The hardest job there is

If you told me during my pregnancy that I would have to do a triple feed program on my baby, a) I would have had zero idea what you were referring to, and b) I’d probably respond with something ignorant like, “but I’m planning to breastfeed!” I didn’t realize that “combo feeding,” or breastfeeding *and* formula feeding, was a thing; I just thought you chose one path or the other. I had no idea that “exclusive pumpers” or moms who pump milk and feed it to their babies via a bottle was a thing. I always just thought people pumped milk for their babies when they could not physically be there (as in, they’re going back to work). I didn’t know that “breastfeeding” referred to both nursing *as well as* bottle feeding breast milk. I really didn’t know much about any of this stuff at all despite having taken an online breastfeeding course from a reputable source, as well as reading endless articles and blogs on breastfeeding. I thought “latch” was the key to ensuring breastfeeding success; I had no idea what poor milk transfer meant. I had no idea that inadequate milk removal, either via a baby’s sucking or a breast pump, could torpedo your milk supply, nor did I fully understand the “supply and demand” process that a new mom’s milk supply would be determined by.

I really didn’t understand any of this, and I’m scrambling to read and learn more about it all now, which may be too late to recover my milk supply. I have no idea. But I guess that’s what it means to be a mom: always doubting yourself, always feeling like you’re failing or that you are inadequate, always feeling like you can do more. There are social media memes for pumping moms, saying that you shouldn’t measure your love in ounces (of milk), but somehow, that’s how I’m feeling about myself and my crappy output via this breast pump I feel like I am a slave to.

The job of a mother never ends; it doesn’t end when you shut down your computer for the day or close out Slack or put your phone on silent. It literally goes on 24 hours a day with no break. It feels like the little “me” time I have is in the shower, massaging or stretching my arms and hands, and even looking out the window to take deep breaths and remind myself that I’m doing the best job I can despite the little sleep I am getting. I hate pumping, but pumping is the only way I can ensure my baby gets breast milk, so the pumping journey continues.

postpartum care package from San Francisco

A few days after giving birth to Kaia, my aunt messaged to say that she was putting together a care package of dried ingredients to send to me. This was so that I could make the ji jiu tang, or chicken wine soup that is a well known and popular Chinese postpartum soup. She said that I likely didn’t have time to go down to Chinatown to buy all the ingredients, so she wanted to save me some time and effort and send them over. She obviously could not send over the chicken or the Chinese rice wine, but she sent all the dried ingredients: dried shiitake mushrooms, wood ear mushrooms, lily buds, and Chinese red dates. In addition to these, she also sent some chocolate, a random bag of dried lentils (that my mom apparently asked her to pack me… don’t ask), and a carefully double bagged ziplock bag of thinly sliced ginger soaked in Chinese sweet black vinegar. She messaged and called several times to let me know how sorry she was that she couldn’t be here in person to make this as well as other Chinese postpartum dishes for me, but she hoped that I could make the soup myself with the ingredients she sent. “Don’t forget the ginger!” she said. Ginger, if you didn’t already know, is in pretty much EVERY Chinese postpartum dish. The black vinegar-soaked ginger is in place of the Chinese black vinegar/pork knuckle soup that is a well known Cantonese postpartum dish that moms or grandmas will make for their female family members after giving birth. She told me to eat a few pieces of the soaked ginger each day to help my body recover.

Other than the chicken, the only thing I needed to run out and buy was rice wine, so I went to a local wine shop to pick some up. Unfortunately, they didn’t have Chinese wine and only had Japanese rice wine, so I got a bottle of that (after texting my aunt to confirm this wouldn’t change the flavor or essence), soaked all the dried ingredients to rehydrate them, and dumped them into my Dutch oven to prepare. She was right: it really was easy to prepare and didn’t need too much precision. And when the soup was simmering over the stove, a very familiar savory, warming scent wafted through the apartment, and I realized that I’d had this soup many times growing up. When I took a taste of it, it was like I was immediately transported home into my grandma’s kitchen: she made some of the most delicious Chinese soups, many of which required hours and hours of simmering chicken and pork bones down to nothing. I immediately felt comforted and knew I would enjoy every spoonful of this. Chris enjoyed the soup, as well.

