Living With A Premature Baby

Each parent will have their own unique experience of living with a premature baby. Some babies will go home on oxygen, need continuous special care and some will be re-admitted to hospital quite a few times in the first year of life because they are very septile to colds, flu and infections.

We have been very lucky with our journey since our son came home. He was born at 27 weeks gestation and after spending over 3 months in hospital we were overjoyed when we were able to bring him home with us. Within the first month we had endless appointments lined up with a paediatrician, respitory specialist, maternal child & health nurse, HITH (Hospital In The Home) which is a program for very premature babies leaving hospital (although programs are different for each hospital). The program we had ensured that a nurse came around to our home each day for a week or until they felt you as a parent are comfortable with looking after your baby. When you take your baby home it is a very different experience than having a full term baby as you have a lot of follow up care.

As the months go by and your child is growing you continue to have follow up care with hearing appointments, eye sight tests, paediatrician & other appointments depending on how your child is developing. My son is behind with his milestones so he is now having physio once a fortnight as recommended through his paediatrician – Shane O’Dea. We have daily exercises we work on to help strengthen his muscles which in the long run will help with his milestones of sitting, walking, crawling.

The biggest fear of having your premature baby at home is the fear of them stopping to breath. When you have a very early premature baby it is likely that they are on oxygen for a long time whilst in hospital. When suddenly there is no oxygen, no monitors attached to them, you have no idea how their oxygen levels are or heart rate are so it can be very daunting for some parents when you start to rely on them like the medical staff all the while you keep reminding yourself that they would not be discharged to go home if they were not physically capable to be off the machines. It is very hard to adjust to this new world of no more machines and takes quite a while to adjust to your own intuition. We found that the best way to help combat this fear was to buy a sound and movement monitor. It let us rest at night without the fear of waking to see our son not breathing. A lot of hospitals recommend that parents of premature babies purchase these.

Whilst there are many thoughts and fears when having your premature baby at home there are some beautiful moments that you will cherish forever. Watching them grow and thrive whilst at home is amazing. They adapt so easily and you fall more in love with them each passing day. Living with a premature baby can be very rewarding also. When you remember how fragile their life was when they were born to how much they have developed into a little person it really is an inspiring experience.

When a mother’s milk is not enough

I never realised just how emotional I was going to get about breast milk. 

I remember the obstetrician asking me if I planned to breastfeed, minutes after he had told me I might be having a baby at 26 weeks.  Yes, I replied sadly, assuming it would be impossible to produce milk under the circumstances, not realising that simply parting company with my placenta would trigger changes to the hormones in my body and kick start milk production. 

For three months my life revolved around expressing “liquid gold”, which is a story all in itself.

The lactation consultants in the nursery spent hours helping me to coax my reluctant daughter to suck while encumbered with CPAP and feeding tubes.  Tears flowed freely – more freely than my milk some days!  Naively I had assumed that breastfeeding would be natural and instinctive, but for me it was a struggle.  At the same time, it was one of the few things I could do to help my precious baby grow strong and come home, and so it became more important than anything. 

I felt a great sense of achievement when I was finally able to breastfeed my daughter in the comfort of my own home, and as I relaxed I began to enjoy it more and more.  However my joy and confidence were undermined by the inescapable fact that although my baby was gaining weight, it was only 30-40g per week – well below desirable levels.  I consulted everyone: the breastfeeding centre, a local lactation research group, a string of child health nurses, the internet.  I did everything they suggested to increase supply and improve my feeding technique, but it made no difference.  She looks healthy but over four months my little one has slipped steadily down the growth charts.  Amazingly, every time I queried this with a child health nurse or lactation consultant, they told me not to worry about it because she was doing fine “for a prem”. 

Finally, she fell below the lowest line on the chart and I was forced to confront the reality that as much as I loved her, my milk alone was not enough to keep her going.  There’s no objective reason why it should bother me so much to give my baby formula.  I know it’s an adequate alternative, and for that matter I was formula fed myself.  Why is it so hard to shake the sadness within me, as if I have somehow failed one the most basic jobs of motherhood? 

I am trying to see the positive. Thank goodness for the blessings of the modern age, which enable our children to survive and thrive when our bodies let us down.  And unlike EBM, at least I can tip formula down the sink without any regrets.

Ambiguous loss of premature birth

In one of my frequent searches of Google I found this article entitled Ambiguous loss of premature birth. It basically says that, while our babies may be a live there is still a grieving process associated with the loss of a healthy pregnancy and a full term baby.

When grief is related to loss of an experience, not a death, how does one grieve or cope? Boss (1999) coined the term “ambiguous loss” when studying the wives of pilots missing in action in Vietnam and Cambodia. They had no information and no official verification that anything had been lost, thus were filled with conflicting thoughts and feelings.

The Joy of Ex (pressing)

LactavistaThe other day I discovered the wonderfully cheeky League of Maternal Justice, committed “to expose the injustices perpetrated against mothers everywhere and to exact vengeance through aggressive finger-wagging and online shaming”.

Superhero Lactavista single handedly defends breast feeders with her super action nursing bra and double power breast pump, but what made me smile was the way she is shown clutching an expressing bottle and breastshield, like a weapon of mass milksuction. My husband always said they looked like science fiction rayguns. 

Enough milk has passed under the bridge, so to speak, that I can look back on the three dedicated months I spent expressing and smile about it. It wasn’t always so easy.

