Co-Sleeping

We were going to co-sleep.

We don't.

Here's why.

--

First of all, co-sleeping is generally considered safer/more beneficial than crib-sleeping these days. Here's the first Google result on why (it does link to studies):

http://www.askdrsears.com/topics/health-concerns/sleep-problems/scientific-benefits-co-sleeping

Let me quickly distinguish between co-sleeping and bed-sharing. They are often considered to be the same thing, but this is an "all thumbs are fingers but not all fingers are thumbs" scenario. Bed-sharing is co-sleeping, but co-sleeping is any sleeping arrangement where your baby is in the room with you. Now let's move on.

Planning for perfection, we set up our Pack 'n' Play bassinet next to our bed. We were going to co-sleep for at LEAST six months, according to... me.

And yes, all of the baby furniture matches. It mattered at the time.

As you know from my last entry, I dealt with fairly crushing anxiety the first few weeks postpartum, and that I partially credit (blame?) the hospital stay for triggering it. My mind was trained to believe that things were going to go wrong no matter what I did.

Well, while we co-slept, I slept horizontally on the bed so I could be right next to the bassinet. I woke up every twenty minutes to check his breathing, and remained awake for at least another twenty minutes (usually longer) before I could sleep again.

Every noise he made woke me.

When he was too quiet it woke me.

I obsessed over him being okay in that co-sleeper. My first solution was to jump from co-sleeping to bed-sharing.

When we bed-shared I got even less sleep, terrified that we would roll on him (even in our king bed, where all three of us had plenty of space to ourselves). His breathing kept me wide awake. I would fall asleep while nursing and feel so guilty that I'd put him at risk. I wasn't mother of the year during the day either. My lack of sleep at night made me fall asleep during the day while I was holding him on the couch, also a big no-no (side note: other people were always present when this happened). If I was doing the "safest" thing at night, why did I feel like I was putting him at risk?

Tim went out of town the week after Daniel was born. At the time my mom was staying with me, and some nights she kept him with her so I could get some sleep. She was staying in the guest bed, which happens to be in the nursery, so on those nights he was sleeping in his crib. I got infinitely more rest on those nights, but much like my experience with nursing, I had latched onto the idea that co-sleeping was "best," so I had to do it.

Eventually my own lack of energy began to wear on both of us (meaning me/baby). He could tell how wired I was at night; he fed off of those negative vibes and slept poorly. During the third week, I ordered an Angelcare monitor (deluxe edition of course... I have a worry problem) when I finally decided that what was "best" was not best for us.

The night after my family left, the night before Daniel was one month old, we set up that monitor and he slept alone in his crib for the first time. We all slept much better, and his nighttime feeding schedule immediately regulated itself.

My happy crib baby.

Once again, I'd thrown my plans away. Once again, my baby was happier because I'd thrown my plans away. Learning to listen to my son continues to work better than any theory or plan.

Feeding Daniel

"What's wrong?"

I hear him ask me, but I can't bring myself to answer him.

"What is it?" he says this time.

I just point helplessly at the wasted bottle, walk to my side of the bed and collapse, head in my hands. I'm a failure. I know it now.

When he sees the bottle he understands and comes to hold me, saying all of the right things. "I know, you worked so hard to get that milk. Now you feel like your time and effort was wasted. Remember what the pediatrician said: even if he only gets a little bit it's okay. You're doing your best." He knows me; he's predicted every thought racing through my head and he's doing his best to chase them away. But I'm my own worst enemy here, and I fixate on that paltry amount. Forty minutes of pumping for an ounce and a half. So much time for so little, and now it's for nothing.

I'd forgotten it on the bookshelf well past the time it can stay out. If only I'd caught it in time I could have put it in the fridge, but I didn't, and no more has come today. This is the first day my son will only drink formula, and it's my fault.

--

On the websites I see women who can "pump and dump." That is mom-speak for when you've perhaps ingested something that you think will be harmful to the baby (it probably isn't), so you throw away the breast milk that comes in the next pumping session.

I resent anyone who intimates that they have the ability to pump and dump. I could never throw away my hard-earned breast milk that way.

A woman in the local mom's group mentioned that she pumps about 9 oz. in 20 minutes and GOODNESS is it annoying to store up that much.

At my best, it took me 40 minutes to an hour to pump 2.5 oz. I produced maybe 5 oz a day, which is just over the amount Daniel takes in ONE feeding. Of which he has 6 a day. I have a hard time feeling sorry for Ms. Nine Ounces in Twenty Minutes.

This is the story of how I feed my son. Getting here was not easy. Things could have turned out a lot differently, or maybe they wouldn't have at all. There's no way of knowing, and it wouldn't be fair for me to blame any one thing (or any one person) on my low milk supply or my son's disinterest in nursing. However, it is cathartic for me to talk about it, so let's start in 2005.

--

Yes, my lack-of-nursing story starts nearly ten years before kids were on my mind. At 16 I had a breast reduction. My breasts were gigantic, cumbersome, and a pain on so many levels. My self-esteem was in the toilet, and insurance approved the surgery, so I was totally on board for it. My doctor made in clear that breastfeeding after reduction surgery was not a guarantee. I wouldn't know for sure -he said- until I had a baby.

I share that to say I knew not to be invested in nursing. I was willing to do formula immediately, and I've never regretted my surgery. My mistake was expecting an all or nothing situation. If I couldn't breastfeed then I was fine with that, but if I could then I assumed that I would have a full and easy supply like every other able-breasted woman. Therein was the flawed assumption.

Early in my pregnancy it was evident that I would in fact get breast milk. So we took a breastfeeding class, ordered a mechanical pump, and stocked up on nursing bras. I still can't say that I was "all about" breastfeeding. I looked forward to it, but I didn't get caught up in the idea of developing a sacred, mystical bond that only I, his irreplaceable mother, could have with him through breastfeeding.

