![P1010830](https://preparingforthebaby.wordpress.com/wp-content/uploads/2010/03/p1010830.jpg?w=300&h=225)
I have been dreaming and scheming about motherhood since I was a little girl. I used to have a closet full of Cabbage Patch Dolls that I would swaddle, feed, rock, and they were all named after somebody in my family. And since I was a little girl, I always knew that I would breastfeed my future babies- after all, that’s how my mom and grandma did it! I grew up in a house where my parents were honest with us children about our bodies. I knew a lot of people who were ashamed to nurse in front of their husbands, let alone strangers. Boobs were taboo to so many people I have known in the course of my life, but not in my house. We grew up knowing boobs were for food. So, I had no qualms making future milk-production plans for my girls.
When my turn finally came up and everything was in place for me to begin my own family, I sailed through a perfect pregnancy. Not a single problem. I was seeing a midwife and preparing for my perfect homebirth- it was years of playing with dolls and dreaming finally coming true. I was in love with each and every little kick and movement I felt from my baby, who I learned was a little boy. My little boy. I was over the moon.
And then my picture perfect story took a turn in a different direction. At 29 weeks 4 days, my husband, stepson, and I went to the ER in the middle of the night because I had what I thought was a “stomach virus.” Could it be H1N1, my husband frantically wondered.
H1N1 would’ve been good news. I soon discovered my water had broken. The doctor and nurses puttered around, contemplating how they would stop my labor. I don’t think they took my seriously when I angrily ignored their five thousand questions. When I announced my urge to “go to the bathroom,” it was then that they really checked between the legs and knew it was really happening.
I naturally delivered my son after less than fifteen minutes of pushing. It had only been two hours since I left my house. Everything happened so fast there was no time to process. I watched as they whisked my baby away, and I was left alone in the delivery room, finally getting a moment to wrap my mind around everything that had happened.
“I need to see the lactation nurse,” I said immediately, before the doctor had even finished her business with me. I hadn’t planned to deliver in this way, but I had planned to breastfeed.
“We’ll page her,” a friendly nurse offered.
And so I waited. And waited. And requested a few more times until they promised to send the lactation nurse to my postpartum recovery room.
“Don’t I have a window of time to start pumping?” I nagged.
They assured me the lactation nurse would be with me shortly.
I’ve always been a bit of a planner, which is why my preterm delivery is so ironic, proving to me that not all things in life can be planned. In the course of my planning, I had done my own research on breastfeeding. Also in a bit of irony, I had completed a rough draft of my “birth plan” a week before, and I had made note that I wanted immediate skin-to-skin with my newborn and to start breastfeeding immediately. There was no newborn to be seen in my delivery room, so I needed to know right away how this was going to work.
An hour or two later, Pam came to my postpartum room with a pump kit. Next to my bed was a yellow Medela Symphony hospital-grade pump, and she was going to show me how to use it.
My mom and husband were in the room, and I wasn’t used to baring my breasts for public display. I also never planned to pump- at least not until I had to go back to work. I had always envisioned my sweet baby at my breast, not a piece of cold, hard plastic. The optimism I had during the delivery was beginning to waver as the reality of my situation and the crushing of my dreams began to sink in. This was not what I planned.
Pam showed me how to use the pump. I did it, but nothing came out. She encouraged me that it would come in with due time, and to keep pumping every three hours for at least fifteen minutes. She warned me that it was a bit more challenging to get milk with a preterm delivery.
So I pumped. Every three hours around the clock. Each time, nothing. Dry as a bone. Later that night, my dad and mom came to visit me. My dad awkwardly looked at the pumping supplies and my empty bottles and couldn’t refrain from cracking a joke.
“Is there anything in there?” he laughed. Very funny, Dad.
I pumped 8 times before I saw even a drop of colostrum. I set my cell phone alarms for every three hours and diligently did it all night. Pump, clean. Pump, clean. They had told be to bring any amount I could get out to the NICU, even a drop. It’s liquid gold, they told me.
