass along knowledge I’ve gained.  Plus it’ll make me feel smarter for knowing how some of the world works.

I’m incredibly thankful that my wife has given me the opportunity to stumble, fall, learn, and (with any luck) succeed at being a stay-at-home father.  We’re so very lucky to be in a position, with her as the greater breadwinner, for me to leave my job, take the reins, and ride this rollercoaster of a child’s early years.  Let’s hope I don’t disappoint.

I’m lots of things right now.

Tuesday, May 27, 2014

Guaranteed Way to Stress a Late-Term Pregnant Woman

With two weeks until our due date, all the signs of a glorious day appeared during one our final quiet mornings.  Birds harmonized in the trees, our cat purred for attention, and sunlight peaked through the bedroom curtains…and our living room drywall.


So much cheaper than installing windows

When we moved to our house a few months ago, we learned about dry rot issues that should be mitigated easily, quickly, and cheaply.  On Monday the contractor removed siding to determine the extent of dry rot damage and found that termites had quite the buffet at the cost of a huge piece of wood that provides support to the corner of the house.  It’s nothing major; just something that prevents the house from sagging toward the corner.

http://deniseandkarel.com/wp-content/uploads/2013/04/8664886750_96d4c0b4f0_b.jpg
I’m not trying to be dramatic, but this is a dramatic result of weak home structure

While testing and replacing this structural board, the workers banged a little too hard and cracked our interior drywall.  I couldn’t think of an easy way to tell my wife other than to say, “honey, there’s something you need to see over here and it’s not good”.  It wasn’t what she needed to hear after a day without running water while a plumber was also fixing a leak in our crawlspace.  At least the pipe will be fixed after the glue cures by the morning of day two.


We’re not quite ready to stage a game show at our hosue

The morning of day two came and the glue hadn’t cured correctly meaning no toilet, sink, or shower usage for another day.  We quickly learned the fastest route to our community building’s bathroom for those urgent times (when we have to brush our teeth of course).  Surely a pregnant woman in her final trimester doesn’t need ready access to a working bathroom.  It’s not all bad.  I finally had an honest excuse to leave a pile of plates in the sink and not shower – what a dream!


There’s a fine line between a drainage pipe for water and one for a warp zone

At the end of day two the contractor had replaced the structural board and siding and primed them to prevent this from happening again for a long, long time.  With another day of no water, we ate at a Chinese restaurant to try its food and enjoy its toilet and sink offerings.  By the middle of day three, another plumber swung by and fixed the pipe.  A day later the contractor fixed the drywall with patching, putty, primer, and paint.  All was good again.

My wife’s stress decreased (as did my hidden worries), we’re still pregnant, and we made plans to make no more plans for contractor home repairs – until our A/C compressor assuredly dies at the height of the summer.

Thursday, May 22, 2014

Call Me Something Other Than SAHD

We must think of a different phrase for a stay-at-home dad (SAHD).  I am as far from being sad to be a SAHD as can be.  I’ve seen “at-home dad” used, but then I’m an AHD.  An ad for being a SAHD perhaps?  As I experience the life of a SAHD or AHD, I wonder if there’s a better acronym out there.  Here’s what I’ve thought of; maybe one of them will stick during my time as a dad who’s a house spouse (DWAHS). Feel free to vote in the comments section.

DAHD – Daily at Home Dad

DAHDEE – Daily At Home Diaper Engineering Entrepreneur

DWCTLHJTSAH – Dad Who Chose to Leave His Job to Stay at Home (more initialism than acronym, but worth trying to avoid questions from parents)

D-WAPE – Dad Who’s At Playground Everyday (not because it’s “daddy’s day”)

D-WESH – Dad Who Everyday Swaddles at Home (ninja swaddling skills required)

F-NOBD – Father Not Offended by Diapers (maybe if I plugged my nose)

F-TWIB – Father Thankful Wife Is Breadwinner (for allowing me to have this great life experience)

HAPEE – Home All-the-time Parental Engaging Endeavour (whatever it takes to reverse being SAHD)

SWOWAPOCD – Someone Who Only wants A Pile Of Clean Diapers

SEED – Stinky Evacuator of Every Diaper (easy to pronounce, hard to maintain)

Saturday, May 17, 2014

To-Go Bag Ready To Go

We’ve been told that when the contractions start and the hospital tells us to come on down, that it’s not the time to pack what’s needed to make labor and delivery more comfortable.  Fortunately, we got this message and have packed three to-go bags ready for action.  Three!?  You say?  You’re right to judge, but they’re small and make it easier to find what we need.

