Now that Nathan is 8+ weeks old, I feel like we've made it over the first "hump" of life with a baby. Lots of people said that the first 6 weeks are the hardest, and while I don't have much experience beyond that point yet, I do think there is something to be said for getting through those first 6 weeks. Do we have a solid routine that never varies? Of course not. Are there still crazy nights and moments when things seem to fall apart? Definitely. But in general, I feel like we have gotten to know and understand this little person so much better. We recognize which cry means "hungry" and which means "I'm tired and crabby and need help calming down before I start to scream bloody murder." We are
starting to develop a schedule of sorts, and the predictability and sense of routine make it easier to anticipate and respond to his needs.
Throughout these early weeks, we've tried different techniques and utilized different tools (for lack of a better word), and we've more or less figured out which things work for us... and which ones do not. Every baby and every family is different, so I am by no means suggesting that this list is the secret to success for everyone. But one thing I found helpful was reading similar posts and suggestions by others who have been in this stage before (or are in it currently). I think it's great to share ideas and offer as many perspectives as possible. You never when something that you have tried might just be the thing that works for someone else. So in that spirit, here are some of my thoughts and observations...
****************Swaddling****************
The nurses swaddled Nathan in the hospital and it seemed to work well, so we kept it up when we first brought him home. There are lots of ways to swaddle, and I don't know what the different methods are called, but the way we learned resulted in his legs being bound up so that they bent at the knee (like a frog). And then around Day 4 or so, my mom and I released him from the swaddle to let him stretch and kick around on his lion mat. And that was more or less the end of the swaddle. Whenever we tried to reinstate it, he appeared to oppose the idea violently (and loudly) so we concluded he was done with being swaddled. We did, however, start using a
Halo Sleep Sack at night, mostly as a means of keeping him warm. We were leaving his arms out (the Sleep Sack allows you to swaddle arms in or out). And then I started reading about the startle reflex and how it can be partly to blame for frequent wake-ups at night. So we started swaddling his arms in with the Sleep Sack and he started having more good nights with longer intervals of sleep. Victory!
Fast forward a couple of weeks and we were in the midst of a full blown growth spurt complete with super-cranky baby who would not (or could not) calm down. In a fit of desperation, Paul wrapped him tightly in one of our
Aden + Anais muslin blankets (love these!), and within minutes he was not only quiet, but drifting off to sleep. Random fluke or miracle solution? Over the following days and weeks, we proceeded to implement what we now call the "enchilada wrap" whenever Nathan became extremely fussy or in need of a nap but fighting it. Sometimes it takes longer than others to work, but overall, it has become our #1 method for getting him to calm down and fall asleep for nap time. We use it at least once a day now.
Lessons learned: There is more than one way to swaddle a baby, and it is worth trying a few before ditching the idea. For us, the Sleep Sack (or another variation) has worked well for nighttime and doubles as a wearable blanket to keep baby warm. In addition, we use a modified swaddle during the day to calm a fussy baby and help him nap.
****************Pacifier****************
Pre-baby, I was leaning towards not using a pacifier. After all, I had heard about how hard it can be to break the habit. But the more I read, the more I learned about how pacifier use can actually help decrease the incidence of SIDS (although the reasons for this are not 100% clear). Furthermore, my mom pointed out some research that said infants who are denied the access to suck often (on anything) are more likely to end up sucking their thumbs well into their preschool years, often resulting in dental issues. Since I was not keen on having him permanently attached to my boob, we decided to give the pacifier a try. Turns out, he either wants it or he doesn't. Sometimes he keeps it in until he falls asleep. Other times, he sucks on it a bit and then spits it out before falling asleep. Sometimes we use it when he isn't actively nursing any more, but still wants to suck on something. Other times you offer it and he presses his lips together and shakes is head as if to say "no!" He seems perfectly happy deciding when and where he wants his pacifier.
Lessons learned: The pacifier can be a useful tool. Some babies (like mine) have a very strong sucking reflex and like to suck even when they aren't hungry. From what I've read, it is relatively harmless at this stage (and might even be beneficial). I will definitely be researching how and when to wean him off of it, but for now, we let him be the boss and decide when he wants it. Oh, and another thing... never leave a pacifier in reach of a certain Silver Lab named Gibbs. Unless of course you want to find it chewed and then regurgitated in the garage several hours later...
