New photo plus post up at REDBOOK.
See that? I zig, I zag. Post here, post there... you never know.
Caroline (pronounced to rhyme with wine but I am not all tweaked about that. I mean, if you want to rhyme it with win it doesn't bother me. also, the Kennedys? like Rose and Ethel and whatshisname P? THOSE Kennedys? man, that NEVER occurred to us. I suppose Edward Caroline and Patrick must just be names that appeal to the post-generation Irish with conflicted aspirations to both heritage and WASPdom. or something) had a feeding tube for the first couple of days. A thin blue tube that ran into her nose and then down into her stomach. It reminded me of my terbutaline pump in that it was made of the exact same stuff and I was similarly terrified of accidentally ripping it out. The logic behind the gavage was that she was too weak and sleepy to eat and they did not want her weight dropping much below four pounds as that would make her even weaker and sleepier. It took a few days for her to actually take a bottle and we cheered when she got through 3 cc's before collapsing in exhaustion. At intervals during her hospital stay we experimented with breastfeeding, enough to conclude that the spirit was willing but the flesh was... well you know. She would latch and suck but 1) she never got anything out and 2) she would then be so tired from trying that she failed to take a bottle for hours afterwards. We focused on getting her weight up (with formula. and minuscule quantities of expressed breast milk. from a bottle) and I would only let her fool around with nursing a little. I figured we could sort it out after she was able to stay awake for more than a few minutes at a time. In the meantime I tried to breastfeed Edward as much as possible.
Edward was bigger at birth but still, let's be honest, something of a runt. He dropped to just over five pounds by day two and he had some nursing issues. Like Caroline he was willing, but like Caroline he was not particularly effective. The lactation consultant and I experimented over the course of the week with him and breastfeeding and the scale and bottles and the supplemental nursing system and eventually concluded that he has a weak latch and not a whole lot of stamina. He would get some breast milk (maybe half an ounce) and then tended to pass out or just pacify himself. So he was being supplemented as well (with formula. from a bottle.)
Gradually, as they both get bigger and are able to effectively nurse for longer periods of time, I am breastfeeding them more and bottle-feeding less. Last night, for example, they just nursed all night. This morning Caroline just breastfed but Edward was still hungry after nursing so he got some formula when he was done with the breast. Tra la la la la.
It is all completely different from how I handled the first few weeks with Patrick (exclusively breastfed, sheer misery, urgent care at 6 days for dehydration as I did not realize that a) my milk had not come in because b) his latch was all wrong, breastfed for a year regardless, so fucking stressful that first month though) that it feels like cheating. I nurse, I pump, they get formula, expressed breast milk, whatever... why, I even give one or the other a pacifier when I am feeding A and B realizes that s/he is so hungry that they will DIE if they are not fed THAT SECOND scream scream.
I know this is all completely wrong and in theory I have messed up both babies so that neither will ever eat again but... it's working. They are both growing like small weeds (Steve just bought me a scale. I cannot wait to see how big they actually are but Edward is out of preemie and into Newborn and Caroline has graduated from the TEENY preemie clothes into the tiny preemie clothes. also the little hats no longer fit her) and I expect they will breastfeed exclusively at some point in the not so distant future. Or not. I am not stressing about it.
My milk supply, by the by, is still kinda crappy and I am just glad that I do not have to keep anybody alive via pumping. I get about two ounces every two-three hours. Since this is a 900% improvement (yes I smell like maple syrup) over last week I think it is a victory but I am not particularly optimistic that it will ever skyrocket from there.
Oh and I loathe being patronized (who doesn't?) It makes me cranky.
Patrick walking in the door... now. Yes! Peanut butter and jelly is so easy.