Bag #1 – Immediate Delivery Needs
This bag comes into the hospital when we arrive and includes things we need, well, immediately when we arrive like our pregnancy binder (points of contact, notes, birthing plan), snacks, iPods with relaxing pregnancy playlists, cell and iPod chargers, a change of clothes, a camera bag, and small toiletries (nobody wants bad breath when breathing deeply in their partner’s face).

http://maxcdn.creativeadawards.com/wp-content/uploads/2010/03/Bad-Breath-3-o.jpg
One way to ensure your supportive words during labor aren’t appreciated is to say them with halitosis

Bag #2 – Empty Bag for Baby Stuff
Kaiser provides us with a few going away gifts for the baby like diapers, small clothes, and an encyclopedia of discharge papers.  It’ll be nice to have an empty bag ready to receive all of this stuff.

If you didn’t know, an encyclopedia is a physical volume of books explaining many, many things in the world; think Wikipedia Lite

Bag #3 – Post-Delivery Bag
After a normal delivery, Kaiser moves us to the post delivery wing and allows us to stay there for 24 hours before giving us the boot.  When we thankfully make it to this wing, I’ll grab this bag from the car so we’ll have overnight goodies like blankets, pajamas, books, additional toiletries, and another set of clothes for the wife’s Parenting magazine photo shoot.

This is what happens when you have lots of time to prepare.

Tuesday, May 13, 2014

Cloth Versus Disposable Diapers

It’s a shame that our society believes in sanitary waste disposal.  If only civilized people accepted the natural desire to evacuate our bodies whenever and wherever we wanted.  It’s the rule when you’re camping in the forest and it’s time we expand it to raising a baby in suburbia.  Living this way would avoid the great diaper debate of cloth versus disposable.  No diapers, no debate, no problem.  One less decision to make about how we’ll raise our kid.

According to my highly scientific poll of six new parents in the Bay Area, half chose cloth, half chose disposable, and nobody wants to start the whenever/wherever evacuation revolution.  Based on our research we found the following pros and cons for these waste disposal methods.  Note that these are before we’re actually drowning in diapers.

http://5gyres.org/wp-content/uploads/2012/04/diapers.jpg
Oh the sweet diaper changing naivete of first-time parents

Cloth Diapers – Pros
Based on my 3rd grade arithmetic skills, this is the 2nd cheapest waste disposal option.  Let’s say you need 20 resizable cloth diapers at about $20 each to have enough available when they’re not soiled, being washed, or waiting to be dried.  We’re looking at $400 for these resizable diapers.  A high upfront cost, but we know how much we’re spending on the main diapers for the kid’s needs.  It’s a cheaper option even with a few disposable diapers for emergencies and babysitter comfort.

Some claim that because a cloth diaper doesn’t absorb fluids as deep as a disposable diaper, the baby’s more likely to realize how uncomfortable a full diaper feels.  And with a baby knowing a full diaper isn’t fun, you can (possibly) get the baby potty trained sooner than with disposable diapers.  Oh how I dream of the day our kid is potty trained.

http://www.howtobeadad.com/wp-content/uploads/2013/08/Diaper-Change-HazMat-tn.jpg
Smelly diapers are no trouble with a HAZMAT suit

If all diapers are going to smell, you might as well save money and help the environment while you’re at it.  These diapers won’t end up in the landfill for three or four years and they take up cubic tons less space (again I’m bad at arithmetic) than years of disposables.  While the diapers give off a glorious smell until washed, you can purchase an airtight container to hold the used diapers where the smell will stay; oh how you’ll pray that the smell stays there.