Finally the gold came, just a few drops at first, and then each time slightly more and more. I remember being so ecstatic to see that yes, there was something in my breasts. I took a picture of the tiny Snappi bottle holding a few meager drops of my liquid gold and texted it to my parents and husband. Then I rushed over to the NICU (as fast as I could postpartum) and proudly delivered the colostrum for my baby boy.
My next point of excitement came as I stood next to my baby’s isolette. I was standing there watching him, my hand placed delicately around his fragile 2 lbs 15 oz body, when for the first time I felt my shirt become wet. It was the first time I realized I needed nursing pads. My body had responded to the touch and scent of the baby. I was amazed.
When I was discharged from the hospital two days later, my husband came to pick me up and all my belongings. I remember feeling like the only loser on the planet to leave the hospital with balloons but no baby. I sobbed the whole car ride home feeling like my heart was being ripped out as I left my baby behind.
It was especially depressing to come home to a quiet house without my baby inside of me like he should have been. I felt incomplete and empty. I had to pump around the clock, every three hours, falling into a tedious but necessary routine. Since my son was in the NICU, sterilization was essential, so I washed my hands, pumped, sealed the bottles, labeled the bottles, cleaned the pump parts, put the pump parts in the Medela microwave sterilization bag, wiped the parts clean, and repeated it all over again three hours later. I washed my hands so frequently they were cracking and bleeding. Every morning, I delivered the bag of milk to the NICU, proud to give something to my baby. It was one of the only things I could give to my baby.
I was lucky enough to be a fixture by my son’s side for the next 51 days, and in that time we fostered our breastfeeding relationship. Every morning I did skin-to-skin (kangaroo care) with my son, placing his tiny, naked body against my bare chest. I would borrow my husband’s button-down shirts to make it easy to slip the baby in there. My son loved this time together, but I probably loved it even more! We were able to start doing it about a week after his birth, and it was the first time that I begun to feel like a real mom. It became everything I lived for in that trying time of my life.
Around week two postpartum, with the guidance of the awesome lactation nurses in the NICU, we started to put my son to my breast and let him “explore.” He didn’t really do anything besides lick, but he latched immediately and held a good one each time. A few days later we added a silicone nipple shield and he began his non-nutritive sucking. He drank a little bit each session (once a day), but not enough to consider “nutritive,” so they continued feeding him through the nose. I wanted so desperately for him to breastfeed and not have to use the tube in the nose, but my little guy had other plans. He had virtually no issues for most of his NICU stay, but he slowly accepted the nipple. Once again I was reminded that I was not in full control of my plans.
It wasn’t until he was around34 to 35-weeks gestational age that my son began breastfeeding. We got a doctor’s order for once a day as he tolerated it. After a week, we increased it to three feedings a day by breast. I spent all morning and early afternoon with the baby, breastfeeding, changing his diaper, taking his temperature, and doing skin-to-skin with him. I’d go home and try to catch up on life, but always went back to the hospital for his 9PM feed. Breastfeeding was our time. It was something only I could provide. My son had the breast first before a bottle (bottles with fortification are routine in the NICU for preemies), and he would maintain a preference for the breast.
By the time my sweet boy came home after being in the NICU for 53 days, I was ready to breastfeed him exclusively. He left the NICU with orders to have at least two bottles of expressed breast milk with 22-calorie Neosure, which I did for about two days. I found that he was spitting up a lot due to his reflux every time he had his bottle, so we ditched the bottles and went full force into exclusive breastfeeding. Since weight gain was a concern, I took him the pediatrician within the week to check on his weight. It was perfect. I was such a paranoid mommy that I went back a few times after that too. Since he was gaining weight, I was given the green light to continue not giving him the Neosure.
When my son reached his due date, we began slowly getting rid of the nipple shield. I took it away more and more each time until we no longer used it. I had to work on his latch (he had a shallow one after using the shield), but other than that we have experienced a happy, healthy breastfeeding relationship despite the circumstances of my son’s birth.
And in the end, I lost the birth I had planned for, but preserved the breastfeeding relationship I had always wanted.
Filed under: breastfeeding, mommy stories, preemie | Tagged: breastfeeding, breastfeeding a preemie, moomy stories | 1 Comment »