parenting · postpartum

Make the most of your Postpartum Time : Week 2

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Time already feels like it is moving by too fast! This week I was able to get back to some of those ‘To-Do’s’ I had put off and add a few more things into my routine.

  1. Thank you notes
  2. Birth Announcements!
    • This is a fun one. The hospital where I delivered has an in-house photographer, so we were able to have the pictures taken within the first couple days of our daughter’s life. I had packed a special outfit, and they came out great!
    • I ordered the actual announcements from Minted Birth Announcements at Minted– they make it so easy to create a cute layout, and to have all the envelopes pre-printed with addresses for delivery, saving me precious time!B
  3. Walking
    • After a New England winter, any sign of Spring is so welcome and enjoyable. We had a couple of warm days this week and I took advantage by getting out for walks with the stroller. Baby was pretty bundled up and shielded from the sun, but the fresh air does us all good! My son has also been loving playing outside after being cooped up all winter, so walking (or even bringing the strider bike and helmet along) is an easy activity we can all do together.
  4. Pumping
    • After spending the first week focused on ensuring my baby was getting enough milk and gaining weight, this week I started pumping.
    • I pump for two reasons – (1) I will be going back to work (sooner than I would like) and need to get started storing some milk away. (2) Pumping can help to increase or keep up supply.
    • Pumping while breastfeeding full-time is a lot of work. This milk is “extra” – over and beyond what baby needs, so there won’t be much milk per pumping session, which can be discouraging but is totally normal.
    • Pumping in addition to breastfeeding can help increase supply as it fully drains the milk from your breasts and signals to your body to make more.
    • There are a few things I try to do to be sure I’m getting the most out of my pumping – after baby feeds I pump. I get very little milk, (~0.5oz total) but its more about completely emptying my breasts.
    • Sometimes I will pump and nurse simultaneously so both breasts are engaged at the same time, then I still have the baby switch over to that side after the pumping is done. This results in a little bit more milk to store, but I have to admit I don’t love doing this. It just kind of ruins the nice, calm nursing session for my babe, but is sometimes necessary.
    • One thing about the pump itself, having the correct size shields can make a difference. If you’re going to put in all this work pumping, you want to yield the best result possible, right? So its worth checking that your shield is pulling in the right amount of your nipple and aureola to maximize effectiveness. I actually use two different sizes, as one of my nipples is slightly smaller than the other!
Medela Guide to Breast Shield Sizing

I can’t really talk about pumping or milk supply and not mention drinking water! This is a big focus for me every day because I know how important it is. The issue is not that your supply will be affected (you will continue to produce milk until you are significantly dehydrated), the issue is that you will suffer. Your body will take care of the baby first, making sure the baby and breast milk is taken care of, but you may be left dehydrated and symptoms include tiredness, lack of energy, moodiness, headaches, etc – not what we need with a newborn!

I consistently see the recommendation of about 1/2 to 3/4 of an ounce of water per pound of your weight. So if you weigh 140 lbs, this would be 70-105 oz of water per day. Of course we do get water from other sources (coffee, tea, juice, vegetables we eat, etc) so you could figure at least 10% of your targeted consumption will come from what you are eating.

Keep in mind that water intake varies per individual and your needs may be more or less than the recommendation given. Best advice is drink to thirst and check your urine color to determine the right amount for you.

I like to make a pitcher of infused water every few days to supplement my plain old filtered water. This just helps to keep it interesting and tasty. This week I was doing lemon and strawberry.

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parenting · postpartum

Make the most of your Postpartum Time : Week 1

The first week after the baby is born is all about recovery and settling in. Whether this is your first baby or you’ve been down this road before – this is a special, hectic, messy time!

Today (or tonight, really) my newborn will be turning 1 week-old, so here’s how my first week went.

After the night of my delivery, I spent two additional nights in the hospital. As much as I wanted to get back to my own home, own shower, and own food, I know how valuable this time is – round the clock professional care for myself and my baby? Yes, please! My priority was for my husband and I to get some sleep while we had all this extra help, so we let the baby go to the nursery in between feedings each night. This also works out well for the hospital staff as they have numerous checks and vaccinations to complete, etc – that they would schedule during the same time.

Another important goal during the hospital stay is to help your body heal – I knew that once I got home I would be moving around so much more (chasing after a 2 year-old as well) that my bleeding and pain/discomfort would increase – and it did. So during the time at the hospital its was important to rest, get into a care routine where the peri-bottle and ice packs became my best friends, and stock up on disposable undies to use later!