In my family, food is basically a love language, but I suppose that’s like most Asian families. Most of the time, they won’t tell you that they love you or care about you, but you know they care about you when they ask if you’ve eaten (then constantly add food to your plate until you are stuffed to the brim), and when they remember your favorite foods and ensure you have them when you come over to their home (or order them when out at a restaurant). You also know they love you when they prepare delicious, nourishing soups like this one for you, or when they so painstakingly soak hand cut and peeled ginger for hours for you and have it Priority-Mail shipped to get to you ASAP after giving birth, or when they insist that you have this soup for yourself and apologize endlessly for not being there in person to nourish you themselves in your delicate postpartum state. I felt so loved when I received the care package from my aunt, and I made sure to send her photos to get her seal of approval once I finished making the soup, as well.

“Smart girl!” she texted me back. “The soup looks very good! Now I’m going to make a big pot of it to eat, too!”

Thankful

It’s Christmas day today and Chris’s 40th birthday. One year ago today, it was just the two of us in our New York City apartment, not drinking alcohol in preparation to begin our IVF cycle a few days later. I had a lot of uncertainty then, yet I was filled with hope that IVF would get us one step closer to starting the family I’d been dreaming about for over two years. I had no idea then how IVF would turn out, and yet, one year later, here we are with the greatest gift I’ve ever received: my little baby Kaia (jam). It has been 15 days of a total lack of sleep and self care, 15 days of breastfeeding tears, anxiety around her weight increasing, and being uncertain if I was really doing my best as her mama. Yet at the same time, it’s also been 15 days of the most love I’ve ever experienced, both for my baby Kaia and my Chris. I have never been more grateful to be alive and here to raise my little daughter, nor have I ever been more grateful to have Chris as my life partner, who has been a rock through IVF, pregnancy, and now raising our daughter together. He has kept calm and cool through all my worries and tears this whole time. I have never felt more sure of myself in choosing him as my favorite human than in the days since Kaia has arrived. I can’t wait to see what life brings us a year from today in the future as a family of three.

Triple feed plan

I was devastated at Kaia’s doctor’s appointment today when we found out that she still wasn’t gaining weight. I was so upset that I started crying and immediately just thought something was wrong with my breast milk. My breast milk is poisoning my baby! I thought in my head. What the hell was wrong?

The RN/lactation consultant suspected that there were one of two problems that needed to be pinpointed: either I had low milk supply or the baby had a weak suck. Weak suck would mean poor milk transfer, which means that she wasn’t getting enough to eat, which would also mean that not enough milk was getting removed from my breasts to signal to my body to produce more milk. So it’s a bit of a chicken and egg situation. As a result, she strongly suggested we give her a higher fat formula as a supplement and start a triple feed plan: Every three hours, I would nurse her, then Chris would bottle feed her my expressed milk or formula, and then I would pump for 20 minutes. I get two nursing breaks and two pumping breaks, but this was definitely an intensive feeding plan. The idea behind this is 1) to get the baby eating and gaining enough weight to be on track, and 2) to get my breasts stimulated enough to produce enough milk for baby to consume.

It’s a plan I had no idea existed before, but it was stressful and so disappointing to hear that we needed to do this, at least until her next appointment a few days after Christmas. I thought about how intense and agonizing this would be if I didn’t have Chris or a night nurse or really any support, and how isolated I would feel. I always knew breastfeeding would be a journey, but I had no idea that it would be this time-intensive and completely out of my control. I always thought that if she latched properly, then it would all go well. I mean, that’s what all the breastfeeding articles and the breastfeeding class I took emphasized. No one told me about poor milk transfer or a weak suck and how that could be a potential problem, so I felt completely unprepared for this and thrown off guard. Why was I not aware of this before with all my research?? And I felt enraged thinking about this lack of emphasis as we left the doctor’s office. This is postpartum life. This is an introduction to motherhood for me.

Cleaning the humidifier

If you live in New York City, chances are high that your living space has dry, dry air. This is especially problematic in the winter time, when you will likely have your heater on constantly, only exacerbating the dryness in your apartment. When I started living with Chris, my nose was so dry in the morning that he suggested I whip out the humidifier he had. Humidifiers in general are beasts because the average one will require constant cleaning of the base and the tank — usually once a week. And it’s not like it’s easy: there are usually tiny crevices all over the damn thing that you can’t get with a regular sponge or cleaning brush; you will actually need to take out Q-Tips — that’s right — Q-TIPS! That’s how small these spaces and nooks are. Plus, the filter cartridge will need to be replaced every 3-6 months depending on the manufacturer.

