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Mr. Apron took the kids for their first carwash so I could take a nap without one ear tuned to their whimpers.  I think we’re doing pretty well as parents these days.  I’m still on maternity leave as they turn 3 months old, but I’ll be heading back to work soon.  We’ve somehow managed to reach this magical age where they take regular naps, which allows me to do regular people things, like shower, do laundry, and consume a meal using both of my hands.

I’m pretty proud of how far we’ve come, from our first clueless days where we didn’t know which way was up and the babies didn’t know day from night, to the magical, sanity-saving evening/nighttime routine we’ve hammered out.  We are the parents of twins.

Whenever I venture out into public, I know that it won’t only be the babies who get attention. I’ll be approached, lauded, and cooed over, merely for showing our faces.  Before they were born, I was uncompromisingly critical of my sister-in-law, who used any child-related excuse possible to cancel plans, or to dump her son at her parents’ house for free childcare.  “Babies are portable,” I lamented, as my nephew spent yet another night at his grandparents’ house so his parents could cavort to a wedding, a night out, or an entire week in Jamaica.

I’m still kind of critical, as her child is/was eminently more portable than ours.  Ours, born in the coldest days of an admittedly mild winter, require twice as much gear and bundling.  Ours require their mother to be near them every 2-3 hours to feed, while hers required only a bottle full of formula attached to an anonymous arm.  After he was born, he never needed her.

But my babies need me.  Breastfeeding is a complex choice, borne from the best intentions, but wrought with narcissism and inconvenience and controversy, all of which surprised me.  I hadn’t given it a second thought, intending only to provide my children with the best nutrition available.  However, it literally chains them to me.  In the beginning, when I was feeding them separately, I was attached to one or the other (and my couch) for a full 8 hours a day.  Now it’s down to about 4 hours, as I can feed them together.  At best, I gaze down longingly at their little faces, mouths agape, lips pursed as I provide manna for them.  They suckle eagerly, as they were born to do.  Now that we’re past the technical difficulties that plagued us in the first few weeks, it’s natural.  It’s a time when I have to stop racing around and devote myself to them.  Sure, sometimes I’ll watch TV, talk on the phone, or play games on my iPad while they nurse, but at best, it truly is a bonding experience.

At worst, I feel like a sow.  Now that my children are such expert eaters, I feel like I could just lie on the barnyard floor and let others bring them to me to snack at the milk fountains.  Plug them in for a recharge.

And as portable as the babies are, and as portable as their food is, their feeding is less so.  Books that promote breastfeeding may laud the ever-ready meal that’s always at the right temperature, always the right amount, never requires mixing, preparing, or washing-up of bottles.  There are laws in my state permitting me to feed my children anywhere I’m allowed to be.  Easy, right?  Just pack some diapers and go.  Yet it’s one thing to fight for laws allowing me to nurse; it’s another thing entirely to feel comfortable enough in Target, the convention center, my doctor’s office, or a public park to whip out my breasts and nourish my children.

With one kid, you whip out a breast, you curl up in an out-of-the-way corner, and you nurse on demand, when your kid wants it.  With two kids, I am showing enough flesh to earn my share of Mardi Gras beads.  If I’m at home, I can nurse them together, using a special pillow I’ve termed “The Lunch Counter” or the “Double Wide” nursing pillow.  In public, I haven’t mastered the art of tandem nursing, discretely or not.  So I have to feed one then the other, whether we want it or not.  I have to keep them on the same schedule, or I’m back to nursing 8 hours a day.  So a leisurely trip to the mall may result in my being parked on a bench in the food court for an entire hour feeding my children.  One may be screaming to eat for a half-hour while I try to give the first child as much as she wants.

Formula feeding may have its disadvantages, but you never worry about lifting up your shirt.  I know it’s PC to nurse, but it sure can be inconvenient with twins.  Three months down, nine to go.

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*By “dummies”, I mean sleep-deprived new mothers nearing delirium.  My IQ must have dropped at least 20 points (10 per child?) since becoming a parent.

