Data and “The Google”

My nanny occasionally has mini rants about young moms of today, first time moms, and in general, moms of this generation. She likes to say every now and then that, “You moms don’t listen to us nannies who have 20+ years of experience. Instead, all you do is listen to your doctors and the Google.” I tried to explain to her that the Solid Starts website and app was based on research and study done on thousands of babies… while nannies certainly have experience caring for and feeding babies, no nanny on this planet has ever cared and fed thousands of babies. That just would not be possible. She rolled her eyes at me, indicating she didn’t really care for or believe what I was saying. She just thinks I’m being defensive. And that’s fine. But I’m still her boss. 😛

We do agree on some things with feeding the baby, though: it’s important to model chewing and spitting out in an exaggerated way so that babies understand what they do when they have different textures in their mouth. We need to give babies more credit for how much they absorb in watching us do everyday things, including handling, chewing, and swallowing food. They need to understand the “map of their mouth” to know how to safely digest food and not choke: food on the front of the tongue is for tasting; food further back on the tongue is getting ready to go down and get swallowed. Pureed food doesn’t teach babies to chew; it only has them swallow. Chewing is important for basic survival, and knowing how to chew and chew well opens up babies to an entire universe of foods that are not only nutritious but tasty. Oftentimes, babies and toddlers will develop aversions to different food textures, and it’s because they just weren’t exposed to it much or at all early on.

So my nanny can say what she wants about “the Google,” but all these points are not only backed by data, but logically, it just makes sense when you think about how human beings eat.

Contact dermatitis

It’s been about six weeks of introducing Kaia to solid foods, and while I’ve been a little nervous about choking and allergens, it’s been an enjoyable process to watch her explore and play with foods, put them in her mouth, and see which ones she enjoys the most. It certainly requires a high level of patience to watch her play and throw food, not to mention the extreme mess everywhere and the cleanup, but I figure that this is an investment into her future of eating and being open-minded to everything and anything food-wise. I want her to have positive associations with food and not to be scared of trying new or different things.

This morning, after having oats with flax, tahini, egg, and peach, our nanny took Kaia out for their usual late morning outing. But she stopped in her tracks while in our building lobby when she noticed that Kaia had redness around her mouth and neck and brought her back up to the apartment.

She opened the door of the second bedroom, where I was working, which she normally doesn’t do unless she’s grabbing diapers or wipes. “Yvonne, look at Kaia’s face,” she said nervously. She looked as though she’d seen a ghost.

Kaia had little red bumps around the corners of her mouth and on her chin. In addition to that, her drool rash seemed like it had gotten redder since earlier in the morning. Despite all that, she was still babbling and smiling and being silly.

Our nanny said it may just be a reaction from the acid of the peach, but it could also mean she’s allergic, maybe to the peach or the tahini since it was only day 2 of tahini. She asked me to email the pediatrician for advice, and so I did that while also snapping a photo of Kaia’s face to share.

A few online sources also mentioned the temporary acid reaction. The doctor also replied soon after and said it’s likely just that — a temporary rash which is a reaction to the acidity of the fruit, which is very common. The doctor said it didn’t look like an allergy. It’s called contact dermatitis, and it tends to fade after a couple hours of eating the fruit culprit. Luckily for us, Kaia’s redness faded within the next couple of hours, and she seemed totally fine. I wasn’t as worried as our nanny, especially when I saw the baby’s mood. But I did have a moment of, “ummmmmm…. WHAT IS THIS? NOOOOOO.”

Okay, so maybe I should slow down the speed that I’m introducing solid foods and spices. I was going to mince up some lychee for her this afternoon, but I decided to hold off. She can have some foods she’s already had for the next day or so, and then we can introduce something new on Wednesday. I just want to make sure she’s comfortable and that I’m not being too aggressive.

