Becoming Mother

A book and a blog for first-time mothers

Tag: blogging

Why are American Women Dying in Childbirth?

 

American women are more likely to die from complications in pregnancy and childbirth compared to women in any other developed country.

It’s true.

But why?

***

At 1:27 p.m. on February 2, 2017, I gave birth to an 8 lb. 10 oz. boy.

Because there was meconium in my amniotic fluid, a NICU team was paged to be present at the birth to make sure that the baby’s lungs were clear.

Those first minutes after birth were very blurry. There was just too much going on to fully appreciate everything that was happening. From my perspective as the birthing mother, I remember my son turning his head upward and looking me in the eyes (that really happened). I remember seeing that he was a boy. (A boy!?! Really!?! What?!?!)

I remember dropping my head back against the bed and crying in relief that it was over. I remember thinking, “Well, that’s the last time I’m doing that.”

I was euphoric and so, so grateful. We had made it. We had survived that. Both of us. That was what I was thinking.

I did not know that I was hemorrhaging. 

This is the thing about hemorrhaging: It happens so fast.

It happens while mothers are crying from happiness that their baby is alive and breathing. It happens while they’re trying to get a good look at their baby’s face. It happens silently as the room’s atmosphere turns from the intensity and suspense of the pushing phase into joy and excitement of the delivery phase.

No woman wants to believe that it’s going to happen to her. I had none of the risk factors associated with postpartum hemorrhage.

But it still happened to me.

While we were celebrating and crying and basking in the joy of the birth, my midwife was tracking my blood loss. I remember looking down and seeing her furrowed brow every time more blood poured out of me. But I didn’t think anything terrible was happening. I was flooded with joy and gratitude that labor was over.

But in the first ten minutes after birth, more and more nurses entered the room and the treatments started. My midwife told me each treatment that she was doing to stop the bleeding. By this time, I had lost about 1200 mL of blood, about 2.5 pints of blood. In other words, I had lost about 25% of the blood in my entire pregnant body.

Surviving postpartum hemorrhage requires a medical professional who quickly realizes what is happening and starts treatment immediately.

In my case, the midwife tried a shot of Pitocin. When that didn’t work, she gave me Cytotec. When that didn’t work, she gave me IV Pitocin. She kept massaging my uterus. She was on her last treatment before starting a blood transfusion: a shot of methergine.

That’s how close we were to a true emergency.

screenshot_20170207-165547

My heart rate during labor. You can see exactly when the hemorrhage begins and how my body responded.

 

Hemorrhage is one of the leading causes of death in childbirth.

Causes of Death in Childbirth

Still.

Let me be clear: postpartum hemorrhage isn’t caused by a lack of care. This would probably have happened to me if I had given birth anywhere else.

But women die from hemorrhage when doctors and nurses don’t quickly recognize the amount of blood loss and begin treatment. Some states, like California, have codified and implemented standardized procedures and training for nurses and doctors so that teams can quickly and efficiently follow protocol to prevent postpartum hemorrhages from killing mothers. Instead of “eye-balling” how much blood a mother loses during delivery, nurses were taught how to collect and measure postpartum blood loss to help them quickly identify hemorrhage.

“Hospitals that adopted the toolkit saw a 21 percent decrease in near deaths from maternal bleeding in the first year; hospitals that didn’t use the protocol had a 1.2 percent reduction.”

But not all states have such standardized protocol.

***

A joint investigation by NPR and ProPublica found that more women are dying of complications related to pregnancy and childbirth compared to any other developed country.

In every 100,000 births in the United States, 26 women die. In other developed countries, the numbers range between 5 and 9 births. And those numbers have climbed from 17 to 26 deaths from 2000-2015.

Seriously.

Seriously.

It seems unimaginable. Really? In the United States? But we have so much technology. We have some of the best hospitals in the world.

Maternal Mortality

What the hell is going on?!?

There were several major findings from this investigation.

  1. The U.S. is spending more money on research, equipment, and training for improving infant outcomes. Think of how much progress we have made in helping premature babies and treating newborns born with previously fatal deformities and diseases.
  2. Decreased education and training about caring for birthing mothers, for both doctors and nurses. This leads to a lack of knowledge that is passed on to the mother when she is discharged from the hospital.
  3. Lack of standardized best practices for caring for birthing mothers among the states. Unlike other developed countries, there is no nationwide effort for reducing the maternal death rate in the United States. Responsibility has been left to individual states to decide if and how they investigate maternal deaths.

America has not conquered maternal mortality. We like to think that because we have advanced technology and highly trained medical professionals that tragedies like a woman dying in childbirth just simply don’t happen anymore.

At least not nearly as much as it used to.

It’s a kind of hubris, really. To think that we have mastered childbirth. We have tamed it and told it who’s boss. In fact, we’re so good at childbirth that we should just focus most of our attention on the infants. They’re the ones that are the most vulnerable, right?

But the truth is…

“In recent decades, under the assumption that it had conquered maternal mortality, the American medical system has focused more on fetal and infant safety and survival than on the mother’s health and well-being.”

~Nina Martin & Renee Montagne, “The Last Person You’d Expect to Die in Childbirth”

***

If there was one major takeaway from this report that I want to share with everyone it’s this:

Women still die in childbirth. 

Giving birth in the United States does not guarantee that both mother and baby make it out alive.

I completely agree with the report’s observations that labor and birth put women in the most vulnerable position in their entire lives. They don’t know what’s going on. They’re immersed in the pain and process of labor. Birthing women depend on everyone around them, doctors and nurses alike, to notice the signs that an emergency is unfolding.

If you or someone you know will be giving birth in the United States in the near future, I strongly encourage you to read ProPublica’s full investigative report on this topic.

This is not a political issue. ProPublica is an independent organization that is not funded by political donations.

This is a human issue.

American women are not immune to maternal mortality.

For the women who die every year from pregnancy and childbirth from preventable or treatable conditions, let’s raise our awareness of this problem and insist that we study this at the national level, not just the state level.

We can do better than this.

The death of a new mother is not like any other sudden death. It blasts a hole in the universe.

~Nina Martin and Renee Montagne, “The Last Person You’d Expect to Die in Childbirth

I Heart Daycare (and some ramblings about feminism)

Some women tear up as they leave their children at daycare for the first time.

I practically skip inside.

Grin from ear to ear.

I. LOVE. DAYCARE.

Last Monday was Henry’s first day of daycare. Another daycare mom saw me taking him inside and asked if it was his first day. After I nodded, she jumped out of her van and gave me the biggest hug and said, “Isn’t it great!”

“YESSS!!!” I yelled.

“With the first one, you’re bawling about it and then the second, you’re just like ‘have fun!'”

She gets it.

It’s true. The first time we started daycare was much more involved and made me a little nervous. We spent about 20 minutes going through the list of critical bits of information that the infant teacher needed to know to feed, change, and soothe our baby to sleep.

