Note: if you don’t want to hear me talking about breasts and vaginas, you might want to opt out now.

Note the Second: I wrote this a long time ago and am posting it now because: a) I haven’t posted anything in a long time, and b) I feel like it.

It never occurred to me to write this post until after reading this, a husband’s account of his wife’s failed attempts at breastfeeding.  (Even if you don’t much care for things kids-related, it’s a worthwhile read just for the powerful writing.)  I read a lot of parenting stuff, but this was the first time I saw a story about breastfeeding gone wrong, no doubt because for many of us, the guilt and shame that accompanies this failure is a bit too much to blog.  Right now my son is sound asleep, his near-empty MAM bottle of Similac Advance in front of me.  So how did I get here?

I assumed from the start that I would breastfeed.  I took the class, I practiced the “sandwich hold,” I read the book.  Of everything, it was the one thing I could bring myself to do. Crib? No. BF class? Yes.  I’m not sure why this was.  I didn’t even buy bottles ahead of time, partly because I assumed exclusive breastfeeding and partly because it would have been another thing to throw away if he didn’t make it. So perhaps I was able to take on BF prep because it didn’t carry physical signs of impending parenthood the way purchasing feeding supplies would have. (See last year’s posts, November through March, for an explanation of the underlying causes of my neuroses.)

I prepped myself solidly for a natural labor but didn’t think it would actually happen; I breezed through the breastfeeding prep and scoffed when I heard that most women give up after the first month.  I planned to go for at least six months and then figure out what would be best for my child from there.  I don’t know why I thought it would be so easy.  Partly I just trusted my body’s ability to do its job.  But under that–if I’m going to be completely honest here–there lurks a mild though significant dose of classism.  Those puny plastic 2 oz. bottles of formula with the screw-on nipples?  Those are for 16-year-olds and bottle-proppers.  They aren’t meant for me.  I’ve got a doula, a birth plan, an organic diet.  Breastfeeding is my birthright.

Except that it wasn’t.

I know I’ve said it in various comments, but I feel lucky that I was able to give birth the way I wanted to.  I had a fever during labor whose source couldn’t be pinpointed, and IV fluids and tylenol didn’t bring it down.  (We didn’t understand the gravity of the situation until much later, when we realized that, hey, that whole team from pediatrics? They aren’t in the room for everyone’s delivery.  Our OB, smartly or not, did not tell us what the worst case scenario was that made her call them in; we still don’t know.) Due to my own panic about the possibility of infection, labor stalled around the 6-centimeter mark after progressing really well in a matter of hours.  Because of the fever my doctor insisted on augmentation with pitocin to get labor going again, which, if you’re familiar with these things, you know is the first step on a short road away from vaginal delivery.   In a usual-case-scenario, pitocin brings on contractions quickly but intensely painfully, thus increasing the need for an epidural, which can then either slow labor again or impede pushing.  And it only gets worse from there. Because I knew about that possibility (because I read the book, dammit!  because I was prepared!), I refused the epidural and went drug-free, giving birth vaginally after about 12 hours of labor.

(Note: Pitocin isn’t as bad as everyone says it is.  It’s worse.  For me it was particularly bad because I needed to push before I was fully dilated, which resulted in 3rd degree tears.  For those of you who don’t know, that’s one degree before the kind of tear that opens the wall between vagina and rectum.  When it rains, the stitches hurt. I’m like an old guy with a bum knee. Only, you know, in my vaginal wall.)

My ability to give birth vaginally without an epidural gave me incredible confidence. Of course I would breastfeed.  Of course this body, capable of delivering a healthy child, capable of withstanding the pain and effort of labor, would be capable of feeding my child now, for the next month, the next six months, the next two years, if that’s what I wanted.

Except that it wasn’t.

My son weighed 8 pounds, 10.5 ounces at birth.  As soon as he was returned to me, my doula helped him to latch for the first time.  He was never great at latching, and it was never easy–I couldn’t just “pop him on the boob,” as I’ve heard it described–but once we were set up he would do pretty well.  He knew what he was doing, and I was doing my best not to get in his way.  I saw the hospital lactation consultant, but that was just a formality.  We were good.  We were Earth Mama and Earth Baby.  Before we were discharged two days later, the pediatrician asked that we return the next day for a weight check and a jaundice check.  His jaundice levels were hovering at a not-good-not-bad level, but his weight had already passed the 7% loss mark.  I wasn’t terribly concerned about either thing.

I should have been. By the next day he hit 10% and was going lower.  And in the meantime, our breastfeeding bond started to break.  He was weak, and tired, and weak some more.  He’d latch and stop, or latch and pop off, screaming.  He fell asleep feeding a few times, and I just left him there for two hours at a time, but he wasn’t getting what he needed.  In the meantime, my milk wasn’t coming in.  In a month of breastfeeding attempts, minor successes, and glowing failures, my breasts felt full exactly one time.  I never leaked.  I never felt the exploding pain of a breast that needs to be nursed. For whatever reason, my body failed.

We were seeing the doctor daily for weight checks at that time, and we weren’t given any option but to supplement with formula.  The jaundice was still there (remind me to tell you about the time Wizard and a 3-day-old had to wait THREE HOURS in a scummy hospital waiting room for a heel stick), and the weight was still dropping. Those 2 oz. bottles with the screw-on nipples? Here, Perpetua, these are for you.