Early exposure to allergens

Contrary to popular belief, when babies begin solids, it’s better to expose and “test” to see how they react to common allergens earlier rather than later. On average, babies will show readiness for solids at around 6 months of age, so it’s a good idea to start gradually introducing common allergens like peanuts, tree nuts, and eggs at around this time. Kaia had already enjoyed peanut butter a number of times in June and enjoyed it. She fed herself the peanut butter right off the spoon and always seemed to want more. I breathed a huge sigh of relief at that. Today, I prepared a tiny omelet for her to eat both at her morning solids feed and afternoon solids feed. I cut the omelet into strips that had a width equivalent to two of my fingers held together (that was the Solid Starts preparation recommendation). When I placed the egg on her tray this morning, she immediately picked up a strip, put it to her mouth, and started biting on it. The nanny cut up a bunch of the egg and had it in tiny pieces for her to eat, and both ways, she seemed to enjoy it. At her afternoon feed, she fed herself egg strips. I also prepared a mix of toor and moong dal for her, which she happily gobbled up.

My tiny foodie is growing and growing. I’m so proud to see her embrace all this new food and hopefully continue to enjoy a diversified palate. She also ate a good amount of spinach today and more broccoli, so the nanny warned me that her poop may be extra, extra smelly soon.

Welcome to the US, where people don’t give a shit about moms and born babies

This week, I’m attending a virtual course every morning on Crucial Conversations. There’s about 28 participants in the course, and while a lot of it is large group lecture and discussion based, we also do a good amount of small group breakouts, in groups of 2-3. When one of the first breakout sessions happened, another woman who was based in Colorado apologized to me in advance in case I heard some crying or cooing because she had her 8-week old baby sleeping in her arms, below the view of the camera. I laughed in response, as I told her I could totally relate: In fact, full disclosure, I said to her, but I was actually pumping milk and had my camera angled above my chest so that it wasn’t in view. Good thing my pump was so quiet that on Zoom calls, no one would notice! I half joked.

I noticed her baby was on oxygen and said she looked really cute and tiny, but it’s all relative since my own baby is seven months old now. She told me that while her baby is on paper 8 weeks old, she is quite small for her age because she was born about a month premature and was in the NICU. She had only two weeks of maternity leave, and though her company has an “unlimited PTO” policy, the company did not allow her to tack on any PTO to her maternity leave, which was already dismal. She was frustrated about this, since it was a big reason she took this job in the first place. So she wanted to use the skills she hoped she would learn in this course to confront her management about this.

It really hurt my heart to hear this. And while my heart hurt for her, I also just got really angry and could feel my pulse racing because of how infuriating and senseless all of this was in one of the richest nations on earth. It’s a case in point about how here in the U.S., people and employers truly do not give a shit about moms and their born babies. It’s everyone for themselves, and business is business, which means we’re all about profit and don’t care about the well being of our employers. I had 20 weeks off, and I didn’t feel like it was enough. I cannot imagine only having a tenth of that like this woman did, plus having the stress of having my baby in the NICU and needing to leave the hospital with oxygen support at home. The entire situation sounds completely terrifying, but insanely enough, that’s what’s “normal” for so many moms across this wretched country.

How did we become such an awful, cold, heartless place to live?

When you become a pumping mama resource

A couple days ago when Chris’s parents were still here, I was hand expressing milk to “prime” my breasts for the pump in the second bedroom. I came out with the collection bottle in my hand, and Chris looked at the bottle, a little incredulous.

“You got that amount out just using your hands?” he asked. “Once upon a time, that’s how much milk you got during an entire pump session.”

Trying to conceive was a journey. Pregnancy was a journey. And breastfeeding/pumping has been its own journey full of many ups and downs. I’ve definitely come a long way not just with my output to feed my baby, but also with my knowledge of breastfeeding and pumping in general. Now, I actually frequently answer questions about pumping from colleagues as well as a neighbor friend who recently gave birth. She is about eight weeks postpartum and had a hard time feeding her baby directly from the breast. If I didn’t know it any better, I’d say we were the exact same person with the same problems. She, however, had me as a resource since the beginning, so I’d been sharing pumping resources and tips with her since before she even gave birth. She took me up on a lot of my suggestions and read through my resources, and this morning, she texted me a photo of her first morning pump, the largest one she’d ever had to date, which was approximately seven ounces (210ml). I don’t think I got to that level of output in a single pumping session until after the 12-week mark, but then again, I also didn’t have all the resources then that I shared with her now.