She likes to be rocked to sleep while being held sideways. Like this. And try to put her down 90 minutes after she wakes up. We haven’t started solids yet. How do you heat the bottle for her? She likes it just lukewarm. Not too warm. If she starts crying and she’s not tired, she might be wet. Sometimes. Just check. You’re going to check every hour or so, right? Okay. She’s really pretty easy to take care of. 

But after two days, I’m pretty sure we thought daycare was a Gift from God. (Thank you, Ms. Cathy!)

It was like, Wait… We just drop the baby off at 7:00 a.m. and we don’t have to be back until 6:00 p.m. at the latest????

Game on.

Here’s some money.

Here’s lots of money.

I love you. Here’s some cookies.

Do you like Panera? I got you a gift card. Happy Valentine’s Day.

Thank you so much. You’re wonderful.

daycare

Daycare pretty much taught our daughter about hand-washing, drinking from a cup, and sitting in a chair for meals. They helped us potty train her. They taught her how to sit in a circle for storytime, how to cut with scissors, how to hold a crayon, and how to fingerpaint. They provided an atmosphere full of dress-up clothes, kid’s kitchens, and books, books, books. (We didn’t have to buy any of it! And I’m not responsible for cleaning up the toys!) They taught her how to walk in a line and take turns. They showed her that a room can be stunningly decorated with the artwork of little hands.

And oh so important… They introduced her to the concept of sharing.

They used the classroom to teach rules. They modeled politeness and respect for others. They reinforced the lesson that actions have consequences.

This does not make me sad.

It doesn’t make me feel like I’m not doing my job as a mother.

I don’t regret sending my kids to daycare.

I wholeheartedly embrace it. I even embrace it to the tune of half of my salary.

***

On the surface, it’s easy to see why some moms love daycare as much as I do. It gives women a break from the role of being a mother.

This is huge.

Mothers in particular are constantly carrying around a mental list of things to do that just grows longer and heavier with each child.

Daycare allows them to put some of that down.

And pick something else up.

But my love of daycare goes beyond that.

Daycare, I believe, is an expression of feminism.

For those of you who are completely turned off by the term “feminism”, stay with me for a minute. Because that word gets a bad wrap in some circles. Feminism doesn’t mean “man-hating” or “female victimization.” (I do not blame men individually for the culture and structure of our society. I blame patriarchy.)

Feminism is about sharing power. It’s about making sure that everyone has a voice. It’s about making sure that when important decisions are made about policy (both in government and business), the people who are making those decisions don’t all come from the same background (White. Male. Native-born. Able-bodied. English-speaking.).

Millienials are the first generation to kind of get feminism. Not all of them do, but from my anecdotal observations, it seems like some of the assumptions that we had about gender and power are finally not assumptions anymore.

One of our former teenage babysitters told us that when she was catcalled in the school hallway, she turned around, went up to the guy, and told him in very clear terms,

“You don’t treat me that way!”

Baller.

***

When I was growing up in the late 80s and early 90s, we were taught in school to imagine our futures. What would we like to be when we grew up? Doctors, astronauts, teachers? Athletes? Superheroes? Dinosaurs? Robots? We were encouraged to let our imaginations run wild.

Like many women in their 30s, I truly do not ever remember an adult — teacher, parent, or family friend — telling me that I couldn’t do whatever I wanted to do. No one told me that I was expected to get married and have kids right away. (Although my grandmother did ask me when I turned 18 if I was interested in any good boys…)

I was like many of my female friends. In high school, we all worked hard and earned good grades.

We went to college.

We got good grades there, too.

Maybe we went to graduate school.

And we got good grades there, too.

We followed the rules. We were doing fine.

We got jobs. We didn’t negotiate salary (because that’s not what good girls do, even though they should, we just couldn’t imagine drawing a line in the sand. That’s not who we are.)

And then we had children.

And everyone looked at us and said, “Are you going to stay home or return to work?”

No one asked our partners if they were going to stay home.

And there you have it.

The message is clear. It’s your baby.

It doesn’t provide any economic benefit to this company. It’s even costing us productivity. Make up your mind. Do you want to work here or not? Six weeks is a lot of time for you to be gone. You don’t want to make that kid dependent on you anyway, do you?

What happened?

What about all the things that I could be now that I’m an adult?

Was it all just empty promises, fueled by good intentions and a dream of equality?

Because, I’m here to tell you, access to affordable (!!!) quality daycare is critical for keeping women’s voices at the table. (Side note: The United States was a hair’s breadth away from free universal preschool for all in the 1970s. Here’s what happened to that awesome, bipartisan bill.)

The tide is turning, though.

Almost all of the dads that I know assume as much responsibility for their kids’ lives as their mothers do. When they take care of their kids, they’re not “babysitting.”

I mean… duh.

They’re being dads.

When they take their kids to the grocery store, it’s not some miraculous event that comes around only once every few years.

My husband knows how to swaddle a baby better than I do. He was the one who made the baby food and showed me how to make smooth formula without all the clumps. He can change a diaper in the dark and he’s even yelled at me for making too much noise while he’s trying to put the baby to sleep.

Ah…

Hope springs eternal.

Week 12: Destiny or Chaos?, a.k.a. The Deep Questions

Regardless of how you define “life,” at 3 months old, a baby has officially been a growing organism for a whole year.

From this:

fertilization

To this:

17917276_10211104053150694_6151360946178878502_o

In 365 days.

A. Ma. Zing.

This child was conceived four months after a miscarriage. We could have tried sooner, but, you know. Closure. Time. Space. All of these things are good and healing.

Because I was charting my basal temperatures every day for months before all of my pregnancies, I had a pretty good idea of when I would ovulate.

I thought.

Day 14 is ovulation day for a “typical” 28-day cycle. Mine was usually Day 16, but sometimes, it was as late as Day 22. This meant that I had short luteal phases, which can make it difficult to get pregnant or to keep a pregnancy. (I often had a nine-day luteal phase, and sometimes as low as six days. Not good.)

When we conceived our first child, it was Day 18. So, based on past experience, we decided to aim for Days 14-18. You know. Cover all our bases.

Right?

But Days 14-18 of that particular cycle landed right smack in the middle of our “vacation” to the D.C. area. 

I put vacation in quotation marks because we were traveling with a 2 1/2 year old.

So, yeah, it wasn’t really a vacation that was very conducive for baby-making. But that was the timeline.

So be it.

Three days before we left for that trip, our daughter went to bed early and this beautiful window of an hour with nothing to do opened up.

It was Day 11. In the 22 months of data that I had collected, I had never ovulated before Day 14. But whatever. Let’s just have a good time, we thought.

As it turned out, that was my ovulation day.

We officially started “trying” on Day 14, but of course, nothing we did at that point would have gotten us pregnant.