I have sought out support in breastfeeding, both before the babies arrived, and in the last 5 weeks.  I went to two classes prenatally.  I have also been offered unsolicited advice by well-meaning mommy-friends, and called in a lactation consultant.  I have started going to an awesome support group on Thursday mornings.  From all of these sources, I have distilled a top-ten list of breastfeeding tips, as no one who needs help breastfeeding has time to read any more than 10 bulleted points at a sitting.  Heck, I don’t even know if there are ten.  It’s just a nice, round number.

  • Don’t ask your mother for help.  Or at least, don’t expect her to be the ultimate resource. I tried asking my mother, whom I know successfully breastfed all three of her children.  I personally was nursed exclusively for 15 months, having refused nearly all baby food.  I figured Mom would be a good resource, especially as she was breastfeeding during formula’s hey-dey.  Nope.  Her first response, when I asked if she had any resources (books, advice, etc.) back in the 1980s, was, “No.” She initially claimed breastfeeding was natural, so easy she never gave it a second thought. This led to a lengthy discussion about the manufactured industry of lactation consultants and heavy-handed pressure on all moms to breastfeed nowadays.  Later, however, upon visiting my house and seeing La Leche League’s “The Womanly Art of Breastfeeding” on my bookshelf, she remarked that it was the seminal resource she herself had consulted.  And also that she had met with a group of stay-at-home new moms of young babies in their homes to, among other things, troubleshoot breastfeeding.  But no, it had been for her, a completely natural, instinctive thing to do.  No support whatever.  So, yeah, don’t hedge your bets on maternal wisdom.
  • When we eat a hoagie (translation for non-Philadelphians: sub/zep/Dagwood/regional sandwich), we don’t just open our mouths and shove it in.  Try it next time.  Watch what you do.  I’ll bet you squish the bun/bread a bit, then roll the sandwich into your mouth from the lower lip first.  Your boobie is a hoagie for your baby.  Compress it, then roll it into the baby’s mouth from the lower lip.  Don’t just try to shove your breast into their mouth as is.  Compression while nursing also helps baby breathe, a vastly underrated function during breastfeeding.
  • It’s called breastfeeding, not nipple feeding. Make sure your kiddo has a huge mouth-full of boobie.  You’re actually aiming for your nipple to go as far back as the place where the hard and soft palates meet.  Feel in your own mouth using your tongue; that’s pretty far back, and if the kiddo is only latched onto your nipple, not only will it hurt like tiny needles stabbing your breast, but there’s no chance it’ll reach that far back in baby’s mouth.
  • Breastfeeding might hurt, even if you’re doing it right.  There’s some mystical bullshit out there that if it hurts, you have to adjust baby’s latch, or your position, or your chakra. Nope.  It might hurt for a minute when they’re latching, or only during the initial let-down, or for four months.  And you might be doing everything right.
  • Bring kid to boobie, not boobie to kid.  Otherwise, you’ll be hunched over like some old hagitha for a half-hour, dangling your breast in your kid’s mouth.  And your back will hurt.
  • To help you bring baby to boobie, get a pillow designed for breastfeeding.  My favorite is the idiotically named “My Brest Friend.”  You’ll feel like a tool the first few times you strap this planetary orbit around your midsection, and stupider still as you waltz around the house wearing a satellite dish, but it’s the best thing ever not to have to fold and fluff a regular pillow into the right position, or to strain your arm holding even the smallest infant in the precise position for any length of time.  Many people love Boppies.  They do have pretty covers, but it’ll be a cold day in Hell if you think you can wrench my “My Best Friend” away from me.
