Wednesday, December 11, 2013

15 Things They Don't Tell You

For all you pregnant ladies out there, here are some things for you to know about giving birth and post-partum care. I'm certainly no expert, but I read enough stuff to know what information is actually useful. You've all read about the sleepless nights and intensity of labor. But I want to share a more positive (but still realistic) perspective. I go into great detail in some areas, so this is more of a "women only" post. Unless your wife has already given birth, in which case, you'll understand.

1. First off, it's wonderful and possibly the best moment of your life. I loved giving birth, as you can read about right here, and would do it again in a heartbeat. It's so totally and completely worth it, no matter what you go through to get there. That first time you hold your little baby after he or she's out, you'll understand. Apart from my wedding day, I didn't know if I'd ever been happier. And it was a close call. So just know that what you go through is worth it. And if you're positive about it like I was, you might even love it.

2. You might just pee, poop, or throw up while giving birth. It stinks (ha ha, pun NOT intended), but it can happen. But the good news is, it might not! None of those things happened to me. And like anyone, I had been fearing it tremendously. Throwing up usually happens because the epidural can make you feel pretty nauseous (not enough to scare me away from getting it again though!) but my nausea wasn't any worse than the morning sickness I'd experienced during my first trimester. As you'll hear a thousand times over, if any of these things should happen to you, don't worry--doctors have seen it all, and more good news: you might not even know if you do. I had to ask after because I had no idea what was happening down there, (and honestly, it sure felt like something happened) but apparently nothing did. And even more good news: I can almost 100% guarantee you won't give a crap (ha ha, not funny) if it does happen. You might, like me, even want it to happen. During my labor, the pressure on my rectum (gross word) was so intense that I felt like I was experiencing the worst constipation in my entire life and at the time, I just wanted to feel relieved from that pressure. You just get to the point where you accept that whatever is going to happen is going to happen, and nothing matters but getting that baby out! So, basically, Hakuna Matata. No worries.

3. While in labor and for a while after giving birth, you might shake. Like a lot. I kind of looked like I was freezing to death. Or having a mini-seizure. But I felt fine--I just could not control my arms, hands, or jaw! My teeth chattering was the most annoying thing. It affected my speaking. Everyone kept asking if I was cold, but I wasn't. I just couldn't stop. I think I heard someone call these "labor shakes" (makes sense) and other than being really annoying, they aren't a big deal. If I remember correctly, they're caused by adrenaline, and are really nothing to worry about. Just anticipate them because a lot of women get them.

4. At first, while pushing, you will probably feel like you CAN'T DO IT. That is how my mom felt, that is how I felt, and I'm positive that is how countless other women felt when they began pushing. It seems impossible. It is impossible. It makes no sense to me that an 8lb 3oz baby came out of such a small place. Even now, three months later, I occasionally find myself wondering how our baby came out of me. You'll find yourself, as I have, holding your son or daughter on your belly and wondering how he or she possibly could have fit inside you. It makes no logical sense, but somehow it's possible. It's a miracle. An infinite number of women have had and will continue to have babies. You can do it. When the doctor got a mirror and I saw how little a circle of my daughter's head was visible when I was pushing at my very hardest, I thought, She is never coming out. I might have even said it aloud. My doctor thought I might have to go with a C-section, she was so stuck. I didn't give up, and with the help of forceps, she finally came out--very cone-headed, but perfectly fine. When you are in that moment of despair, keep the thought in the back of your head that you can do it. You have to. That baby can't stay in there forever even though it seems like it. And if you end up having a C-section, don't worry and DON'T feel bad. Don't let anyone make you feel like your birth experience was less special or less right because you did it differently. That's what my doctor had to tell me when I was feeling frustrated that I wasn't going to have the natural, epidural-free birth I wanted. But you know what? Looking back, I wouldn't change a thing. Except maybe I'd have asked that we could try the forceps sooner than four hours...