However when you have a baby, particularly -I think- after a c-section, you're in a very vulnerable place. Suddenly you're susceptible to comments and opinions that wouldn't have mattered in your non-hormonal, unmedicated state. It didn't help that my c-section was not handled well. The operation itself was fine and the people were great, but things happened before and after that severely damaged the trust I had in the hospital. That's a story for later, but suffice to say it put me in a bad place mentally immediately before he was born.

--

We were only separated for a little over an hour, and when we first did skin-to-skin I recall it being pretty laid back. My doula helped us find a good hold, he latched off and on, and it was all very experimental. I felt no urgency and my son seemed content. Riding on the success of those first moments, we nursed like that for the rest of the day. I had no idea if he was getting anything from me, and he wasn't really that into trying, but he seemed fine and I didn't worry. That night, I -exhausted from giving birth-, he -exhausted from being born-, and Tim -exhausted by proxy- slept through the night. I remember waking up feeling like the three of us had done what we needed to do. Even better, we'd done it together. I was excited for our first full day together.

Then the nurse came in.

I'll preface this by saying that there were certain nurses that were just wonderful and will always be special to me, and no nurse was "bad." But while the hospital has adopted new policies that are considered to be pro mom-and-baby, they still enforce policy over the individual needs of each mother and child. When hospitals do that, it doesn't matter how progressive the policy is, it is still closed-minded and oppressive.

Well, the nurse freaked out when I told her how long we'd all slept, and insisted I try to nurse immediately or my supply wouldn't come in. I was stunned. With the way she'd said it, you would have thought that he was starving and that I'd ruined everything. If you know me, you know that being aggressive with me is possibly the least effective way to interact with me. And "normal" me would make sure you knew it. But this wasn't normal me. This was hormonal me. This was medicated me. This was tired me. This was in-pain me. This was new-mother me. And even though my instincts told me that I'd done nothing wrong that night (our FIRST night together), the seed was planted.

My supply is in danger because I didn't wake him up to nurse.

He was hungry and I didn't feed him.

He must eat now... if I can't get him to latch now it'll sabotage our entire breastfeeding relationship.

He wasn't ready to eat but I tried to nurse him. He would not eat.
"Have you hand expressed?" the nurse asked.
"Um... no," I answered timidly. "I don't know how to do that."
"Did you pump through the night?"
"No, we all slept through the night."
"Well, if he doesn't eat soon and you're not sure you're producing, we'll have to give him formula."

Something in my mind broke. I don't know how else to describe it, but that was the moment I stopped being good enough. It would be weeks before I felt confident with my own child again, before I could tell myself that I know him best and mean it.

This nurse did not suggest formula. She stated it as a fact. The hospital that had bragged about not giving formula unless it was asked for (and pushed breastfeeding in a way that I also didn't agree with) had changed its tune very quickly. One night and suddenly I could not do this. One night and I'd wrecked my supply forever. Desperate, I told her that my lactation consultant would be there any minute to help, and that we would not be giving him formula.

That entire morning of breastfeeding was unsuccessful. He would latch easily but become frustrated when nothing came out immediately. If he got too upset he'd bite on my nipple... which hurts exactly as much as you imagine it does.

My lactation consultant arrived and I was so ready to be told to trust in me and my baby. What I heard was more of the same: I should have started pumping during the night, I should hand express to see how much colostrum I'm getting, and maybe I wouldn't be able to breastfeed after all. She watched me nurse and he bit down on my nipple almost instantly. She examined him and said that his suck was inconsistent and that he probably had a tongue tie. She showed me how to use my pump, arranged for a specialist to come look at him later that day. Looking back I know that she didn't realize how delicate I already was. If I'd asked for her to come back she would have, but I began to feel the urge to isolate myself.

The specialist visited us and said he did have a minor tongue-tie that didn't really need to be fixed. When she described the process of fixing a tongue-tie I almost cried, and said that we would definitely not put him through that if it wasn't necessary.

The rest of the day I got used to pumping and kept nursing with mixed success. That evening we had one really great nursing session, where he aggressively ate for about an hour. It was just my parents and I in the room. They urged me to just relax, and to forget what everyone else said. We dimmed the lights and quietly he ate. I sighed with relief, hopeful that this was the point where it all turned around.

--

That night he screamed and I couldn't make it better. Another nurse came in.

"Have you nursed?"

"Yes, but he doesn't want to nurse."

"We can put some formula on your nipple to encourage him to nurse. We can also try a pacifier."

I'm been told stories of formula and pacifiers like they were Halloween horror stories. Evil things that would ruin my son's latch and destroy our nursing relationship. This nurse wasn't asking either, she was aggressively suggesting. I told her I wanted to wait longer.

"Call me when you're going to nurse again," she said, with the tone that I needed her input as I fed my child.

He screamed some more and would not nurse. The nurse came in with a bottle of pre-made formula and a pacifier. Without really asking, she reach forward and dropped formula on my nipple. A stab of failure went through me as he latched and started to eat. It had worked, but I'd given him formula. What if he needed formula now? We continued to use drops of formula, and he would latch and eat. Until he wouldn't. Then he screamed again. These screams weren't the same as before. My instinct told me he was gassy. I recalled that the formula we'd used for the drops was a brand I hadn't been able to tolerate as a baby (according to my mom). We held and burped him but nothing seemed to help.

The nurse came in again and commented that she'd heard him screaming, as if this were a situation unique to us. Somehow we were the only parents on the floor up with a crying baby, she implied. "We can give him a cup of formula."

Thankfully Tim spoke up, "We're not ready to try that yet."