Today’s cloth diapers are much easier to work with than the last generation’s version.  Back in the day, cloth diapers required having clothespins on hand for all diaper changes (good luck if you had none).  Also, the pins could poke the baby.  Today’s cloth diapers use velcro or buttons for closing and some models allow you to resize based on the baby’s leg size and torso.  We read that velcro diapers are tough in the washing machine because they attach to everything so buttons would be the better choice.

Cloth Diapers – Cons
It can be a messy moneysaving exercise.  You’ll get up close and personal to your baby’s offerings when you give the used diaper its initial cleaning before stashing it away for later washing machine sanitizing.  Some cloth users have added a sprayer to their toilet piping which helps to clean the diaper and avoid getting your hands on the bad stuff.  I’m not sure what my limit is on personal space and this messiness.


http://www.bumgenius.com/images/accessories/DetailBGSprayerPhotos530x310.jpg
Can you place a price on diaper pre-washing convenience?

Using cloth diapers requires a strict washing cycle so diapers are always available.  A cloth diaper is either waiting to be used, being worn, newly soiled, freshly washed, or air drying (diaper pads/linings may be dried in the dryer, but the actual diaper must be air dried).  If you fall behind washing diapers you’ll breakout the emergency stash of disposable diapers.  Also, there’s the small cost of water and electricity to wash them.

To appease grandparents or other caregivers who don’t want to get close to the baby’s scrumptious gifts you’ll want a few disposable diapers.  It’s what they know, the disposables are easier to work with, and if it helps you get their help then it’s worth the cost.  Also, disposables are good to have when going far from home so you don’t have to hold onto smelly cloth diapers, unless you find a good airtight container.


http://www.prillycharmin.com/images/1toys/toys/willy2.jpg
If a diaper smells in the forest, but your nose is behind plastic, does it make a stink?

Diaper rash can take place with any diaper, but using a cloth diaper runs the risk of the baby’s skin reacting to the cloth’s material, lining, or plastic.  Once you find a brand that works for your baby’s skin you’re in the clear, but until then there’s a rash possibility.  Still though, trying single cloth diapers before buying a larger amount is still much cheaper than going all-in with disposables.

Disposable Diapers – Pros
The baby makes a mess, you remove the diaper, toss it in the garbage, grab a new one that’s clean each and every time, and put it on.  There’s no need to consider a cleaning schedule to ensure you have diapers available.  You just need to make sure there’s another big box in the house by subscribing to weekly diaper deliveries.

http://www.instituteofman.com/wp/wp-content/uploads/2013/01/disposable-diapers_income.png
Disposable diapers earn many more credit card points than cloth diapers

Everyone knows how to change a disposable diaper so it’s easier to get help with the baby.  Changing a diaper is an easier sell when you can just wrap it up and throw it away.  No need to prewash grossness down the toilet before really being done with the full changing process.

Disposable Diapers – Cons
Disposables cost hundreds of dollars more than cloth per year, even with subscription delivery services.  Some couples have estimated they spent about $1,000/year on diapers meaning cloth diapers would’ve saved them $2,500 during their first three years.

Once thrown away, disposable don’t disintegrate for many decades (or more) in a landfill.  Disposable diapers contribute a mountain of waste that could be avoided with cloth diapers that work just as well.  Also, your baby may get too big for the shelves of diapers you bought rendering them unused and wasted.  Resizable cloth diapers should last throughout the kid’s newborn to toddler years.

Whenever/Wherever Evacuation – Pros
It’s free!  You don’t have to worry about having properly-sized disposables ready or paying a high upfront cost with cloth diapers.  No additional, albeit small, costs for garbage bags for disposables or water and electricity to clean cloth diapers.

http://www.fisher-price.com/en_US/brands/babytoys/products/38182

Don’t order on Amazon, live like you’re in the Amazon!

No worries about rashes and allergic reactions to cloth or plastic linings.  This is the most organic, free range, farm fed, gluten free, PBA-free, rBST free, antioxidant rich, locally sourced way for your baby to live.  Live and let live as they want!  On top of that, if cow manure makes for a great fertilizer, then your baby’s bathroom treats will help plants wherever the baby aims its goods.  I haven’t confirmed this to be true.