In a life pre-baby, Chris never, even once, cleaned our humidifier. I had to clean the frickin’ thing myself, adding vinegar to the base, cleaning it with a toothbrush, and cleaning the crevices of the tank with a Q-tip, once a week every week during the winter time. I always soaked the base with white vinegar for a few hours each weekend. It was always something I dreaded. However, now with a baby, her nostrils are very tiny and given she is a winter baby, a humidifier was definitely a must in our dry apartment. And so we whipped out the humidifier for her specifically. And what ended up happening? For the first time in over ten years together, my husband is actually cleaning the humidifier and being extremely meticulous. He can’t properly clean greasy dishes to this day, yet HE took out Q-Tips on his OWN to clean this tank! I was completely shocked when I saw him do it for the first time and all subsequent times, as I just assumed this was something I’d have to do.

Well, I guess it’s true what they say: men really do change once a baby is in the picture, some for the worse, and some, like my Chris, for the better. 🙂

Chinese medicine and more mother criticism

“Why haven’t you made the soup I told you to make? You won’t heal properly from giving birth and you won’t make enough milk for baby to eat unless you have this soup! This is why you are so tired; if you have this soup, you won’t be tired anymore!”

My mom is referring to the traditional Chinese medicine soup known as ji jiu tang, literally translated as “chicken wine soup,” which is a well known postpartum Chinese soup that Chinese mothers drink regularly after giving birth to help their bodies recuperate, which also supposedly helps with milk production. There is obviously no science or data to back up any of these claims, but hey, what postpartum mom is going to reject having a tasty, nourishing chicken-based soup?

My aunt was so kind and sweet that she actually priority-mail sent me all the ingredients (minus the chicken and ginger, obviously) to make the soup. She told me over text how to make it with very very detailed instructions (e.g. “a little of this,” “a handful of that,” “not too much of this but just enough”). I just hadn’t gotten around to making it just yet.

I insisted to my mom that I was tired and sleep deprived, that I’m eating plenty of other healthy things (oatmeal every morning with flaxseed, greens, etc.), that I will get around to making the soup soon when I could. She then asked that if I can’t make the soup, why can’t Chris make the soup? Yeah, like THAT is going happen.

“Well, what else is Chris doing? He’s not doing anything to help,” she said out of nowhere.

I really got pissed at this comment; she has absolutely NO idea how helpful Chris has been since the baby was born. I told her he was doing literally everything else around the house other than breastfeeding, and she retorted back, “Yeah? Like what? What IS he doing?”

To even respond to that would, as usual, be useless, so I just told her she had no idea what she was talking about and told her I was tired and needed to go, and hung up. That’s the nice thing about having distance; you can just hang up and not deal with an overbearing, unrealistic mom who thinks that some random Chinese soup is going to be a replacement for actual SLEEP.

Hovering mother and outdated parenting best practices

My mom has been ecstatic ever since Kaia was born, but what that has also meant is that she is also trying to call 3-4 times every single day, which has driven me crazy and also meant that I now just have to ignore most of her calls. She was so happy when I called from the hospital last Friday to let her know Kaia was born that she cried happy tears; my mom NEVER cries happy tears.

Given she was a parent of a previous generation, obviously parenting “best practices” were very different then vs. now. So of course, she has something critical to say about literally every photo I send:

“Why are you wrapping her so tight (referring to her swaddle)? She will suffocate and won’t be able to breathe!”

“Why is her chest exposed (break from skin to skin)? She will catch a cold and get sick!”

“Why doesn’t she have any blankets in her bed (bassinet)? Give her some blankets for sleeping! Why don’t you have any blankets for her?? You should at LEAST cover her feet!”

Trying to explain to my mom that “rules” have changed for how to take care of a baby is completely futile because she will always insist that she is right, has more experience, and has more wisdom. Let’s just ignore that one of her children is now dead. Of course, she fought with me on all my rebuttal points for the above inane comments, and I just shut her down by telling her that I don’t have time to listen to her outdated criticisms. I am this child’s mom and I will parent as I see fit. And part of that means making sure the baby has safe sleep and does NOT have blankets in her sleep space.