She shrugged with an "everyone gives in eventually" expression and said once again to call her before we tried to nurse.

I knew he was gassy but I doubted myself again. What if I hadn't given him enough? His cries wouldn't stop. The nurse came in again, "Do you want to nurse?"

"NO," I said, not even raising my head to look at her. I was tired of being pushed by her, tired of him relying on me, and not being able to give him what he needed. I knew what she would suggest, and I knew I had to say yes. If I wouldn't nurse him, he obviously had to eat something. She gave him a cup of formula while I looked away. He stopped crying, a sign that I was doing everything wrong.

But when he was done he still screamed, stronger this time. I suggested that he must be gassy, seemingly to the air because the nurse said, "Well if he's not hungry I don't know what to tell you," and she left. At one point that night, she came and took him out of the room while we watched, too tired and broken to say no. I berated myself for not keeping him with me, and hated that someone else could calm him, especially someone I found so invasive and irritating.

Any calm he felt that night was short lived. As night began to fade, Tim and I sat there watching him cry. Gently Tim suggested that, if I felt ready, we should try the pacifier. No one's opinion mattered but ours, and we should do what we felt was best. Bolstered a little by his confidence in us, I said yes. We gave it to him, and he calmed down for a while then.

--

Our daytime nurse the next morning was lovely, and by far our favorite. When she came in and introduced herself she could tell we'd had a rough night, and asked how she could help. I told her that I didn't have the energy to nurse. There was no judgment, she just gave him a cup of formula and chatted with us. She encouraged us to trust our instincts about the pacifier and not worry about who said to do what.

That morning I was also visited by a hospital lactation consultant. She asked how we were doing, and I skimmed over all the "rules" we'd broken the night before. She gave me all of the advice I'd already gotten from books and breastfeeding classes. She made a small comment about the lactation consultant I'd brought in from a private practice. It seemed like they had an issue with "outsourcing."

Nursing didn't really work or not work that day. I honestly don't remember because that day was much worse for me health wise. As bad as it sounds I didn't spend a lot of that day worrying about how he ate. I do remember specifically telling them he needed something for gassy babies, so he must have gotten formula, though I'm sure I also nursed at some point.

Throughout that day our nurse continued to be incredibly supportive. When I was at my lowest moment (receiving a blood transfusion, but that's a story for later), she told me "I know this doesn't help you now, but I'm going to say it anyway. This is temporary. All of this is temporary, and it will be better." I took deep breaths and tried to make that my mantra.

--

The following morning (the day of discharge) he nursed so happily that once again I thought we'd made a breakthrough. The problem was that my milk still hadn't come in. With a c-section baby it can take up to five days, and I couldn't imagine him sticking with me for that long. Even during his best nursing sessions we had to constantly keep him attentive. He didn't want to work to eat, and he was pretty stubborn about it.

At some point another hospital LC came in, said some textbook things that I'm sure were meant to be new information, and left without observing us nursing or doing anything personable or hands-on.

--

Our first night home, there was nothing we could do to keep him awake at my breast. My instinct told me that when he was hungry enough he would eat, but the professionals had told us that he HAD to nurse every two hours or he would shut down from exhaustion. Bottle-feeding MUST wait a minimum of three weeks or the baby will stop nursing. Not that my baby was nursing anyway. I worried over how much he was getting. When you're breastfeeding you have no visual and no guarantee that your baby is getting enough, and he already didn't nurse well.

--

The next morning, seeing that I was exhausted, sitting with me while I cried silently for no reason and every reason, my mom told me to forget what others had told me was the right thing to do and decide for myself. I hesitantly thought of my plan. Really it didn't make sense for me to exclusively breastfeed. My son didn't like it, and I'd be going back to work in eight weeks anyway. I also decided that I was having too much anxiety over him not eating enough. Tearfully, I said I wanted Dad and Tim to go get some supplementing formula to try.

When they brought it back, Mom fixed a bottle and gave it to me. I put it in his mouth and saw my son truly eat for the first time. I wept then, so sad and so relieved. He ate vigorously, and stared up into my eyes, so peaceful and alert. For once he wasn't stressed; he was just being nourished. My anxiety lessened when I had a visual of how much he was drinking.

My milk came in that night. I pumped, excited that soon I'd make enough milk to stop using formula. I'd make enough to freeze and send with him to daycare!

--

We returned to the hospital the next day to get his bilirubin levels checked. The nurse who came in happened to be one of the LCs I'd seen during my stay. She immediately asked if we were breastfeeding. I said no, I was pumping.

"You're pumping enough to feed him?" she asked in a surprised tone. I couldn't help but feel like she was pushing for me to admit something. After all, he'd be getting the same amount if I were breastfeeding, but I doubt she would have asked then.

"We are supplementing," I said shortly.

"Well... [your outside LC] is great, but if you think you'd like to give it a try again, just let us know."

I could read between the lines, whether or not it was intentional. I was having these problems because I didn't trust the hospital. I wasn't trying enough. I didn't want it enough. The milk from my body wasn't good enough if it wasn't straight from my breast.

Thankfully we went straight from that appointment to his first appointment with our pediatrician. She was instantly supportive. "Whatever you can give him is fine. Even a little bit makes a big difference." And that was that.

I was feeding my baby, and however I did it was fine.

--

I never pumped more than 3oz at a time. As my health deteriorated my supply dwindled. Stomach spasms kept (and continue to keep) me from eating and drinking enough to even maintain where I started. I realized that sooner rather than later I would be a formula mom. I'd been okay supplementing, but I couldn't handle the thought of giving him none of my milk. During that time I forgot my pumped milk on the bookshelf and fell apart. I popped fenugreek pills and ordered Mother's Milk tea in bulk. I still never produced more than 3oz a session, and even that much was only once a day. Every other pumping session I would get maybe 1.5oz.