Whenever/Wherever Evacuation – Cons
If you’re far from dirt and can’t dig a hole, others will think it’s gross, unsanitary, and an easy vehicle to transmit diseases.  You won’t be welcomed at a new parents group, you won’t keep your adult friends, and when you’re pushing your kid in a Target shopping cart you’ll set a record for death stares.  If you don’t anticipate the movement in time, you’ll do massive amounts of disgusting laundry, all the while finding ways to hide the smell until the washing machine starts.


http://homesteadlady.com/wp-content/uploads/2013/04/variety-of-cloth-diapers.jpg

Our cloth diapers may never be this clean again

Our Choice – Cloth Diapers (with a few Disposables for Babysitters)
We bought 20 cloth diapers with buttons and will maintain a box of disposables for emergencies and babysitters.  Cloth diapers require more work and can be messy, but the cost savings, environmental value, and possibility of earlier potty training makes them worth trying.  Trying being the key word.

Thursday, May 8, 2014

Types of Couples Found in Pregnancy Classes

With many a pregnancy class behind us, I noticed that each person or couple attending fell into one of eight attendee categories.  Because I’m writing this post I decided that my wife and I were the perfect pregnancy class attendee type.  And if someone else wrote this post, we’d fall squarely into one of the less desirable categories.  See if you can find each attendee type at your next pregnancy class!

Know-It-All
When an instructor asks a question, this attendee knows the answer and shares it.  That’s admirable and helps the class move forward.  The problem is when the instructor makes a statement and this attendee adds their expertise each and every time.  Statements are not questions.  It’s great that you’ve read three books on pregnancy and are overflowing with knowledge, but how about we let the teacher teach the class?  We’re not getting graded on participation.  When the teacher discusses the pelvic bones during birth, you just have to say, “isn’t that also the ishium, ilium, and pubis?”  Idiot!  You even forgot the sacrum!  You know nothing.

http://dlibby.files.wordpress.com/2012/06/f1-large.jpg
To critique a Know-It-All, one must remember the sacrum

Exacting/Questioner
Our pregnancy teachers did well at providing us information at the levels we needed.  Our teacher gave us details when talking about the timeline for diaper changes in the first week.  And things were kept in broad terms as necessary, like calling the two doses for epidurals: light and heavy.  So why do you, Exacting/Questioner, ask how many CCs are provided for each epidural?  Only to the have the teacher tell you yet again, like so many figures and pregnancy events, that it will depend on the mother’s health, health history, and delivery progress.  I’m all for understanding the pregnancy process, but you have to recognize there are some things that none of us need to know.

http://i.telegraph.co.uk/multimedia/archive/02277/Pedoscope_2277331b.jpg
Not everything must be exact; a small reason why we no longer get sized for shoes with X-rays

Product Placer
This attendee is a targeted pop-up ad that appears after you Google anything baby related.  This person advertises and namedrops their wares for: books, DVDs, bottles, monitors, cribs, clothes, car seats, strollers (jogging, multi-purpose, umbrella, and carriage), changing tables, bassinets, shoes, swaddle blankets, pack-and-plays, diapers (and their bags and lotions), pacifiers, breast pumps, baby backpacks like Baby Bjorn (now I’m a namedropper!), hand sanitizers, sunhats, thermometers, toys (fun and unnecessarily early education), bibs, baby chairs, bathtubs, stuffed animals, mattresses…ouch my head hurts.  Don’t even think about asking the attendee’s opinion about local schools.

Debater
Pregnancy teachers have taught for years, often are certified midwives or lactation consultants, and have seen it all before, during, and after delivery.  So why, dear debater, must you question every statement’s basis?  It’s one thing to not understand a concept and ask for an explanation (like the infamous breastfeeding value slide), but not every statement demands interrogation.  It gets worse when you challenge a medical finding by using an old wives’ tale for your evidence.  Believe in the teacher’s knowledge and question the validity of things on your own time.

http://static.guim.co.uk/sys-images/Guardian/Pix/pictures/2009/1/17/1232222039400/Richard-M.-NixonDavid-Fro-001.jpg
I came to learn about meconium; not to watch a Frost/Nixon reenactment

Storyteller
Teacher: During delivery, sometimes a baby’s face is turned up, instead of down as preferred.  Yes, do you have a question?

Storyteller: I started to come out face up; they called it sunnyside up.

