Letting The Days Go By (Part XIII)
You can read this story from the beginning here.
Where does The Crazy come from? Is it something that you are born with or something that you learn? Does everyone have it, although it only shows in those of us who are not so good at hiding it? What happens when we can not hide it anymore?
It is April 2004. I have stopped taking anti-depressants. My temp job is almost over. The company is closing, I was there to fill holes and finish projects. There is a dinner scheduled for everyone in the office. My period is late. I think nothing of it, I’ve never been regular. After lunch I have a stomach ache, a horrible stomach ache. I am sick. I am bleeding, a lot. These are not normal circumstances. My doctor tells me it is probably a very early term miscarriage. I know that. I have had one other one. In January of that same year, right about the time Grandma had her stroke. We didn’t tell anyone at the time; it seems so insignificant compared to my grandma, lying partially paralyzed in a hospital bed. But in my head I begin to panic. It took my parents years and years to get pregnant with me. I want a baby so much. And now this is happening again. I panic. I blame myself. The voices in my head have a field day. If you weighed less you would be able to sustain a pregnancy. If you had less stress, better nutrition, if you were better, stronger, right, and good. Then you would be able to sustain a pregnancy. I am obsessed with getting pregnant. I read books and do research.
By the first part of June I know that I am pregnant again, and although I expect to start bleeding at any time it never happens. My due date is February 11th, a year to the day after my Grandma died. I panic at the thought of my baby being born on that day. My mom goes on and on about the circle of life or some such crap and I want to throw up. I will have none of it. I want the two days to be separate, a day to mourn and a day for joy. I get my wish, but not in the way I expected. My food demons come calling during pregnancy and I am diagnosed with gestational diabetes. I know that I have to watch what I eat, but I continue to numb myself with sugar. I feel guilty, knowing that I am hurting my baby, choosing my comfort over health. I eat more when I am worried. I am put on bed rest for the last six weeks before Andrew is born. Bed rest is great for the first day. After that I pass the time by knitting lopsided baby hats and watching Dawson’s Creek in its entirety. It does not take six weeks to finish Dawson’s Creek. I am bored. I eat. My body is so confused from years of abuse that I cannot tell when my body is actually hungry. I still can’t. With two weeks to go before my due date I go to a doctor’s appointment with a horrible headache, I am seeing spots and am dizzy even when lying down. My blood pressure is continuing its climb and my doctor says that it is time to intervene. I am to go to the hospital and be induced. I am twenty-five years old.
Andrew is born amidst last-minute epidurals and a blur of activity. I am a little worse for wear. I spend a lot of time with the doctors while Justin and my mom hang out with Andrew. The hospital feels surreal. I set myself up for a fall with my expectations. This little alien that the nurses hand me is not what I expected. I look at him in wonder – a boy! I did not know if we were having a boy or a girl, but I kind of assumed it would be a girl. I mean, I’m a girl, my mom is a girl, my grandma is a girl, my cousins are girls, of course my baby would be a girl. I did not say that I wanted a girl. I just knew the baby would be a girl. So having this boy is a little much for my sleep deprived brain and doped up body to handle. I am tired. I want to sleep. The hospital is loud and uncomfortable. I am traumatized by the experience of birth. I try to nurse, it doesn’t feel right but the lactation consultant tells me not to worry, that Andrew is getting everything he needs and that everything will work out. I believe her. Andrew is crying. It is the middle of the night. We have been up for the better part of 72 hours at this point. I try to hold Andrew and I nearly drop him, my arms are so tired. Justin reaches over to take him and trips over nothing, stumbling around the room with a newborn. He is shaken and goes to ask the nurse for help. She agrees to take care of Andrew for a couple of hours until it is time to nurse again. We fall instantly asleep, relieved that a professional is on the job.
When the nurse brings him back to us, he is sleeping happily. She explains that he was hungry, that sometimes newborns need more than their mothers can give at first and that after feeding him a little bit from the bottle, he calmed down and fell right asleep. She thinks nothing of it, just another baby on another night, believes that she is reassuring us. She does not realize what I do with her words, what I twist them to say. Couldn’t you see that he was hungry? You are not taking good care of him. You did not feed him. You have one job here and you were unable to do it. Your baby was hungry and you could not feed him. You can not feed your baby. You are not good enough. You cannot do this.