And then I hit Day Five.  Do y’all know about Day Five?  Statistically speaking, it is the absolute worst postpartum day in terms of roller-coaster emotions, mounting physical pain, and, for me, dead black despair. (I didn’t know this until long after Day Five, or else I would have thought I imagined it).  That day I called my doula and asked for advice about the breastfeeding, which at this point was happening overnight, with bottle feedings during the day.  And she? She recommended cup feeding.

That was her answer.  I’m telling a person who has seen me at my most-intimate-of-intimates that my baby keeps losing weight and my milk isn’t coming in and I want to jump out the window or board a jet to New Zealand or both, and she tells me to go massage my breasts into a paper cup and tip the milk down baby’s throat.  Cup feeding is recommended because if you use a bottle, you’re impeding the baby’s natural ability to latch and giving him an “easy out.”

I want to make this clear: we wanted to breastfeed.  We didn’t even use a fucking pacifier.  I got upset when they gave him one during his hearing test, even though they had to because he was screaming like the little instigator that he is and they couldn’t perform the test. (He also pulled the plugs out of his ears because, as I’ve said before, He. Is. Hilarious.)  But for some reason, the cup feeding thing?  Pushed me over the edge.  That was the moment I refused the cult.

So we rented a hospital-grade breast pump. Screw the mama-baby bond, at this point I just wanted to get as much breast milk into The Baby as possible.  So I sat and milked myself for hours at a time.

And it was a good day if I got four ounces out of both breasts.

You are welcome to tell me that amounts don’t matter and that breastfeeding doesn’t concern itself with amounts and who knows how much comes out of a breast, anyway.

You are also welcome to go fuck yourself.

I don’t even remember where he was when his weight bottomed out.  Somewhere in the seven pound range, I think. It’s written down somewhere, along with a painstaking diary of every drop of food that has ever entered my child’s body (because did I mention that I am totally OCD about his eating and to this day write down everything he eats? I know, I need to clear that up. I know it has the potential to damage him. But I just can’t right now.)  I know my baby better now and know that he is just a beanpole, as my best friend says. He’s really long, and he’s not chubby, and that’s who he is.  But tell that to Perpetua, mother of a 2-week old, and see what she says.  She’ll probably tell you to go fuck yourself.  She’s fond of saying that.

Oh! And! I forgot to tell you! He had a cold (or SOMETHING, we never figured out what it was) during his first two weeks that interfered with his ability to latch because his nose was completely blocked, and who wants a boob in their mouth when they can’t breathe through their nose? (Well, some fetishist, probably, but my baby wasn’t interested.)

So, in sum: baby loses weight, baby gets jaundice, baby gets cold-thing, baby loses more weight, parents forced to supplement, parents told to cup feed, mama cries and cries and cries, mama gets breast pump, pump doesn’t produce much more milk than baby, mama cries and cries and cries.  Repeat last two steps for a month.

A month to the day of my son’s birth, I returned the pump.  I did it.  Me. I took it to the security room at the hospital. (I’m going to go ahead and tell you that I’m crying now, because that? Was one of the more fucked up failures of my life. And I’m no stranger to failure.)

So, here’s where we are now:

Every time he seems like he’s getting a cold, I obsess over whether breastfeeding would have made a difference. I can’t buy formula at the store because I’m too embarrassed, like I’m a pregnant smoker. I’m the Queen of H1N1 Obsession because, hey, you know what will mess you up?  A pandemic that starts three days after your baby who won’t feed is born.

The good part is that these thoughts only encompass about 10% of my day.  They used to take up 50%, and in the first two months or so, it was all I thought about.

I mourn my lost milk.  And I wish I didn’t. But I can’t separate truth from hype. I know “breast is best” even if I don’t believe in it as a cure-all wonder-food.  Failing your child is completely different from failing yourself.  I mean, I’ve screwed up all manner of things over the past 30 years, but that’s my business.  But in this case, I made a person, and then I didn’t give him what he needed. It’s like I invited my friends over for dinner and then asked them to cook. Only it’s not at all like that, because in that scenario I’m just a minor asshole.  In my reality, I’m a person who has not done best by her child.  That’s 4th degree asshole, the kind where your intestines are hanging out your vag and dragging on the floor.

I was supposed to be writing a chapter today, but somehow this seemed more important. Thanks for being a trooper and making it through to the end (even if you skimmed).

Well, hi.  I’ve been gone so long that wordpress looks completely different.  When the hell did that happen?

I’ve been “away” from all things internet and diary-like because I’ve been dealing with some stuff.  Stuff of an identity crisis sort (which is far better than and certainly preferable to stuff of a “what the hell’s wrong with this fetus?” sort, but duh.  Of course it is.).

I don’t feel like explaining myself right now, so I’ll sum up my current state of “who am I?” with a video.  You should watch it.  If you dislike children’s programming and/or puppets, you might want to get directly to the song by fast-fowarding to the first minute.  If you really, like for real hate puppets (what’s wrong with you?  I understand primordial fear of those Punch and Judy wooden things, but otherwise, you might want to get that aversion checked out), search youtube for “dr. stringz” and Andrew Bird, which will give you a short version of the song without the muppety fluffiness.

Yeah, I know.  But I’ve been absent for a month.  That’s not good.  And as an education professional, I believe in assignments-as-motivation.  Sure, self-motivation is great, but we can’t all be well-adjusted adults.

More later on just what the hell has been going on.