Teacher: Thanks.  In the past, when a baby needed assistance, the doctor would use forceps, but this is not a common practice at Kaiser because fewer doctors are trained for them and it isn’t needed often.  A question perhaps?

Storyteller: I had a boss once who had to be pulled out with forceps and they took his ears right off.  They reattached them though and he’s fine.

Teacher: That’s extremely rare.  The cord may be wrapped around the baby’s neck one or even two times; a situation that’s remedied safe quickly.  Did you have something to ask?

Storyteller: That reminds me of a boa constrictor my friend once had growing up.

Other attendees: We wish it had wound itself around your neck and never let go.

Jokester
What do you call a dozen people in a conference room paying attention to a pregnancy teacher?  I’d say people attending a pregnancy class.  The jokester sees their largest comedy audience to date.  We’re not at the Improv and you’re not the featured comedian.  You’re not the MC or host.  You’re not the warmup act.  You’re not funny.  Why must you answer every question with a joke?  Why must you laugh at bodily fluid chatter like a seventh grader in health class?  Save these thoughts, that only you think are hilarious and creative, for your blog about being a stay-at-home dad.

When the jokes aren’t followed by laughter, get off the stage

Disengaged
This attendee looks down at handouts, stays quiet during small group discussions, and checks their smartphone throughout.  These gestures border on shyness, but over the course of a class, it’s clear they have no desire to pay attention.  Shy attendees still pay attention and take notes.  Disengaged attendees do everything except gain valuable pregnancy insights; you know, the purpose of attending a pregnancy class.  As long as their actions don’t distract the class, disengaged folk only harm themselves.

Perfect Attendee
Me and my wife*. 

* Based on an informal poll of this blog’s author.

Monday, May 5, 2014

Babymoon Wine Tasting in Napa and Sonoma

With five weeks to go before our due date, my wife and I took a 36-hour babymoon to Napa this weekend.  Of course she couldn’t taste any of the wines, but she did use her pregnancy-powered super olfactory ability to find notes that the commonfolk couldn’t detect.  She also got to select fancy cheeses for our vineyard picnic seeing as how cheese has become her main caloric vice these days. 

http://www.learnvest.com/wp-content/uploads/2011/04/4.12_cheese-325x211.jpg
How do you keep your pregnant wife happy in wine country?  Give her fancy cheese, lots and lots of fancy cheese (pasteurized of course).

Going to Napa for cheese is akin to going to France for Kentucky Fried Chicken.  But my wife had Marriott points to spend from her work travels, the landscape is pretty, and it’s an hour away so her bladder could last until we arrived.  Plus, she could finally enjoy a bed with a million pillows without my angst.  We enjoyed the hotel’s wine tasting, olive sampler, fire pit couches, and concierge lounge happy hour and breakfast offerings.

We also tried to be all sorts of healthy by going to the fitness center to offset our food gorging.  Tucked away in the corner of the room, between exercise balls and a mirror, was a 3x3” sign (not pictured below) that warned us that the room “…contains chemicals known to the State of California to cause birth defects or other reproductive harm”.  I continued to exercise and my wife promptly turned around and left.  A sign like this should be more prominent, like on the door to the fitness center.

http://www.ehs.ucsf.edu/sites/ehs.ucsf.edu/files/wysiwyg/NFPA-Signs-ClassificationZ.png
No workout is worth the chemical exposure risk or energy required to find out exactly what the chemical exposure risk entails

Chalk this up to another concern we didn’t sweat (a pun!) before getting pregnant (or moving to California a year ago).  The sign’s due to California’s Proposition 65, the Safe Drinking Water and Toxic Enforcement Act of 1986, that provides Californians with a right-to-know of chemical exposure.  It sure scared us enough to not have my wife exercise, but a simple sign doesn’t tell us enough.  If she just used the elliptical and not the foam stretching mat, would that be safe?  It was easier to not use the fitness center instead of researching the chemicals and products in question and I’d bet that that’s how almost everyone deals with these signs.

