Sunday, July 7, 2013

The days after...

After Jacob was born, it seemed like we lived in that hospital. We were there for almost 6 full days. I wasn't sure we would ever leave! But a lot happened those days we were there. 

Throughout that first day we started to try and breastfeed. This was something I really wanted to do for Jacob. All the books tell you that it can be difficult and it takes some time. And they were right. We were having a hard time. At first he was having problems even latching but then he got the hang of that, but wouldn't suck. We met with the lactation consultant who worked with us but without much luck that first day. After a while we started using a shield which seemed to help. We were told not to worry too about it too much because Jacob's stomach was so small right now anyway that he'd be fine. 

My parents and sister stayed all day and got to spend some time with Jacob. It was great to have them there because while they were busy holding him, Austin and I got to get some sleep in! And boy, did we need it. Around noon on Wednesday, I was treated to a foot and leg massage by the massage therapist at the hospital and it felt amazing! And then, with much help, even got out of bed to shower! Those first couple of steps felt so weird! First off, I didn't have a big baby belly anymore. And second, I had been bed bound for a little over 24 hours! I was very wobbly at first! But the shower felt amazing. 

Everything throughout the day was looking good. All of our checks and tests were great. Right after birth, Jacob scored a 9 in the APGAR test. I can't tell you much more about that first night because everything was such a blur! 

On Thursday, June 27th, Jacob was scheduled for his circumcision that morning. We got an update before and after that everything had gone well. After his recovery, they brought him back in for us to spend some time with him. Before and during the procedure they give him sugar water and this caused him to be pretty sleepy throughout the day. It made trying breastfeeding difficult. We were having luck again using the shield but he would latch and only suck for a very short amount of time before falling asleep. Again, we were told it wasn't a big deal and that we'd keep trying. 

Thursday night is when things started to get a little interesting. First we had to switch rooms because they had a full house at the hospital and need our birthing suite. Our new room was much smaller and didn't have the pull-out couch for Austin to sleep on. There was only a pull-out chair which wasn't nearly as comfortable. So Austin decided to head home that night and sleep there. We were keeping Jacob in the nursery at night and just having him brought in for feedings. I was still working hard at breastfeeding but I didn't feel like I was getting anywhere. 

Around midnight the nursing brought Jacob in and hold me was a little jaundice so they had put him under the warmer for a while. I tried breastfeeding again but wasn't really successful. Over the course of two hours, Jacob only managed to suck around four minutes. He would latch, take a pull or two and then fall asleep. Luckily I had an awesome nurse helping me through all of this. At 4am, I hand expressed some milk/colostrum and we were able to feed it to Jacob by syringe. The nurse put her finger in his mouth and would wait until he sucked before feeding him - trying to make sure he would connect the two. This really seemed to help make things click for Jacob. After that, he was able to latch and fed for about 7 minutes - the longest yet! 

A couple of hours later, the morning nurse came in to tell us that Jacob's blood sugar levels were low. They like to see a newborn's levels between 50 and 100. Jacob's was in the low 30's. So they had us feed him 17mL of formula. I wasn't too excited about this as I really wanted to just breastfeed, but I knew Jacob had to eat. Before our next feeding that morning, we met with the lactation consultant, Rita, again. She has much more patience than either Austin and I but helped us get Jacob to latch without even using the shield! And then he even fed for about 15 minutes! We were all very excited! We were so proud of Jacob at this point. 
Shortly after he got done feeding, our pediatrician came in to talk to us about some concerns she had about Jacob because of the jaundice and low blood sugar levels. She wanted me to pump every two hours so that we could see exactly how much milk Jacob was getting at each feeding. But first, she wanted to give him some formula again because of the low levels. This happened right after we just got done feeding Jacob and the lactation consultant was still in the room with us. I was feeling pretty frustrated at this point because we had just had a great feeding with Jacob and I wasn't sure he needed the formula. I wanted them to check his blood sugar again to see if my feeding had been enough for the little man. I wanted the reassurance that I was doing my job. I could tell Rita (the consultant) was feeling the same way and she was vocal about it to our pediatrician. They really butted heads on it and it put Austin and I in a bit of an uncomfortable situation as new parents who really don't know what we're doing. That was extremely frustrating. 
In the end, the formula was given to Jacob. I was going to be pumping every two hours, before each feeding, and we would feed Jacob with a bottle. If he wasn't getting enough with my milk, formula was going to be supplemented. They were going to be checking his blood sugar levels every hour and run some blood tests to see if the low levels were being caused by an infection or something. While I did have some concerns about Jacob going back and forth between a bottle and straight breastfeeding, I also like the reassurance of knowing exactly how much he was going to be eating each time. No parents want to hear that something is wrong with their baby so we were willing to do what we needed to do to help make him better. 