I tried to nurse every now and then, because I knew I wouldn't be able to do it much longer. When I put him to my breast he looked up at me with an expression I'd only seen before on sixteen-year-olds who couldn't believe I'd given them homework. A look that said I couldn't possibly be suggesting that he do this crazy thing. That's when I knew he was much more laid back about this than I was, and I needed to let it go.

--

And then on a random night when he was three weeks old, Daniel nursed. He was fussy (out of character for him), I was basically too lazy to get out of bed and fix a bottle, so I offered him my breast experimentally. I was shocked when he calmed down and latched. To this day I don't know if he actually got anything, but he nursed for an hour as he peacefully soothed himself to sleep. He's almost six weeks now, and I doubt he'll do it again. I've stopped offering on a regular basis, satisfied with the way his big grey eyes stare up at me when I give him a bottle. He trusts that what we're doing is okay.

Today my left breast leaked for the first time in almost a week. I've gone without pumping for almost two weeks. At the end I was pumping for an hour at a time, and only getting may half an ounce. It stopped being worth it, and its worth was only what I gave it anyway. I was fortunate to have no real issues or pain when I stopped. I was fortunate to have a pediatrician and OB who understood and were nothing but positive about what I'd already done. My body gave me what it could, and now it's done.

My big boy ate 6oz of formula during his last feeding. He's become a real chunk, and is well on his way to sleeping through the night if he keeps up these larger daytime feedings. Since bottle feeding he's completely regulated himself to a predictable schedule. He's a happy, alert, cuddly baby. I know I'm lucky that he is good, and rarely fussy. More than that though, I know that he is secure and confident because I am becoming secure and confident. At this point I have mostly overcome the embarrassment, shame, guilt, and anxiety that was triggered. I know that everyone meant well, and I don't think I resent anyone even if they were careless. I've relearned that I know my baby best. I wish I'd never forgotten.

--

I want to emphasize that if someone around you has just had a baby you should always assume a supportive role. That does not mean an advisory role. The time after birth is very delicate for new mothers physically, mentally, and emotionally. Even advice if not presented in a thoughtful way can be damaging. So just support her. Listen. Attend to. Protect. Breastfeeding is mostly a confidence game. If a mom is being encouraged to do what works for her then it is more likely to go successfully. "What works for her" might include not doing it at all, and she should be confident in that choice. Help her to have that confidence.

--

UPDATE 5/31

I published this on 3/30. Goodness, how far we've come! I wanted to update, clarify, and state some new thoughts before I open this up to a new audience.

The "stomach spasms" have since been diagnosed as ulcerative colitis, and potentially Crohn's disease. It's since gotten much better (the condition is chronic but also sporadic), but by the time I was able to eat more my supply was gone for good. I still refuse to eat until I'm home from work in case it triggers a flare up. I'm starting medication next week when school is out, so I'll be at home to deal with potential side effects.

I also want to further clarify that I respect the intentions of the professionals I encountered those first few days of my son's life. I'm sure some (even most) women find them to be helpful and indispensable. Is it possible that our personalities just didn't gel? Yes. It's possible. What's more likely is that all of the extenuating circumstances (both mine and theirs) worked out in such a way that our interactions were not successful. I only know my side of course. My impressions at the time are no less valid for acknowledging this, but it is something I want to reinforce nonetheless, to ensure that my heart holds no undeserved bitterness.

My newest thoughts involve the responses I've received about formula feeding now that I'm out in public again. Firstly, no one seems to think that this is a private issue. Many many people (practical strangers, bless them) have asked me if I'm breastfeeding. I always answer, because if I don't it will seem as though I'm ashamed. Still, I hear the strategically placed hint of disappointment in my tone. It's deliberate, a signal to my counterparts to withhold their judgment for those other moms. I had no choice after all. Sometimes I wish I did, so my choices would be my own and so nosey strangers would be knocked off of their high horses. Many upon hearing I was unsuccessful apologize. Many upon hearing I was unsuccessful are immediately affirming, praising me for doing what I needed to do for my son and not putting the Almighty Plan above his needs. Many upon hearing I was unsuccessful have a tangible sense of relief flood into their eyes. "Me too," they confide softly. I like those the best. Someone who was previously alone isn't alone anymore, including me.

Rarely someone will begin to run down a checklist of "Things You Must Do Before I Will Excuse Your Resorting To Formula," and that's about where I run out of patience and politeness. Please, never, EVER, ask a mother who was unsuccessful in long-term breastfeeding if she tried x, y, and z before she switched to formula. First of all, IT DOESN'T MATTER. Second of all, what good will your suggesting x, y, and z do now that I'm completely dried up? Honestly at this point if you do that I'm immediately convinced that you just want to sound smarter and better than me, and I won't be held responsible for how far my eyes roll. Or, if you're doing that because you've mastered time travel, please use it for something more beneficial than sending me back to talk to a fourth lactation consultant or buy a nipple shield (no, I didn't try nipple shields-- gasp). Thirdly, IT DOESN'T MATTER. Your criteria is not mine, nor does it have to be.

It's easy for me to slip into judgment now that I've experienced judgment. I'm infinitely more sensitive to the advice of breastfeeding moms. I cringe when I hear them suggest doing things that, to me, mean babies are going hungry, which is unacceptable. When they chide a mom for supplementing, or even pumping, my claws come out. That's not the way I should be, and it's something I need to work on. I am thankful however for the boldness that my pain has given me. This is my voice, and I will use it. Not just for formula moms, but any mom who receives criticism for feeding her child differently from what is popular. I don't give any advice apart from "feed your child." The rest is just gravy.

