Baby Theo, friends & family, health & body

The first three weeks…

Two things I said I’d never do: give a pacifier before breastfeeding was well-established, and bring the baby into our bed at night. Guess what we did within the first week? We gave a pacifier on night two and brought Theo into our bed to sleep on night four. I think the rule of thumb when it comes to being a new parent is to never say never, and even though I could have punched every person who gave me some variation of that advice, the truth is, they were totally right.

Another thing I didn’t anticipate? That it would take me two weeks to find time to write another update since my last post! Theo is now three weeks old. Time flies. I have tried to update this blog multiple times over the past couple weeks, but caring for a newborn is more time consuming than I had ever imagined. Not only that, but between feeding and diapering round the clock, and not going to work or having any sort of set schedule, I’ve lost all concept of time.

Picking up where I left off last time, Theo gave us quite a hard time his first two nights. Actually, nights are still a bit of a challenge, but those first two nights were exceptionally rough. By the time we got transferred to our postpartum room that first night, it was about 2 a.m. and we had been up for almost 22 hours straight. We were beyond exhausted. Unfortunately, newborns tend to be VERY awake immediately after birth, and Theo was no exception. The first dilemma we were faced with was a poopy diaper. After some “wait, how do you do this?” conversation, we figured out the diaper, but then we couldn’t figure out how to swaddle him back up. Funny, we had learned how to both diaper and swaddle in our newborn care class, but suddenly neither of us could remember how to do either of those things in the moment. Theo broke out of our half-ass swaddle in a matter of minutes, and, as it turns out, having free arms is an alarmingly frightening thing to a newborn. He was sure to let us know just how displeased he was. The next morning the nurse came in and remarked about all the crying she heard coming from our room last night. Gee, would have been nice for her to offer some help! But I suppose the nurses tend to err on the side of letting parents figure things out for themselves unless asked. Duly noted.

Good morning! Never mind I just kept you up all night.
Good morning! Never mind I just kept you up all night.
2013-05-10 15.42.48-1
Uncle Robbie and Theo (and mama’s first beer in 9 months!)

Since D’s dad and step-mom were coming to visit at 10 a.m., I figured I should get showered in an effort to feel human again. The hot shower was glorious, but the showering experience was a bit frightening, upon realizing just how torn up my poor lady bits were. But still, after a hot shower and a touch of makeup, I almost looked like my old self again, even if I didn’t feel it. After D’s dad and step mom, our friends Deanne, Brandon, Daren and Erin came by around noon, followed by my brother and sister-in-law around 3 (they brought me my first beer, which was glorious!), our friend Matt, and then my friends from college, Rachel, Kelly and Margaret around 4. D’s mom, sister, brother-in-law and niece came by around 7. It was a long day, but the steady flow of visitors made the day go by faster, as we were beginning to feel like prisoners in our hospital room. Theo was a perfect angel all day, but we soon learned we were in for another long night of crying. Turns out he had his days and nights flipped, which is common for newborns. (Side note: this is also what caused us to bring him into our bed to sleep a few days later, as someone had suggested this to help him regulate his days and nights. It definitely helped, and a week later we started the process of transitioning him back to his bassinet. I’m hoping to not set a precedent of him sleeping in our bed that will only be harder to break later!)

Unfortunately, that second night, I came to the painful realization that Theo had a very shallow latch when it came to breastfeeding, and my poor nips were already starting to blister from the constant (incorrect) nursing. After being unable to console him for the second night in a row (thankfully we figured out the swaddle, at least), we called in a nurse for help. She helped me some with my latch, but the damage was already done by that point. We tried nipple shields, which he didn’t like at all, and since he was mostly nursing for comfort at this point, we reluctantly introduced a pacifier. As I mentioned earlier, I really had wanted to hold off on that, but after only about 2 hours of sleep in 48 hours, we were desperate. The pacifier calmed him some, but it would fall out when he fell asleep, and that would wake him up and make him start crying again. So I spent most of the night popping the pacifier back in every time he would spit it out. I didn’t get much sleep, but at least my poor boobs got a bit of a break, and by the next morning, I was at least able to nurse again without crying from the pain.