5. Your baby will look like an alien when he or she comes out. So don't be freaked out. Some babies are gray, some are purple, some are pink, some are covered in blood, and ALL are soaking wet and not as sweet as you might have pictured. Tenley had the hugest cone-head from being in the birth canal for four hours. I didn't have time to process it at the time though because they immediately set her down to be measured, washed up, and swaddled. Then, when they did hand her to me, they had put a hat on her head which covered up the worst of it. When I saw her cone-head uncovered later that night, I was worried for her (mainly for the sake of her future), but it went down significantly by the next day and even more so in the days that followed. At three months, Tenley's head looks completely normal to me. You, like me, might not think that most just born babies are that pretty to look at, but I am certain that nothing will look more beautiful to you than your own baby.

6. For a while, you will be VERY swollen down there. It is not pretty. In fact, it's really ugly. My swelling lasted maybe four days, which I think is longer than normal, but I also pushed REALLY HARD for four hours. And that isn't normal (so don't worry). But I'll tell you, the first time I used the bathroom after giving birth--with the help of my nurses because I couldn't walk by myself--I looked down and was like WOAH. I seriously did not recognize myself. But the nurses assured me that swelling was normal, though mine was worse than most. I don't want to go into detail, but basically I was kind of really grossed out about how things looked for a few days. Luckily, the nurses encourage you to take lots of hot baths while you're at the hospital (and when you go home) which really helps. It feels amazing. I took four or five baths and was encouraged to take more while there but I wanted to be with my husband and baby.

7. Going to the bathroom is different for a while. This I had not known. It makes sense, but my mind was in other places when I thought about birth. My experience will surely be unique from your own, but hopefully this will help prepare you. After the epidural wore off, the nurses removed the catheter (which is kind of cool but really weird--in case you don't know, it catches your pee and is like a little straw that they insert you-know-where, then they inflate a tiny bubble when it's in so it stays there. I could feel when it was in--it didn't hurt, but it was obvious that something was there. I could also feel it catching my pee. That sounds weird, but I couldn't control it, and it just kind of constantly flowed into a little bag until they removed it) and then escorted me to the bathroom. Note: I could hardly walk, A) because the epidural hadn't worn off 100%, B) I was exhausted, and C) I must have twisted my leg while pushing because one of the joints of my leg was hurting and it was really hard to walk on it, so the nurses basically dragged/carried/completely supported me while I walked limped like zombie/wooden soldier/cowboy toward the bathroom. I kept apologizing to them, mostly because I felt bad and was embarrassed because I was dripping blood on the floor and because I felt completely weak and helpless, but they were so nice and understanding because it is of course their job to help you in such a situation. The nurse even helps you um...clean yourself, after you use the bathroom. Mostly because it becomes a kind of complicated routine for the next week or two. They give you these horribly un-cute mesh undies to put on, and put the biggest sanitary pad you've ever seen in your life down on them. Then they put a glove filled with ice cubes into a sock and put that thing down on the pad, then they put little circular witch hazel pads down on the sock, then, once you've gone as much as you can (I peed a lot, and though it is scary to go number 2--especially if, like me, you received stitches--try to be brave and go if you can because you'll feel worse if you hold it in--and hopefully they've given you stool softener pills to take--I took some a few days prior to my scheduled induction because a friend wisely advised me to do so), they will fill a little squirt bottle for you with warm to hot water and you use that to clean yourself. I had no idea about this until a few days beforehand, but the hot water feels amazingly soothing. I love that bottle thing. Once you've watered yourself down, you can use toilet paper to very gently pat dry (it's pointless to do so though because you're going to feel wet for a few days anyway) and then they spray you and your witch hazel pads with a numbing spray, (which I did not think numbed that well, but oh well) and THEN you pull your underwear up with the pad, ice pack, and witch hazel pads in them and limp bow-legged back to bed. As you can see, using the bathroom becomes quite the process for a couple of weeks, but gradually you eliminate the ice pack and move to smaller pads, then stop using the spray and witch hazel pads until you're just using regular pads and (if you want to) using the spray bottle until your stitches have dissolved.

