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Jennifer Margulis

Mothering Outside the Lines

What Every Postpartum Woman Needs

December 6th, 2009

foodchainI have a lot of trouble asking for help. I’m getting better at this but I have to work hard not to feel guilty when someone does something for me. So it’s very difficult for me to answer the question, “Do you need anything?” or “What can I bring over?” now that I’ve had a baby.

If you ask, “What can I bring you?” and your friend says, “Nothing,” don’t take her at her word.

Here are some of the most helpful things you can bring to a new mom and dad:

1. A Meal: Instead of having a baby shower or gifts, we set up a meal plan in advance with our friends who wanted to help out. A parent at my son’s school who we met recently (so she wasn’t on the meal plan) dropped off some potato leek soup and cranberry bread when Leone was just a few days old. We ate bit of it and I’m still feeling grateful for that unexpected kindness, and filled to the brim with gratitude for the meal plan. (For more about food chains, there’s a great post at “Mama is …” on this subject which you can read here.)

2. Toilet Paper: Everyone needs toilet paper. If your friend’s postpartum heinie is too sensitive and she’s using water or Tucks, her partner and other children will benefit. Bringing something practical like this will save the new family the trouble of buying it for awhile.

3. Organizational Help: A wicker basket for baby clothes and diapers; a caddy for baby care stuff; a bin for toys—or other clever organizational products—are always appreciated by overwhelmed new parents trying to keep track of baby stuff.

4. Cloth Diapers: Though using cloth diapers saves families thousands of dollars, the start-up cost of cloth can be daunting. Bring over a cloth diaper or two as a gift for the baby or buy your friend a gift certificate for cloth diapers. Even if the family doesn’t decide to use cloth exclusively, you’re helping them save money, reduce waste, and have a healthier baby.

5. A Big Bowl of Fruit: Breastfeeding uses more calories than growing a baby and nursing women tend to be ravenous. I know I am. A bowl of fruit to put on the table beside her favorite nursing chair is a perfect gift.

6. A Good Book You’ve Read Recently (or a used DVD): New moms who are up a lot at night feeding the baby and nursing a lot during the day are often grateful for the distraction of a good book (you read with one hand and hold the baby with the other) or a good movie to watch while bouncing the fussy one.

This tired mama in pajamas is incredibly grateful for the wonderful meals her friends have been bringing over (photo by 6-year-old Etani)

This tired mama in pajamas is incredibly grateful for the wonderful meals her friends have been bringing over (photo by 6-year-old Etani)

Cartoon courtesy of Heather Cushman-Dowdee

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Nursing Leone

December 2nd, 2009

LeoneNursing“I think the baby’s hungry,” James says, bringing Leone into my office. “She’s very patient but she keeps turning her head and trying to suck on my sweater.”

He hands me the baby. Just four weeks old, she’s a solid bundle now–warm, substantial, sweet-smelling.

Not as floppy as when first born, she’s still so vulnerable. Her entire life depends on us. It’s strange to think that the food that nourishes and helps her grow comes entirely from my body.

It feels like a big responsibility to take care of such a small life.

I take Leone out of my office to nurse her. My office is cold, a place of deadlines and phone interviews and invoices. I don’t want to feed her in here.

She grunts and mews as I carry her to the living room, turning her head from side to side. I feel a sharp tingle—almost a stab—go through my breasts. The baby wants to nurse and my breasts are overfull.

I sit cross-legged on the couch in a ray of sunshine. Even when she was only a few minutes old, she knew just what to do. Leone opens her mouth wide and I shove my breast into it. She sucks lustily and I’m surprised, again, by how much relief and gratitude I feel as she empties out the milk.

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When A Baby Spits Up Blood

November 18th, 2009

BabyWearingDucksWednesday night after our tiny funny-looking baby was born I slept badly. Though she passed a lot of meconium that day, she didn’t pee at all. I was in a haze of postpartum hormones—feeling both euphoric and totally vulnerable, terrified that the baby would stop breathing during the night, nervous about jostling her still-attached cord.

I checked her diaper. Dry. Forty-five minutes later I checked it again. Dry. Ten minutes after that I checked it a third time. Dry.

Oh god, I thought, her kidneys aren’t functioning properly. There’s something wrong with her digestive tract.

She was nursing lustily, latching on like a champ, but was she taking in enough liquid to sustain her or would she get severely dehydrated like my friend Michelle’s firstborn who had to be admitted to the hospital after he started peeing uric acid crystals?

Pee, baby, please pee.

After these silent prayers, I checked her diaper again and again and again. Dry. Dry. Dry.

Nursing her lying on my side, curled around her tiny body, I finally fell into a fitful sleep.

A retching sound woke me a few hours later.

I sat up and looked at the newborn whose life depended on me. She was spluttering and coughing as if something were stuck in her throat. Then she spit up—big gobs flecked with something brown.

“James, wake up,” I cried. “The baby just spat up blood.”

We looked at each other helplessly. This wasn’t our first baby. We weren’t supposed to feel this much fear. We were experienced parents, not the novices who rushed our first daughter to the ER because she was crying (the books said a high-pitched cry could be an indication of something serious) and called the doctor at 2:00 a.m. because she pooped six times in a row and we were sure it was diarrhea.

The baby had already gone back to sleep. She looked healthy: her color was rosy, her breathing regular.

I checked her diaper. Wet! It was wet!

“She peed!!!!”

We decided we’d be able to think better in the morning and we fell asleep for a few more fitful hours.

Weighing the baby on a borrowed scale

Weighing the baby on a borrowed scale

Late the next afternoon our “knowledgeable family friend” (the midwife who agreed to be on call at our birth if we needed her. Read more about that here) dropped a scale at our house so we could weigh the baby.

“She spat up something brown last night,” I said. “It may have been dried blood. Is that normal?”

R. asked me a bunch of questions, looked the baby over, and said it could have been meconium or blood or even something else (“gunk from the birth” may have been the scientific terms she used), and that one bout of perplexing spit-up was nothing to worry about. I exhaled the breath I’d been unconsciously holding since the night before.

The next day she started peeing copiously, wetting a diaper every half an hour. She hasn’t stopped since.

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