Friday, June 5, 2015

Our Second EC Journey

To read about our Elimination Communication with our first daughter and to learn more about EC, visit: Maybellee's EC Journey

The first time Charlie went "on the potty" was actually at the hospital. I noticed signs that he needed to eliminate, so not even 2 days old and still in the hospital, my husband made the first poo catch!

When we got home, it was my turn! We have continued to make many, many catches. ECing this time has so far been very, very different. Its an acquired skill, so this second time around I'm more experienced and having an easier time of watching for and catching his signals. I have been having instant success at catching most of his pees and poos. Overall, I just know what I'm doing right from the start - at least for the most part.

What is new to me is this "boy business". ECing a boy is different. You have to adjust your hold technique to include guidance in aiming the urine stream - lest you wind up with a very big mess! In his first week of life we had to watch the sheets after a very messy incident. Another time as I was trying to EC over the sink, him and I both got a  shower! That has been the most difficult part for me, as I have smaller hands and he's a larger baby than my first, and making sure I'm holding him with adequate head/neck support while trying to get my finger placement just right to properly aim him has been an awkward challenge.

By 2 weeks old, he was already showing preference for the potty and not wanting to eliminate in his diaper.  Despite how often newborns go, I've been doing a pretty good job of getting him to the potty more than 50% of the time. The catch rate would be higher if I wasn't so busy taking care of a toddler, I'm sure, because he lets me know every time he needs to cry with a fuss. He always signals in some way. So far, his signals are lip quivers, unlatching from the breast, kicking his legs, becoming very still during nursing, or just generally being fussy. Its really neat to be ECing a second time, because thinking back onto trying to learn Maybellee's cues, she did these things all the time and I did not have a clue she needed to go. This second time, reading my baby is so much easier.

By 4 weeks of age, he was showing a very strong preference for wanting to use the potty. Sometimes he would start to fuss during tummy time, and I knew what that meant! A few times I had to finish what I was doing before I could help him potty, but every time, he always waited, even if that meant he started going the second he was over the potty and I took the diaper off. He was already demonstrating that he could control his eliminations also. I often remove the diaper in the other room and then walk him to the potty, and he always holds it until he's being held over the potty. At 4 weeks old he was also showing that he understands the cue. If I took him to the potty and cued him, even if I wasn't sure he needed to go, I could feel and see him using his pelvis muscles to try and pee!

BabyBjorn Little Potty -
the difference is a
shorter, smaller potty
with a more comfortable
squatty type position to the seat,
wider urine guard,
and no removable insert.
At 6 weeks old, we have established a really good routine. Most days, he only wets a diaper or two a day; the rest our catches. In his short little life, I can count on one hand how many times I've had to change a poopy diaper. We still have some off days when I'm just too distracted by my phone, cleaning, or Maybellee but for the most part EC has been VERY successful this go around.  That is, except for at night time. Charlie is a much heavier sleeper and wakes less frequently, which also means I sleep deeper as well. He also is not much of a crier, and although he does get squirmy in the middle of the night when he wakes and needs to potty, I don't always wake up in time until he's gone and a bit more upset for having a wet diaper and finally wakes me with some weak cries. Nighttime EC is less than 50% successful, which is a bit frustrating to me since night time EC with my first was 95% successful. However, he is still waking, rather than sleeping through his elimination, so EC is still having a positive effect on his nighttime elimination in my opinion.

At 7 weeks old I decided to switch the potty I most typically use - from the more modern Baby Bjorn potty (pictured above) to the BabyBjorn Little Potty (pictured to the right) and potty times have been drastically less messy and we no longer have aim issues. I wish I would have switched sooner ... and for life of me cannot figure out why in the world would they stop producing the Little Potty!?!? It's far superior to the newer product. In my opinion it is better shaped with a deeper seat to get baby into a bigger squat and also has a wider pee-guard, which allows me to just hold him on top of the potty and not worry about aiming him.