8. The bleeding might not be as bad as people say. For me, after the fourth day, my bleeding went down to less than the heaviest day of my period. I was kind of worried at first because everyone said the flow will be heavy for two weeks, but mine wasn't. In fact, it was hardly anything for the next few weeks. It did not go away completely until about five weeks, but it certainly was not what I'd been told to anticipate. A few times, the blood was brown or a chunk (sorry) would come out, but nurses reassured me that was all normal. The solid pieces that fall out are blood clots and small ones are normal. The only thing that is worrisome is if the bleeding increases or turns to gushing, or if you lose a clot the size of your fist (the size of your fist, you ask? Remember a whole baby came out of you). But everything else is pretty normal. It was kind of like having a long but light period. Everyone is different, but you might not bleed as much as you think.

9. Your belly will still be much larger than you'd think afterward. It's unfortunate, and I kept hoping that wouldn't be the case for me but it was. Your belly will feel really weird, too. It weirded me out to push on the flabby thing that it had become because it feels kind of like jello. Or like one of those memory foam mattresses because when you push on it, it slowly fills in again. Thankfully, it's very temporary and the first week or two are by far the worst. Which brings me to my next point--

10. Breastfeeding is a miraculous weight-loss exercise. Everyone says so, but I didn't know how true it was until I was at a month post-partum and (much to my surprise) was feeling close to my normal self without having done virtually ANY other exercises. If you can breastfeed, DO IT. I know it is hard for many women for various reasons, but be persistent for a few weeks and if it gets easier (like it should for most women), keep going! I am definitely not anti-formula, but I am pro-breastfeeding. It's good for your baby and for you and it's free. Also, I am not sure how common it is for nurse's to offer this (mine did), but ask for a nipple shield. It's this thin, clear plastic thing that protects your sensitive skin and it makes nursing a bazillion times easier. I think the shield is only intended to be used for a few weeks until the baby gets used to nursing, but I still use mine because it's just so much easier! As a result, I've never had soreness or dryness or any of those things you read about and I attribute it to this amazing invention, which you can view here (I believe they're $9 at Wal-Mart. Worth it a million times over). And though lanolin cream is amazing, I haven't ever actually needed to use it because of the shield. More about breastfeeding: as you are probably aware if you've read any books, the stuff your baby gets from you the first several days is a fatty substance called colostrum (or first milk). I know for me, I worried my baby wasn't getting enough to eat because the stuff doesn't exactly flow out like milk. But that's normal. Around day four or five post-partum, my milk came in. And I KNEW it. I had been wondering the days before if the change in colostrum was milk. But when it happened, it was very obvious (and very white). It seriously happened overnight. I woke up and my breasts were HUGE. Like so big, I was disgusted (I hate big boobs, especially on me). And it wasn't long before the leaking began. Yes, you leak. If you're like me, you'll leak a lot. That was the worst thing for me for a while. I woke up a few nights in a huge puddle of milk. It felt like I'd wet my bra and shirt. But after a couple of weeks, my body regulated itself and things got a lot easier and a lot less wet. Also, in case you didn't know (because I know I didn't), when you nurse on one side, you leak on the other side. That's where these babies come in handy. If you intend to breastfeed, I personally think these breast cups are must-haves for a few reasons. If you're wondering what you do with them, it's pretty simple. While you nurse on one side, you put a cup over your nipple on the other side to catch the leaking milk. During my first two weeks or so, I would fill the other cup (they would actually overflow) with milk, which I decided to save in a sanitized bottle to store for later. I truly don't know how moms even want to breastfeed without these things. They save you from tons of messes and from spending tons of money on nursing pads which get expensive! By the way, if and when you do getnursing pads, I strongly advise getting Johnson's. I hated all of the other types I tried (and I tried like four other types because ladies gave me some). Another useful tool while breastfeeding is a nursing pillow. I've heard great things about the "Boppy" pillow, but I got mine for FREE (other than shipping!) by signing up for a free account at Motherhood Maternity (they sent me home with tons of amazing coupons include a code to get a free nursing pillow!). Here is the link to the site where I got mine (I have the red Starry Night one). I could spend an entire post on breastfeeding but the point is, there are tons of great tools and resources out there to make breastfeeding a lot easier for you. The hospital will likely offer you the chance to visit with a nursing specialist and give you plenty of pamphlets on places you can go to get help with breastfeeding. Plus the people at WIC arereally pro-breastfeeding and have lots of free resources to help new moms. You can do it! It can be hard, but it's worth it!

