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World Prematurity Day 2017: Reflections

28 Tuesday Nov 2017

Posted by frannyritchie in babies, Early Days, Parenthood, Uncategorized

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Addenbrookes Hospital, babies, NICU, preemies, premature babies, prematurity, Rosie Hospital, World Prematurity Day, WPD

Last week was World Prematurity Day, and I took the girls back to the Rosie Hospital & Addenbrookes NICU – the hospital where they were born and the ward where they spent the first two months of their lives – for a reunion with the staff and some of their old roommates.

The event was 100% totally sweet. We paraded through the halls of the hospital with little tea lights, wearing purple (the colour of prematurity and also, I recently learned, of pancreatic cancer), and then convened in a hospital seminar room with a table of cakes and tea and coffee for a reception that lasted about 45 minutes. And then we left. It was perfect.

Many of the NICU staff had provided baked goods and there was a great turnout from consulting doctors and a few of the nurses (many, of course, were working and not able to come). Seeing the staff, the people who literally saved our children’s lives, was fantastic, and while I appreciate it wasn’t at the top of their list of things to do, I wish I’d been able to see more of them. Sarah and Sophie from room 7 or Denise and Ben from room 12…I get a little emotional thinking about it, even now. The NICU staff made it possible for me to go home and sleep every night even when Fiona’s oxygen needs were going up or when Daphne had green goo coming out of her stomach. They took care of my daughters when I couldn’t, and I will never be able to say thank you enough. I hope they know that.

None of the midwives or maternal consultants were there, which is a shame – because as critical as the NICU nurses were, the only people I wanted to see more were Kasha and Catherine, the doctors who watched over my uterus week after week and then ultimately delivered the girls by emergency C-section. Catherine came to debrief me before she left the hospital, as I was coming down off the heroin derivatives you get when you have a c-section, too, which was awfully kind,

There were probably about fifteen families, mostly with children under a year old, including at least two women casually slinging oxygen for their baby and a six-month-old three-month-old who looked like the tiniest old man you’ve ever seen.

A number of our girls’ NICU contemporaries were there. In December of last year, there was a family of quads born at 27 weeks at the Rosie, and the smallest of them ultimately spent over five months there. They were all there and were, naturally, like visiting celebrities. There was another family of twins born two weeks after mine who were our roommates for a couple of weeks and two other single babies whom I hadn’t actually ever seen in person – I’d just seen their mums in the pumping room.

It was a funny thing. I know these women (it was mostly women, because the milk kitchen was where the bonding happened) from one of the most difficult phases of  our lives. Our children spent months occupying the same rooms and our breastmilk sat side-by-side in little purple trays and we passed each other in the halls wearing pyjamas, or swallowing tears en route to the toilets. We chatted through the beige curtains to  background music provided by Medela breast pumps and then swore at the bizarrely hot tap water we used to wash our pump parts, exchanging small talk as we each microwaved our steriliser bags for three minutes.

I liked a lot of the people I met in the NICU. The super-religious family; the family with a silent husband and a wife with more than enough personality for two; the couple with a dad who was always dressed in expensive loungewear; the French woman who showed up two days postpartum with perfect hair and makeup; the ones who always ate tinfoil-wrapped sandwiches in the parents’ room and the American military man who thought my excitement over Teddy Grahams was hilarious (I mean, it was). But when people ask if I made friends, I say ‘well…I made Facebook friends.’

It was so good to see these families again – with parents looking less wan, mums looking slimmer, and babies looking chunky and normal. I’m so pleased I got to go, and to show off the girls a bit too. But it is also funny to think – given all the solidarity I got and gave with these people – that actually, half an hour of shmoozing turned out to be just about right. I walked back through the hospital and packed the girls into the bike, grateful to have seen everyone and even more grateful to be leaving the hospital behind for a while.

