Photo 366 challenge – week 8

A little late with this one, but we’ve just returned from a long weekend down in Skåne, southern Sweden, with Husband’s family. The week has been a bit of a mixed bag with a terrible start and then the enjoyment of introducing Baby E to his grandparents, uncle and cousin.

Day 51:

Photo © English Mamma

I really didn’t have a good start to the week. On Sunday evening, I felt some pain in my left breast but thought nothing of it, as I could not feel any lumps that would suggest blocked milk ducts. But by the time we went to bed, I was in some pain and struggled to find a comfortable position to sleep in. I woke on Monday morning, checked my temperature and saw it was 37.6°, so higher than it should be but not too high but then it started to rise and rise and it became clear that I had mastitis. I won’t repeat myself here; you can read all about it in my post Two steps forward, one step back.

Day 52:

Photo © English Mamma

Tuesday was a bit of an odd day as I tried to clear up the mastitis. I spent an hour of so in the evening with the unenviable task of sorting out my receipts – urgh…

Day 53:

Photo © English Mamma

The next day, as I was feeling so much better, I had lunch with a colleague and then, as we had lunched right next door to the office, she and I headed back there and I caught up with my colleagues, which was fun.

Day 54:

Photo © English Mamma

This is Little O sitting and watching a DVD in a crate – surely the best place from a toddler’s perspective.

Day 55:

Photo © English Mamma

Elephants are all the rage in 2012 – Baby E’s new elephant comfort blanket, to join his pink elephant rattle.

Day 56:

Photo © English Mamma

Baby E in the car seat waiting to go on an adventure with Mamma and Pappa. We left Little O in the safe hands of his uncle and cousin to undertake adventures of his own (a trip to the local rubbish tip!), while we took Baby E into Malmö. Seeing as he only turned five weeks old that day, it was a sleepy adventure for Baby E and he snoozed through shopping and lunch.

Day 57:

Photo © English Mamma

The anti-colic brigade! Baby E has the Minifom before every feed and then also has the Semper tummy drops once a day. Plus I have cut back dramatically on dairy in my diet. I’m not sure which of these has eliminated much of his discomfort as I am loath to stop one of them and have the poor little mite screaming like that again. So, for now and until the colic “period” is over, we’ll rely on the boys in this photo!

Breastfeeding breakthrough

Photo © English Mamma

Well, the appointment that I had at Amningsmottagningen, the breastfeeding clinic at Karolinska hospital, on Wednesday was a very mixed experience.

On the one hand, I left there with some confidence that I could achieve a proper latch with Baby E and that, with some practice, we could actually have pain-free breastfeeding (woo-hoo!). On the other, I am glad that there was a delay in getting the appointment and that I had not gone a week earlier when I was in a much more fragile state…

You had to fill in a form on arrival that asked about how your labour had been, if were breastfeeding fully, partly or not at all, how many formula feeds you had given, whether you felt under stress etc. So I filled that all in but on some of the questions I did struggle to know what to put. Are you under stress – Yes / No. Well, it’s really not as simple as that, is it? Yes, I felt under stress: I’ve just had a baby, I’ve got the baby blues, I have a 20-month old as well and I am struggling with breastfeeding. However, although there are tears (Baby E’s and mine) every day, some days are definitely better than others and compared with some people, I know that I’m not really under that much stress. (Surely a sliding scale of how stressed you feel would be far more appropriate?)

So, I met the lactation consultant and handed over my form, She asked what type of stress I feel under – of course, that was the one question that she honed straight in on. Unfortunately, I got a little bit emotional explaining how it was hard at home with Little O as well and that the two days of the previous week when he’d been unable to go to preschool had been horrendous as he was upset about Baby E’s arrival and was tending towards hitting rather than stroking him. Her response was that it was good for me to cry but that my children were too close in age and that was the problem. Errrm, excuse me? Oh, okay then, I’ll just send one of them back then…