When you are starving your child and don’t realize it

When a baby is born, within the first 24 hours, she will typically lose up to 10 percent of her body weight (due to water), and this is considered normal. Kaia lost about 7 percent of her weight at discharge, so all looked pretty good. However, babies are also supposed to regain that weight within the first two weeks of life. We had our follow-up pediatrician appointment today, just about a week after her birth, where we found out that not only did she not even begin to regain her weight, but she pretty much had totally flatlined… meaning she was not eating enough.

What could be wrong? I thought to myself. She’s clearly not eating enough, which means she’s not getting enough milk from my breasts. Is something wrong with my supply? Why is there something wrong with my milk supply if supply is the issue; I’m a new mom. Isn’t it basically supposed to be gushing in now? Does she need more formula?

Pediatrician appointments in the first few months of a baby’s life basically feel like a scorecard for you as a parent: you are essentially getting judged on how well you are raising and growing your child whether you like it or are aware of it or not. I felt pretty shitty leaving this appointment, thinking I was starving my child without even being aware of it, and now I need to be more open to giving her formula whether I like it or not. Because.. this isn’t just about me, right? Her health is of the utmost concern, and she needs to grow to be healthy and get stronger.

Favorite time of the day

It’s day five of family leave for me, and as hard as it’s been coping with little sleep, I have never felt happier or more fulfilled. My favorite time of day is when it’s the three of us in bed in the mid morning, after Chris and I have both showered and we’re sitting up with baby Kaia, with her doing skin to skin on one of our chests. I keep looking at her and looking at her lying on top of Chris’s chest, and I just still cannot believe she is here with us and that I’m no longer pregnant. These moments make me so happy; I’ve even cried just standing there, admiring our little family in bed together. She seems to be a morning person, as she seems the most awake and interactive in the mornings despite being a newborn. I could probably spend all day just staring at her and breastfeeding her and be totally content, despite the fact that I have postpartum pain and am totally sleep deprived. Nothing is better than admiring our new little family to me right now.

Marriage as a team

Ever since I got pregnant, it’s almost like my mom has used it as an excuse to have a reason to complain about how “useless” my dad was. “Your baba is good at making money and providing supplies and things needed for the house, but he didn’t do ANYTHING to help me when you and Ed were born!” she recounted numerous times. “I had to do EVERYTHING myself!” Well, I know that’s not 100 percent true because she had the help of my aunt and my grandma, but I do know for a fact that my dad is clueless about child rearing. I still recall the time when my friend came over with her 6-month old baby and plopped her into my dad’s arms. She did it so fast that he pretty much had no choice but to hold her, otherwise the baby would fall. He looked so unbelievably awkward and out of place holding a baby that I had to hold in my laughs to prevent him from getting mad at me. As soon as he could, he gave the baby back to my friend as though she was a an oversized hot potato.

That was a different generation, though. Most dads of my generation, at least the friends and partners of friends I have, see child-rearing as a joint effort from both partners. Both partners take care of diapers, baths, feeding (assuming bottle), and they make it work together as though they are a team. I’d always been a bit apprehensive of falling into gender roles with having a child, as that’s the easy thing to do. I’d also seen endless articles and social media posts that more or less have the theme of “How Not to Hate Your Husband/male partner After Having a Baby.” But in the few days since coming home from the hospital, it’s clear that Chris and I are managing this as a joint effort, as he’s been doing pretty much everything other than breast-feeding: he logs all the baby’s feeds, poops, and pees; he heats up and rehydrates all my heat packs for my breasts and uterus; he takes care of the baby’s bottles; he’s been doing all the grocery shopping; he takes care of all the logistics and the snacks for our night nurse. Everyone says that once you have a newborn, it’s pretty much impossible to take a regular-length shower or even brush your teeth. Well, we’ve both managed to do this and coordinate who is doing what when, and it’s been working out well so far.

“Once you have a baby, you’re more like a team playing a sport than husband and wife!” my doorman told me. “All you do is coordinate and tag team, and that’s your new life!” All I have to say is that this definitely feels true, and I am just grateful to have a partner like Chris who has been really supportive, approaching parenthood together and aiding in my postpartum recovery.. even though he does say (joke) that he has to recover from birth, as well, since he has his own “postpartum recovery.” He even went out to get me prune juice and checks in on whether I am drinking it, since the nurses at Lenox Hill suggested I take that instead of over the counter meds for pooping postpartum. He’s also been the brain in our relationship since giving birth since I clearly have a severe case of “mommy brain,” and he says that I “can’t remember shit.”

Well, mommy brain IS real. I can personally attest to this.