The best laid plans sometimes, right?

***

It would be easy to write this story as destiny. That because our baby is so beautiful and perfect, we were just meant to have sex days before we had planned. God just knew that we needed to get together then in order to make this beautiful baby. Or something like that.

Believing in destiny is all well and good when it’s going your way.

But for all the healing that believing in destiny can do, it can just as easily bleed you dry.

When we miscarried, were we just meant to have sex at the wrong time?

Was that destiny?

Or is destiny just a comforting idea that we hold on to when it helps us?

If there is no destiny, is it all just chaos and luck?

Or do we call it chaos so we don’t need to acknowledge the real consequences of our actions?

Although I’ve been thankful for this child that made his way from cell to zygote to blastocyst to embryo to fetus to baby…

I sometimes wonder about the two pregnancies that didn’t get this far. What would they have been like? Were they boys? Girls? One of each? Did they have chromosomal problems? Would they have been perfect if my body could have held onto them? Would they look like my two living children, who both look more like their cousins than they do their parents?

What alternate course of events may have played out if those pregnancies lasted?

Destiny?

Or Chaos?

When it comes to conceiving a child, it feels like a bit of both.
57e3d4dbd417f

 

A Birth Story in Songs

When the right music finds the right moments, what we see and feel is carved even more deeply into our memory.

Cognitive psychologists have studied this. In long-term memory, what we tend to remember with the most clarity in the long run are the most unusual and emotional moments of our lives. Because of its ability to mirror or even amplify those emotions, music can be an anchor that fastens those memories in place for the duration of our lives.

As I labored this past February during the birth of our second child, the right music found the right moments over and over again.

I don’t think it was coincidence.

To be honest, I made music playlists for each of my births and loaded them with songs that I would like to hear.

But as anyone who has experienced labor will tell you, ain’t no one DJing your birth when the shit hits the fan. In my first birth, we barely touched the playlist once I was in active labor. It just played on. And whatever order I had chosen when I was willy-nilly loading the songs was the order that they played.

I honestly only remember one song from one moment of my first labor. It was the song playing when our daughter was born, “I Will Be Here,” by Steven Curtis Chapman. It was a sentimental Christian ballad that I added to the playlist on a whim, and one that I didn’t even particularly like anymore. Sure, it was a sweet song. It reminded me of those first vows that we said at our wedding eight years earlier.

But it wasn’t really a birth song. And it certainly wasn’t the one that I would have chosen.

So it was surprising to me just how many times the right music found the right moments in this birth. For me, the music felt like another birth attendant.

The songs held my hand.

The songs urged me one.

And sometimes, the songs were the screams from my own heart.

Someday, I’ll share with you a written version of this birth story. I’m thinking about releasing it as a free Kindle Single, if I can make the time this summer to do that.

But for now, let’s go on a ride.

Let’s give birth.

With songs.

February 2, 2017

 

Early Labor: 3-4 centimeters

3:00 a.m.

Contractions every 3-4 minutes. Standing, hips swaying. Eyes closed.

I Can’t Make You Love Me If You Don’t” Bonnie Raitt

Here in the dark, in these final hours
I will lay down my heart and I’ll feel the power

5:00 a.m.

Contractions every 2-3 minutes. Lying on my side on the bed. Leg, dangling off the side to help the baby turn into position.

Landslide” Fleetwood Mac

Can the child within my heart rise above?
Can I sail through the changing ocean tides?
Can I handle the seasons of my life?

7:00 a.m.

Contractions every 2-3 minutes and requiring controlled breathing to cope. Lying on my left side, gripping the headboard of the bed. Eyes sometimes open, sometimes closed.

Society” Eddie Vedder

Society, have mercy on me
I hope you’re not angry if I disagree
Society, crazy and deep
I hope you’re not lonely without me

Active Labor: 5-7 centimeters

9:00 a.m.

Contractions every 1-2 minutes. In the birthing tub. Blue light in the water. Legs floating. Head leaning back on the edge of the tub. Holding Doug’s hands as he sits behind me next to the tub.

Hypnotic, oscillating moments of weightlessness and heaviness. Baby pushing between pelvic bones, twisting in each contraction.

A lot of groaning.

“Teardrop” Massive Attack

Love, love is a verb
Love is a doing word
Fearless on my breath
Gentle impulsion
Shakes me, makes me lighter
Fearless on my breath
Teardrop on the fire
Fearless on my breath

Transition

A.K.A Climbing the Ladder and Wrestling with God:

7-10 centimeters

10:25 – 10:55 a.m.

Forty-five second, double-peaked contractions every other minute.

This part… Oh, this part. I will write about this in detail later. It was thirty minutes of my life that I will never forget because it is the second time in my life that I encountered God.

“God Moving Over the Face of the Waters” Moby

Stalled: 10 centimeters

11:30 a.m.

Contractions every 1-2 minutes, but no urge to push. Although completely dilated, my water still hadn’t broken. Back in the tub for pain relief. I pressed my face into the edge of the tub and cried.

Doubt. Such deep, deep doubt.

“Last Man” Clint Mansell

12:00 p.m.

Contractions every 2-3 minutes. When my midwife checked me, she told me that the baby still needed to come down farther. I tried a number of different positions but nothing helped. I asked her (okay, screamed for her) to break my water.

That worked.

“Redeemer” Paul Cardall

Pushing

12:55 p.m.

This is another part that I will write about in much greater detail. For right now, just know there was a lot of screaming.

I mean… Yeah. A lot of screaming.

“Press On” Robinella

Life is filled with bitter music
Breeze that whistles like a song
Death gets swept down like an eagle
Snatches with our shoes still on

Press on

“Welcome Home” Radical Face

All my nightmares escaped my head
Bar the door, please don’t let them in
You were never supposed to leave
Now my head’s splitting at the seams
And I don’t know if I can

“Holocene” Bon Iver

And at once I knew I was not magnificent
Huddled far from the highway aisle
Jagged vacance, thick with ice
And I could see for miles, miles, miles

“The Wound” Gospel Whiskey Runners

The road is long and dusty and alone
I’ve got not place to rest, no place to call my own
My eyes have seen the glory of your love
And I won’t turn back this time
No, I won’t turn back this time

“Work Song” Hozier

When my times comes around
Lay me gently in the cold, dark earth
No grave can hold my body down
I’ll crawl home to her

Birth

1:27 p.m.

henry_glass_february_2_2

“You’re All I Need to Get By” Marvin Gaye and Tammi Terrell

Like the sweet morning dew, I took one look at you,
And it was plain to see, you were my destiny.
With my arms open wide,
I threw away my pride
I’ll sacrifice for you
Dedicate my life for you

“I’ll Have to Say I Love You in a Song” Jim Croce

Every time I tried to tell you
The words just came out wrong
So I’ll have to say I love you in a song

Postpartum Hemmorhage

1:35 p.m.