From the day I was first introduced to a breastpump, I became a woman (or possibly a cow) on a mission, pumping every three hours around the clock. A sample of my daily routine: pump, sleep, pump, eat, pump, visit hospital, pump, wash expressing gear – well you get the picture. The only exciting thing I did during those three months was to pump, rush to attend pop concert, queue to meet pop star, hug pop star (woo hoo!), rush home, pump again. Other than that it was pretty darn dull.

Our cat took an immediate dislike to the vibrating machine of similar size to him and which seemed to be a rival for my attention. He would often glare at it, purring extra loudly so that I would hear him above the whirring of the pump.

Before I started taking Domperidone (known affectionately in our household as Dom Pérignon) my milk supply was woeful, and it never really took off. Where others squirted, I merely dribbled. I envied the mothers whose freezers overflowed, as I carefully syringed out every last drop and took photographs the first time I filled a container larger than a test tube.

Cry over spilt milk? You bet I did.

I spent lot of time surfing the web while expressing in the middle of the night. I found a lovely story about another woman’s experience, called Help! My Breastpump is on Fire

When I finally parted company with my hired pump, I almost felt a tiny pang of sadness – but only for a millisecond. If I ever have to set my alarm to wake me at 3 a.m. again, I hope it will be for something a lot more exciting.

Coping post NICU

I rode the lift to the fifth floor just as I had every day for the first 148 days of my child’s life. This time however, was different. We were going back. Only for a follow up appointment but the squirming, uneasy sensation in my stomach and my sweaty palms didn’t seem to know that.

My heart pounded as the computerized voice declared “Fifth, fifth, floor, floor” and the doors slid open. We turned the corner and suddenly the corridor I’d walked down hundreds, possibly thousands of times, looked immensely longer than it ever had before and then there was the smell of the antibacterial hand soap. While Erin was in hospital I didn’t mind it, in fact I liked it, it reminded me of her, now though, it brings back the fear and hurt that I’d repressed while in the thick of things.

Since we’ve been home I’ve noticed a sharp increase of flash backs, crying spells and imaginings—I swear I sometimes hear patient monitors and alarms. I don’t know if what I’m experiencing is Post Traumatic Stress, “just” depression or something else entirely. Maybe this is one of those lovely “normal” things that NICU parents get to experience. Whatever it is it doesn’t feel normal.

When your baby’s in hospital you don’t have time to deal with the emotional baggage that piles up as a result of having an early and possibly sick baby. You simply don’t have time and if you go to pieces who’s going to deal with the hundred and one things you need to do to keep your life going? No one. So you keep going and your baggage keeps piling up until you come home with a baby who cries for no reason, wants to be held at all hours of the night, who either, doesn’t eat and doesn’t grow or wants to eat all the time but still doesn’t grow!

So now you’re a crazy bag lady with a baby tucked under your arm, nappies piled in the corner, bags under your eyes that could easily accommodate your NICU baggage and armpit hair down to your elbows from a months worth of showers aborted due to screaming! At some point you’re going to explode and it’s not going to be pretty.

But you don’t because if you do who’s going to look after the baby, the house, the husband and any other kids you may have and where did that cat come from? Instead you wait for that rare moment when the baby’s quiet and you’re FINALLY alone and you just cry or you don’t because you’re afraid that if you start to cry you may never stop. Instead you just go silently crazier.

There are no answers in this post. I don’t know how to deal with what I’m feeling; I don’t even know what to call it. Somehow I think finding a name would help.

Visit our forum and discuss how you’re coping now that you’re home

Could somebody please stop the roller coaster, I’d like to get off now

Three months after we left the Special Care Nursery, last week I finally ran into a brick wall, emotionally. Perversely, I think it is because the weather improved. All winter I complained about being stuck indoors due to the rain, but now the sun has come out I still can’t stop feeling fragile and anxious, to the point where some days I don’t want to go out, or do things I used to enjoy. And last Tuesday when my appointment to see the child health nurse was unexpectedly cancelled, I just sat on the sofa and cried.

It makes no sense, but all my emotional resilience just seems to have gone out the window. Although it was stressful, tiring and frustrating during Talia’s hospital stay, I just focused on the positive things and “soldiered on”. Taking her home opened up a range of new challenges, but they are what any new parent has to deal with. Mostly I think I am doing OK – but some days I am finding the hole just seems to be bigger than the doughnut.

We do have some issues. Talia is difficult to settle, often screaming and hardly sleeping during the day, which means both of us are cranky and frazzled by evening. I feed her on demand but she remains very small, even for her corrected age. She looks healthy but has only gained 1kg in the three months since she was discharged from hospital. This has been causing me a huge amount of worry, and last week it reached the point where I was clearly showing some of the symptoms of postnatal depression.

The NICU staff told me that mothers of prems are more likely than mothers of full term babies to suffer from postnatal depression (PND). My own mother suffered terribly from PND and I really don’t want to go there.

I hate to admit it, but I couldn’t stop crying as I phoned the hospital last week and asked to speak to someone about getting some help. I felt like a failure, even though I know it is not my fault. I also went through quite a few tissues while talking to my GP a few days later, but now I feel a sense of relief that, even if I don’t feel in control of things, I don’t have to try and cope with it all on my own.

I found the following websites helpful in learning more about PND