I’m happy to help other mothers who are struggling to breastfeed in any way I can. I only wish I had all this knowledge and help back then. But it’s one way I can “give back” to help others who are going through their own downward spirals and just trying to help their babies eat, grow, and be healthy. I know if I did this again, even though it would be challenging, I’d have a lot more experience and resources at my fingertips so that I wouldn’t be as upset as I was in the beginning of this journey. But that’s what all moms need: more support, more resources, and more help.

What goes in… must come out

It’s been about 16 days of introducing Kaia to solid foods now. It’s been both exciting and scary to introduce her to regular food. I obviously want her to have a very varied and diverse palate, but at the same time, I am cognizant in the back of my mind of how prevalent food allergies are today, not to mention the potential choking risks, and so I’ve tried my best to be calm and not overly aggressive in the baby-led weaning process. So far, it seems like her favorites include peanut butter, oats, and broccoli. She’s really enjoyed the pineapple this week, as well.

Well, what goes in… must come out. As I’ve read, it’s never quite clear how much she’s really eaten. It’s easier to track with purees than with the baby led weaning process of whole foods. But… If there were any doubts as to what she was actually consuming versus just playing with and sucking, they all dissipated when I changed her poop diaper last night. As soon as I opened the diaper, not only did I notice that her bowel movement is a lot more solid and less loose, but also… the smell. Oh my goodness, the smell! It smelled like an actual adult poop! She’s genuinely getting her solids in! On top of that, she had many, many farts in the lead up to her diaper change, and I can say, without a doubt… there was NO surprise she ate asparagus earlier in the day. There were a lot of stinky farts that had a tinge of asparagus odor to them!

“Once they start solids, the diaper changes will be changed forever!” my friend warned me. “You thought breast milk or formula poop smelled? That was nothing compared to solids poop! It’s basically like OUR poop now!”

The journey to eating solids, continued

“Experts” say that when you begin introducing solid food to babies, you should do a little at a time and introduce new foods for three days to ensure there are no food allergies or reactions. Breast milk or formula should be served first, then about 30 minutes after the main feed, solids should be introduced. This happens at about six months of age. One “solids” meal of a tablespoon or so gradually becomes two solid meals, then three. Then, at around nine months, you gradually transition from having breast milk or formula first to then having the solid food be the first meal, then breast milk/formula as a follow up. The journey continues until the point that the soon to be toddler is having mostly solids with breast milk or cow milk as a supplement or beverage.

The last two days, Kaia has not appreciated having her smock put on her, nor having her set up in her high chair. She has fussed and cried a lot, but eventually calms down a little when the foods are presented. In the last couple of days, she’s had aspargus and broccoli, whole and pureed, oatmeal, pineapple, and peanut butter. The constant seems to be that she really enjoys the peanut butter. Today, she sucked on a pineapple chunk and seemed to like it. I also filled her teetherpop with water and froze it so she could chew on it today, and she was successfully able to suck the water out of it. I may blend in pineapple to have her eat it that way tomorrow.

The eating journey for a baby is an adventure, but it’s clear that the real solids, like the broccoli florets or cauliflower chunks, scare my nanny. She’s used to only serving purees and has a hawk’s eye on Kaia when she’s gnawing on the florets, hoping she doesn’t choke. I told her not to be nervous; she can’t eat purees forever. Kaia needs to get used to different textures and what they feel like in her hands and mouth. My ultimate hope is that she’s not a picky eater and eats whatever I serve her.

The next things on my list to introduce her to are: tahini (sesame seeds), flaxseed and chia seeds in her oatmeal; spinach, lentils, black and white beans.