After being checked out by the hospital’s pediatrician, we were finally given the green light to go home that day. We had a few other things to take care of first, including a newborn photo shoot, hearing test and visit from a lactation nurse, but by 1 p.m. we were finally on our way home!

Daddy and Theo, ready to go home.
Daddy and Theo, ready to go home.

I sat with Theo in the back seat of the car and remember being so terrified of every other car on the road. I think it’s going to be a while before I feel comfortable with him in the car. When we got home, my brother and sister-in-law had decorated the entryway with balloons and welcome home signs.

Welcome home, Theo!
Welcome home, Theo!

I can’t even describe how good it felt to be home. We introduced Theo to the dogs, which went beautifully. They were mildly curious, but ignored him for the most part. An ideal situation, really. They have plenty of time to become friends.

Stewie meets Theo for the first time
Stewie meets Theo for the first time

Since we’ve been home, we’ve had plenty of visitors, which is great since it’s given us something to look forward to (and a reason to shower!) each day. We’ve also hardly cooked anything since bringing Theo home since everyone keeps bringing us food. My parents flew in on the following Saturday, and while my dad could only stay for a few days, my mom is staying for three weeks and has been spending most of her time with us. It’s been nice having the extra help since D went back to work and Theo has gotten plenty of grandma time.

Theo and his grandma.
Theo and his grandma.

As I mentioned earlier, we had a bit of a rough start with breastfeeding. Once we got the latch issues corrected, the next dilemma we faced was a narcoleptic nurser. Every time I would put him to the breast he would take about 2-3 sucks and be out like a light. I would spend the remainder of our nursing session trying to wake him/keep him awake. I mistakenly assumed he was still getting enough milk, until he was weighed at his first pediatrician visit the day after we were released. While it’s normal for babies to lose some weight in the first few days, Theo lost almost a full pound, which was concerning to our pediatrician. Actually, our first clue that something may be wrong was the night before when we saw what looked like blood in his diaper. We were pretty worried and called the pediatrician on call and were told they were uric acid crystals, a symptom of dehydration.

First pediatrician visit.
First pediatrician visit.

So our pediatrician told us feed every 2-3 hours round the clock, even if it meant waking him, and to do everything possible to keep him awake while eating. We had another weight check two days later, followed by a third check two days after that, and a final check a week after that, and I’m happy to report he is gaining weight like a champ. It’s still a bit of a challenge to keep him awake at the breast, but he’s getting better. He’s now back to his birth weight and we were given the green light to feed on demand now. He still usually wakes on his own every 2-3 hours, but we’ve gotten an occasional 4 hour stretch at night, which feels like heaven… that is, until I wake up and my boobs feel like they’re going to burst if I don’t feed him immediately!

Other milestones these three weeks have included his first grocery store trip, his first shopping trip to Nordstrom (mama needed some new bras!), and our first dinner out (I had been dying to eat sushi again, but we tried somewhere new and it was a bit disappointing). He’s been to Target, the vehicle emissions station, and we even took him on a 2-hour drive to our friends’ cabin in Cle Elum for the day. He does great in the car and hardly fusses when we’re out, with the exception of a minor meltdown once in the Target parking lot. Turns out he was just hungry, so I hopped into the backseat, whipped out the nursing cover and took care of that problem. Overall he’s a very happy baby, with the exception of his “witching hour” (he tends to get fussy in the evenings). At first it was between 10 p.m. and 2 a.m., and it’s gradually been shifting earlier and earlier. Now he usually starts fussing around 7 or 8 and calms down around 11 p.m. or midnight. It’s frustrating to try to get him to calm down when we are dead tired and ready for bed around 10, but it means he usually sleeps pretty well after midnight and we can get some sleep too. He still wakes to eat, but will go right back to sleep afterward with little to no fussing. The great news is that he really likes to sleep in, so what I lose at the beginning of the night, I can usually make up in the mornings, and we’ve been sleeping in until 9 or 10 most mornings. Since D is back at work and I have the boobs, I end up with the night shift. Once I go back to work and we’ve introduced a bottle we may start sharing night duties.