“Do You Realize” Flaming Lips

Do you realize that you have the most beautiful face
Do you realize we’re floating in space,
Do you realize that happiness makes you cry
Do you realize that everyone you know someday will die

And instead of saying all of your goodbyes, let them know
You realize that life goes fast
It’s hard to make the good things last
You realize the sun doesn’t go down
It’s just an illusion caused by the world spinning round

2:10 p.m.

I asked Doug to take a picture of Henry’s face so I could see him up close.

When I saw the picture, what I thought was,

Yes.

That’s exactly right.

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Week 10: The Baby Weight

You know how you feel when you wake up one morning and you see an enormous zit right in the center of your chin?

You think, Ick. This isn’t how I look.

Maybe you meet someone for the first time on this day that you have this huge zit on your face, you end up thinking, Oh, please don’t think this is the way that I always look. I usually look a lot better than this.

When you’re in the bathroom washing your hands and you look up in the mirror, you think, No… That’s not really me.

That’s how I feel about the baby weight.

fit-belly-and-tape-measures-1483641452sx4

***

At two months postpartum, the uterus is done shrinking. You’ve lost the baby, the placenta, and all the excess fluids. And what remains is officially “the baby weight.”

In this pregnancy, I gained 45 pounds.

Pregnancy books will reassure you not to worry. A lot of women lose up to 25 pounds in the first few weeks!

Ha. Ha.

I’m only down 23 pounds.

Wait… Wait…

Damn it.

Trust me, it doesn’t feel so stupendous when you’re still carrying around another 22 extra pounds.

***

The first pounds are always the easiest.

After the birth, I was already down 12 pounds.

At two weeks postpartum, my body went into flush-the-system-out mode and I started shedding pound after pound. Sure, it was mostly water weight, but God, it felt good every other day to look down and see my weight another pound closer to my pre-pregnancy weight.

This is awesome, I thought. Keep on going!

Then at four weeks postpartum, my weight stabilized. I started walking 30 to 40 minutes every day and I enjoyed that. It improved my mood, for sure, but it didn’t do much for dropping more weight.

Then, at five weeks postpartum, I noticed that most of my maternity pants weren’t fitting very well anymore.  (Okay, one pair of leggings got a huge snag in them and I had to throw those ones away, but nevertheless.)

A good sign, I thought.

So I went to Macy’s and grabbed a few pairs of black stretchy athletic pants. Sweatpants? Perhaps. Yoga pants? Sure. Running pants? I was open to it. Whatever made me feel like I somewhat possessed an inkling of the figure that I had before this pregnancy.

Now, you have to remember, I had no idea what size I was anymore. I hadn’t worn anything but maternity leggings, yoga pants, pajama pants, and dresses for the past six months.

Staring at the sizes, I thought, Okay, be liberal here. Get a size above what you think you are. 

So I did. And I got the size above that one.

I pulled on the smaller size first. When the waistband hit my thighs, I thought, Oh, sweet Jesus…

I should have stopped there, but I thought, Go ahead and see if the second larger size fits.

Another bad idea. I got them up over my hips, but really, who was I kidding? My entire midsection was shaped like a shitake mushroom.

Defeated, I went back out and picked up the next larger size.

At least they’re on clearance. And I’ll be able to use my 20% off coupon that I got in the mail.

“Sorry,” the cashier said, “You can only use that offer on sale and clearance items.”

“Isn’t this a clearance item?” I asked

“Oh, actually this is a Last Chance item.”

“Oh good God,” I said.

“I know, it takes a while to know the different kinds of sales.”

“Yeah, I don’t speak Macy’s.”

“Will you be using your Macy’s card today?”

“Sure.”

After I swipe my card, I see a screen of available offers come up. Oh! There’s the 20% off one!

“Look at that!” I point it out to her.

“Oh, yeah, that won’t work,” she says as she folds my pants and puts them in a bag.

“Why is it being offered to me if it doesn’t work?”

“I mean, you can try, but it won’t work on this item.”

I try. It doesn’t work.

“Well, that’s just cruel,” I say.

“Yeah…” she agrees. “I keep telling them they need to fix that glitch.”

***

I’ve lost the baby weight before.

Okay, all but the last five pounds. But still.

I remember that it took until ten months postpartum for my thyroid to stop going completely bonkers and for all the cardio kickboxing and portion controlling to finally eat away at that stubborn extra layer week after week after week.

I remember telling my husband that I wish I had been kinder to myself at two months postpartum, when it felt like I should just stop caring. The rationale went something like this: You’re not getting much sleep, but at least you can look forward to eating all day.

Another part of me cared tremendously about seizing opportunities to return to my pre-pregnancy physical condition. And when I fell short of my own expectations, I would get upset at myself.

Today, the rational side of my brain tells me, Your body is amazing. You just sustained another life for three-quarters of a year. You gave birth to a healthy baby (without tearing!) and lost 23 pounds in eight weeks. Give yourself a break. 

***

It is hard to keep this all in perspective, but I try.

I tell myself that people don’t usually stare at the big ol’ zit. While we think they’re looking at all our flaws, they’re usually looking at the whole package of who we are. Smile. Confidence. Congeniality.

In the meantime, I’m doing the daily work of exercise and portion control. It’s hard. Especially when I need to get up at 4:00 a.m. to exercise. And all my exercise clothes are tight. And I’ve gone two weeks without any change in weight or inches.

The truth is, exercise improves my mood. So even if I don’t lose weight, I know I’ll keep doing this.

But I’ll still have to acquire a transitional work wardrobe while I’m dropping the weight.

And that means a lot of time in fitting rooms, learning to love myself through this.

Week 8: Is There Room for Motherhood in Feminism?

A few weeks ago, a friend emailed me a link to a blog post by Samantha Johnson, called “When I Became a Mother, Feminism Let Me Down.” She argues that while feminism prepared her to break barriers and pursue any dream she desired, it did not prepare her for motherhood.

Motherhood was not considered to be one of those many dreams of feminists. Feminism has railed so hard against the culture of homemaker/breadwinner that now, there doesn’t seem to be much of a space to stand inside of feminism while you are a SAHM (stay-at-home-mom, for those unfamiliar with the lingo).

Johnson writes,

We are teaching our young people that there is no value in motherhood and that homemaking is an outdated, misogynistic concept. We do this through the promotion of professional progression as a marker of success, while completely devaluing the contribution of parents in the home.

Ouch.

But I have to agree.

Before having a child, I saw myself as a successful product of feminism. I had a Bachelors and a Masters degree. I had a full-time job at a university. I had presented at state and national conferences in my field. I had married a man who was also a feminist. He was the cook in our marriage, for God’s sake.

Check, check, check. And kicked-ass-while-doing-it, check.

By societal standards of success, I was doing very well.