Lastly – I took advantage of the lactation specialist during my stay. I had nursed my son for 9 months, and my goal is to do at least the same for my daughter. Even though I had nursed for such a long time (and it wasn’t that long ago) I still found it extremely helpful to hear from the specialist. Reminders on how to latch, different position options, how to tell if she’s feeding correctly, etc. All extremely helpful. Since most babies lose weight in their first couple days of birth (especially exclusively breastfed babies) if you are breastfeeding you are going to want to feel confident that your baby is getting enough to eat. Proper form also reduces pain and complications for the mother and helps keep your supply up. The baby is the best pump for you and if she feeds correctly your supply will be plentiful! So my main job after returning home was to establish a good feeding “routine” (essentially feeding on demand at this point, sometimes she would be hungry after 30mins, sometimes 3hrs) and to make sure she was gaining back the weight she lost. We have a small baby scale we purchased for my son (you can see it was from Babies R’Us, still so upset they are gone because it was so convenient to be able to run out and get whatever little thing we needed right away) and this is great to eliminate any question on if she’s gaining weight or not.

Fortunately, we’ve had a productive week and she is well over her original birth weight. The general guidance is that most babies should regain any lost weight by days 10-14 of life, and most babies lose 5-10% of their birth weight in the first 5 days or so of life (breastfed babies will typically at the higher end of this range).

What worked for me is to offer the breast anytime she woke or was fussy. If she didn’t take it – then I would look for another source for her crying or discomfort, but 90% of the time, she’s hungry! This is really a learning from my experience with my first-born. With him I tended to think ‘he just finished eating 30mins ago, he couldn’t possibly be hungry’ – well I was wrong, the poor kid was probably hungry all the time! Especially early on – they do a lot of cluster feeding, and also nurse to soothe themselves, so expect to spend a lot of time nursing!

This week your baby will also have their first Well-Baby visit – the first of many visits in the first year of baby’s life. There are numerous things to check and discuss at this visit:

  • Measure baby’s weight, length and head circumference – here’s a good reference on newborn averages
  • Check how baby’s umbilical cord and circumcision (as applicable) are healing
  • Check baby’s heartbeat and breathing
  • Check baby’s reflexes
  • Check baby’s skin color looking for signs of jaundice
  • Check baby’s genitals
  • Check baby’s Fontanels (soft spots) and the shape of her head

You’ll also discuss the how the baby is feeding and sleeping, and this is the best time and place to ask any and all questions you may have (there’s no such thing as a stupid question when you have a newborn).

Just completed my first check-up!

Given how much went on this week (its amazing how quickly your life can change!) there are also a couple things I didn’t worry about this week

  • My weight or getting my body back – this week, I didn’t worry about my diet, other than wanting to make sure I was eating enough to help establish my milk supply. I didn’t even think about exercise, as I wanted my body to heal. There is time for this in the weeks to come, but was not my priority this week.
  • Thank you notes and other ‘To-do’s’. With various baby gifts arriving the thank-you notes are on my list but will have to wait. Returning phone calls and emails or messages will also have to wait. This is a special time for our little family of four and its ok to be a little selfish.

One important reminder though – get that baby added to your insurance. This is one ‘To-do’ I checked off before leaving the hospital.

So, what did I feed my family this week? The first night we got home we dug into one of our Freezer Meals that I had prepared before baby arrived – what a lifesaver! We went for the turkey lasagna rolls, and this was dinner for mom, dad, and brother for our first two nights back – it was delicious, even though it looks a little messy. Timing worked out that we were actually all able to sit down and eat together too which my toddler loved, “we’re all together” he said happily.

Otherwise I ate fruit, cereal, or Lactation Cookies (also from my Freezer Meals prep) for breakfasts, sandwiches for lunch (tuna sandwich with a small cappuccino shown below), and we even did a ‘breakfast for dinner’ night with a spinach omelette – quick to make and good to eat!

Looking forward to my Post-partum (PP) week 2 however, I do want to start getting back into my normal groove of planning a weekly menu of healthy nutritious meals for the family. Here’s the plan:

I like to do Meatless Monday – but if you are following no meat on Friday’s for Lent you could easily switch the days around to accommodate. I did not do a big prep session for this week, thats a little too ambitious for me for week 2. I plan to prep as I go during the week and fit it in between feedings, snuggling with the baby, etc. We’ll see how that works out!

Since today is Monday, I’ve already started following this plan, the Low Carb Waffles (also from Freezer Meals prep) were delicious – like crave-worthy delicious.

Here’s the recipe I’ll be using for the Mushroom & Artichoke Fettuccine from DamnDelicious – it looks yummy and hearty which is perfect for a vegetarian meal!

I can’t wait to try it!