Letting Go

I rarely feel like an adult. I act like one because I know I'm the age where I have to (people my age who can't manage that are a source of constant irritation), but I can't say I ever really feel like one.

Like most people of my generation I suffer from being overly privileged. I'm well aware of how well my life has gone up to this point, regardless of whether or not I've deserved it. I didn't have to pay for college. I lucked into a happy marriage with a man who always astounds me with his love, compassion, and patience. I had just one frustrating season of job hunting before I landed in my career of choice. When others my age are starting to lose grandparents, parents even, I have yet to lose a person close to me. I got pregnant so easily that, with just a week and half left, I'm still kind of waiting for something to go horribly wrong. It's silly that I ever complain about anything. Everything is going well, and I'll always feel a little ridiculous sharing this story. Some will roll their eyes, and rightly so, because maybe they've been through so much more. But maybe others will understand, or at least understand that this is the worst thing I've been through in an admittedly easy life.

I'd noticed that she was losing weight. She was always on the bigger side. Vets always urged us to make her lose a pound or two. Suddenly I could feel her bones under her fur, fur that was oddly limp and thin when it use to be soft and thick. I pushed it away for a few weeks. Then there was finally a moment, when I was holding her, crying because I was hand feeding her, begging her to nourish herself, that I knew an adult moment was coming. I was going to lose her, and it would be soon.

I'm not a pet person really. Some people have the need to have animals in the house all the time, and usually more than one. For me it was never about that. I was satisfied with just her, my constant companion of sixteen years, when few other things were constant. Houses, roommates, friends, and boyfriends changed, but there was always the two of us. She hadn't been a pet for a long time.

One day I quietly told my husband that I should make her an appointment over my winter break. I knew what I would hear, and I knew I couldn't handle it and also work. I was setting myself up for a thoroughly depressing Christmas, but at least I could grieve in total privacy.

I wept all the way to that appointment. I failed in hiding my tears in the waiting room. A tech who's always adored her tried to comfort me, tell me that she would get better soon, but I knew better. Neither a person nor an animal goes from being perfectly healthy to a skeleton in just a month or two. She was so thin that I'd been able to feel her kidneys the day before the appointment. Maybe it was my growing maternal instincts, but I knew I would not be wrong. They took us to the examination room and I just cried. I couldn't stop. Before examining her the vet tried to be hopeful as well, assured me that it could be something treatable, like diabetes. My husband asked her to do a full body examination first before we did any extensive testing. I could see it in her face when the examination was done.

It happens like it does in the movies. You hear that it's a tumor. You hear the word "inoperable." You hear that on the slim chance that it is something else, she's not likely to survive the surgery. She's already lost nearly two-thirds of her body weight. She sits there calmly as the vets pets her. It seems like she knew.

Assured by the vet that she's not in pain, we decide to return after Christmas. On the way home I cry and cry and cry.

Even then I felt foolish. How spoiled I am, that at twenty-five I can still cry over a cat like she's a person.

I held her for a while when we got home. She rested on top of my growing belly, the closest she would ever be to my son, her head on my shoulder. Not at all normal behavior for her. She knew, and I realized she'd been waiting for me to know too. Over the next four days, the days she had left, she grew drastically worse. It was like she was finally able to accept it and prepare herself. She took to a pile of laundry in the kitchen and would rarely move from there. She stopped using the stairs. Stopped spending the night with us. Stopped making it to her litter box on time. She helped me see that we were doing the right thing for her, but it's a miserable moment. The moment when you realize that you're making your first really adult decision, the one where you decide that it's someone's time to die.

The day before we took her I was up early, restless. I sat on the couch watching TV, in my usual place. I was surprised to see her inch from her spot in the kitchen and make her way to me. She hopped up next to me, the way she'd always done, and we had our last morning together that was just like all the others. We watched the Dr. Who Christmas special. I cried because he regenerated, and because it was so fitting to what was coming.

I'd asked Tim to make the appointment as early as possible. I couldn't spend the day of anticipating it. So we took her back at 8am. That morning she ate solid food for the first time in days, and actually approached us to be fed. I immediately thought we were making a mistake again. Really I knew that this was typical of the last moments of both people and animals, and that it is often God's way of giving them a final reprieve from their suffering.

All the same, I make Tim ask the vet to check her again to be sure. Of course, it's still there, still starving her to death, and we are saving her great pain in the near future. They give her a shot of anesthesia, and for a second she's herself again, sharply turning her head toward them and meowing with indignation that anyone would dare give her a shot. It's her last fiery moment, a return to herself after so much weakness. Then they leave us alone with her. I pick her up and cry, and my husband holds us both. She's alert for a few more seconds before she falls asleep, but I hold her and hold that moment. She's teaching me how to let go, a lesson I've been lucky enough to avoid before this moment. It should have happened a long time ago, but it didn't, and it's now, and I cry because I'm nine again, and I'm holding her on the way home from the shelter, and I want to be back at that moment, with sixteen more impossible years. 

Finally I know she sleeps, and I ask him to go let the vet know. The vet comes in, and reminds me that I don't have to stay for this next part. The vet says that she doesn't know who is here and who isn't, but I know I could never leave her now, when everyone should have somebody with them. There is a consent form, and I sign it. I could make my husband do it, but I know that it should be me. So I hold onto her while she's given the shot. I feel her breathing slow, then stop. The vet tells us when she is gone. It was truly peaceful. It's surreal to me how like herself she looks-- that just seconds before she had been inside herself and now she isn't. 