****************Breastfeeding Tools, Tips, and Tricks****************
Breastfeeding was difficult for me in the beginning. Even though I'd been to the classes and read the books and *thought* I knew what I was doing, I still wound up with sore, cracked nipples and a decreased supply that may have contributed to Nathan's slow return to birth weight (still feeling guilty about that). I also became quickly overwhelmed by the amount of information, much of which was contradictory and/or somewhat threatening in nature: "IF you DO NOT do X, Y, and Z you WILL hurt your supply OR confuse your baby AND probably sentence them to all sorts of terrible diseases down the road. On the contrary, if you DARE use A, B, or C you will likewise DESTROY all benefits of breastfeeding." Okay - that might be a bit over-dramatic, but that is how you perceive things when you are awash in postpartum hormones and sleep deprived :)
I really wanted to make it work, so I eventually decided that it was better for me to try something and have it help than to NOT try something just because it was condemned by the majority of lactation consultants and breastfeeding support websites. It was either that or quit and switch to formula, and I wasn't ready to throw in the towel yet. Here is what I tried that worked:
- Nipple shields. Yes, you can read all about how these are not recommended except in extreme situations and might actually lead to more/different problems down the road. Whatever. I used them to ease myself back into nursing on a particular side after taking a 24-48 hour pumping-only hiatus. Much of the pain was alleviated and after a couple more days, I was able to discontinue them altogether. Some babies might have issues transitioning, but Nathan did not.
- Breast pump. Mine is the Medela Pump-In-Style Advanced and I love it. My only complaint is that I have to sit in a kind of awkward pose to maintain the angle of the flanges that keeps milk flowing down into the containers and not get it backed up in the system. But that might just be the shape of my boobs :) Overall, the pump is great and it really helped me through those rough weeks. At one point, I took a nursing hiatus on my right side for about 48 hours; during that
time I nursed only on the left, pumped only on the right, and used what
I pumped to supplement his feedings. Once the right was healed, I took a
similar break on the left. That was one suggestion I found on a
lactation support website that really did make a big difference for me,
and I wouldn't have been able to do it without a great pump. Not only did it alleviate the pain and allow me to take a break from actual nursing, but it helped build my supply by letting me express milk between feedings. I didn't have all the parts for my electric pump in the very beginning, so I relied on my Medela Harmony hand pump. While it was tiresome to do manually, it did work quite well. And that early on I wasn't producing a whole lot yet so it didn't take nearly as long as it might now. These days I pump pretty regularly a couple times a day. Nathan gets some of this in the form of his bedtime bottle (more on this topic later). I also freeze some of it, and some gets used for when someone else is watching him.
- Lanolin. I only ever used the Medela brand (it was just easier when registering to pick out everything from one brand), but I'm sure others work just fine too. This stuff is great. I used it after every single nursing, and even sometimes after pumping in the beginning. It was the only thing that made putting a pad/bra/shirt back on somewhat bearable. I also slathered it on after showering. I don't really need it anymore, but it went everywhere with me for the first few weeks.
- Anti-inflammatory gel pads with witch hazel. I used a couple different brands/types of these, but I think they're all basically the same. Our nurse brought me a couple our second day in the hospital (when I was starting to get sore) and I almost cried from the relief when I first used them. They're even better if you can refrigerate between uses and apply cold. I used them religiously for the first 2-3 weeks. You are supposed to wipe your breast/nipple off with water each time before nursing, which is kind of a pain. And I won't lie - I might have skipped that step a few times. But overall they were worth the hassle for the amount of relief they provided.
- kellymom.com. The one time that I called a lactation consultant after leaving the hospital (we had done a consultation with one while in the hospital as well) she recommended this website. At first glance it looks pretty intense. And yes, it contains some conflicting information and some that comes across as a little scary. But overall, it is a great (and trustworthy!) reference for quick questions. I use it when I just need to look something up real quick (like whether or not it is okay to combine milk from different pumpings) and don't want to spend time digging through a book to find an answer. The site is also pretty easy to navigate.
- Nursing tanks. I bought four so that I'd have a couple to take to the hospital and a couple clean ones waiting at home. Since then, I have purchased four more. My daily, hanging out at home uniform consists of a pair of pajama or yoga pants, some kind of robe/zip-up hoodie/flannel button-down shirt, and a nursing tank. So comfortable and easy! I have nursing bras too, for when we're going to be out and about. But I find the tanks so much more comfortable and easy for around home :)
- Nursing pillow. I had heard mixed reviews from friends about the Boppy, so I was hesitant to register for one. My officemate, however, offered to loan me her My Breast Friend. She said it was very helpful in the beginning when everything feels awkward and uncoordinated. At our observation session with the lactation consultant in the hospital, she suggested we switch from the "football hold" to the "cross-cradle" to see if it helped (we'd already established he had a good, deep latch, but I was still experiencing a lot of pain). The cross-cradle position did help alleviate the pain a bit, but I found it difficult to adequately support his head and body, especially with my non-dominant hand. This is where the nursing pillow came in very handy. The My Breast Friend style features a belt section that fastens around your waist and can be tightened or loosened to hold it in place. It also has small "bumps" on either side that help hold the baby's head at the right level. I used the pillow religiously for the first 2-3 weeks. Having the pillow to maintain correct positioning allowed me to focus on things like the latch, the suck-swallow rhythm, and the cute faces he made while eating :) I no longer need a special pillow and can pretty much nurse him anywhere, but I highly recommend it for the early weeks!
