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Tuesday, October 20, 2015

Tongue Tied Part 3

Tongue Update:
That night we got a long piece of gauze and wrapped it around our fingers before we attempted the tongue stretches. This made a huge difference. We were able to get a grip on that slippery tongue and pull it up into position.

She had two feedings the next day that were great and then she had  a huge meltdown and refused to drink from the normal nipple. I texted the dr and he said it was ok to use the smaller nipple as needed to make sure she got fluids but I had to try and transition her. During that week, she seemed to be ok during the day but at night she would have a meltdown with the regular nipple. At least it was expected and I knew it was ok to let her have it. We had some good days and some bad days with feedings, but it kept getting better.


I took her back for another follow up a week later and she was doing great! Now she uses the regular nipple about 99% of the time. We still have some days where she needs to move around and find that position, but overall things are looking great. She increased her amount of formula since her surgery. She was taking about 5 oz and now she takes about 8oz. She is also 12 weeks old now and goes much longer between meals.


She has been sleeping on her back in the crib every night. She is now able to roll herself over onto her side and back. She likes to sleep on her side often. She is developing a drool rash on that side.

Adoption Update:
The SW came to our new house to update our home study. Everything went well since we just had a house party and the house was very clean. It was quick since it was just a house inspection.

We had to get a bunch of papers notarized and sent back to the lawyer along with a certified copy of our marriage license. We just finished the 3 month waiting period set by our state. Now we are waiting for the SW to finish her paperwork so the lawyer can file for a court date. At this point everything seems to be ok, but we won't know for sure until we go to court.

Monday, October 12, 2015

Tongue Tied Part 2

I had a real hard time doing the mouth exercises. The dr was great and even had videos online to show you, but I just felt awkward. Her mouth was very slippery since she started to drool a lot. She would cry in pain after I did it. I was so uncomfortable doing it. I knew it had to be done, and I feared that it would stick back together so I just did it the best that I could. I had dh do it at night to make sure that it was being done hard enough.

At first everything was great. She was eating from a normal bottle and was sleeping on her back. Then things started to change. She was doing that head shift thing again. She didn't want to eat in a normal position. She wanted to eat lying down. She would get really frustrated and scream when she could not latch. She is old enough that when she saw the bottle coming toward her she knew what it was and would freak.

Feeding her became a nightmare. I had to keep trying different positions and bottle angles. I finally gave up on the silicone nipples and went back to the rubber. That seemed to solve the problem for a few days. Then she had the same reaction with those.

She would get so worked up that I had to walk away. I would cry bc I knew she was hungry but she could not eat. I thought to myself what did I do to my baby??? I tried more of the mouth gel and that seemed to help.  Finally we called the dr. He said that the baby might be congested and to try the nasal aspirator. I got some good boogies out which did seem to help. She was fine the next day. I would suction her nose before feeding and she was ok.

Today I went to feed her and it happened again. I started to cry in frustration bc feeding her used to be easy and fun. Now it was torture. I finally got her into a position where she was almost standing up and she latched on and finished the bottle.

I went for my follow up apt and I told him about the weird feeding position. He said that she should be feeding at the same angle as if I were breastfeeding.  He took a look. The top lip was perfect. The tongue was bad. The tongue had stuck back together and that is why I was having feeding issues. He pulled on the tongue and it started to gush blood. It poured out of her mouth and all over her shirt. She started to scream.

I started crying bc I did not pull hard enough. I thought the tongue was fine bc it did not look tied down. I guess the tip was fine but she was also tied down underneath and that is was stuck.

He asked me to get out a bottle. I only had the small rubber nipple. He told me it was too small. I explained how I started with the large silicone but then she would only eat with the rubber.

ERGHHHHHH so  now I have to keep doing the mouth pulls for another week and pray that this time it does not stick again. I also have to use the silicone nipples.

Saturday, October 10, 2015

Tongue Tied


She was diagnosed as tongue tied at birth. I could see it myself. The hospital said to have it snipped. I spoke with the pediatrician the next day. He said it was controversial to get it snipped and he recommended to wait and see what happens. He said to see an ENT in the future if needed.

She was gaining weight and growing. She was a really good eater. I did not think there was a problem at first.  She was fond of the smaller rubber nipples and did have some trouble latching on to the larger silicone nipples. I was also concerned that she would develop a speech impediment so I checked the internet to see what other moms did.