11. The first two weeks are the worst. It gets better. I remember feeling so discouraged about my body and thinking I'd never be the same again. I was swollen and lumpy and did not feel very cute. But like I mentioned, by one month postpartum, I couldn't believe how much better I felt. I was almost back to normal--or at least, feeling normal. Going to the bathroom was less complicated. I began to have hope that I would be able to reach my pre-pregnancy weight sooner than I'd anticipated. My stitches had finally dissolved completely. Just plan for those first two weeks to be hard. Expect it. But remember that they will be over before you know it and you'll feel SO much better. You will be able to wipe again normally! You can get through it!

12. Stretch marks can appear after you've had the baby. It stinks, but it happened to me. I had only a few small stretch marks on my butt and hips before Tenley was born. But after, I got them on the upper part of the back of my thighs, bigger ones on my butt and hips, and even under my breasts, which I was not expecting. When you gain or lose a lot of weight really quickly, that's what happens. It doesn't happen to everyone--my sister-in-law I'm pretty sure only got a few on her butt--and some lucky ladies don't get any, but try to think of them as little marks of proof that you've created a miracle. Fortunately for LDS women, they're usually in places that no one but your husband will ever see anyway. And they do fade quite a bit within a year. Mine kind of look like tiger claw marks. Even though it may be hard at first (truthfully, it was for me), embrace those purply-pink stripes because if you want more kids, you'll more than likely get them. And to me, if a few marks are the cost of creating a human being, they're totally worth it.

13. You're going to be given a lot of useless advice about raising your child. For some reason, when people see children, they can't help but speak their opinion--wanted or not--about how they should be raised. I'm sure many of these people mean well, but what was best for their sister's child or their neighbor's or their own child is NOT necessarily the best for yours. I suggest you plan how you will handle the unwanted suggestions before it happens to you otherwise you might be caught off guard by the outrageousness or rudeness. Personally, I think being kind is the best choice, so I just say, "Oh thank you for telling me your opinion," and let them think they gave me some life-changing advice.

14. YOU know your own child's cries best. You and no one else. Even better than your husband. It's true. Moms just spend so much time around their child that they cannot help but learn their signals and cries. My husband will often say, "Dear, she's hungry!" about our daughter, and I'll reply, "No honey, she's just tired." You really can tell. Sometimes--possibly more often than you'd like--you will feel overwhelmed by your baby's crying. Tenley hardly cries compares to most babies and I still feel overwhelmed at times. But sometimes, babies just cry, and no amount of feeding, burping, walking, or rocking will soothe them. Just remember that it will end. They can't cry forever. If they sense that you're upset or frustrated, it only gets worse. So set your baby down in a safe spot for a few minutes, walk away, cry yourself, calm your nerves down so your baby will sense the change in your body language, check on her, pick her up and hold her close, and say a prayer. Remember that God loves that precious daughter of His and he will help you. To give an example, during one such episode of crying, I felt my frustration and dismay increasing to the point where I wanted to cry myself. Suddenly, I thought, She's Heavenly Father's daughter, too, and He cares about her happiness as much as I do. Then, while still walking around, bouncing Tenley in my arms, I prayed aloud: "Heavenly Father, please help Tenley feel happy. Please let her know she is loved and if she is feeling sick, please help me to know what to do so I can help her." As soon as I'd finished my plea, Tenley stopped crying. Like, right away. I couldn't believe it had happened so immediately, but I thanked Heavenly Father for choosing to answer my prayer directly at that time.