Okay, this is turning into another marathon post, so I’ll cut it off here. I will try to write more often so I can keep these posts shorter! I’ll leave you with some more photos from the past three weeks.

Theo and mama go bra shopping.
Theo and mama go bra shopping.
First dinner out.
First dinner out.
Theo and his great grandma.
Theo and his great grandma.
Discovering his reflection.
Discovering his reflection.
All dressed up in honor of Daddy's first day back at work.
All dressed up in honor of Daddy’s first day back at work.
First bath - loved it!
First real bath – loved it!
Fascinated by his play mat.
Fascinated by his play mat.
Baby Theo, health & body

Happy Birthday, Theo!

Wow, hard to believe it’s been over a week already. Also, it’s amazing how a lack of sleep can make day and night run together and cause you to lose all track of time. I started this post several days ago, but it’s been hard to find time to write about Theo’s birth story, especially since I knew this would be a very long post. I know this is all way more detail than anyone would care to know, but since all along this blog has mostly been for me, I wanted to capture every detail for the sake of my own memorabilia.

If you just want the short version of the story: Theodore Claude Hoffman was born at 11:18 p.m. on Thursday, May 9, 2013 after 19 hours of labor that began with my water breaking early that morning. He was 4 days overdue. Theo came out screaming mad after 2 hours and 8 minutes of pushing and weighed in at 8 lbs, 3.6 oz. He was 20 inches in length. He has a full head of blond hair, blue eyes, adorable dimples and rolls of chub. We are in love.

The (very) long version is…

On Tuesday, May 7, I had hit my wall. I had been bumping against the wall for a couple weeks now, but by Tuesday I had officially hit it. Face first and hard. I was physically uncomfortable, but that wasn’t what bothered me the most. Even though I knew that going past our due date was completely normal, the psychological effect of being “overdue” was harder on me than I ever imagined. I think it was the lack of control I had over the biggest event in my life. And even though work wasn’t stressing me out as bad as some things were, I decided work was one thing I could control. So I went into work on Wednesday and told them that would be my last day in the office, that I would work from home Thursday and Friday, and if baby wasn’t here by then, that would be my last official day. Originally I had said I would work up until I went into labor, but the ambiguity of when that would be was causing me more stress at work and I wasn’t doing myself or my employer any favors by dragging it out longer than necessary. With that decided, I found that I was able to have a productive day at work on Wednesday, and left with a small sense of relief and closure. I went to bed Wednesday night with horrible abdominal cramps and occasional contractions, but didn’t think much of it, since I had been experiencing irregular contractions for a couple weeks now.

Thursday morning, I woke up around 4 a.m. to pee, which in itself wasn’t strange… except for the fact that Stewie was pacing the room when I woke up. I remembered hearing that dogs can often sense things before they happen and remember thinking, jokingly, that maybe Stewie was sensing I was about to go into labor. And then I laughed at myself. Went pee, got back into bed and started feeling crampy again. I sat up because of the discomfort and suddenly felt a huge gush, like I had peed the bed. No doubt about it, my water had broken. So I woke D up and he hopped in the shower while I called the doctor’s answering service and started packing up while waiting to get a call back. A few minutes later I heard from my doctor, who told me to take our time and get something to eat, take a shower, and plan on getting into the hospital around 6 a.m. I took a nice long shower, threw the sheets in the wash, ate some breakfast and then we loaded everything into the car. It felt surreal leaving the house.