Big sister loves to help by bringing
the potty to mommy when Brother
needs to go and also helps make the
"Pssssss" sound or Potty sign to him.
Overall, I have been putting a lot of effort into it this time, since I started it much earlier with Charlie than I did Maybellee. Some days it feels like all I do is go from breastfeeding him, to potty, back to nursing, potty some more, repeat. It does require more attention and a different kind of extra work involved to practice Elimination Communication than conventionally diapering or cloth diapering, but its such a wonderful experience to be able to watch your baby communicate his elimination needs and for me to be able to meet those needs. Sure beats doing the cloth diaper laundry and changing a poopy diaper too!


Although this is my second time doing this, its still so brilliantly exciting and fascinating to see it for myself that babies can, will, and do prefer to eliminate away from themselves and that by communicating with my baby, by carefully watching for his signals, providing a potty opportunity, together we can prevent him from soiling himself!

Saturday, May 16, 2015

Baby Charlie's Birth Story

Baby Charlie's Birth Story

Charles (Charlie) Bodhi Grieser
8 lbs 6 oz, 21 inches, 14 in head and chest
Born 6:42 am at Henry County Hospital via Family Centered Cesarean by Dr. H

One of the more important aspects of Charlie's birth plan was that I wanted to go into spontaneous labor prior to my planned cesarean. 40 weeks passed by and I had very little signs that labor was coming. On Monday May 4th, I had an ultrasound done to make sure it was safe to continue the pregnancy. I knew everything was fine but Dr. H needed the reassurance. Fluid levels were good, but he wasn't active enough during the ultrasound because it was during his usual nap time so Wednesday I had to go in for an NST, which we passed no problem. My OB was not going to be on call the upcoming weekend, and instead the OB that had done my first traumatic cesarean was, so I had quite a bit of anxiety leading up to that weekend, and was hanging onto hope that labor would wait until the next week.

On Thursday evening May 7th , the evening before I was 41 weeks, I began having some regular pains right before bed close to 10 pm. The pains were in my lower back and pelvis, but I didn't feel them wrapping into my belly. I had had these pains on previous nights and they would come and go for about an hour and then disappear, so I wasn't thinking much of it, but after a half hour, I realized I had maybe about 6 or 7, meaning they were probably five minutes apart. I was curious and began timing them. At this point, they were starting to bother me a little more and after a few contractions I realized they were actually only 2-3 minutes apart and lasting over 30 seconds. I thought this was odd because it was progressing way too quick compared to my first labor and figured it was just false labor again and it would shortly end. I continued timing them, as my husband and I passed some time watching TV in bed. I kept telling my husband this wasn't it, mostly out of fear with hope of post-poning having the inevitable surgery for a little bit longer. The contractions were not stopping, getting more uncomfortable and was starting to hurt with cramping in my lower belly too. At about 11 pm, I lost my mucus plug and had bloody show. This was when I realized I was in actual labor. I sat in my bathroom and began to cry. I had been having a hard time dealing with my anxiety about my upcoming cesarean and dreading it the entire pregnancy, so now that labor started, it meant it was just hours away. My husband comforted me and calmed me, reminding he was going to be there to take care of me... and that my OB was on call! Perfect timing!

It was nearing midnight at this point, and the plan was always to wait till early morning to go to the hospital if I went into labor in the middle of the night. I told CJ to go to bed, and I stayed up to labor on my own, just like with my first. However, this labor was polar opposite to my first labor. Contractions were consistently 2-3 minutes apart. At 1 am, I could no longer lie in bed, so I got up and went downstairs to finish packing our bags. Yes, at 41 weeks pregnant, we still had not packed our bags. (I was convinced this baby was going to take its time arriving just like big sister, and expected baby to stay comfy until sometime next week.) I realized we hadn't washed the newborn diapers yet either, so I began cleaning and doing laundry in between contractions as well. At about 2:30, contractions were very strong, and still 2-3 minutes apart, but were now lasting almost a minute long at times. I realized if I wanted to wait till morning, I should probably quit cleaning and lay down to calm down the contractions. I went upstairs and layed down. It was really painful now to lay. Three contractions later, I felt a hard pop; my water had broken! I got back out of bed to labor on the toilet until my waters were finished. Contractions got very strong at this point. I was having a very hard time breathing through them and I was having a hard time staying relaxed. I found my self tensing up, crying or vocalizing through them. I tried swaying my hips, bouncing, hands and knees, but nothing was helping me cope with the pain. It was about 3 am when I realized I needed help and probably wouldn't make it a few more hours by myself, so I woke CJ up and he began packing his bags. I remember telling him, “these feel like pitocin contractions!”