And here is what I tried that did not work:
- Nipple guards. These are protective "shells" that you wear over your nipples inside your bra. They sounded good in theory. My nipples were so raw that I couldn't stand for anything to touch them (fabric of any sort hurt, nursing pads hurt, water hurt, a slight breeze hurt). The guards did keep anything from touching them, which was nice. But they were a bit uncomfortable to wear, looked ridiculous under my clothing, and you weren't supposed to wear them at night. I used them for a day or so, but wish I hadn't spent my money on them. Oh well!
- Dropper feedings. Technically, these did work, but they were not really necessary in our case. Nathan has never had a problem sucking on anything you put in his mouth, so really we could have gone straight to a bottle and not messed with droppers. They're kind of messy and inefficient. But again, we were told (and had read) that offering a bottle too early would wreak havoc on all our efforts to breastfeed, so if we absolutely had to do an alternative style, dropper feedings were the only acceptable way to go. Again I say... WHATEVER! Of course, every baby is different. You gotta do what works best for your situation!
Lessons learned: Do what you need to do to make it work for you. Ask opinions, read a lot, and take away what is helpful and ignore the rest. Breastfeeding does not immediately become the beautiful, natural, easy process that you often see depicted in pictures. It takes work, and sometimes that means trying out different tools and techniques to help you over the initial difficult stages.
****************Rock 'N Play Sleeper****************
We got a rock 'n play sleeper as a shower gift (it was on our registry) and it has to be one of my top 5 favorite things for baby. Even before Nathan was born, I heard stories from friends and acquaintances about how much they loved theirs and used it frequently. And they were right! It was where Nathan slept for the first 3 weeks of his life before we transitioned him to his crib. I think the design really helped him feel all snug and cozy, like in the womb. It is also super-light and portable, so you can easily move it from room to room to use for naps or just a place to put the baby while you pour a bowl of cereal or use the bathroom. And it is still where he takes his longest nap of the day (early afternoon). We do the "enchilada wrap" and put him in the rock 'n play and he usually sleeps for at least 2 hours (if not longer). I would seriously consider buying this for everyone I know who is having a baby.
****************Mobile****************
Everyone says these are silly and frivolous and are more for looks than function. I beg to differ. Again - every baby is different, but Nathan LOVES his mobile. He will stare at it and laugh and kick and be perfectly entertained for as long as 20-30 minutes sometimes. I do wish the movement and music lasted longer (it has to be wound up pretty frequently), but that is my only complaint. It works so well as a distraction for him, I've even been able to lay him in his crib while he fussing, turn on the mobile, and within a couple minutes he will calm down. This is helpful when it is nearly time for something (a feeding, diaper change, or nap) but we need just a few minutes to take care of something else (like bringing in the groceries, using the bathroom, or pouring a cup of coffee!). There is also a mobile on his pack 'n play that works really well. It is motorized (no winding) and runs for about 10 minutes. While traveling last week, we used it every night to help him drift off to sleep at night. I'm sure some babies want nothing to do with a mobile, but for us, it is more than just a decoration.
****************Gas Drops****************
Nathan doesn't always burp well after a feeding, so these have been quite helpful. He does this "stiff-as-a-board" thing when his tummy is hurting from a painful bubble and screams bloody murder. If we've tried to burp him in various positions, with no success, a dose of these usually does the trick. We've used both the kind containing simethicone and one containing ginger extract (both made by Little Remedies). Both work pretty well.
************Getting Baby to Sleep: Tools, Tips, and Tricks************
Much like breastfeeding, there are a LOT of recommendations out there about how, when, and where to get baby to sleep. Some of it is widely accepted (on their back, no loose blankets, etc). But there really is no one-size-fits-all method that works for every baby. As a result, you can find a lot of conflicting information and advice. I intend to write a whole separate post about sleep/nap schedules and related things, so for now I'll limit this to what has/has not worked for us. I've already touched on a couple of things that we have found helpful, including swaddling, use of a pacifier, and a rock 'n play sleeper for naps and overnights during the first few weeks. Here are a few more things we've tried:
- White noise. You can find both advocates and opponents for the use of "sound" to help lull your baby to sleep. Many encourage it. And certainly, just about every baby gadget out there offers a music and/or nature sounds option. Others caution that using noise to aid sleep will only make it more difficult for baby down the road by making it impossible for them to fall asleep without it. I don't know who is right or wrong (or even if there is a right or wrong). But the little research I've done suggests that the use of constant "white" noise (such as a fan or radio static) can help keep babies sleep longer. We've been using radio static for both nap times and overnights. I can't really tell whether or not it helps at night (he is sleeping about the same at night as before we introduced the white noise). But I do think it is helping him sleep longer during naps.