On our way to the hospital we called my brother since he and his wife would be staying with our dogs, and I called my parents to let them know today was the day. I had several contractions during the 35 minute drive, but they weren’t coming at any regular intervals and were only mildly painful. We checked into triage and they hooked me up to the monitors and checked my cervix. I was 2.5 cm. Unfortunately, the baby’s heart rate kept dropping with contractions, so they monitored me for two hours, before deciding the baby was handling the contractions better. About this time, a doctor came by to introduce herself, and let me know she was an associate of my doctor’s and would be delivering our baby, as my doctor was just finishing up a 24-hour shift. I was disappointed that my own doctor would not be delivering me, but I already knew this was a possibility. Besides, from what I had heard, the nurses do most of the work, anyway, and the doctor essentially shows up at the end to catch the baby.

Since my contractions were still coming at irregular intervals, the doctor sent us to walk around the hospital and told us to check back in after two hours – or sooner if I was able to get my contractions coming every 5 minutes for an hour. After grabbing a bagel for me and a coffee for D, we started walking. Within about 20 minutes the contractions were coming between 2-5 minutes apart. After an hour of that, I wanted to check back into triage, but we decided to take a seat to see if they kept up their frequent intervals once we stopped walking. Unfortunately, sitting down caused them to slow to about 7-8 minutes apart, so after a quick rest, we were up and walking again. The contractions were progressively getting more painful. D was good about keeping me in good spirits and when a particularly strong one brought me to tears, he joked, “don’t worry, I’m sure that’s the worst one you’ll have.”

By 9:50 a.m. the contractions were coming one on top of the other, even while sitting, so we checked back into triage. They were happy with the progress, so admitted me and got us checked into our birthing suite. The room was really nice and spacious, which is a good thing, since little did we know, we were about to spend a looong time there. They checked my cervix again and I was only at 3 cm, which was a bit disappointing after all that contracting. Any movement would send me into a contraction, yet lying still on the bed made the contractions feel worse, so I had no choice but to keep moving, essentially having nonstop contractions. The nurse called it a “twitchy uterus.” I tried everything the birthing suite had to offer in an attempt to get comfortable  – the shower, the birthing ball, leaning over the bed, the jacuzzi tub. I had wanted to hold off on the epidural for as long as possible for several reasons: first of all, I was terrified of the idea of being paralyzed to the bed, and knew that once I got the epidural, there was no turning back. I was also afraid of the epidural stalling labor. Finally, I was petrified of getting a giant needle stuck in my back and any possible complications that could arise from that. But by 1 p.m., after 4 and a half hours of active labor and little rest, I had reached my breaking point. I wanted the epidural and I needed it now.

The anesthesiologist arrived relatively quickly – within about 10 minutes – but those 10 minutes were pure agony. Remember, my contractions were coming right on top of each other, so I had to endure about 8-10 more of them while we waited, with each one progressively worst than the last. Worst pain I’d ever felt in my life. I honestly have no idea how women do this naturally. While we were waiting for the anesthesiologist, the nurse explained the procedure and warned me that I’d have to sit perfectly still while the doctor was inserting the needle into my spine. She said it was very likely I would have a contraction during the procedure and that it was imperative that I didn’t move. We decided to take the next couple contractions to practice holding perfectly still. It was impossible, which terrified me, but what other choice did I have? Fortunately, the anesthesiologist was amazing. He was able to prep the site during a particularly painful contraction and had the needle ready to go the second it subsided. He worked quickly, and by the time the next contraction peaked, I was all done and taped up. I could have kissed him. And the needle wasn’t even that painful. I’d had worse IV stabs and blood draws that day alone. The nurse warned me that it could take up to 15 minutes to take effect, but after only 5 minutes I suddenly realized I hadn’t felt a contraction in a while. Worried that I had stopped contracting, I asked the nurse. She pointed to the monitor and told me I had just had a monster one. I hadn’t felt a thing!

From that point on, the entire vibe of the room changed. My legs felt heavy and fuzzy, and I suddenly realized just how exhausted I was. The nurses dimmed the lights, D made some phone calls and took a nap, and I alternated between snoozing, chatting with the nurses and updating friends via text. I also talked to my parents and gave them an update. I remember at this point thinking how much I loved epidurals. They checked my cervix again and told me I was at a 5 and 75% effaced.