  • When baby is rooting, and opening its mouth, and you seize the opportunity to shove its precious little head towards your engorged breast, manipulate your little darling’s noggin by holding it nearer to its neck, not the round part of its skull.  I usually hold my baby’s heads with a thumb and forefinger or middle finger by the mastoid bones, which are right behind the ears, near where the lower jaw attaches.  If someone tries to move your head around by pushing at the back (occipital region), feel how you tense up and resist (go on, try it.  No one’s looking).  Now feel how much more control they’d have by holding nearer the neck.  Now you have ultimate control over baby’s noggin.  Use it wisely.
  • Set a stopwatch so you can keep track of how long baby is nursing for.  You can try just watching a clock and doing the math, but in my experience, your brain will be too fried to do even simple subtraction.  Plus, when you’re at it ‘round the clock, you won’t remember if the :19 you’re calculating from was from the 3pm feed or the 6pm feed.  The doctors profess to love and support breastfeeding, but it makes them nuts, because it’s so hard to measure.  They want numbers for their reports, so they can make calculations, compare to charts, and write goals.  If you have a formula-fed baby, you can ask how much it’s taking from a bottle, and report back in ounces.  Easy.  With a breast-fed baby, the best you can do on a regular basis is count wet/dirty diapers, and ask how long they nurse for.  Babies are all different, and some are more efficient than others.  Women produce more milk at different times of the day.  And sometimes babies who hang out for a long time at the breast, are just dicking around, using you as a human pacifier.  Sure, you can weigh a baby before and after a feed, but on a daily basis, the duration and frequency of a nursing session is the only number you’ll be able to give the doctors.
  • Get an iPad or an ereader or at least some good phone apps.  Nursing is not only time-consuming, but also soporific.  To keep yourself from falling asleep mid-suckle, download engaging books and mind-numbing games.  Until your baby knows it has hands and can stop flailing about volitionally, you’ll have to help it stay on the breast.  This requires at least one hand.  You will value any and all activities you can do with the other hand, and you may eventually tire of 3am TV infomercials.  Though I am only a recent convert to the ebook world, I have found yet another lesser-known advantage over paper books – you can turn the pages with the swipe of a finger, and don’t have to deal with a paperback folding up, losing your page, or holding the spine open with two fingers and turning pages with another.  While you’re at it, download a stopwatch app and a nursing log app.  The doctors will love you.
  • I guess I only had 9 tips.  Oh, no, wait.  Here’s one more – keep trying.  Breastfeeding can be really hard, but don’t give up.  Call in the troops.  Get a lactation consultant, or go to a breastfeeding support group.  Call a mommy-friend, or  use your iPad to find an online support group.  But keep at it.  You’re awesome.
  • Oh, shit.  Another one.  This one was personal, and stems from a failed 4am feeding where L. wouldn’t latch.  Through streaming tears, I pleaded with her to stop rejecting my breast, to stop rejecting me.  And while this may seem silly from the comfort of daylight hours, it was very real to me.  A baby’s difficulty latching, or sucking, or removing enough milk is not a personal affront on your motherhood.
  • Or your best intentions.  It killed me to have to supplement with formula on doctor’s orders because my babies had lost too much weight since birth.  But by adding formula for only two weeks, I was able to appease the doctor’s need for numbers (Yes, we give her up 2oz to “top off” after a 20-minute feed, etc.), and once I could show my babies were gaining weight, we were back to boobie.  It did not mean I was a failure that I had to give my children formula.  We just needed some help.