I found a great forum and the moms mentioned a specialist. He was a pediatric dentist who worked with breast feeding babies who were unable to latch. I looked up his name and saw that he was close enough where I could drive to see him. We made an appointment but told the nurse that it was not an emergency bc we did not want to take an apt away from a baby in need.  The apt was for 9/30 and she would be  10 weeks old.  My dh told me that it was simple and they would just zap it with a CO2 laser.

On my way to the appointment, I kept thinking that this Dr was going to send me away bc it was no big deal. OMG I was totally wrong. He looks her in her mouth and the first thing he said was, "I can't believe that she made it this far"  I told him that I was not breastfeeding. It seems that my baby would never have  been able to latch onto a breast. She had a major tongue tie (stage iv) and a major lip tie. I had no idea about the lip tie. I told him that she was a really good eater except lately she has been doing this weird thing with her head. She will turn her head and stop eating. I thought she was just older and distracted. He said that she was breaking latch bc she could not breathe.

That is when I lost it and started crying. He said that the tongue needs to slip under the nipple and since her tongue in not able to she cuts off her air supply while eating. Then he said he was surprised that she was not congested in the morning. I told him how she would not sleep on her back. He said that she would not be able to fully breathe on her back and would have sleep apnea or other issues.

I had to watch a very explicit video on the procedure. I was in shock. It turns out that this is major mouth surgery. I really wished my dh was there. I have to due post surgical care and pull on her lip and tongue for two weeks to make sure that they do not stick back together.

He took my baby out of the room and brought her back 10 min later. She was not crying. He had me feed her and she latched on the larger silicone nipple with perfection. I could not believe the difference. He asked me if her belly got hard after eating....which it did. He said now it will be softer bc her mouth is able to function properly and get less air. He was right I am still amazed and love to feel her soft squishy belly. He said that she will be able to sleep on her back tonight. That night she slept on her back for the first time. I was really amazed. I had no idea there were so many issues related to tongue/lip ties.

I spoke to another mom who was ahead of me. Her baby was 3 months old and much smaller than mine. She was breastfeeding but gave up nursing and had to pump/bottle feed due to latch issues. She came from far away bc she said this dentist was the best around. I was impressed. She said that she had consulted many drs and lactation consultants before they finally figured out the baby had mouth issues. Her baby was able to latch to the breast immediately after the surgery.

The dr said that he gives lectures to try and bring awareness. He said that many drs are not aware and many babies/moms suffer for months with nursing issues. This dr also said not to go to an ENT bc they are not experts in the oral cavity and usually put the baby under anesthesia and cut. He said they don't often cut enough for fear of bleeding complications. He also said that he has had to do many corrections after a baby was worked on by an ENT.






Thursday, October 8, 2015

Sleeping

 We met our baby when was she one day old. We were able to sleep over with her in the hospital that night. The next night I slept on the couch and she slept in the car seat on the floor next to me. We were about to move, so most of the house was packed up. We did not have a crib yet, but we did have a bassinet. She refused to sleep in the bassinet so I just went with the car seat since she really liked to sleep in that.

I was able to see her from the couch and rock her as needed. It worked out really well bc I would watch her breathe for awhile. At night when she started to stir I was able to hear and see her so I could get up and get her bottle ready before she started to cry.

We kept this arrangement for two weeks and then we moved. At that point my beloved couch that had seen me through multiple surgeries and had been part of my life for the past 15 years, was deemed unworthy of the new house. We put it in the basement, but probably should have tossed it. It was in great shape to look at but the springs were gone on DH side. He didn't care but it was embarrassing when someone would come over and fall into the couch.

The first week in the new house, she was 3 weeks old. I slept in my own bed and had her sleep in her room. I would get up at night, go into her room to feed her and then go back to bed. I quickly realized that this was not going to work for me. It was really hard not having her in the same room. I know most parents keep the baby in their room, but I needed to be able to move around, and turn on lights etc without having to worry about waking up DH

I went out and bought an Aerobed and placed it in her room. I was much happier bc now I could see her again and rock her as needed. It was great to be able to lay in bed and rock her in the car seat.  I tried to get her to sleep in the bassinet a few times, but she would not sleep in it.