Unfortunately, after a few hours on the epidural, the nurses were concerned with my lack of progression. My contractions had slowed (as I had feared they might), and they were becoming weaker and slower. I was disappointed when the nurse suggested starting a Pitocin drip. I was fearing an epidural-Pitocin domino effect — where the epi slows contractions, which needs Pitocin to pick them up again, which makes contractions stronger and requires more epidural to relieve the pain, which leads to more Pitocin… eventually this can lead to “failure to progress,” resulting in a C-section, which I so desperately wanted to avoid. The nurse assured me they would start with the lowest dose possible, though, so I agreed. I’m not one to argue with medical professionals, though the fear was definitely in the back of my mind. Well, after an hour or so on the Pitocin, I was feeling contractions again, so I did end up upping my epidural. This caused my right leg to go completely dead. While I could wiggle the toes on my left foot, and could still move my leg just a little bit, my right leg was completely paralyzed. I worried that I wouldn’t be able to push effectively with the dead weight on my right side. A couple hours later they had to up my Pitocin yet again, and then I could feel the contractions again. But between the fear of the domino effect and the dead leg (which was honestly worse than being able to feel the contractions through the epi), I decided to just deal with it.

In addition to feeling contractions again and dealing with dead leg, we were also starting to get concerned with something a little more serious: infection. It had now been 12 hours since my water had broken, and the nurse had been periodically taking my temperature to make sure I wasn’t developing a fever. Well, at one point, my temperature was a little over 100, which was concerning. Especially since I had been given acetaminophen (Tylenol) intravenously an hour earlier for a headache. Since acetaminophen is a fever reducer, who knows how much higher it would have been without the acetaminophen. They drew some blood and there was some talk about giving me antibiotics, but to this day I’m still not sure what ever came of that. No one ever seemed to have an answer, though both the baby and I were very closely monitored throughout our stay at the hospital for signs of sepsis (thankfully we passed and were released on time).

By now it was around 5 p.m., and I was feeling incredibly antsy. The nurse checked my cervix and told me I was around 8-9 centimeters. Knowing I was so close (or so I thought) to finally meeting my baby made me really impatient. The nurse told me we would probably get to start pushing around 6:30. Well, 6:30 came and went, and I was still around 9 cm. They told me we’d push around 7:30. That came and went, and I was ready to lose my mind. About this time, the nurse’s shift change happened, and we had to say goodbye to the nurse and nursing student who had been tending to me all day. Before the nurse left, she gave me a pep talk about poop. She said that so many women irrationally fear pooping during delivery, but that if I’m pushing correctly, I WILL poop. She said everyone poops during delivery, and if they claim they didn’t, they are either lying or don’t realize they did. That or they weren’t pushing correctly. Her final words to me before she left were something like, “Remember, I want you to poop. Don’t fear the poop.”

Finally around 8:00, they checked me and I was 10 cm. They wanted me to “labor down” for an hour (let the contractions move the baby down without pushing to conserve energy), and then we would start pushing at 9. The new nurse explained the pushing process while we labored down, and I was surprised to learn it would just be the three of us in the room – the nurse, D and me. For some reason I always pictured there being multiple medical staff in the room and a generally more chaotic vibe. But the lights were still dim, and it was quiet and calm in there. She started talking about D holding one leg while she held the other, and D almost passed out just talking about it. I explained to her that he was really squeamish and she said it was no problem. I could labor on my side and we’d just hold one leg up. It sounded odd to me (I always pictured pushing in a semi-sitting up position), but this actually worked out well, since my right leg was still totally dead. I would lay on my right side so I wouldn’t have to move that leg, and then I would pull my left knee toward my chest and with my hand, while she simultaneously pushed on my foot. Around 9:10 we were ready to start and when she told me to push, it felt like this weird out-of-body experience. We were actually doing this, and yet it was nothing like I imagined it would be or like you see in the movies. There was no screaming, no cursing D for getting me into this mess… well, at least not coming from our room. There was a natural birth going on next door and we had just listened to some woman scream her head off for the past hour. I felt bad, but D and I couldn’t help giggling about it. Now that was straight out of the movies! Dead leg aside, I was sooo glad I had gotten an epidural.