The vet leaves again to give us time. I kiss her and just stare for a long time, tears quietly falling. Then I hear him start to go and I remember that he's suffering too. When other people cry I immediately stop crying. It's always been that way. My instinct to soothe kicks in and I hold him, and let him cry. He apologizes and I know that he feels guilty, that he wanted to be the comforter, not the comforted. Of course I don't care. I'm just touched that he loved her so much in such a short time.

The vet comes back and I babble about how I got her for my ninth birthday, that my dad wishes so much that he could be there. They were always second-closest next to her and I. The vet hugs us both and says that she can tell Sassy was always loved. After they remove her we go home, and we immediately begin to remove her litter box, bowls, brushes. I don't think I can handle it otherwise. Then we go back to bed, emotionally exhausted, but hopeful and a little relieved as well. The burden of the moment is gone at least, and now we will recover.

They called me a couple of weeks later when her ashes were ready. I went alone-- bad choice. I'd done really well over the weeks and didn't think I would have a problem. The receptionist looked pained for me when I whispered why I was there (whispered because I didn't want to upset the kids who were very happy with their dog a few feet away). She brought me a nice paper bag with a lovely pine box inside. I couldn't help but start to tear up a little. I was surprised at how beautifully they'd prepared her, and how compassionately both she and I had been treated. No one at the clinic was desensitized because this happens around them all the time. My cat was special and loved, they understood that, and they were genuinely sorry for me. It really does say something about how wonderful people can be.

On the way home I cried again. I cried and I couldn't stop. I haven't cried about it since then. Life is busy, and busy is a blessing. In a rare moment that I talked about it, someone asked me when I'd get another pet. They'd recently lost a pet and are getting another shortly. That really hit home for me that I'm not a pet person. I don't need an animal in the house. It was never about her being an animal. It was about me being a child and going through most of my life with that very special kind of companionship, the kind that stems from the intense love that a child can invest. I don't have a child's love to invest anymore. I had it for her because we'd established it long ago. We were well into the comfortable "old couple" phase, where sitting next to each other was enough for both of us. I will never have a pet again. One day, our son will ask us for a pet, and we'll say yes. But that pet will be his, and he will invest a child's love and grow with that pet (a dog, I'm assuming), just like I did. I will certainly love that animal, but I will love watching it be a faithful companion to my son more. And when I see them together, I'll remember my own faithful companion, and our fully lived life together.

The Day We Met Daniel

Before Tim and I were married, let alone talking kids, I felt in my soul that my first child would be a boy. I fell in love with Tim's baby pictures and imagined having a little boy just like him. One day, also pre-marriage and pre-attempting, we were talking about what we'd name our kids. One of us mentioned Daniel, and immediately we looked at each other and knew that would be our son's name. He became such a vivid and tangible entity in my mind that I knew he would be in our lives some day.

When I actually got pregnant, I had NO instincts as to what (meaning who) was in there. Toward gender day we were actually thinking girl just because we were so convinced of boy pre-pregnancy, but really we had no clue. Three days before our appointment I had a dream that it was a boy, and the next night I dreamed that it was a girl, so really my mother's intuition must be rubbish.

The baby usually starts his squirming and kicking at nighttime. The day we were going to find out gender, he moved ALL DAY. We joked that he must have known that we were going to see him and was really excited.

My anatomy scan was scheduled for 3pm on Monday, October 21. My clinic always gets me in for my appointments promptly; within 5 minutes of my scheduled time. That day, we waited in the front for over 30 minutes past our scheduled time. I remember both of us tapping our feet and fidgeting with impatience. The lady at the front desk apologized a couple of times, so we didn't feel like we'd been forgotten, but I was starting to get hungry. They gave me some crackers and went ahead and let me use the bathroom (you have to every time). Finally, they came for us, and I practically sprinted inside, dragging Tim behind me.

The ultrasound tech apologized. Apparently the previous baby hadn't been very cooperative, and to be honest if I were that mom I would have been upset if they'd cut it off at 30 minutes and made me come back (which happens at other clinics), so I get why we had to wait. I was bouncy in my seat while she got our DVD ready and asked if we wanted to know the gender. We said yes, and when she asked if we had any guesses we said that we had absolutely no idea. She talked us through all the things we would get to see, and what she was looking for in terms of growth and health of the baby.

As she started it became clear that gender would be the last thing. Of course that made me crazy! But really it was so cool to see every little piece of him (not that we knew it was a "him" yet, it's just weird to say "it" again). The tech explained what she was doing the entire time, which was nice. She told us what she was looking for with every new shot.

The first thing she measured was his spine. He promptly rolled around and showed us his belly instead. He wouldn't stop moving! It was the cutest thing to see him twist and turn and show off. He kicked the ultrasound wand thing and was just a total ham. If we're predicting post-natal personality, he will definitely be a seize-the-stage type like I was. Though he was squirmy, the tech got every shot she needed. After his spine, she showed us the four chambers of his heart. She said that all four chambers were perfect. Next she measured his brain and we saw his profile.

We couldn't believe how much our baby had grown! The last time I saw him was at 12 weeks; Tim hadn't seen him since 9 weeks, so it was a huge difference for him.

Next, we saw his arms and hands. Then she made her way to his legs. They seemed especially long to me, but that's probably because he doesn't have much baby chub just yet. Anyway, while she was around the back of his legs he moved around and there it was.

Before she could comment I hollered out, "Is it a boy?!" It was more of a statement than a question though. "It's a boy!" she said. We all started laughing because it was just so sudden, and the tech said, "Good thing you wanted to find out; you wouldn't have been able to miss that." Our little squirmer really wanted us to know who he was. Right away Tim and I said something along the lines of, "It's Daniel." Our little boy who we knew would come before we were even ready for him. Our little boy who we always knew would be Daniel.