I am home and nursing still doesn’t feel right. Andrew has jaundice and we have to take him to the doctor for some blood tests. I talk to the pediatrician about our feeding problems and they suggest that I continue to supplement with a bottle until we figure out nursing. We make appointments with the lactation consultant, a wonderful woman who encourages me to keep trying, giving me this bit of information, “Sometimes when women have lots of drugs during delivery, pitocin, pain medications and epidurals, it can slow down milk production. Just give it more time.” She thinks nothing of it, just more worried parents on another afternoon, believes that she is reassuring us. She does not realize what I do with her words, what I twist them to say. You are not feeding your baby. The choices that you made have created this situation. If you had been better, stronger, right, good, this would not be happening. You chose your own comfort over the well-being of your baby. Your baby is hungry and you can not feed him. It is your fault. You cannot feed your baby. You have one job here and you are unable to do it. You are not good enough. You cannot do this.
Andrew is a fussy baby. He eats for a few minutes and then screams, aching his back, inconsolable. He doesn’t sleep well, usually only about 45 minutes at a time. Justin and I are zombies, and like every other new parent, we believe that we are the only ones to feel this way. Justin’s two weeks off fly by. Toward the end of his time off I am producing more milk, enough that even though Andrew is still supplementing with a bottle he is eating exclusively breast milk. This is what I want for him. I feel like I am caring for my baby, like I am doing something right. Nursing him is extremely important to me and we are making headway with the lactation consultant. It is Saturday morning, almost two weeks after Andrew was born. We have bundled him up and taken him for his first walk in the stroller. He is unimpressed. We are elated. My body is starting to feel normal again. I am no longer scared to move. Justin’s parents are coming over to help with some housework and visit with Andrew, my mom will be here later. The grandparents are loopy around him. I notice that I have started bleeding again and decide to lie down for a while. The bleeding continues and I call my doctor’s office. They close in 30 minutes and advise me to go to the hospital if the bleeding continues. It does. We leave Andrew with my mom and head up to the hospital. The ER is crowded and they are unconcerned about a new mom who is bleeding a little more than normal. A male doctor examines me with little sympathy and I try to protect my mind from this invasion. He tells me that everything is fine and sends me home with instructions to return if the bleeding worsens.
We drive home and I try to nurse again. Milk is everywhere except Andrew’s stomach. He wants the ease of the bottle. I am annoyed and agree that my mom can feed him. I stand up and feel a rush down my legs. Blood. Lots of blood. I get in to the bathroom and there is blood everywhere. I try to get clean but there is too much. We leave the mess for my mom to clean up and speed back to the hospital. The admitting nurse takes notice of us this time. My pants are soaked with blood. People rush to get me hooked up to IVs. I see a different doctor this time. A woman. She is gentle and kind and says, “I have worked in a lot of emergency rooms and this is an impressive amount of blood.” For some reason this makes me feel better. I am not over-reacting. I am not melodramatic (this time). We spend 10 hours in the emergency room while they try to figure out what is going on. I have lost a lot of blood but my counts are staying relatively close to normal. Ultrasounds and more examinations and lots of observation and they can’t really decide what is happening. They to send me home with a prescription for birth control pills, assuming that they will stop the bleeding and then force me to have a normal period. It is close to midnight. My mom stays overnight and takes care of Andrew for the rest of the day while I sleep. I wake up and try to nurse again on Sunday evening. He is adamantly opposed to this idea. Twenty-four hours of exclusive bottle feeding has taken its toll. I let him have the bottle for that night and resolve to regroup and start again the next day.
The week progresses and nursing does not get any easier. It seems like I have less milk than before and I have to start using formula again. Andrew is still screaming every time I feed him and I am beyond frustrated. I call a friend who worked as a labor and delivery nurse and ask her for some help. We talk for a while and she mentions that birth control pills can decrease milk supply. I am shocked. This is the first I have heard about that possibility. I recognize that the first priority over the weekend was to stop the bleeding, but I wish someone would have told me of this possible side effect. I call the doctor’s office to ask what my options are and she says that I can try to stop the pills, but that, if I stop them, I might start bleeding again. I am terrified of bleeding again. I keep on the pills. I am working like a crazy woman to increase my milk supply and nothing is helping, fenugreek, pumping all the time, water, warm compresses … I am obsessing about my inability to nurse Andrew. The voices get louder. You are doing it again. You are choosing your comfort above the well-being of your child. But I am scared. Justin is back at work. What if I start bleeding when I am home alone with Andrew? Good mothers nurse their children. Didn’t you read the books, the websites, the message boards? Breast milk is best. Your body was created to do this and, because of your selfish choices, it is not working. I become convinced that all of Andrew’s crying and discomfort is due to the formula. I try harder, doing everything that anyone suggests to increase my milk supply, but there is not enough. He is not gaining weight like he should. He is still not latching on. He loves the bottle.
I am failing at something I am supposed to be good at. Again.