The other thing about pushing that I hadn’t anticipated was that it takes a really long time! For over 2 hours I pushed three times with every contraction, with about a minute of rest in between. It was incredibly exhausting, but I was working as hard as I possibly could. I wanted this baby out already! I kept remembering what the nurse had said about not “fearing the poop” and I really do think it helped me to push effectively and without inhibition. To this day I have no idea whether I did or not, but the point is that I didn’t care. Not one bit. Funny how of all the things that were going through my head during this time pushing, the one that stands out the most for me is just how hungry I was. I hadn’t been allowed to eat anything since about 8 a.m. that morning and I was working harder than I’d ever worked in my life. I felt so weak. Then again, I can see why they don’t want you to eat, because I ended up throwing up during my first several pushes (between pooping and puking, giving birth really isn’t very glamorous). The nurse said the vomiting is very common, and I’m glad there was nothing in my stomach besides water to throw up.

The pushing was beyond exhausting. The nurse was very encouraging – almost too encouraging, though. With every push, she made it sound like we were almost there. I felt like this baby would never come out. Finally, I could feel that the baby was crowning. Even with the epidural, I felt like I had a bowling ball between my legs, and could feel what’s known as the “ring of fire” as the baby’s head was coming out. Aaaand… it was at that point where the nurse told me to stop pushing so she could call the doctor in. Wait, WHAT?! Let me tell you something about giving birth: when the baby is right there, you can’t not push. It was torture.

The doctor arrived about 5 minutes later, and then spent an additional 5 minutes putting on what looked like a hazmat suit. Finally she was ready, and about three pushes later, Theo was born. He came out screaming mad – my first vision of him was his face coming toward me as the nurse handed him to me with his mouth wide open, screaming his head off, lower lip quivering. I love that lower lip quiver and it makes it hard to get frustrated with him when he cries because it is just so darn cute. Despite D’s squeamishness with the birth, he was right there with the camera as soon as Theo was out. One thing we both noticed was that he was not as gross looking as some babies are when they are first born. Yeah, yeah, I know. All parents probably think that. But really, despite some massive cone head from being in the birth canal for so long, he was otherwise a very cute baby right from the start. His skin was pink, not gray, and he wasn’t covered in vernix like many babies are. The nurse put him on my chest, skin-to-skin, where we stayed for the first hour of his life. They were able to clean him off while he was on my chest, and we got to try breastfeeding (wasn’t terribly successful, though we’re doing great now). I was so enamored with him that I was only vaguely aware some time later that the doctor was stitching me up. I asked her if I tore badly and she said it was a second degree tear in two places, along with some “abrasions” that wouldn’t need stitches but might cause me some pain. D and I looked down at Theo’s already long nails and D surmised that he was probably clawing his way out (ha). About this point I realized that I hadn’t even noticed that I had delivered the placenta. For some reason I had pictured that feeling like a second birth, but I hadn’t even noticed it happening. After an hour of snuggling our new baby, they took him to the other side of the room to take his measurements and give him his first vaccines.

After they returned him to me, we spent another hour snuggling him, and then they transferred us to our postpartum room. It was significantly smaller than our birthing suite, but we were so exhausted that we didn’t care. All we wanted to do was get some sleep. Of course, we would soon learn that Theo had other plans for us that night…

Whew! That was a marathon of a post so I’ll cut it off there. I’ll plan to write another post soon recapping our first week. To be continued…

Love at first sight.
Love at first sight.
8 lbs. 3.6 oz
8 lbs. 3.6 oz
The infamous lip quiver.
The trademark lip quiver.