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.

When your baby doesn’t want mama’s boobs anymore

Since our night nurse stopped working with us at around the three-month mark, I’ve been putting Kaia to bed every night after Chris feeds her. Our usual routine is he will feed and burp her, then hand her off to me in the bedroom so I can cuddle and sing to her, nurse her (for comfort), and then she’ll pass out, and I’ll put her into the bassinet asleep. I’ve always looked forward to this quiet time every night together. Even though I’d made peace with the fact that she wasn’t getting nourished directly from my breasts, I still found comfort and love in the fact that she still wanted my boobs for comfort and security. So in the last week, when I’ve attempted to give her a breast before bed and she’s gotten fussy, I’ve been a bit taken aback and wondering if our nursing time together would be coming to an abrupt end.

It initially started with her rejecting my breast and yelping. Then I’d sing to her to calm her down, and then as she’d get more tired, she’d grab my breast to suckle and then pass out. That’s been going on in the last week. But in the last few days, she just wants nothing to do with my breasts. As soon as I whip out the boob and stick it in her face, she either turns away or starts to yell, indicating she doesn’t want it. It honestly hurt my heart. She was essentially rejecting me, and it didn’t make me feel good. I felt a sinking sensation in my stomach when she rejected my breast tonight, and I wondered if this was really the end. I always imagined comfort nursing her until at least one year, even if I couldn’t nurse her for actual food. But that may have been too idealistic of a fantasy on my part.

My baby’s getting bigger, I keep telling myself. She’s growing up. Soon, she won’t be a baby anymore. She’s not going to want her mama’s boobs once she’s a toddler anymore. And those are all normal things with normal child development. But it doesn’t mean that I feel nothing when all these changes happen. I still get emotional thinking how quickly she is growing and how she needs me a tiny bit less each and every day. Today, she won’t want my boobs anymore. Tomorrow, she may not want cuddles. And the next day, she’ll be running off with her friends and not wanting to spend time with me. Life moves forward.

Eating solids, continued

Pediatricians and baby eating experts often say that regardless of when a baby starts eating solids, whether it’s at 4 months or 6 months, the majority of their diet should continue to be breast milk or formula up until the age of 1. Part of the reason for this is that the introduction of solids is simply that — an introduction. The baby will not be having a majority diet of solids for a long time after getting initially introduced. They have to get used to eating non-breast milk/formula. They are adapting to new tastes, textures, self-feeding, being feed from a spoon or from a plate and not through a bottle nipple or mom’s nipple. So in the beginning, the baby will likely play with and throw the food, taste and spit it out. Not much actual eating and swallowing will happen. That comes as a real shock to a lot of new parents who haven’t read much about introducing solids, and so they get really disappointed when the baby doesn’t actually eat and swallow (including Chris). But babies, like the rest of us, need time to get used to new foods. Just the exposure is a good thing in the beginning. Playing with the food, even if it’s just pushing it around the tray or throwing it, is still exposure. They are still interacting with the food, which is good. It’s considered a win or a “mini meal” if they have just the equivalent of one teaspoon of something, and then eventually, one tablespoon of something. So as you can imagine, introducing solids, whether it’s in whole food form or via pureed food, is going to take a crap ton of patience. The more I have thought about this, the more I have realized that introducing a large array of foods in different shapes, colors, and sizes, takes a LOT of time, energy, and patience; thus, it’s no wonder that kids end up becoming picky eaters. Their parents just didn’t have the time or energy to introduce them to eating the rainbow. In some cases, the parents are just being lazy (or imposing their own picky eating on their kids). In most cases as I’d assume, though, it’s because the parents were just too exhausted.

Babies have nothing to compare solids to in terms of taste, other than breast milk or formula. So they don’t have any pre judgments about whether mango should be tastier than broccoli or brussel sprouts. So far, we’ve introduced Kaia to avocado, Alphonso mango, broccoli (steamed, roasted, pureed), and asparagus (roasted, and lime (a wedge). She has no reason to prefer any of these things to the other, and my hope is that she will eventually embrace them all. But we just need to be patient and not impose our own judgments of these foods onto her.