We were both tearing up a bit, but he kept us laughing, too, and the tech joked that she wished someone had taped my reaction. While she was taking some measurements he flipped around and decided to show us "what" he was a second time.

The tech was really getting a kick out of him. She said, "In case anyone tries to tell you that your ultrasound could be wrong, show them this one," and wrote "No doubt!" on the second picture, ha!

She still had quite a bit more to get after that, and he kept moving and being silly the entire time. Still, she managed to get everything she needed. At the end, she went back to his face to take some 3D images.

He kept one little hand over his eye, and had a perfect pout on his face. I can't get over being able to know what he looks like. I know by the time he's born he'll be a little chubbier, but we know he has a button nose and a pouty upper lip. We know he's the Daniel we've been waiting for. That night was the first night he made my belly move. :)

One of our midwives confirmed that everything on the scan looked perfect, and that he measured to the day the size he was supposed to be. The tech also got a good look at my bicornuate uterus. We were able to see that the dip is very minor, that Daniel has plenty of room to move and grow, and that he can even get in that horn a little bit when he gets bigger. Such a relief!

Tim vetoed all of my middle name ideas (boo), and asked for time to think of something. I think seeing him and knowing who he was made it extra real for him (whereas I am constantly reminded due to all of my crazy symptoms and baby kicks). Tim went out of town a couple days later, and while we were Skyping one night he said suddenly, "What do you think of Bailey?" I knew that was his mother's maiden name, but we hadn't looked at family names on that side before. I immediately liked the way the names flowed together. My family is the side that often uses last names (my name is a family name), so it kept traditions from both sides. Right away I said, "I like it! Let's do that!" Tim must have thought I'd need time to think about it, because he looked really surprised: "Really? You're sure?" "Yep!" I said. Then he did a happy Skype dance. With that, Daniel Bailey Lavender was fully known and named. We're so excited to meet our little boy in less than four months!

Trying to Go Minimal

First things first, I'll be 19 weeks on Tuesday! I've been awful about taking belly pictures; I haven't updated my cinemama app since week 7ish. I took a horrible bathroom selfie when I got my maternity clothes a week ago, but that's it. What a fail. :/ There's just so much more I need to do right now. Which brings me to this...

I'm having a serious "things" problem. Like... to the point where our cozy townhouse has no room for our rapidly approaching arrival (halfway point in a week, say whaaaaaat?). With both of us working, our things have overtaken our house. At least once a day I fantasize about just throwing 3/4 of our stuff away and living a clean, minimal life. I look at our shelf of DVDs and try to figure out which ones are on Netflix now. We never use our board games but I know when our kids are older we'll just have to buy them again. I look at the trinkets from my childhood and get a headache deciding what should stay and what should go.

I don't usually throw questions out into the universe, but what are some strategies you have for getting rid of your excess... excess? I want to get rid of about half of our things: clothes, games, movies, travel mugs, etc.

How I got a Bicornuate Uterus, and you can too!

Kidding. No you can't. And judging from what I've read so far you wouldn't want to have one. But as it turns out, I have one, so I'm going to talk about it a little bit.

A Bicornuate (or Heart-Shaped) Uterus is a medical abnormality present since my uterus developed before I was born. So in a sense, you could blame my mother's uterus. It was sufficiently punished when it was removed a few years ago.

.1-.5% percent of women are estimated to have a BU, though these numbers are hard to determine since many women have one without knowing.

As you can see, while a normal uterus has an upside down triangle shape and the entire organ can stretch for the baby, a BU is literally in the shape of a valentine heart, with the top dipping down and dividing the uterus into two halves, called "horns." The fertilized egg implants in one horn of the uterus and often the other side does not grow at all. My baby is in my right horn, which did explain why at first I only felt cramping/discomfort in my right side.

Since the baby only has half the room to grow, there are generally three risks involved. The more common risk is preterm labor with a weak cervix. I've read about many women who delivered too early for their babies to survive, however it doesn't happen often. It is quite common to deliver a viable premie and spend many weeks in the NICU though.

The second risk is growth restriction. My midwives were very chill about my condition, but did tell me to take extra care about my eating from now on. Up to this point I really don't know if I was always getting my extra 300 calories in, and they never said I had to. I don't feel good stuffing myself, and the past few weeks I was too sick to do that anyway. I've been bloated ever since I got pregnant, so I assumed I'd put on weight no matter what. Now they said that because my baby might have issues growing I need to make sure I eat a little more and make sure I pack in the nutrients. I ate really healthily until about ten weeks, when I started to get sick. After that anything but crackers, bread, and noodles just made me throw up, especially fruits and veggies. Midwives gave me zofran last week, and I'm finally able to eat normally and work good foods back into my diet.

The third risk, and the one I hate the most, is a C-section. Because the baby usually grows in one horn, there is not a lot of room to turn. That means that if the baby is breeched, it will most likely stay breeched. Meaning a mandatory C-section. My midwife said the only chances I have of delivering vaginally breeched are if the baby comes too quickly to do anything else, or if it became easier to do so during a later pregnancy. I so want my peaceful water birth and I can't stand to think about how my chances of a C-section have increased by a minimum of 20%. I don't want to spend my maternity leave potentially in a NICU AND having to recover from being cut open at the same time. I don't want to have to fight for my VBAC when the next child comes along.

My pregnancy was so typical until the moment they told me it never was. Previously one of my midwives had told me I was "boring" in a great way. Educated, married, planned pregnancy, steady finances, excellent health, no smoking or drinking... I did everything right and my pregnancy should go swimmingly. "Welcome to parenthood!" my other midwife teased me gently, "You think everything is perfect and then suddenly it surprises you."

"Then I turn out to have a freak uterus," I half-joked back.