I hope my earnest little list offered you’re a little help.  Now go, get some sleep.  You look awful.

Which means, of course, that I have been through the childbirth experience and emerged on the other side.

The babies are definitely the coolest things to have come out of my vagina.

Which means yes, I delivered twins vaginally, which earned me quite the kudos in the hospital and quite the looks from people who think it is their business to ask such things.

I was induced Wednesday night, and given Cervadil, which was supposed to “soften” my cervix (finish effacing and thinning it) in preparation for the actual induction the next day.  The nurse said everyone reacts to the Cervadil differently, which is a nice thing to say when I lasted about an hour before intense contractions started piling up ever 45 seconds.  There was no time to use our well-rehearsed breathing exercises as contractions became more intense.  They started at a 10, and just kept going.  I was not supposed to walk around, as the babies were on a monitor, but only walking around gave me any measure of relief.  Due to hospital policy, I was stuck in bed, however.

An hour later, anesthesiology was giving me the epidural I had been undecided and open-minded about.  The effects were amazing and almost instantaneous.  I turned from a shaking, screaming banshee who was breaking into cold sweats, into a rational human being who played Skip-Bo with her husband.

My daughter decided she wanted to come out before I was fully dilated, so she started descending and sitting, basically, (well, head-standing) on my coccyx, for several hours.  So even though I had good “coverage” with the epidural, and was numb, she exerted incredible pressure on my ass every time I had a contraction.

Those contractions?  Never got more than 5 minutes apart and were usually 2-3 minutes.

For 22 hours.

Anesthesia, who was MIA by this point, wouldn’t be able to relieve “pressure”, only pain, so my only option once I hit a contraction was a nurse’s suggestion to apply my own counter-pressure.  This meant that my birth partner (see: husband) pushed and held a frozen diaper (standard hospital equipment on the L&D floor) against my coccyx for every contraction.  Things became glamorous.

My doctor, who was in the hospital on Thursday, had to leave by “5 or 6”, but I was dilating so slowly (several hours from 2-3cm, several more from 3-4cm), that we were on the clock, praying she’d be able to be there to deliver the babies.

Five and six pm both passed, and all that was left were contractions through my ass.  They tell you you might poop during childbirth, but they don’t tell you you feel like you have to poop for 22 hours.

I was able to wedge a frozen diaper in such a position that we could watch Jeopardy!, when nurse Laura said she thought she saw signs of “earlies” on the fetal monitor, which signifies something significant.  At any rate, the OB who had just come on checked me, and by 8pm, I was being wheeled into the OR.

Since I was having twins, and each baby gets a “team”, a regulary L&D room is just too small for the delivery.  All twin deliveries happen in the OR.  I was excited to finally be doing something, excited to relieve the gotta-poop feeling, excited to get to be an active participant in the birth.  I was transfered to the OR table, and immediately cowed by the 3  enormous lights above me.  Fourteen people at least shouting at me, different directions, different instructions.  I screamed while I was pushing, ’cause it fucking hurt.  That elicited many refrains of, “Don’t scream” as I was kind of wasting energy and breath that could be used for pushing.  So I started crying, “I’m sorry,” which only made them admonish me not to be sorry.

Once again, the breathing exercises were out the window as I couldn’t focus with everyone screaming at me and the lights glaring.  I couldn’t hear the 10-second counts, and I felt like the heads I was trying to pass were bowling balls.

After what felt like forever but was more like 43 minutes, my daughter was born.  I was delirious with sleep-deprivation from the night before (and past several weeks), as well as the pain meds they were pushing.  I heard her cry, and I said, “Baby!” as if it had just now occurred to me that pregnancy usually yields live, screaming babies.  They said push if I felt I had to push.  I still felt like I had to poop, not push, but had already delivered one child that way, so I started pushing again.  Fourteen minutes later, little brother was born.  In all the hysteria, I didn’t realize he wasn’t doing so well at birth.  In some part because I pushed him out so quickly, he didn’t get all the squeezing benefits of being compressed in the birth canal, which can help to initiate breathing.  I caught a glimpse of him, and he was completely white.  I thought he was covered in vernix, the white, waxy substance that protects fetuses from amniotic fluid, but he was white because he wasn’t breathing.  I only found this out later, as my husband finally revealed, thanks to my insecurities about their health.

“Are they really fine?” I begged.  “Are they really perfect?” I was in disbelief, I was frantically worried someone was keeping something from me.  E. had only received a 1 on his initial APGAR.  He wasn’t breathing on his own.  His color was terrible.  As they say to assuage mothers, “Many babies need some help.”  Truthfully, he did only need a little help — they suctioned him, gave him a few breaths with a BVM, and soon he was screaming, too.  Now, at 18 days old, he often won’t stop.

My biggest triumph at this point is having carried twins to 38.5 weeks, and having had such a thoroughly uncomplicated pregnancy that I was able to deliver two healthy babies vaginally.