- Baby swing. This is a relatively new addition to our repertoire. I was hesitant to get one at first - we already had a bouncy seat and the rock 'n play, as well as a couple different play mats. Did we really need another place to put the baby? But the more I read about baby sleep, the more I became convinced that we should give it a try for nap times. We got our swing a little over a week ago and I'm so glad we did. Nathan will nap in the bouncy seat and, as mentioned above, in the rock 'n play. The difference is, with those, he has to be asleep before we put him down. And occasionally the transfer wakes him him. With the swing, I can put him in it awake and he will fall asleep on his own. He sometimes fusses a bit, but usually calms down within 10 minutes or so. Depending on our schedule, he takes at least one nap a day in it.
- Digital-video monitor. We registered for this after I had researched them extensively. Traditional, non-digital audio monitors often interfere with wireless internet signals (something our parents never had to worry about!), so digital technology has developed to help minimize that issue. We have had no problems with WIFI interference. The video aspect works great and is helpful for
spying checking on the little guy without going into the room and risking waking him up with the creaky door :) We have a two-story house and a large yard, so this will be an even more useful gadget in the warmer months when we need to do chores outside.
Some things that have
not worked for us:
- Co-sleeping/room-sharing. Initially, we thought we would keep Nathan in our room at night for the first few months. Unfortunately, the combination of not-a-lot-of-space and too-many-curious-animals is really not conducive to that arrangement. We gave it a try, but no one really slept well. In the end, I feel it's safer for him to sleep in his room, which is right across the hall. I don't have to worry about curious kitties - who like to snuggle - jumping into bed with him. Furthermore, things that would likely wake the baby in our room (our dog Gibbs, my husband's pager that goes off at all hours) are less likely to do so when he is in his own room. I understand the appeal and convenience of having the baby in your room at night, but it does not work for our situation.
- Warm bath. Several books and blogs I've read suggest a warm bath as part of a nightly routine. Maybe this works for some people whose babies enjoy bath time, but that is definitely NOT us. Nathan does not like having a bath and usually screams bloody murder, so for us to do it on a nightly basis as part of a bedtime routine would be very counter-productive. Furthermore, we are already battling a bit of dry skin with him. Too much bathing would actually make that worse, so we are sticking with our once-a-week bathing schedule unless otherwise necessary (like the time he peed in his own face).
****************Baby Carrier****************
We went with a Baby Bjorn "Air" model. After extensive research, and asking opinions from various friends, I came to the conclusion that there is no one-size-fits-all when it comes to these things. Everyone has their own criteria of what constitutes a good carrier. We chose this one for two reasons: 1) it was one of only a handful of options that you could actually see and try on in the store, and 2) it designed to be cooler to wear by allow better air circulation using mesh material. As small as babies are, wearing one is like wearing your own personal furnace. Add to that the postpartum, hormone-induced temperature fluctuations, and you've got a recipe for some serious sweat. The carrier is nice because it allows me to be hands-free. It was especially great in the very beginning when Nathan was less predictable and needed to be held all the time (as opposed to now when he is content to sit in his bouncy chair or swing for a bit while I eat or use the bathroom or whatever). It was also extremely helpful when he reached the point where he was getting over-stimulated and would fuss for 2-3 hours straight in the evenings. The carrier surrounded him, somewhat blocking out light and sound, and held him close against my chest where (I assume) he could hear my heartbeat and the vibrations from my voice. Sometimes that, combined with a little bouncing, was all it took to calm him down. He even took a few naps in there in the early days. I think we will get even more use of it as he gets older and can be held facing forward.
****************Fun Stuff****************
There are a few things that we purchased or were given that aren't absolute essentials, but that we really like and use frequently:
- One is the "Cloud B Twilight Turtle" that we call Floyd. It's basically a nightlight, but instead of a bare bulb, it projects light through star-shaped holes in the turtles shell, resulting in a star-covered ceiling. You can change the light to be red, blue, or green. It runs on a timer and shuts itself off after 10-15 minutes or so. I had more than one friend recommend this to us, so we ran out and added it to our registry. Older babies and toddlers probably get more of a kick out of it than Nathan does at this point, although he is starting to notice it more (the stars "twinkle" in the dark thanks to his ceiling fan). But it's also nice for us because we can turn it on when we're getting him ready for bed and it gives off just enough light to be able to move around without banging into things.
- Another item we really like is the lion-shaped "Bestever Baby Mat." It's like a big, plush, flattened, stuffed lion. It's a great place for baby to lay and kick around. Nathan likes to "exercise" on it in the mornings especially. We sometimes prop a pillow under it if he doesn't want to lay flat. It's so soft and snuggly - I seriously want a giant one for me :) It's also lightweight and small, so it's great for traveling when you just want another option other than the pack 'n play to put the baby.