So this is how our Friday continued. Jacob was getting his blood sugar checked every hour and I was pumping every two hours for feedings. The good news is that I was pumping more than enough milk for each feeding and we didn't have to supplement with any formula. The bad news is that when they would come and prick Jacob's heel to test the levels, my poor baby would just scream and cry. It's a horrible thing to have to watch and probably was more traumatic on Austin and I than on Jacob! He would calm down pretty quickly as soon as it was over and was able to cuddle with mom or dad. But every time the nurse came in and started messing with his foot, he knew what was going to happen and would start to cry again. Every blood sugar test they did however was great! His levels were never below a 50 so we knew he was doing great and getting enough milk! 

On Saturday, June 29th, we were told they were going to use the day as a trial run. The feedings had gone so well all day Friday and through the night that I could stop pumping and go back to just breastfeeding. They were still going to keep checking his levels though to make sure he was getting enough. We were also still doing a strict two-hour feedings. So before each feeding, they came in to check his levels again. All day Saturday his levels were still great! Never dropping below 50. And breastfeeding was getting easier. 

Later in the day, Austin's parents were able to come and visit, along with his sister and brother-in-law and their 7-month old. It was fun for the cousins to meet and I think they're going to be great friends as they grow up together! :) Again, it was great having family there and fun to watch them hold and interact with Jacob. 

Also as the day went on, the blood sugar tests got harder and harder.They kept pricking his little heels and were having a harder time getting blood. Hearing his cries was absolutely no fun. Finally we asked if it was still necessary for checks every two hours since his levels had been so good and luckily the nurses and the pediatrician agreed. They still wanted to keep checking but it would be every four hours. 

On Sunday morning we finally got the go ahead to get discharged! We were going home! Again, all of Jacob's levels checked out great and the blood work came back with no signs of infection. The pediatrician decided that the poor little man just probably didn't get enough to eat those first couple of days. We were glad to hear nothing else was wrong. As we got all of our discharge instructions, I was getting more and more excited to go home. We had been there long enough! One of the nurses walked down to our car with us to check our car seat and help us load everything up. 

As soon as we were good to go and Austin started to drive away, I suddenly became very anxious! It was real. We were leaving the hospital. We had a baby. We had this other life to be responsible for. Such an overwhelming feeling, especially since I was still excited! 

Austin's parents were there to help us get settled in at home and even let us get a quick nap in before they left. It was a great help, especially since we knew it would probably be a long first night at home. And it was a pretty long first night. We had bought a video baby monitor and Austin decided he wanted to set it up to watch Jacob in the bassinet, even though it was right next to the bed. I admit I made fun of him a bit at first but once it was bedtime, I was thankful for that monitor! It was an extra reassurance to be able to watch him sleep, otherwise I'm sure I would have been standing over his bassinet all night!  But we survived the first night. And every day things get a little easier. We're learning as we go and Jacob is sure teaching us the things we need to know! :) 

Since we've been home, we've had family and friends here helping us out. It's been great having them around and they've really been a huge help! It's making the transition easier as well. But soon, it's going to be just the three of us. But I think we're going to be okay. :) My friend Amanda came down for a couple days and cleaned our entire apartment for us! It was cleaner than I think it's ever been! Austin's parents came and helped us get a ton of things packed up before our move later this summer. My family also came down and is helping me around the house while Austin is away. Austin had the opportunity to go to a conference with Dike-New Hartford with some other teachers so he's currently in the Cities for a few days. It's nice to have family here so I'm not by myself. 

We went back to the doctor on Tuesday for a 48 hour follow up with our pediatrician because of the problems we had in the hospital. Luckily, Jacob passed with flying colors. He had already gained back and passed his birth weight! He was 8lbs 7oz! The jaundice was completely gone and he looked great. It was a relief to hear and helped calm my worries some. I felt better after leaving the doctor. 

And so here we are. Living each day as it comes. We've fallen into a pretty good routine. And Jacob's eating schedule is pretty good so far as well. He's a pretty content baby and makes things easy on us. Let's hope it stays that way! :) We also fall more and more in love with Jacob every day! And it's fun to see how much he changes every day! You can't tell much by looking at him, but looking back at pictures from his birth, you can notice differences. He's also just a fun baby to watch sleep. He makes the funniest faces. And the funniest noises! We couldn't be happier!

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