"You don't have a freak uterus. Your uterus is heart-shaped because you're so nice," she said cheerily. "Many many women have completely normal births with this," she assured me later.

Truly I'm not so worried. I have more or less decided to stop researching it and stop reading message boards for women with a BU. It does horrible things to one's nerves. The women who tend to reach out online have experienced the worst of the condition, and it makes it look like a higher percentage of women lose babies than what actually do. While it's great that they've found a community and comfort, I just don't need to put that in my mind. I'll forgive myself a C-section, because I know that nothing (and no one) will make me have one unless I have no choice. My care will change slightly after 20 weeks. Every checkup will include an ultrasound to make sure the baby is growing. They'll do everything possible to get me full term. I can still have a normal, natural delivery if baby grows head down. There are many things that could go wrong, but just as many things could go right. I will choose to think about the "right" until I'm given a reason no to.

In which I find myself for shiz up the spout.

Here are the general specs of the pea pod or otherwise-cheesy-food-comparison growing inside me.

Planned? Yes. We tried for four months, and every time the test was negative I was thoroughly baffled as to how anyone could accidentally get pregnant when we were young, healthy, and ovulating like a boss. God just has a magnificent sense of irony I guess. Also, I've decided all of the 16 and Pregnant girls get pregnant on purpose no matter what they say. Maybe not though, because according to my mom everyone under 20 has a magically fertile uterus anyway, so don't have sex, kids. You will get pregnant. And die. Not that I know anything about sex; we obviously got pregnant by dancing. We're Baptist.

When are you due? February 25th. Child, please don't come on Valentine's Day. None of us will live it down. You could even take a little longer and be your generation's first March baby! Be a trailblazer!

Who is your doctor? Doctors, BLEH. Kidding, but seriously, we are using a midwife. I've known that would be my route since around high school I think. We are so blessed that Lynchburg has a thriving midwifery practice under the umbrella of an established medical group, so fully covered by insurance with no hassle. We hit the jackpot.

A midwife? Say what? Our midwives are certified nursing midwives (CNM's), which means that first they had degrees in nursing and then got their master's in midwifery. Another option is a certified practicing midwife (CPM), which is someone who trained in midwifery only. We were more comfortable with a CNM because they are allowed to deliver at home, a birthing center, or a hospital, they can prescribe medication, and they have a wider medical background/experience because they were nurses first. Whichever midwife is on call at the time will deliver our baby, so they make sure you have an appointment with all of them at least once. I kind of don't like that, but everyone at the clinic is so great that I got over it pretty quickly. They are seriously the best.

How will you deliver? I'm at higher risk for a C-section (more on that later), but my dream of dreams is to go natural. With interventions I wouldn't have enough control of my body or enough flexibility to give birth however (and wherever) I wanted. Medication can lead to unnecessary complications as well, but my choice is much more based on wanting to give birth in whatever position is the most comfortable in the moment (which you can't do if there are needles and tubes all over you). A CNM is capable of handling a variety of last-minute emergencies (yes, including a hemorrhage), so I am not worried about the absence of a doctor. Most women have perfectly wonderful birth experiences in hospitals and with all of the most common interventions, but I would not.

I haven't decided "how" exactly I'll have the baby (i.e. in the water, on the bed, etc.), and I think I'm going to leave that up to what is best for my body in the moment. I will say that I think water births look so peaceful and that is my preference, but I don't want to get attached to an idea that might not pan out due to my medical situation.

Where will you deliver? I will deliver at the birth center attached to Virginia Baptist Hospital. I would like to have the baby at home, but my husband is wary of that, at least for this first baby. Many natural-birth advocates tend to have an all-about-mom-and-baby approach that makes dads seem a little irrelevant, and I don't agree with that. From my perspective, this birth is also my husband's. He did half the work in creating our baby, and he has a mostly-equal vote in how it's born. He is still open to being convinced, but until he has a peace of mind about birthing at home (if he ever does), I am fine meeting him halfway with a birth center for all of our babies. And after we compromised we found out that my midwives do not deliver at home anyway. I love the care I've received at our clinic so I'm good with the birth center. I just wanted to point out that we compromised BEFORE that happened, ha.

Will you find out the gender? Yes, we gotsta know.

What will you do when the baby is born? The plan is to go as natural as possible when our baby gets here. We're going to co-sleep for the first few months, using a specially designed bassinet that attaches to our bed. We'll cloth diaper, and hopefully I'll be able to breastfeed (due to a previous surgery I might not be able to). I was mostly formula-fed and I turned out fine, so I'll be zen if my crunchier leanings don't work out. But for goodness's sake, no light-up, loud, battery operated toys. Yick.

I plan on going back to work as long as we can line up childcare (it's surprisingly hard to find infant care in our town). My mom was a stay-at-home mom and I always assumed I would be too, but now that I'm pregnant I feel pretty positive that I'll keep my job. I love teaching, and I love the financial freedom we have with two incomes. My husband and I both have a little more independence when it comes to buying things for just ourselves (generally clothes for me and weird computer stuff for him, ha), and we are (hopefully!) set up to purchase a home some time next year. I want our kids to have community roots and the security of a space that is entirely theirs, and it's empowering for me to participate in providing that. I also hate doing housework, and since we both have jobs we split the chores so that's nice, ha! Eventually I want to finish my master's and then proctor online classes, which would free me up to be home. We'll see if I have the energy to do school with a four-month-old this summer though!

How is husband doing? He is very much himself: calm. He's trooped through my early pregnancy mania, watched The Business of Being Born at least three times before refusing to watch it again, comforts me when I cry during Disney movies, gets me food, and always rubs my back and holds my hair when I throw up. We both kind of want a boy, my family is pulling for a girl, but we're all pretty excited for whatever shows up in seven weeks!