The return to the boob

For a couple weeks now, Kaia has been rejecting the breast. I figure she’s finally come to the conclusion and understanding that she just doesn’t get much food directly from my breast, so I told myself to just let it go. Maybe she doesn’t need comforting with my boob anymore, and that’s okay because she’s growing up and moving on. But tonight before bed, she was getting fussy, likely from the teeth under her gums trying to break through, so Chris suggested that I just offer her my breast to see if she’d take it. In the early days of her pre-teething, the boob was all that made her stop screaming and calm down. And given her days in a row rejection of my breast, I just stopped offering it to her because I didn’t want to upset her. But today, she actually did take my left breast right away, for a whopping four minutes. She was much more distracted this time around, constantly looking up at my face, then at my breast, then waving her hands all over the place to grab my arm, shoulder, neck, and collar bone. Then, she unlatched, pushed my nipple away, and started rubbing her eyes. It was sleepy time for her.

I can’t believe my baby is almost seven months old now. That also means it’s been seven months postpartum for me, seven months of pumping milk out of my breasts to feed and nourish my sweet little Kaia. Breastfeeding was certainly a journey to say the least, but every day, I feel grateful looking at her and knowing she is being nourished with mama’s milk and growing so beautifully. My friends and colleagues all gush over how chubby she is, how pinch-able her fat little cheeks are, and they say, “good job, mama! That’s all thanks to you and your milk!” Looking back, I think breastfeeding/pumping/increasing my milk supply is one of the hardest things I’ve ever worked to do. And though I wish I was more informed from the very beginning, I am grateful every day for my journey.

103.8 F fever – COVID vaccination side effects

After getting the COVID vaccine yesterday, the baby seemed to take it all pretty well. She was still babbling and playing away. Everything seemed fine. That is, until today, about 24 hours later, she became unusually warm, and Chris took her temperature to find out that she had a fever of 103.8 F, the highest she’s ever had. We gave her a cold compress and tried to feed her some baby Tylenol, but she gagged when the first squirt went into her mouth by syringe and ended up throwing up. It got everywhere – all over the baby’s top, bib, Chris’s shirt, my shirt, the pillow we propped her up on, the floor. I felt so terrible for her. She really hates medication, and the syringe is definitely like an enemy to her. After cleaning her up, we ended up putting the baby Tylenol solution into a shallow bowl and feeding it to her with one of her silicone feeding spoons, which she has a far better association with. It worked, though I could tell that she could smell the difference between the spoon with the water vs. the spoon with the medication. We also gave her a bath today, even though today is not normally bath day, so she’d get some indulgence and fun in.

Everyone has talked about the COVID vaccination side effects for adults, but whenever a baby has side effects or a fever, the reaction of course is always different since babies can’t tell you when you aren’t feeling well, and you just have to use your own best judgment in terms of reading them to see how they react. But just going on this, it becomes a little more nerve wracking, and you hope everything works out for the best.

COVID-19 vaccines for babies

The COVID-19 vaccines have finally been approved by the FDA here in the US, and so while we contacted our pediatrician’s office to see when we could schedule an appointment, they were a bit on the slow side and still had no update for us this week. Chris got impatient and instead, signed up our baby to get the Moderna vaccine at a COVID vaccine site in midtown. As expected, when he took her there this afternoon, the area was mobbed by anti-vax protestors, and they had to exit out of a separate area to get away from the mobs. The nurses all gushed over Kaia and wanted to play with her. She might have been the youngest patient they had come in all day and were obsessed with how cute she was, not to mention how well she took her little jab.

Our baby has handled all her standard vaccinations well; the most she’d ever exhibited was extra fatigue and wanting to sleep more, and eat a bit less. She’d never had any additional fussiness or fever as a result, so we were hopeful she’d handle this vaccination okay. She seemed relatively normal after the shot, but because she got a bit warm when we checked her temperature, we gave her some baby Tylenol just in case. It was the first time we’d ever given her any medication after any vaccination.

In a month’s time, she’d have her second dose and be fully vaccinated for COVID. She’ll also be ready to get on a plane and explore more of the world a bit more safely.