Our culture is very good at instilling the idea that for anything important, you should engage in some kind of education or training. But the subtext underneath all of this required preparation for a career (and the pride from all of my accomplishments while engaging in that career) is that no preparation is really needed for motherhood.

Either because it’s so easy that anyone can do it? Or perhaps there’s nothing much that you can learn before actually becoming a mother?

Both of which any mother can tell you is far, far from the truth.

In my twenties, I had privately viewed the work of mothering as not as difficult as the job for which I had worked so hard to be prepared. On an arrogant day, I might have even been so bold as to believe that mothering also wasn’t as important or valued.

My logic went like this: Millions of women are mothers, but how many women can say they teach English as a second language? And if I was doing something “less” than my what I could with all of my capabilities, wasn’t that a step backward in life? How much time would I have to take off from work before I could jump back in? Would I still be able to travel and present at conferences?

Would I be as proud of myself for being a mother as I was being a teacher? Would “mother” be a title that I would use to introduce myself to others at parties? And if not, why not?

And then I turned 30.

Tick. Tock.

***

Having a child changed our lives for sure, but our changes haven’t mirrored some of the national trends.

Unlike many American women, I didn’t have to quit my job to stay at home with the baby. We live in Ohio, where the cost of living is still very reasonable and the commutes are not bad. We make enough money jointly to be able to afford daycare (even though it’s still extremely expensive).

But I can’t deny that I’m not reaching for the stars anymore. I’m doing my job but I have to admit, I bristle at the thought of working evenings and weekends. And gone are the days when I would fuss and fret over a task until it was “just so.”

Unh-uh. Ain’t nobody got time for that anymore.

Sometimes, I think about the trajectory of my career now that I’m in the middle of “small-child-dom.” It would be nice to do something a little different than what I’ve been doing for the last twelve years… but good health insurance.

Ah, to rise so “high”, only to be stymied by family responsibilities and health insurance.

“High” is in quotation marks, of course.

That’s exactly the problem. The modern vision of what it means to “succeed” never, ever depends on having children–although plenty of “successful” people have kids. Children are definitely part of the vision that we have for a modern American family (and if you don’t have kids, people definitely notice and make comments, regardless of the reason).

But when was the last time that you watched a movie where a character was being portrayed as “successful” and that character’s success depended on their role as a parent? (See the bachelor version of Nicholas Cage in The Family Man.)

Usually, the plot of the movie is that the character needs to discover that, hey, being a parent is actually a hell of a lot more important than the job that makes you money (See Adam Sandler in Click!).

***

All of this reminds me of a recent episode of the podcast, On Point with Tim Ashbrook. In the episode called “A Scathing Critique of Contemporary Feminism,” author and writer, Jessa Crispin explains that feminism has gotten away from one of its main goals–to change systems of oppression. Instead, it has become a movement that seeks to elevate women further and further into the upper echelons of systems that have benefited mostly men. Instead of changing the system, feminism has inspired some women to not only join the system, but rise higher and higher inside of it. While it works out fantastically for those women (what company doesn’t love to brag about how many women it has in upper management?), it leaves the rest of us in the dust.

Or perhaps more fittingly, either unemployed or underemployed.

Her commentary gave me a lot to think about.

In the feminist view, what is “success?”

How do we talk to our children about what it means to be “successful?” And what changes do we need to make in our own minds about what success is so that we may instill a different understanding of success for the next generation?

rosie

Postpartum Levels of Sleep Deprivation

*In the fashion of the “DEFense readiness CONdition

DEFCON 5

When: Immediately post-birth – Day 5 or Day 6

Description: You’ve just labored for God knows how long, so you’re already physically exhausted. But you are riding on a hormonal high because your baby is out and in your arms. At first, you believe that you will be able to rest as soon as everyone leaves your hospital room.

Only, they don’t ever really leave. For very long, at least. So what you end up with are minuscule catnaps that amount to no real rest. You close your eyes and try to drift off, but your brain doesn’t really power down.

You pray that once you return home, you’ll be able to sleep. But then, new stressors await you at home, no matter how many people are there to help out. Your life is in flux. The baby warps the fabric of time and space and requires your concerted attention for figuring out how to move through the day in order to keep everyone alive.

And then you’re processing the birth experience, remembering everything that happened. The horrible. The beautiful. The painful. The moments you never, ever want to forget but are already slowly falling through the cracks in your memory.

Then, there are your plummeting postpartum hormones. Your constant need to mop out all the fluids pouring out of you. The postpartum hunger as your body prepares to breastfeed. The afterbirth cramps that continue to pulse in waves.

All of this adds to your mounting anxiety and despair that you will literally never power down again. Although you desperately close your eyes and tell yourself, This is it. Everyone is taking care of everything. I can sleep—You still don’t sleep.

Your mind wants to fall asleep, but your body won’t follow suit.

DEFCON 4

When: Days 7-14

Description: You sleep in one-hour increments around the clock, totaling about 5 hours. You do not reach restorative, REM sleep, but the sleep is deep enough for your brain to put a period to the last segment of time that you were awake. It’s not that you never find the opportunity to sleep. Your body just physically won’t completely let go of consciousness for whatever reason.

Your need for round-the-clock self-care continues, along with your round-the-clock eating which coincides with your baby’s feedings. Your postpartum hormones are still swinging up and down, making you unpredictably emotional.

Sometimes, you just need to cry at 2:00 a.m.

Every time you wake up from a one-hour nap, you feel that you’ve taken a few steps away from full-on psychosis. But after a few hours, when you hear yourself talking, you think, Is that me? Did I say that? Do I sound weird to other people?

You cannot make decisions and you hope no one asks you to do so. Your cognitive processing is at an all-time low. Your head feels warm and fuzzy.

Stupid things make you laugh.

You utter the words, “Oh, sweet, sweet exhaustion.”

DEFCON 3

When: Day 15 – Whenever the baby has only one night feeding.

Description: Small 1-2 hour chunks of sleep at night + 2 naps, totaling 5-6 hours.

You are doing two or three night feedings each night, but it feels like six. Up and down. Up and down. Up, up, up. And down.

But there’s a good side. This is the first time you really achieve restorative, REM-sleep. You begin to dream regularly again, although sometimes you wish you didn’t. Nightmares of losing your baby or discovering your child dead in his crib haunt you.

This is also where chronic sleep deprivation sets in. When you wake up from a good chunk of sleep, you feel restored. It’s deceptive. You feel like you can do anything. Grocery shopping! Daycare drop off! Make my own breakfast! Yes, I can do it all!

But by the sixth hour that you are awake, you are completely spent. This time, your body wants to sleep, but your mind doesn’t. That familiar warm, fuzzy feeling in your head returns and you feel your eyes start to involuntarily close. It happens at predictable intervals, too, because all the sleeping in one-hour increments has trained your body to power down with or without your permission.

