Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Friday, September 17, 2010

Hearing test - Passed!

hearing test

At Lila's 1 week appointment with the midwives, they did a hearing screen to make sure she could hear. Her right ear passed, but her left ear got a referral. The midwife assured as that this did not necessarily mean anything was wrong, but that her test wasn't sophisticated enough to determine the results. She told us that over 90% of referrals end up with perfectly good result. So she gave us the number to audiology department at The Children's Hospital and recommended we get the test.

We did the test on Wednesday. I found it pretty interesting. I don't know all the details, but I'll explain to you what my understanding is of the test. As you can see in the picture, three electrode things were put on Lila's head - one on her forehead and two behind each ear. Then a probe thing was placed in the ear to be tested. This probe is how the audiologist sent different frequencies of sound into Lila's ear. Now, for this test to work, Lila had to be completely asleep because in order to know if she could hear the sound, the audiologist checked if her brain was responding to it. Anytime a baby is awake, there is already brain activity - this interferes with the test.

It took a good hour to get Lila to fall asleep (yay for having a baby that nurses forever). But once she was asleep, there was no waking her up! We are blessed with a very heavy sleeper (like her mom). Many babies wake up multiple times during the test... not my kid! I actually couldn't help but laugh when the audiologist insisted on whispering. I knew my baby wasn't going to wake up!

Both of Lila's ears passed with flying colors! Since she slept so well, the test went fairly quick - probably around 20 minutes per ear. After this test, the audiologist performed an inner ear test. I honestly have no idea what this test was, but it didn't require the electrode things and it was super fast. She passed! The last test was to see if there was fluid in her ears. Nope, no fluid! The audiologist said Lila's ears were perfect :)

Monday, September 13, 2010

Back up to birth weight!

getting weighed 9701


Yay!! Lila is now 8 pounds 10 ounces, which is a half ounce more than her birth weight :) We reached our goal and now we can stop supplementing the disgusting formula that she hated anyway. Seriously, she hated it. She'd spit it out and throw it up.

Oh happy day.

I need a nap.

Friday, September 10, 2010

Breastfeeding Challenges

photo

One of my biggest fears regarding having a baby was the inability to breastfeed. Thank God that is not the case, but it has definitely been a challenge to successfully breastfeed.

Lila and I didn't not have the easiest of deliveries and as a result, she was not able to immediately try to breastfeed after birth. In addition, the difficult birth resulted with Lila having a pinched nerve in her left cheek which caused it to sag. My lactation consultant and pediatrician both agree that this made it more difficult for Lila to suck.

After I got stitched up at the midwifery, I attempted to breastfeed Lila with no luck. She showed some interest, but never actually had a successful latch. We left that night with a bottle of donated breast milk and a couple syringes. The midwife taught us how to feed Lila with a syringe while she sucked on our finger. This broke my heart, but I was optimistic that it would only take a few more tries before she was nursing like a pro.

This was not the case.

After two days, Lila was done with the bottle of breast milk and still hadn't successfully nursed from me. I was pumping what little I could and feeding her that along with the breast milk. I was really starting to get depressed about it and getting really discouraged. Our midwife gave us another bottle of donated milk and told me to meet with a lactation consultant asap. At this point, Lila had already lost 9.5 ounces and was down to 8 pounds.

I was finally able to get a hold of my consultant, Susan Sullivan, that evening and after learning about the situation and her pinched nerve, she suggested that I try a nipple shield. My parents were able to get one for me that night and to my pleasant surprise, Lila latched on perfectly to the nipple shield! This brought me tears of joy I was so happy. Of course, I would want to eventually ditch the shield, but this was the first positive sign of progress.

We stopped using the donated milk and I fed Lila with the shield on for close to 2 days. I didn't even attempt removing the shield at first because I wanted her to get used to sucking at my breast before changing things on her again. The first time I removed the shield, Lila latched on without a problem. Oh happy day!

At this point, Lila was close to 4 days old. We had paperwork from our pediatrician that said after 5 days, we could stop forcing Lila to eat after every 2-3 hours and let her tell us when she was hungry as long as she didn't go longer than 5 hours without eating. Since we had such a rocky start, we shouldn't have followed this, but we didn't know. As a result, Lila went 10 days without gaining any weight :( Now we are supplementing formula with most feedings until she is back to birth weight. Her next weight check is on Monday, and the pediatrician is confident that she'll be at a good weight by then.

When the midwife first told us that we were going to need to supplement with some formula, my heart sank. I didn't ever want to see that disgusting stuff enter her mouth. I even called the pediatricians that same day hoping that they wouldn't agree with the midwife, but they did. It was such a hard day for me and I'd cry every time she had to drink it. I felt like I failed her. I'm still sad about it, but doing much better. I'm certain that when we go in for a weight check on Monday that everything will be great and that the pediatrician will tell us to stop the supplementing.

On top of letting her sleep too long between feedings, I have also learned that I wasn't properly interpreting many of Lila's cries. I assumed that since I had just finished feeding her, she wasn't hungry. But I've since learned that she'll often act as though she's done, but not really be. Now that I'm feeding her more often and learning when she's hungry, I believe that I could get her weight up without the formula, but we're feeding it to her anyway because it's what the pediatrician recommends. We usually only feed it to her for the day feedings though because all three of us are too exhausted for the middle of the night feedings. I absolutely hate waking her up so often. Many times I have to put a cold towel on her to wake her up and it makes me sad to do it to her. By the time I wake her up, feed her, and Dave gives her formula, it's usually been well over an hour which means the process starts all over again in about another hour. It's brutal on all of us. And since we believe Lila's sleep is also important, we have decided to skip the formula in the middle of the night. She still gained 5 ounces in 2 days doing this, so I'm not worried about her not getting enough.

So yeah, breastfeeding has not been easy, but I believe we'll be pros at it in no time. I'll keep you posted regarding her weight on Monday!

Thursday, September 9, 2010

2 Week Check-up

lila 2 weeks 0116

My Lila PIe is already 2 weeks old! I can't believe how quickly that went by.

We had her two week check-up today. Everything is looking good. We've had some issues with weight gain, but she gained 5 ounces in only 2 days so that's great. That puts her at 8 pounds 5 ounces, so she still isn't back up to her birth weight, but she's well on her way. We have a weight check scheduled for Monday and hope that she'll be at least her birth weight of 8 pounds 9.5 ounces. We've been supplementing a little formula after each feeding for the past 2 days and the pediatrician asked us to continue to do so until Monday when we expect her weight to be where we want.

At Lila's one week check-up at the midwifery, they noticed a little signs of jaundice. Nothing to be concerned about, but suggested we give her a little sun each day. The only evidence of the jaundice was in her eyes - they were yellow-ish in color. Now there is only a tiny bit of yellow in the corner of her eyes and the doc said her color looks great. Yay!

Although weight gain has been a concern, growth has not. She has grown 1.25 inches since birth and is in the 80th percentile for height. Even her weight is in the 50th percentile. Her head circumference increased by 0.25 inches and is in the 70th percentile. Here are her specific stats:

Weight: 8 pounds 5 ounces
Height: 21.25 inches
Head Circumference: 14.25 inches

Our next appointment (not counting the weight check) is when she's two months old. That's when we'll start vaccinations.