15. It really will feel like it flew by when you look back on it. Everyone says that, but I can't even believe 3 months have passed for me. Especially because I look and feel completely normal. It's still kind of surreal when I see my reflection. I guess other people think I look normal, too. People always ask me, "Whose baby is that?" I'm like, "She's mine," (I'm thinking: Duh, of course, can't you tell? trying not to be annoyed...). Apparently some people think I'm like fourteen, which I'll tell you is more annoying/embarrassing than helpful to my self-esteem. When I went to the doctor a few weeks ago, I mentioned my daughter and the nurse looked surprised and said, "I didn't know you had a baby! You don't look old enough to be married!" (Clearly, she hadn't noticed my wedding rings). I wasn't wearing hardly any make-up at the time, which always makes me look younger, and I would have been bothered if she hadn't added, "You look great for having just had a baby!" That helped. Anyway, I'm sure I'll appreciate compliments like that one day (everyone tells me that I will), but for now I'd like to look twenty-two. The point is, cherish every moment. Take a video at least once a week--you'll miss the newborn sounds and cries when your baby's voice changes. Take a photo every day. I'm serious. No one has ever regretted taking too many pictures of their child. Take baby footprints. And baby handprints. Snuggle your child. Keep a perspective. Think about how much you love those tender moments with your little one and remember that they won't always be as readily available. Memorize her face and the fragrant smell of her hair and skin. Kiss your child until your lips are chapped. There's no such thing as loving your baby too much.

What are some other tips pregnant ladies should know before going into labor? Postpartum?
If you had a different experience than me 
(but still positive), please share! 

8 comments:

  1. I just wanted to say that I had big fears of tearing again with my second labor. I tore pretty badly (in two places) with my first, and because we got pregnant 5 months after giving birth, the scars were still tender and DEFINITELY there. I was worried that because the skin was still tender, it would make it that much easier to tear. Oh, and because I tore, I was SO swollen too! Not pretty...or comfortable. But then I came across an old home-birth midwife, who had delivered hundreds of babies, and she told me a trick, which I used with my second delivery. If you apply (liberally) olive oil to that area, while giving birth. Use lots of it, all over....you will not tear. Use the olive oil to stretch the skin over the baby's head, and make your skin soft stretchy. I know that sounds wierd. Well, we did it...and I DID NOT tear!!! I swear by it and will be using it with every labor I have! Consequently, I didn't have ANY swelling, walking around, sitting down, standing up, laying down, and even running, were not a problem IMMEDIATELY after giving birth! Of course, I am not sure if that would be the case with an epidural birth, because I know that there are some side effects to the epidurals for some. Maybe someone who has experienced that would be able to shed more light on that. But I just wanted to say that women don't have to deal with the yucky swelling and stitches and everything!!

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  2. The nipple shield was one of the main things that RUINED my breastfeeding experience. One of my nipples was inverted and my baby wasn't latching on super great and on the second day the nurse gave me a nipple shield. The nipple shield should only be temporary, but my baby wouldn't feed without it and she would get so mad when I tried to feed her without it, that it was a constant battle. I also went to work after 3 months and trying to juggling pumping at work (I'm a nurse) and breastfeeding at home, it all just kind of fell apart. I wish that the nurse hadn't been so hasty to give me the nipple shield, but also EVERY nurse I had was different and they all had DIFFERENT ideas about how to get my baby to get enough nutrition while in the hospital and not one of them was on the same page. I would NEVER ask for a nipple shield again unless I absolutely needed it. I want to try to BF my second baby for longer and I hope it's a more pleasant experience...did I forget to add I found out I had pneumonia the second day after going home?! Breastfeeding was a nightmare from the beginning, but I am happy to say I have a healthy, happy 16 month old!