Transitioning from bassinet to crib

It’s been a bittersweet week, with not only our baby and I getting sick, but also attempting to transition her out of her bassinet and into her crib. We attempted to get her to sleep in the crib before she got sick and failed, as she kept associating the big crib bed with play time and would roll constantly as soon as you laid her down on it. Once she got a fever, I wasn’t comfortable with her in the crib, so we monitored her more closely overnight by having her sleep in the bassinet in our bedroom. On Friday, we got her to successfully sleep in the crib for the first time overnight, and it’s continued through the weekend. I got a little nervous since she was constantly rolling over onto her tummy to sleep, but apparently baby sleep experts say it’s okay for them to roll to sleep on their tummy, as that’s a sign they are strong enough to roll and move their heads enough to ensure they can breathe now.

I’m really happy to see her peacefully sleeping in her crib, enjoying all her newfound space, especially after being so cooped up and cramped in the bassinet in the last month or so. But I’d be lying if I said it didn’t make me a little sad. I loved having her sleep in our room with us, and now she’s in her big girl room in the second bedroom. I enjoyed nursing her to sleep while side lying on the bed before putting her down in her bassinet. I can’t do that anymore. Now, when I nurse her before bed, I have to sit on the chair by the crib and see if she will take my boob. My baby is only getting bigger. Each day, she’s becoming less like my little baby and more and more like a constantly curious and slightly cheeky little woman. I just can’t believe it. I don’t know how I got this lucky. Every time I look at her little face, I still can’t believe we have her here, happy and healthy and safe and unbelievably cute and pretty. She’s like my little dream come true.

Fevers gone, but cuddles needed

Kaia and I both have temperatures that have come down now. We are still monitoring her temperature every two hours to be safe. My temperature is within normal range now, but I still feel hot all the time and sweat like crazy during my first morning pump. This morning, I nearly soaked through my shirt with my own sweat after taking off my pumping bra.

Though Kaia is babbling lots again and happily playing with her toes, she does seem to be a bit more needy. She’s wanted more cuddles from her nanny and from me. She wants more attention even at times when it seems like she’d be fine to roll around on her own. I can tell that she is still unwell, even if her temperature is normal. She’s on the mend, but she hasn’t 100 percent recovered just yet. So we decided to not have her go to the play gym today and to take it easy. The nanny still took her outside to the park for some fresh air, but no crazy baby gymnastics just yet.

We were planning to use this week to transition her from her bassinet into her crib, but it’s on hold now because we needed to monitor her overnight more carefully with her fever, plus I just wasn’t really feeling up to a change given I was feeling ill. No one wants to introduce change into their lives when they’re feeling unwell; that applies to both adults and babies. We struggled to get her to sleep in the crib on her own on Monday night before either of us felt really awful, so we’ll need to wait until we’re both fully healthy again to try again.

A pumping mama’s job never ends, in sickness or in health

Both Kaia and I have had fevers the last two days. I took yesterday and today off from work. I could barely focus, especially with my entire head and face hurting. Even listening to my daily Up First NPR news podcast was challenging. My entire body was aching and feeling heavy. I constantly felt hot, and pumping this morning was causing me to sweat what felt like buckets. When I took the flanges off my breasts after this morning’s pump, the edges were dripping with my own sweat. I was hoping that my sweat didn’t drip into the bottles to taint and dilute my baby’s milk.

When you get sick, everyone tells you to stop what you are doing and to just rest. That becomes harder when you have a baby to take care of. But it’s even harder when you have a baby to take care of, AND you exclusively pump. Granted, our nanny has been here during the day to care for the baby, but no matter what, my pumping job has to continue. If I do pump, I feel exhausted and sweaty, plus it takes away time for me to lie down and actually rest. If I were to stop pumping, not only would that be detrimental to my supply, but I would likely get engorged and experience clogged milk ducts once again. So I can’t stop pumping.