Sonoma square is nice, especially when roses are in bloom

We wrapped up our Napa stay with a stroll around the always reliable Sonoma Square where we tossed a Frisbee, stopped and smelled the great rose varieties, and did some window shopping.  Finally, we swung by a winery for me to taste; for my wife to smell; and for us to enjoy a nice meal among the vines, a pond, a friendly dog, and great weather.

Our picnic included the four CH delicacies of cheese, cherries, chocolate, and chardonnay (pictured: before we started)
We enjoyed the peace and quiet; being in each other’s company; and eating a simple meal without worrying about bibs, sharp objects on the table, and getting dirty looks from others when our kid doesn’t stop crying.  There’ll be plenty of time to worry about finding a babysitter later.
  
 My wife and her degree in chemistry called it a methane picnic.  Why?  Because CH4 is methane’s chemical formula.  I needed her to explain it to me too. (pictured: after we stuffed ourselves)

Thursday, May 1, 2014

Enough Studying to be an OB/GYN


Our April calendar was full of pregnancy classes.  All of them provided a ton of great information; so much information that it’s now organized in my head as mush and unlikely to be recalled when I need it most.  Following first trimester and second trimester classes in the last few months, herein was our April coursework:

Newborn Class
This 2.5-hour course walked us through everything about a newborn from breastfeeding and skin blotches that disappear after birth, to changing a diaper and the unending cycle of feeding and sleeping.  The class reminded me of a few things that I’m not looking forward to like fevers, the challenge to soothe, and lack of REM sleep.

I am mortally intrigued with the idea of blowouts; when a child sprays their smelliest goods with such velocity that it hits the wall behind me, but I worry that it’ll land on me and that the cleanup will remove any awe I had for the act.  It sounds like a mighty athletic feat; just one I won’t purposely try to make happen, but does happen to all parents eventually.

Hospital Tour
Surprise!  This 90-minute class showed us delivery and recovery rooms.  We learned about many nice things like the fancy meal we get after birth, a parking pass to dropoff the expectant mother (remind me to call for one before delivery), hand sanitizers at nearly every entrance, and a foldout couch for me to sleep on in the delivery room.  Those are nice things. 

Look at Kaiser-Permanente's brand new $2 million hospital in Walnut Creek, where expectant fathers can "suffer under the most comfortable circumstances possible"

What’s not nice?  The guide told us the recovery room foldout chair is comfortable for someone who’s 5’5”.  I’m 6’2”.  This is the only reason I’m thankful we’re given all of 24 hours in that room before getting the boot.  When I don’t sleep well on that chair/bed I will tell my wife, “I hope you appreciate this sacrifice I’m making for you.  To be uncomfortable for one night of sleep is a heroic act, all on your behalf.”  Then I’ll get an evil eye stare and ask her if I can get more ice chips.  Yes, she's aware of this blog.

60 years later and look at Kaiser's labor and delivery care today
 
Postpartum
Post-birth depression for either parent, feeling bad about not forming an instant connection to the baby, and the continued physical changes to the mother’s body are solemn discussion topics.  These serious subjects deserved a serious two-hour class of warnings, cautions, and notes about both partners after birth.

Then the instructor talked to us about using KY. 

With 15 minutes left she showed us props like candles, babymaking protection, and a Yanni CD to get in the mood.  A Yanni CD!  I got mixed messages.  Was she trying to encourage or discourage fun times?

Bow chicka bow-wow!

In all seriousness, this was a good class about the aforementioned solemn topics that reinforced the signs to look for, how to get help, and that you’re not alone if this happens to you or your partner.

Breastfeeding
Nipples…lots and lots of nipples.  I’m not talking about a Bourbon Street webcam.  Nope.  This was the opposite end of the flash-your-boobs spectrum.  For someone to let themselves nurse on video was brave.  Especially for the woman with the bad tattoo of a checkered flag that went from her wrist, wrapped around her forearm and upper arm, and ended at her neck.

Besides the videos there was a lot of good information and advice.  Did you know that if your baby’s sick, the mother’s body will detect that and produce milk with medicine appropriate for the baby?  Or that the mother’s skin will slightly darken up the middle of her chest to help the child see the path for nursing?  What the mother’s body knows to do and can do during pregnancy is just incredible!