I called the hospital to let them know I would be in shortly. It actually took him a little while to finish packing up his and Maybellee's things, but we dropped big sister off at Grandpa and Grandma's sometime after 4pm and were at the hospital a little before 5 am. Contractions did slow down to 2-5 minutes apart at this point, but were still very painful, especially since once I was to the hospital they needed me on the monitors for an hour before the cesarean, which meant I was stuck in the bed. My sister arrived very soon after I was admitted, and surgery preparations started moving very quick.

The anesthesiologist arrived and began telling me what I should expect. She explained that I would go back alone for the placement of the spinal. I asked if CJ could come back with me, and she said no, and I began to panic. My first cesarean left me with some trauma, and when she said CJ wasn't coming back with me, I began to have the irrational thought that I would not get any of my wishes respected again and I wouldn't get a family centered cesarean. The anesthesiologist had walked away with her answer, and I was crying and I couldn't breathe, and CJ and Tessa was trying to calm me down. A few nice nurses also tried helping comfort and calm me, but I just remember wanting to jump up and run out of there and feeling embarassed that they all were watching me have a panic attack. The anesthesiologist came back and Tessa talked to her, and got her to finally agree to let CJ go back with me. Thank God for my sister being there to advocate for me. I was able to start calming down. Then Dr. H arrived sometime during this and had checked me. I was 2 cms. At first when I heard that I felt a sense of panic of “what if this time my body was dilating!?”, but then quickly realized this labor was so fast and tense I should have been a lot more dilated. It wasn't much longer after this they began moving me to the OR. CJ was able to stand nearby to hold my foot which kept me calm for the spinal placement. I remember telling the nurses I was scared and they were really nice and comforting.

Next thing I knew my sister was there and surgery was starting. In my birth plan I had requested to have the drapes lowered and for baby to be held up for me to see after delivery. The anesthesiologist retrieved a mirror for me and asked if I would like her to hold it so I could see, which was above and beyond what I had expected. I actually got to watch the entire delivery. I saw them pull baby's head out and suction baby's mouth, then Dr. H reached in more and pulled baby out by the arm pits and held baby up. The gender was a surprise and Daddy got to announce, “It's a boy!” They delayed the cord clamping for two minutes, and then baby immediately was put on my chest! He was only on my chest for a minute or two before I started to become really nauseous. Daddy held him for the remaining of the surgery while I spent a great of deal of it hanging my head over a bucket. I remember that I kept wanting to apologize. I had made such a big deal about wanting to hold my baby immediately after birth, and I was so sick I couldn't. The nurses were fantastic and made sure I never vomited on myself, unlike my previous cesarean where I was ignored when I told them I was nauseous. Even though I didn't get to hold baby but for a minute, daddy and baby stayed right next to me the entire time. Simply not being separated from them and not being alone in surgery made the world of a difference in comparison to my first traumatic cesarean. The surgery didn't seem to last long at all and I was back in my room for recovery. I was still dealing with nausea and low blood pressure, but I was finally holding my baby and he got his first nursing.

My recovery in the hospital went fantastic. They had a lactation consultant there to help us get started with breastfeeding. The nurses were very great about making sure my pain level was okay. They got me up and out of bed within 8 hours after surgery, and even respected my wishes to have the catheter removed early. All the staff were very respectful of our choices and wishes for the birth and newborn care, no one even attempted to retract our newborn son's foreskin during checks, and all were very helpful and kind. In the end, I got everything I wanted: respectful prenatal care with limited Doppler, spontaneous labor, delayed cord clamping, family centered cesarean, and a great recovery. I couldn't have had a better experience there and truly appreciate the Henry County Hospital for providing me and my family with a great birth experience.