She got to the point where she would only wake me up twice a night usually around 1:30 and 4:30. At around two months of age, I finally got to paint her room. I had to move her out of her room for two weeks. I placed her in another room that I use for my office. There was really no room in there for my bed, so I went back to sleeping in my room.

I painted her room lilac and assembled the crib. I put the sheets on the bed and had it all set up but I was unable to bring myself to put her in it. The crib seemed so big and it was a big step for me. I am not sure why, but it seemed scary. After the room was ready, she went back to sleeping in her room in the car seat.

Now she sleeps through the night and she is 10 weeks old. The first night was scary bc I woke up before her. I panicked and I ran to her room to see her. She has been sleeping through the night for about  a week now. I feel more sane now. Even thought she only woke me up twice a night, I was still not getting enough sleep and it is not good to get interrupted like that. I was really sleep deprived for weeks.

I found out recently why she refused to sleep on her back. I am thankful that I had the instinct to allow her to sleep upright in the car seat. (More on this in the next post)

Sunday, September 13, 2015

Diapering

She was in newborn size at the hospital. The diapers had a yellow line that turns blue once wet. This was really great bc you could just open the blanket and look at the diaper. Since she was wearing a half shirt it also made it really easy to check.

She wore newborn diapers for about two weeks. Then she started size one. I can't believe how fast that happened. One day I just noticed that the newborn were getting hard to tape but the size one were too big.  I finished my supply of NB and moved up to one bc I did not want her to get pinched.

Now at 7 weeks, I think she is ready to move up again, but I am trying to finish out my supply of size one. I told my family who asked, to always buy me the next size, so I do have a nice supply of size 2 waiting for me.

She goes through many diapers in one day. It is crazy. She gets really fussy when wet. Sometimes it might only be 30 min. She will get really fussy and then I think to check the diaper and there is the blue line.

At first she would poop after almost every meal. I read that it is common for breast fed babies to have this reflex but not bottle fed. It was only a tiny amount and did not really have any aroma so it was easy to deal with.  As she got older, this started to change. She would a few times a day. There was more volume and it was thicker and more aromatic. Now she only goes once a day or every other day. It is really gross. It makes me nervous when she misses a day but the dr said it was normal. I even went online to check it out and looked at photos of baby poop to compare..........yes really I did that. It seems that they are only considered to be constipated when rocks come out.

My co workers had a shower for me last week and I got a diaper champ. I have been using it for almost a week and I have not filled it up yet, and I don't really smell anything. We will see how this progresses. I have two floors, so if I am downstairs I use the regular garbage. This is also something to see if I need to get another diaper pail for the downstairs or not. We have learned the importance of rolling the diaper up tight into a little ball.

My dh is getting better about doing diapers. At first he was really squeamish. He had never changed a diaper before. I did them exclusively for the first week while we got settled and then he started to take turns at my prompting. She moves around a lot and he had trouble getting the diaper to fit properly. He also has trouble mastering the concept of taking off the dirty one and quickly placing down a clean one down. He had a big accident with her pooping all over the changing table.... Now he is a pro and is really good about checking her stripe when grumpy and taking the initiative to change her.


Friday, September 11, 2015

Feeding

While in the hospital, I made it clear to every nurse about our situation so they would not harass me about not breast feeding.  I had always planned to try it out, but it's out of my control now and I am okay with it. We bond during feeding. She looks up at me and grabs my finger. I get to hold her tight. Taking care of a little baby is really hard and I can't imagine all the extra work it takes to breastfeed including having sore leaky boobs etc. I give those women credit.

They gave me 2 ounce similac premixed bottles. They were great. You just unscrew the top and put on a nipple. They were very strict about how much to feed her. They told me about one ounce and it had to be at least 3 hours. They said her stomach was very small so we had to be careful.

She would become fussy and cry and my gut told me she was hungry. The nurses would not let me feed her until three hours had passed. I was up all night until about midnight when the nurses took all the babies to get their stats. She returned the baby asleep in a tight swaddle. I asked her how she got her to sleep. She  told me that she likes to suck on her gloved finger, so I should get her a pacifier at home bc the hospital does not stock them.

She went to sleep and I expected her to wake me up but she never did. I woke up around 6:30  am and thought she was dead. I jumped up and freaked out. I went over and woke her up. She was fine and had a bottle. The nurse got mad at me and told me that I should have woken her up... ERGH well nobody said anything so how would I know.