1:00 p.m. and 7:00 p.m. is when you feel it. Like clockwork.

1:00 p.m. is not so bad because the baby usually wants to sleep.

But 7:00 p.m. opens a previously hidden door to hell.

Everyone is home now. It’s dinner time. Maybe you have to cook. (Or maybe you just assemble salads and sandwiches, like I usually do.) The daily dishes mount in the sink. The mail comes in. The baby is in the prime “witching hours” of fussiness. He cries, but won’t really eat. He’s asleep, then awake 10 minutes later. Then, asleep. Awake. Crying. Refuses the pacifier. All you want to do is slink away from everyone, miraculously unnoticed and unneeded and bed down in your dark room with the cool sheets to soothe the building heat in your head.

God forbid, one of you gets sick.

That’s when the shit really hits the fan.

DEFCON 2

When: Transitional period of one nightly feeding/waking – no nightly feedings/wakings

Description: This is arguably the most frustrating period of sleep deprivation, simply because you’ve had a taste of the good nights. At this level, you have a bit of an expectation that you will fall asleep and stay asleep for a good six or seven hours. Sure, you’re not technically as sleep deprived as you were during DEFCON 3. But after several days of solid sleep, you begin to believe that your baby has finally dropped the night wakings.

And then it happens. The old familiar 2:00 a.m. wail.

Devastation.

DEFCON 1

When: Whenever your baby has no more nightly feedings or wakings

Description: Besides occasional nights when your child is teething or sick, your child is sleeping through the night and so are you. You begin to forget the horrible sensations of being sleep deprived. Sure, you remember that you hated it, but you truly start to forget the actual sensations of constant sleep deprivation. Sometimes, you tiptoe into your child’s room to watch him sleep so peacefully.

You actually miss waking up in the middle of the night to comfort him.

And then you start thinking…

Hey, maybe we’ll have another?

Nature has a sick, sick sense of humor.

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Week 4: Gentle Sleep Training

Now that I’ve used the words “sleep training,” let me disappoint you.

I’m not in favor of trying to “train” your newborn to sleep.

I don’t think newborns are “trainable.”

Newborns are gonna do what newborns are gonna do.

However, the words “sleep training” are the words that everyone uses when trying to figure out how to get their babies to sleep longer.

So what exactly am I in favor of?

Training yourself to recognize and follow your newborn’s sleep patterns.

***

When our first child was about one month old, I found an amazing book that forever shaped our decisions about how we structured our days with a baby.

baby-sleep

I don’t rave about many baby products.

But let me RAVE about this book.

This book removed the mystery about how babies decide when to fall asleep and how their sleep patterns change as they grow throughout the first year.

It’s not a book based on a parenting style or a fancy technique.

It’s based on science. It’s based on human biology.

The Overall Takeaway: If you soothe your newborn to sleep after he/she has been awake for 90 minutes, he’ll fall asleep and stay asleep for a nap.

Dr. Polly Moore, a sleep researcher and scientist, based her advice in this book on the “basic rest and activity cycle,” which states that human bodies function on 90-minute periods of rest or activity. For example, our attention, alertness, and sleep cycles follow these patterns.

At roughly three weeks old, newborn babies start to establish 90-minute periods of wakefullness. As long as the baby is getting enough to eat and isn’t suffering from other physical ailments, you should be able to see these patterns emerge as early as three weeks.

You can’t train your newborn to stay awake for 90-minutes or to nap for long periods of time. However, you can pay attention and learn how your newborn wants to structure his sleeping patterns. By learning your child’s tired signals and making sure he gets all the naps that he needs during the daytime, you are helping him to reach the Holy Grail of baby-dom: sleeping through the night.

You can do this by taking a few days to log your child’s sleep. Like this:

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Many of these periods of wakefullness last for 90 minutes. However, some don’t. The night feedings usually only last 30 minutes to one hour. Long enough to eat, burp, have a diaper change, and fall back asleep.

What’s important to see in this list of times is that this three-week-old’s naps are already beginning to follow the body’s rhythms. (Note: Forty-five minute naps = Half of a 90-minute increment and three-hour naps = Two 90-minute increments)

Of course, sometimes naps are cut short because the baby didn’t get enough to eat and wakes up to be fed. Or sometimes, he has a huge poop and wants to be changed. But the older the baby gets and the more established his sleeping habits become, the less likely the baby will cut his naps short in order to eat or be changed.

***

Last Saturday, we realized that our baby was starting to establish these 90-minute periods of wakefullness.

I remember reading years ago when we were caring for our first child that the first few weeks of a baby’s sleeping habits are unpredictable. I learned that babies sleep a lot in the first few weeks and that they can pretty much fall asleep anywhere. And stay asleep no matter what is happening around them.

Until last Saturday, I didn’t realize that we had drifted into the zone of 90-minute periods of wakefullness.

I didn’t realize that our baby had started to become unable to block out the noise and stimulation around him.

While our friends came over for breakfast, he remained awake. And awake. And awake. Until about 11:30.

Then, he lost his shit.

Screaming. Inconsolable.

We took him out in the stroller and he gave us the thousand-mile stare. At a fork in the road, my husband turned back to go home while I continued on for a longer walk.

Big mistake.

Henry started downright wailing. He screamed so hard his face turned crimson and went completely silent as he tried to scream without taking in oxygen. He coughed and choked to bring more air into his lungs.

They were the saddest screams I’ve ever heard.

I rushed home, but it was the longest quarter mile ever.

Because we deprived him of sleep that morning, he was completely out of whack for the rest of the day. He couldn’t stay asleep. He screamed and nothing helped. By 10:00 p.m., even my husband had written him off and pronounced that there’s nothing we could do to help him.

I took our son and sat in the glider. Then, I placed him on the ottoman in front of me. I let his hands clutch my fingers while he screamed and screamed.

Five minutes passed. Ten minutes. Fifteen minutes.

I tried all the usual soothing techniques as he sputtered and gasped for more air to continue his wailing.

Then I returned him to the ottoman and rocked him again. This time, his screaming slowed and his eyes rolled back in his head, the way that newborns do.

He had passed out.

***

That night, I reread Polly Moore’s book and realized that we had crossed into new sleeping territory now that Henry is a month old. Now, he’s having trouble blocking out sound and light and stimulation. Now, he needs quiet. He needs a lack of sensation to stay asleep.

We followed the 90-minute wakefullness cycles the next day.

Wow. What a difference it makes when your baby has those needed naps.

***

What I learned from this book is how to determine the best windows to put my baby to sleep. I learned how to recognize emerging sleeping patterns. I learned how to best accommodate my baby’s needs for sleep, including the importance of napping rituals throughout the day that will help a baby establish solid sleeping patterns later.

For us, this means that we don’t take our baby out during his nap times.