She then examined my breasts and told me that the sores that I have were really nothing and that they didn’t even need to be drained (? – is this an option? maybe something got lost in translation?). We woke Baby E and she showed me how to get a good latch. And, and, and… It worked and there was only minimal pain, caused by those (very minimal) sores. This felt like such a breakthrough. I sat in that chair for the next 20 minutes and fed Baby E and how glad I was about those happy hormones that are released by breastfeeding, otherwise I might just have stood up and clouted her during her discourse into why breastfeeding was the only option, why I should NEVER EVER again give Baby E formula, how that was most likely the cause of his evening crying, how he actually didn’t really even have colic as she’d had one woman whose baby cried 24/7 and had to be carried in a sling and the whole family had had to wear ear plugs, whereas Baby E “only” cried from around 4pm to 1am, and why I am stifling Baby E’s development by swaddling him (despite me explaining that this is a great way to minimise colic, as well as being very comforting for newborns). Oh, crazy lady.

But as I said, she taught me how to get a good latch and that has boosted my confidence considerably. And I’m just choosing to ignore all the other crazy that she came out with.

The only downside…? I have to go back next Wednesday for her to check that I’m following instruction correctly. Bracing myself already!

The C-word

No, not that one; the one that newborn parents dread: colic.

In the early hours of Sunday morning, as Baby E screamed and I struggled to get him latched on, Husband and I had a row discussion about feeding and it ended up with us giving Baby E a bottle of formula. He gulped it down and promptly fell asleep.

That afternoon, Baby E started screaming and screaming and nothing we did could stop him for more than a minute or so. This went on until after 1am with us holding him and trying to soothe him, until he finally fell into an exhausted sleep.

The following afternoon the same happened and he became upset even when I tried to breast feed him, so we decided we’d try another bottle of formula and see if that helped. It did help, for about five minutes and then he screamed up a storm again and could not be settled down at all.

We called Vårdguiden, the health authority’s helpline for the Stockholm area, and asked their advice. They told us to take Baby E to Astrid Lindgren, the children’s department at Karolinska hospital.

This absolutely terrified me and all the way in the taxi there I was checking his breathing and having images of him plugged into various tubes and equipment. Of course, by the time we bundled him into his little snowsuit, strapped him into the car seat and got him in the taxi, he had again crashed out into an exhausted sleep.

We were seen with a nurse within 10 minutes of arrival at Astrid Lindgren and he believed that colic was the most likely cause of Baby E’s upset. As he was so little, we were told that we’d be given a room as soon as possible to minimise the risk of infection. We then spent the next two and half hours in that room with Baby E soundly and quietly asleep and Husband and I taking it in turns to try and sleep on the child-sized hospital bed provided.

The doctor who examined him in the early hours of the morning was able, thank god, to eliminate anything serious, which pretty much left just colic as the cause. She thought this unlikely as well as colic normally affects babies from about six weeks old and Baby E was only nine days old at this point. After consulting with a colleague though, she said that colic it probably was and that dairy in my diet could be the problem.

So we took our little snow-suited bundle back home and tried to get a few hours of sleep.

On reading up more about colic the next day, I discovered that there are a few different causes that are suspected:

  • An incorrect latch during breastfeeding
  • A developing nervous system
  • Intolerance to cow’s milk
  • Difficult birth

In Baby E’s case, we think the most likely cause is a cow’s milk intolerance and that the two doses of formula were the culprit, and possibly also a bad latch. Since mid-week, he has been getting much better in the evenings and although he requires a lot of burping, we have had little of the endless screaming of Sunday, Monday and Tuesday nights. In addition, I’ve also pretty much eliminated dairy from my diet and we’re also giving him probiotic drops once a day and lactase drops before every feed (to help him burp).

The nurse at the BVC (barnavårdscentralen) – the equivalent of a health visitor – has suggested that after two weeks I gradually reintroduce dairy into my diet. If the problem recurs, then we know it’s my diet that’s to blame and I can cut out dairy again and start taking calcium supplements. If not, then it was either a cow’s milk intolerance to the formula or a bad latch initially during breastfeeding.

So, the end result is that we’re getting there in eliminating the colic but I guess we might never know what the real cause was. But as long as it’s gone, that will keep me happy.