When the sw arrived, the baby was screaming again and I thought she was hungry but it had not been 3 hours. The SW said she had never heard such a loud cry from a newborn. She agreed that the baby was very hungry and got me some food. She said that sometimes when they do not get a lot of prenatal care they crave nutrients once born and try to make up for lost time.

We saw the dr the next day and I told him what the nurse said. The dr told me that I could feed her every 2-3 hours and that I should not wake her up to feed at night.

I used the premixed bottles for a few weeks. They were so easy and helped me through the chaos of moving etc. At some point I knew I would have to start mixing powdered formula due to the cost. My dh coworkers got us a formula machine that is amazing. She started using the powder during the day, but I still  use the premixed at night and when I travel. I am still transitioning my whole life and I need to keep some things simple.

She quickly increased her intake of formula. I tried to figure out how much to feed her. Some sites said 2.5 oz per pound her day, and she was doing a little less than that. I do a combo of child led and parent let feeding. I feed her if she awakes or is fussy in the 2-3 hour window. The dr said you can't really hurt her by giving too much bc if you over feed the baby it will spit up. I increased her amount slowly and I tried to watch her to see if she was still hungry after feeding. She never spits up and she will make a yuk face when she is not hungry.

At 7 weeks old, she is up to about 5 oz per feeding. At her last Dr Apt for her one month checkup, she had gained 2 pounds. She went up from 8 to 10 which he said was great. I expressed my fear that she was not eating enough. He said all moms feel that way. Then I reminded him that I am still under supervision so I worry that I will get into trouble.



Wednesday, September 9, 2015

Clothing

When she was in the hospital she wore a T shirt (side snap kimono style) diaper and blanket. The SW had told me to bring an outfit to take her home in. I had a cute outfit that I bought for this day and when I put it on her I quickly realized that snaps are horrible. There were snaps all the way up and down her legs. I had no idea that babies wriggle around and kick their legs so much. Even at two days old this girl had leg power.

The next day, I went out and bought a bunch of T-shirts like she had in the hospital. OMG so much better.  For the first two weeks, she had the umbilical stump, so I liked having the half shirt to keep air flowing. The dr said not to do anything to the stump.

 After the stump fell off, I thought I would put her in a onesie since this was the one item that everyone mentioned over and over again. I put the first one on and it was tough to get it over her head without her getting really upset. It was really tough to get her arms into the holes since they were very rigid and I was worried about hurting her. It was so much more work than the simple side snap.

Then I was getting ready to leave the house and her diaper blew out the side and the onesie got messy on the bottom.  ERGHH so I just cut off the bottom and left the house bc I could not deal with trying to get it off and then put another one back on.  On that day, I hated onesies and did not really get the appeal. She went back to the side snap.

She continued to wear the side snap, diaper, blanket combo for the first 4 weeks. It was so easy. I could quickly open the blanket and check the diaper. Then since the T-shirts were side snap they did not have to go over her head. They were very easy to get onto her arms too. The shirts were white and I found that oxy clean totoally got out any formula/drool stain. I did also buy her a bunch of newborn sleepers with zippers. They were hard to find bc most sleepers had snaps. The sleepers were great and she wore them during the day if it was cold. They did not have to go over her head and they were quick to open and close.

After the first month, she started to get more active and the side snap would start to ride up. That is when the light bulb went off why the onesie is so great. I also was just out of my 30 day return period so I felt more comfortable taking the tags off of her clothes. I started to dress her in onseis and now I love them. She has a ton bc that is what everyone gives you. She has all sorts of colors and it has been really fun to "dress" her up.

If I ever got the chance again, I would still  start out with the side snap shirts/zipper sleepers until about 4 weeks old. She is so much bigger now and fits into 0-3 months clothes at 7 weeks old. She does not seem to mind getting dressed now, so I am wondering if her head is more solid and when she was younger maybe it was more sensitive. I also found that putting her arms into a onesie early on was very hard and it is much easier now, so maybe her arms are more flexible.

Friends and family continue to drop off clothing. I am starting to get larger sizes which is great. The larger sized clothing looks more like real clothing. There are dresses, shorts, etc. I had a huge bag of clothes so one day I sorted them all out and put them into her closet by size.