Which basically means, he stays at home 90% of the time until his awake periods extend to three hours (around 6-8 months). If we go out, we’ll keep him in the car seat and put on a white noise maker so his naps don’t suffer too much.

It’s a restrictive life, for sure. But he’s not going to be this young forever. I’m willing to make changes in my life for a few months.

For us, establishing good sleeping patterns early on–as we did with our daughter–rewarded us exponentially later on. Our daughter slept through the night regularly (with the exception of teething and sick days) at three and a half months. When she started daycare at five months, it only took her a week to adjust to the new environment and resume her champion napping abilities amidst other crying infants.

***

Every rule has an exception. Here are two cases when the 90-minute wakefullness rule doesn’t pan out as predictably into regular napping patterns.

Babies who are suffering from medical conditions: like acid reflux, food allergies/intolerances, etc.

Babies who are in the midst of a growth spurt: All babies go through growth spurts and they are notorious for throwing all routines into chaos. Naps suffer. Babies wake up from naps early and have trouble falling asleep. They eat too much or too little. They cry. Nay, they wail. They turn into monsters for several days. In fact, we’re going through one right now. From 7:00 p.m. to 11:00 p.m. last night, he was awake, asleep, awake, asleep, hungry, pissed off, asleep, awake, screaming. You get the point.

But when this growth spurt is over, he’ll be pleasant again. And he’ll show us his newly learned moves.

***

There’s a lot more that I can say about how babies change in their sleep needs from birth to the end of the first year, but I’ll let Polly Moore do that for you.

As I said before, there are not many baby products that I am willing to rave about to the point of spending my valuable time actually writing about them…

But this is one of the rare few.

If you’ve got a baby at home, check it out. Seriously.

Week 2: Crying

Before I had our first child, this was one of my greatest fears: that my baby’s cries would make me hate my child.

No joke, that was a real fear. I never, ever found the sound of babies crying to be worthy of an Awww, poor thing. I mostly thought, God, someone shut that kid up!

So imagine my surprise when we took our daughter home from the hospital and I wasn’t pissed off at her every time she cried.

Imagine my surprise when my first thought wasWhat’s wrong? What can I do to help you? How about this? How about this?

Now, here we are again. Dealing with a new child’s cries.

***

Not by any stretch of the imagination is Henry a colicky baby. I’ve heard those stories and that is not what we’re dealing with. (And parents of colicky babies, allow me to bow down and kiss your feet, you Parent of Steel.)

No, the cries that we dealt with in the past week have come in defined bursts that (at first) seemed to correspond with post-feeding digestion and then (later) seemed to correspond with how tightly we held him or covered him so that he wasn’t cold.

We’re talking about the kind of crying that is all-out, red-faced, exasperated wailing. The kind that is silent at first because the baby is winding up for a good scream. The kind that reverberates not only in your ears, but in your heart.

img_3899

In this crying fit, his whole body tenses, from his face to his toes.

And here’s what that sounds like:

 

But then, it passes. And for a moment, I wonder if our child has just been possessed by a demon for a period of time. Because here’s what he looks like when it’s over.

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And then I think, How can I be mad at that face? I love that face.

Sometimes, nature is a sick, sick bastard.

***

When was he crying? Maybe it’s gas. He looks like he’s in pain. When was the last time we fed him? What was his last poop like? Was it watery or runny? What color was it? Was it a lot or just a little?

Maybe it’s the formula. Maybe we should try one that has the lactose broken down already? 

Doug googles and I do the feedings. We make adjustments and mental notes. I keep track.

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Then, the next day…

Did he look like he was in pain today? How long did he cry? After he ate? Did he poop? If he’s not better by tomorrow, maybe we should try soy formula. I hope he’s not constipated on soy, like Felicity was. Then, we’ll have to go to the super expensive formula.

Feedings and poop: this is what you talk about when you’re learning about your newborn. These are the only windows into why your baby is crying. If you can’t engineer a solution from those clues, it’s time to call the pediatrician.

***

We had a lot of help in the afternoons and evenings over the past week. But the nights and the mornings were entirely in my hands. Once my husband and daughter disappeared behind the door and the car rolled out of the garage, I was on my own.

I was okay until Thursday morning.

It was the second day that Henry was crying in pain.

He wailed. And wailed. And wailed.

I tried to feed him. His forehead wrinkled and he screamed.

I changed him. He calmed for a moment. Then cried more.

I bounced him. Rocked him. Tried to burp him. I laid him on the ground and rubbed his tense body. I bicycled his legs. I rubbed his back. I put him on my shoulder. I turned him over and patted his back. I patted his butt. I shushed him. I put him in the bouncer. I played music. I cradled him. I balanced him on one arm.

Then, I did all of these things again.

Through his screams, I syringe-fed him this stuff, which some people swear by:

img_3900

Wailing. Wailing. Screaming. Screaming.

I put him down on the ground, feeling the warm weariness of three hours of sleep blur my vision.

But no, it wasn’t the sleep deprivation. It was tears.

Turns out, burp cloths aren’t just for spit up. They’re also great for tears.

He cried and I cried. Looking at him, writhing in pain, I cried more.

How am I going to get through this morning? This week? This month? I didn’t hug Felicity before she went to daycare. Fail. How can I care for two people? My face is still bloated. I wish I could wear normal pants again. How long did it take to lose my belly last time? How many more hours until Cate is here to help? How many more days until Friday night when Doug does the night feedings?

But the question that overrides everything: What is wrong? What can I do? I will do anything. Just tell me what I need to do.

I wiped my tears on the burp cloth one last time and picked him up. I cradled him in my arms and told him that I was sorry. Sorry for not knowing how to help him. Sorry that he had to share me with another child. Sorry that I wasn’t at my best.

I clutched him to my chest, covered him with a flannel receiving blanket, and then held a pacifier in his mouth. His lips closed on it.

Then, he was silent.

He had fallen asleep.

I dropped my head back in relief.

Oh, thank you God. 

***

Over the past three days, we’ve arrived at some temporary hypotheses for the cause of the crying.

1.) Milk allergy.

Solution: We switched to soy formula. (Courtesy of Doug’s genes.)

Results: So far, so good. No diarrhea. No constipation. Regular diapers. No more crying fits where it seems like he is in pain.

2.) Extreme need for warmth and swaddling. (Courtesy of my genes.)

Solution: Double swaddle. One layer is a muslin blanket. One layer is a flannel receiving blanket. Put on mitts and a hat. Hold tightly against your chest. (Although, he is picky on this point. My chest seems to be the gold standard right now.)

We are trying these things right now. Every day is an experiment. Every time he finally goes down for a nap, we breathe a collective sigh of relief.

Maybe it’s over, we think.

But who are we kidding? We know better. Tomorrow, it might be something else. Next week, something else. And definitely next month, something else.

Sometimes, it’s this:

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Sometimes, it’s this:

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Flexibility.

Flexibility.