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15 Thursday Jun 2017

Posted by frannyritchie in babies, Delivery, Early Days

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Addenbrookes Hospital, breastfeeding, breastmilk, breastpumping, breastpumps, breasts, Delivery, Early Days, labour, Lady Mary Ward, NICU, preemies, premature, premature babies, pumping

[Usual disclaimer about how I am not a medical professional, breast feeding peer supporter or anyone with any official knowledge about breastfeeding]


Its kind of lunacy to think that I can contribute anything much to the world of online breastfeeding resources when a. its extremely well-trod territory and b. my qualification is, I’ve done some breastfeeding. Both times I had a stressful start: with my first, mostly because of incompetence; the second time, there was that whole NICU thing.  But both times I gave birth, my baby had a nasal gastric tube. Theo had low blood sugar and, though he was full term, was tiny; he had a feeding tube put in directly after birth and spent an afternoon in Special Care. He was also born with an infection and was floppy and lethargic for the first 36 hours of his life, even by newborn standards.

Both times I was desperate to breastfeed. The first time I just couldn’t get the damn baby to latch. I ended up exclusively pumping after failing, every three hours, to get a latch, then dumping milk and formula down the NG tube into his stomach. The midwives didn’t believe me, but the whole depressing ritual – fail to latch, feed, pump, sterilise – took about two hours and forty minutes, leaving you with twenty minutes before it was time to start again. I have confirmed with other women: no matter how long the health professionals say it should take, it takes 2 hours, 40 minutes. For the first several days, no one bothered to tell me that you can pump on both sides simultaneously. Our hospital doled out single-breast packs (one bottle, one set of vacuum parts) and everyone on the ward shared a communal pool of hospital grade pumps.

On the third night, I called my husband, who was asleep at home, to act completely insane and accuse him of failing to support me in my attempts to breastfeed. I have no memory of what behaviour  of his set  me off, but I do remember that trying to get Theo on the boob had left me shrieking in frustration. I mean,  in the normal course of things, I’m not much of a shrieker.

Anyway. The thing that I originally wanted to impart is this: I have had three occasions where I have had kids on NG tubes and have had to introduce breastfeeding slowly, instead of doing the normal thing where you have a kid, put the baby on the  boob (or the bottle), call it a day and go home. Even if you do have a lot of success with breastfeeding (in which case, pin a rose on your nose) it can still be painful, time consuming, frustrating….my sister said she was glad she knows, from my experience, that feeding is not an easy and magical experience. And it seems obvious to me now, but three years ago I thought that I would have a baby and they would eat. I thought it was something I could prep for with classes and research. I was wrong.

That said, if you are in a situation similar to mine (especially if you have preemies) there are some things I recommend. First, it is important to be proactive, even if your child will not immediately be taking milk (ie if they are on liquid nutrition to start). You can start hand expressing immediately after birth, and – new in the last couple years – medela, the most common supplier of hospital-grade pumps, has created a ‘preemie initiate’ setting that stimulates the breast before hand expressing.

If you want to breastfeed, the best hing you can do is get after it. Milk yourself every three hours – the way a baby would if they were eating. Only expect a tiny amount at first – colostrum, the milk that comes right after birth, is meticulously collected in il syringes. But if it hurts or you aren’t getting any, ask for help: nurses, midwives and care assistants have experience milking new mums, and they’re probably better at it than you are. If your hospital is stressed for resources, ask for a lesson and have your partner help you collect it. It’s not dignified but…well…you get over it quickly. On my fourth day postpartum, I so get out one of the women who had helped me eke out my first drops and proudly showed her my freshly collected 35 mils. I actually got a little choked up – it was a mix of gratitude, pride, relief and Hormones.

Basically the biggest lesson – which I suspect is a theme – is advocate for yourself. Failing that, prep your partner and have them do it for you. There is no way to physically prepare for breastfeeding, so the best thing you can do if it doesn’t come naturally is ask for help – loudly and repeatedly if needed – and be patient with yourself.

And if, after all that, it doesn’t work out or you decide you actually kind of hate it, buy some formula and move on.

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