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Oh, now I get how this will work

Kaiser-Permanente is strongly pro-breastfeeding, and it appears with good reason; lauding benefits like nutrients, immunization assistance, bonding, and decreased risk for many diseases.  However, attendee questions came flying when a slide displayed results from a 2007 study that showed unequivocally that breastfed kids are far better off than formula-fed kids.  The slide said, "Babies fed formula are at increased risk [for]..." and included data such as: pneumonia - 72%, digestive tract inflammation - 64%, ear infections - 50%, and SIDS - 36%.

While Kaiser has made it clear that not all mothers are able to nurse successfully and has resources to help, this slide would make a mother who is unable to breastfeed feel two inches tall for failing to prevent her child from these diseases.  One of the first questions asked about the slide was how much formula had been given to the babies in the study?  Was it being fed formula all the time?  Once or twice each day?  Half of the kid’s feedings?  Is an occasional formula feeding THAT harmful?

Unfortunately our instructor didn’t know the details of the study so she was unable to put all of us at ease.  I read the Tufts study, or skimmed its 419 pages for an answer, and learned it's a meta-analysis combining some 9,000 abstracts of other studies.  I then found this in chapter 2, Definitions of Breastfeeding in this Report:
 For term infants, “bottle-feeding” is used synonymously with “formula feeding.”  Definitions of “exclusive breastfeeding” varied widely in the literature. They ranged from “no supplement of any kind including water while breastfeeding” to “occasional formula is permissible while breastfeeding.” We elected to accept all definitions of “exclusive breastfeeding” as provided by the different study authors, but we qualified our findings by the details regarding those definitions.
I take this to mean that the study doesn't provide a strict definition of breastfed vs bottlefed quantities or frequencies (finding a common baseline is a challenge when doing a meta-analysis).  Which means no instructor would be able to provide a breaking point value when choosing breastfed vs bottlefed.  Kaiser should just mention the benefits in broad terms without percentages because those percentages imply exact quantity and frequency values behind them. 

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Some mothers are unable to or choose not to breastfeed so let's not make them feel so bad about their mothering skills, okay?

Better to do that than add a touch of worry to new parents who choose to or have no choice other than to give formula.  We’ve got plenty to worry about already.  Don't get me wrong, this slide was the only negative thing in this class.  And of course, I'm not an academic researcher, just a soon-to-be dad trying to learn what he can do to provide his kid the best chance in this world.  

After taking this class and knowing we have many resources for advice and lactation assistance, I didn’t see a need to purchase the breastfeeding book everyone was hyping before the class.  And so far my wife hasn’t pulled the trigger on Amazon.  If the class stops us from buying another $25 book about handling a newborn, then this free class (nevermind our premiums) was money well spent.

Birthing Class
When my wife signed us up for this class (three hours Friday, seven hours Saturday), it was the one I imagined we’d take and be done for all classes.  That was until the earlier classes showed there’s more to pregnancy than memorizing the route to the hospital.  We covered things like tracking contractions, breathing and relaxation techniques during labor, and pain management options during childbirth.

While the length of the class seemed daunting, I only checked my watch three or four times.  The instructor was great, making sure we were engaged in the topics (and providing us much needed breaks), and the course material included a few hours of meditation and labor comforting exercises. Funny how time flies while wearing socks on a yoga mat with your eyes closed. 

The women got to test back, foot, and hand massage techniques to see which would work best when their uteri are clamping like junkyard car crushers

We saw many pictures and animations that explained the biology of giving birth.  In one video we saw two real-life babies squirt out like champagne corks, which thankfully lasted no more than eight seconds in total.  It wasn’t as gory as I expected (thanks to no placenta shots) and nobody in the class passed out.  One video followed a couple’s experience from the first contraction to birth and when the lights were turned on, many of us were wiping our eyes seeing the joy of the new parents after their struggle.  The class wrapped with pain medication options, Cesarean section births, and post labor tests and events.

Graduation
I read the Mayo Clinic’s pregnancy book about the 1st and 2nd trimesters, but my reading tailed off months ago.  These additional classes were great, filled my knowledge gap nicely, and saved me from pregnancy reading overload.  I’m ready to cash in my Kaiser-Permanente class credits and begin coursework toward a real degree in fatherhood in less than two months.