Flexibility.

That is life for now.

I Wore a FitBit During Pregnancy and Childbirth: Here’s What I Learned

Disclosure: I’m a bit of a data nerd.

Not in the sense that I like to design studies and collect data. Just in the sense that I like to look at charts and graphs and timelines and other visuals.

Call it “data-nerd-light.”

I began wearing a FitBit Charge HR last February, shortly after I started running as a regular form of exercise.

At first, it was useful for keeping track of my exercise. Having information about my sleep patterns and steps was just fun information to use to challenge myself.

Then, in early May 2016, I got pregnant.

Over the course of my pregnancy, I regularly wore my FitBit and amassed loads of interesting data about how my body changed and responded differently to exercise over the course of my pregnancy.

The FitBit Charge HR will monitor your heart rate and calories burned, as well as your number of steps, floors climbed, and miles traveled. Then, it spits out all of this data into usable and easy-to-read charts.

fitbit

I started this pregnancy at 147 pounds (at 5′ 7.5″) and my ending weight was 192 pounds, which is a 45-pound weight gain. My pre-pregnancy condition was quite good. I was running about two miles in the morning every day and lifting weights once or twice per week. I was maintaining my weight. I had good energy. I could climb several flights of stairs without getting winded.

So what does pregnancy do to a healthy body? Let’s take a look.

Resting Heart Rate

screenshot_20170213-064729

My pre-pregnancy resting heart rate was about 56 beats per minute, a sign of a fairly athletic lifestyle. You can see my heart rate climb steeply in the second trimester when I have my first major growth spurt, and then again in the last trimester during the last month of growth. Both time periods correspond to an increase in blood volume in my body.

Fun fact: at the end of pregnancy, a woman’s blood volume increases 40-50% throughout pregnancy.

Weight Gained

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I put on most of my weight during the second and third trimester growth spurts, and just a few pounds gained in the first trimester. This is a healthy weight gain curve, although, I assure you, it didn’t feel healthy at the time. I remember that I kept thinking, No! Four pounds in a week! This baby is going to be twelve pounds by the end of this!

Daily Calories Burned: Pre-Pregnancy

On the left is a typical day of exercise on a pre-pregnancy day, which includes a two-mile run in the morning and regular movement at work.

On the right is a day that I’m proud of: the day that I ran six miles around the National Mall in Washington D.C. Included in this number are the other calories that I burned throughout the day, just by existing. See the number of calories burned? Keep that in mind as I show you how many calories during the late third trimester.

Daily Calories Burned: First Trimester

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In my first trimester, I continued to run whenever I felt well enough. (Weeks 7-11 were Nausea City, so I limited my exercise to walks during this time.) But I took it easy. I didn’t exercise in the peak heart rate zone if I could help it. I monitored my run pretty closely so I stayed in the lower heart rate zones.

Daily Calories Burned: Second Trimester

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I continued to run in the second trimester. In the early second trimester, I incorporated more indoor aerobic exercise because it was so damn hot outside in late July to August. In this screenshot, you see the end of October, when I was 24 weeks pregnant, right at the end of my second trimester growth spurt.

The important difference is my resting heart rate, which has jumped to 70 beats per minute. Because of that elevated resting heart rate at this point, I was more likely to reach a fat-burning heart rate for daily activities, beyond the time when I was intentionally exercising.

Daily Calories Burned: Early Third Trimester

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I continued to incorporate running in my exercise all the way to 32 weeks of pregnancy, but over time, I slowly decreased my running in favor of walking. By 33 weeks of pregnancy, I was done running. This screenshot is from Week 30. It’s not terribly different from my second trimester stats. Notice that my resting heart rate continues to rise.

Daily Calories Burned: Mid-Third Trimester

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This is when pregnancy becomes an outright test of endurance. This screenshot is from Week 36 (which, for my 41.5-week pregnancy, was mid-third trimester). On this day, I walked for 30 minutes. And I existed. End of story.

I mean, it’s the day after Christmas, for goodness sake. What could I possibly have done? I’m sure I was doing things like eating my fifth sugar cookie and picking up bits of wrapping paper and rogue pine needles. Along with a rousing game of “Ketchup or Mustard?” with our three-year-old. (What? You’ve never heard of that game? You just ask the person if they want ketchup or mustard over and over and over again. That’s it. Fun, huh?)

So that’s why pregnant women say, “God, I’m so tired” at the end of the day. Not only are they carrying around a lot of extra weight, but their resting heart rates are elevated, causing them to be burning loads of calories for hours.

But wait. It gets harder.

Daily Calories Burned: Late-Third Trimester

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Okay. So here I was at five days past my due date. At this point, I was desperate to get this kid out of me. So I decided to go for two thirty-minute walks, which you can clearly see on the graph. My pace was much, much slower than normal because my hips were so gelatinous and my gait was off. But pace isn’t important. It’s getting the heart rate up there that counts.

With just two thirty-minute walks and existing for 24 hours, I burned as many calories as I did when I ran six miles and existed for 24 hours. Courtesy of an elevated resting heart rate and additional body weight.

In addition, my body’s center of gravity was off, it was difficult to move, and I had an assortment of new aches and pains to deal with just to get through the day (and night).

What were your calories burned on the day you gave birth?

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So glad you asked.

Now, I know what you’re thinking. That peak heart rate must have happened during my pushing phase.

Nope.

That was when I started hemorrhaging after the birth. Obviously, this wasn’t part of the plan and it isn’t a typical part of the birthing process for most women (thank God). Only about 4% of women will experience a postpartum hemorrhage. (The most likely cause of my PPH was an “overdistended uterus” due to my baby being over 8.8 pounds.)

As a result, my heart rate soared in the peak heart rate zone for close to an hour. As blood poured out of me, my heart pumped loads of fresh blood to the affected tissues and organs. All of this put my body into metabolic overload and it was the main reason I ate like a crazy person for the first five days post-birth.

Most of my labor raised my heart rate into a low fat-burning zone rate, so it was still important that I ate and drank during labor. This is what I will never understand about typical hospital policies regarding labor. Is it really worth it to deny women the right to eat during labor simply because of the minuscule possibility that 1) she’ll have a C-section and 2) during that C-section she aspirates?

Labor burns a lot of calories. And if you’re restricted to clear fluids, you’re pretty much relying on the sugar in Sierra Mist to pull you through. I think that if you have the urge to eat, you should be allowed to eat. The risk of eating harming a woman in labor is just far too small.

I mean, really… When you are awake for days and laboring for hours and hours, you burn a lot of calories.

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So there you have it. An inside look at one slice of what a woman goes through when she carries a child and gives birth. It is a test of strength and endurance simply to carry a child to term and give birth.

The fact that women give birth so often might make the process seem ordinary, but it is truly an extraordinary feat for both mother and child to come out on the other side, whole and alive.

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