And what I feared would happen has happened. I had read about when pumping moms get sick that their supply starts to drop. On Monday and yesterday, my supply was pretty normal, but today, I lost almost 90ml of breast milk supply when comparing to my last 7-day average. That doesn’t sound like a lot, but to me, that was a LOT. I was still pumping as many times as I normally do, and for the same duration of time. I was probably drinking more fluids than usual since my throat hurt so badly and I was super dry. I think I was eating similarly, but wasn’t 100 percent sure. I’m hoping this drop is temporary, as it seems to be temporary from what I’ve read of most sick pumping moms’ experiences, but you never know until it happens to you. I’m trying not to get too anxious about it since stress also has negative effects on milk supply, but how can I not be concerned when breast milk is how I primarily nourish my baby? Kaia’s been eating less since she also has been under the weather, so it hasn’t impacted her percentages of breast milk vs. formula yet, but I’m still worried.

When your baby gets sick for the first time

Last night was unusual. The baby woke up in the middle of the night moaning and eventually crying. We gave her a frozen teether and some infant Tylenol, and she seemed better. We used a forehead thermometer to check her temperature, and it looked normal. But apparently, that wasn’t very accurate in the end.

The nanny took her to story time at the library and said she was really fussy the whole time. She didn’t want to roll around and do tummy time on the mat as she normally does, so the nanny held her the whole time. She did a couple cat naps in the park, which the nanny said was unusual, and her head felt very warm. When she came back and told me this, I took out the rectal/oral thermometer, which is supposed to have a higher level of accuracy, cleaned it, and stuck it in her rectum for a read. When I pulled it out after it beeped, it was there in plain black and white: 103.6 F.

Oh, crap. My baby has a fever, and it’s high! And damnit, that stupid forehead thermometer is inaccurate and terrible!!

I immediately gave her some infant Tylenol and then called the doctor’s office. The doctor emailed back and suggested a dosage every four hours of infant Tylenol, and if her temperature increased, to switch to infant Motrin. We also kept giving her cold compresses and cold teethers. She seemed much better after just an hour of the Tylenol; she started playing with her toes and babbling again.

I was actually feeling miserable and achy all over since late last night. But once I found out Kaia had a fever, I stopped caring about my own sickness and was laser focused on her getting better. I guess what they say is true: once you become a parent, you stop prioritizing your own health and needs and completely focus on your child’s health and well being. She’s only six months old, and she can’t fend for herself or even communicate. She’s basically helpless.

The nanny told me not to worry, that babies get fevers all the time. I just hope hers continues to subside.

Kaia’s first mango: Alphonso from India

The pediatrician suggested we introduce one solid food for three days, then introduce another solid on top of the first one for the next three days, etc. While all that makes sense when you are trying to get your baby familiar with solids and also ensuring that you are identifying any potential food allergies early, there’s really no hard rule on how many and when to do all these introductions. Some parents mix different solids into the same purees. Those who begin with baby led weaning can add 304 different things on the table in front of baby to see how she explores. So I got a little excited… and also worried about the state of our Alphonso mangoes and how long they would stay good for, so I decided.. what the hell. Let’s just let her try some Alphonso today. We gave her some avocado and then some Alphonso mango.

“You know, you’re supposed to introduce one thing at a time for three days…” the nanny said to me, with a half stern, half mocking look on her face.

“We don’t know how long the Alphonsos will be good for, and so we have a small window!” I said defensively. “Plus, what’s the worst thing that could happen? Have you ever heard of a mango allergy?”

She took to the mango pretty well. She loves grabbing the spoon to feed herself and shove into her mouth. I don’t know who said that baby led weaning was cleaner than pureed baby food because this is definitely messy; she got mango and avocado all over her face, hands, bib, shirt, and pants, plus on the nanny’s hands!

Seeing that she enjoyed the mango, now I can confidently say she is really my daughter. 🙂 We can now always say that her first experience with mango was a legitimate Indian Alphonso mango. This makes me very happy — no offense, Mexican ataulfo mangoes.