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  3. Hey Kayla, this is Hillary! Thanks for sharing your experience with the nipple shield. I still use it with Audrey and have actually had a GOOD experience with it. But it's good to hear the other side of it. This can give other moms or moms-to-be something to think about if they are offered one in the hospital. It'll be good for everyone to know the pros and cons of it. Thanks!

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  4. I also had a bad experience with the nipple shield, but glad it worked for others. I have flat nipples...I finally learned how to get her to latch but then when my milk came in she no longer was able to. I went to a nursing specialist and she gave me the nipple shield. It was great in the beginning but I was told over and over it was supposed to be temporary. I could never get my daughter to nurse without it. And because she wasn't latching to my actual breast it seemed like her latch became more and more shallow. Eventually her latch was so terrible she wasn't extracting all the milk out of my breast and I ended up starting to dry up. So I definitely agree with one of the commenters, I'm glad it worked for some people but I think it should be used as a last resort. Who knows, maybe I would never have gotten my baby to latch again after my milk came in but...maybe with lots of patience and time we could have teached her to properly nurse.

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  5. Hey! First off, thanks for sharing this Hillary! I really enjoyed reading it and I love what you had to say!! I wanted two add my two cents if that's ok!

    i think the biggest shocker to me after I had Mikaela was that I couldn't "hold it" when I needed to pee anymore. When I was still in the hospital, I was changing her diaper when I had the sudden need to go tot he bathroom, but I was trying to finish changing her first. I couldn't control it and totally just peed on the floor... I was SOOOO embarrassed and called my nurse. But she reassured me not to worry about it. So to help with that, DO YOUR KEGALS!! Before and after delivery. Seriously, like a million times a day. Mika's seven months now and it's gotten a lot better, but it's still not like it used to be. haha!

    My second thing is I also wanted to add something about breastfeeding and nipple shields! Nipple shields are wonderful, but they I think they should only be used under supervision. I mean, try to nurse without them first. My baby wouldn't latch, so I pumped for ten days before I finally got her to latch (with the help of a shield and an SNS). But it became where she wouldn't nurse without it and it made nursing in public a pain and she took FOREVER with it. Long story short, when I finally got her to nurse without it, my supply was really low because my breast hadn't been getting properly stimulated and she wasn't efficiently removing the milk with the shield. Long story short, I'm super grateful that I had it, because I'm not sure if I could have gotten her to nurse without it. But I definitely would have taken the two weeks of pain at the beginning over the four months of physical and emotional pain. I have nothing against nipple shields, I would recommend just seeing a lactation consultant before just using it because you don't want the pain =]

    anyways, thanks again for the great post Hillary!

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  6. Oh! Also, there's a great breastfeeding support group on facebook called Milky Mommas. That site is one thing that saved my breastfeeding relationship. It has TONS of great information!

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  7. Thanks Michelle! This was awesome- love your insights and advice!

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  8. This is Olivia from TMT: It's good to hear so many insights! I am surprised that some ladies had so much trouble with the nipple shield! For me, it was the one thing that really helped make breastfeeding a breeze for me. I still use it because it helps my daughter nurse more quickly and without frustration. I just keep it tucked in my bra behind the strap for safe-keeping so it's right with me whenever I need it. I have tried to breastfeed my daughter without it and she is able to, but I would rather just feed her stress-free without having to help her stay latched the whole time. I agree that consulting with a lactation expert is a good idea though.
    Also, just so you know, I wrote this post and my experience I'm sure varies a lot form Hillary's and many other women--I just was sharing information that proved to be true for me individually.
    Thanks for all your comments!
    ~Olivia

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