My biggest disappointment was in losing control, losing track of my birth plan, being unable to follow through with my first parenting decisions.

Because L. was jaundiced, it was essential she clear out the bilirubin from her system, and she ended up taking formula from a bottle.

Because E. lost too much of his birth weight (when you’re 5lb5oz, it’s more of a concern than if you’re 8lbs), we were supplementing him with formula.

Because of the madness in the OR, and E.’s low one-minute APGAR, I didn’t get to hold either child until we were all in recovery.  And Mr. Apron didn’t cut either cord.

Because I ran out of time, I didn’t get to bank/donate their cord blood.

Because breastfeeding was so hard, both babies lost weight and the pediatrician told us it was medically necessary to supplement with formula.

Because my parents don’t listen, they bought us diapers in the wrong size, sizes which will fit them when they are big enough to be in cloth diapers, which is our intention once they are out of the newborn-shit-every-twenty-minutes phase.

Because the babies screamed their heads off the first two nights and wouldn’t sleep, we began using pacifiers almost immediately.

Because I was too tired and emotionally distraught to be patient enough to breastfeed at the 12am, 3am, and 6am feedings, and we felt the pediatrician’s mandate breathing down our necks, we began bottle-feeding overnight, while I pump.

We weren’t going to bottle-feed for several weeks.  We weren’t going to use pacifiers.  We weren’t going to use formula at all.  He was going to cut the cords.  Baby A was supposed to be on me until I started pushing with Baby B.  My OB was supposed to deliver my babies.  We were going to donate the cord blood.  And none of it happened.  Every feeding where the babies wouldn’t latch on, and I held out a hungry child to my husband, who would give a bottle of the hated formula to an eagerly awaiting little mouth, I felt rejected.  I felt I couldn’t provide what I knew was the best food for my babies.  I felt the pediatrician was using the words “medically necessary” as a way to derail my first parents decisions.

Mr. Apron keeps telling me that that stuff is all minor, that I need to sort through my priorities, and look at the bigger picture.  The bigger picture always is the healthy babies, always is their welfare and well-being.  But as the items in my birth plan kept getting ignored, steam-rollered, or altered as a result of “medically necessary”, I felt helpless.  I felt ignored.  I felt like my intentions were worthless.  The induction went poorly and my contractions put me in agony?  Big deal.  The babies were healthy.  The nurses pushed meds and interventions on me so I’d be a happier patient?  Big deal.  The babies were healthy.  I had to supplement with formula and risk nipple confusion and interference with breast-feeding?  Big deal.  L.’s bilirubin numbers were dropping, and E. was putting on weight.  The pediatrician recommended Vitamin D drops because breastmilk is “incomplete”?  Big deal.  Vitamins are insurance against deficiencies.

I didn’t feel supported in my decisions as a mother.  I watched all my intentions slip away until I was left with sore nipples, a sink full of Enfamil bottles, a calendar full of doctor’s appointments, and mandates from a pediatrician who I hadn’t even met, as he was on vacation.

And those post-partum hormones coursing through my body didn’t help.

However, we’re all on the mend.  The loopiness from the Oxycodone has worn off.  The babies are back above birth weight, so we were given “permission” to drop the formula supplements.  I’m pumping during night feedings to spare myself some sanity, and I can usually make enough for Mr. Apron to feed them breast milk.  The babies are healthy, for real.  And while I do not fare so well when they soil three diapers in a row, while I’m changing them, or they pee out the back of their really cute outfits, or they break out of their swaddle for the sixteenth time, or one wakes up screaming just as we’ve put the other one down, we are, on the whole, doing okay.

I made it from pregnancy to motherhood, and our little family of two (plus the two dogs) has made room for two more very important members.

Who are probably ready for their 6pm feeding.  As I am little more than a milk factory at present, I must conclude this post.  I hope for many more naps as peaceful as this one, that I may blog some more.

Here are my munchkins: