Saturday, December 19, 2009



Miss Eva is now 9 months old, and is such a relaxed, happy, curious, friendly little cuddler. She totally steals our hearts every day!

She can crawl now (started at 7.5 mo), and has almost 6 teeth! :oO The teeth are a total shocker to me, as her sisters didn't have a tooth until they were 10mo. :P She loves to dance to music, and is pulling up on the furniture. Today, I found her climbed up on the first step of her sister's bathroom stool! She loves pulling all the tupperware out of my bottom cabinet, and banging on my metal mixing bowls with a spoon. She adores my parent's West Highland Terrier, and tries to follow her around with her mouth open to get puppy kisses...ewwie! She has a steady, easy going spirit, and is really into trying new foods these days. Carrots and mung beans are big favorites, as are bananas and tangerines.

She's a solid sleeper, and is such a good natured little punkin, even while she's cutting 3 teeth at a time. She tends to wake up in the morning with a big grin on her face, ready to explore. She hates being deterred from something she's trying to reach, and doesn't like waiting for the next bite of food, either, hehe.

Evie loooves to talk! She signs "hungry" and "puppy" and waves byebye. Her words are just astounding me...

She can say: mama, dada, sisseh (sissy), hungry, "hi dada", "is good!", good, byebye, puppa (puppy), beh-beh (baby), hnn-guh! (hungry), E-deh! (Esther), dis (this, what's this) and ball. :O)

Monday, December 7, 2009

Article about Delayed Cord Clamping

Good article about why the cord should not be clamped/cut until it stops pulsating after birth.

Excerpt:

"Delayed cord clamping in very preterm infants reduces the incidence of intraventricular hemorrhage and late-onset sepsis: a randomized, controlled trial(7)
Randomized 72 VLBW infants (< p =" 0.03)" p ="">
The Influence of the Timing of Cord Clamping on Postnatal Cerebral Oxygenation in Preterm Neonates: A Randomized, Controlled Trial (8)
Randomized 39 preterm infants to immediate clamping vs. 60-90 second delay, and examined fetal brain blood flow and tissue oxygenation. Results showed similar blood flow between groups, but increased tissue oxygenation in the delayed group and 4 and 24 hours after birth.
Effect of timing of umbilical cord clamping on iron status in Mexican infants: a randomized controlled trial(9)
Randomized 476 infants to immediate or 2 minute delayed clamping and followed them for 6 months. Delayed clamped babies had higher MCVs (81 vs. 79.5), higher ferritins (50.7 vs. 34.4), and higher total body iron. Effects were greater in infants born to iron deficient mothers. Delayed clamping increased total iron stores by 27-47mg. A follow up study showed that lead exposed infants with delayed clamping also had lower serum lead levels than immediate clamped infants, likely due to iron mediates changes in lead absorption.
A randomized clinical trial comparing immediate versus delayed clamping of the umbilical cord in preterm infants: short-term clinical and laboratory endpoints(10)
Infants delivering at 30 to 36 weeks gestation randomized to immediate vs. 1 minute delay. Delayed group had higher RBC volumes (p = 0.04) and hematocrits (p < p =" 0.03)">
Immediate versus delayed umbilical cord clamping in premature neonates born <>

Randomized 60 infants to clamping at 5-10 seconds vs. 30-45 seconds. Delayed clamping infants had higher BPs and hematocrits. Infants <>
And that’s just some of it. I’ll be happy to send you an Endnote file with a pile more of you’d like it. If the burden of proof is on us to prove that immediate clamping is good, that burden is clearly not met. And furthermore, there is strong evidence that delaying clamping as little as 30 seconds has measurable benefits for the infant, especially in premature babies and babies born to iron deficient mothers.

So basically, we should be doing this. I’m going to try to effect some change in my department, but there are a lot of things that need to happen for us to change as a general culture. It can’t just be the OBs. L and D nurses and pediatricians need to buy in as well.

Some people will argue that premature babies need to be brought to the warmer right away for resucitation. I don’t know the answer to this, but it’s worth study. One might think that it is important to intubate a very premature baby right away, but I have to wonder if that intact cord will be better at delivering oxygen to the baby for 30-60 seconds than the premature lungs. Particularly in cases of fetal respiratory acidosis, there is strong logical argument that a baby might be better resuscitated by unwrapping the cord and letting it flow a bit than trying to oxygenate it through its lungs. Until that placenta is detached, you have a natural ECMO system. Why not use it? Certainly there are exceptions to this logical argument, abruption being the biggest one, and perhaps even severe pre-eclampsia and other poor feto-maternal circulation states.

I wonder at times why delayed cord clamping has not become the standard already; why by and large we have not heeded the literature. It is sad to say that I believe it is because the champions of this practice have not been doctors, but midwives, and sometimes we are influenced by prejudice. Clearly, midwives and doctors tend to have some different ideas about how labor should be managed, but in the end data is data. We championed evidence based medicine, but tend to ignore evidence when it comes from the wrong source, which is unfair. It is fair to critique the research and the methods used to write it, but it shouldn’t matter who the author is. In this case, Mercer and other midwives have done the world a favor by scientifically addressing this issue, and their data deserves serious consideration.

To quote Levy et al (12) “Although a tailored approach is required in the case of cord clamping, the balance of available data suggests that delayed cord clamping should be the method of choice.” We ought to heed this advice better. Like episiotomy, this change in practice may take awhile, but we should get it started. I’m going to work on it myself. How about you?"

Friday, December 4, 2009

We made our advent wreath today!














































We collected some rosemary, pine and cedar today and tied them to an antique embrodery hoop to make our little advent wreath. (We went small this year, maybe we'll be more ambitious next year!) The rosemary was blooming little purple blooms...so pretty! <3 The girls wanted to paint their faces in celebration, so Esther was a bird and Nomi, of course, was a cat.

We'll have to do double duty on the candle lighting each Sunday, since we got to a late start this year, but I think they'll enjoy it a lot. We also got our Christmas tree up! I'll have to post pictures of that later. :O)

Sunday, November 29, 2009

In Retrograde

I'm watching her grow young.
She's finding wonder in the simple things
Finding newness in the familiar,
Unlearning all the things she once taught me

She's traveling backwards at the speed of light,
With snowy hair and vertigo,
Dizzy and unnerved as the past shrinks small out of sight,
With familiar ground re-appearing beneath her feet

She's learning how it is not to coordinate her limbs,
How not to be in charge,
How to be dependent
And to wonder what comes next.

She's reclaiming peace with the unknown:
Afternoon naps,
Loving hands buttoning her down and caressing
As she blushes at her new-found ignorance.

Unsettled, unfocused, unsure,
But never unloved
She's whizzing in reverse
Growing older and younger.

I'm happy to hold her hand.

Thursday, August 27, 2009

Recycled baby hoodie

Twice a year, my mom and I hit the consignment sales for the girl's clothes for the next two seasons...I'd say it was completely out of frugality, but I have to admit that along with being able to clothe 3 girls for $150 dollars or so, it's one of the dizzingly happy perks of raising kids on a reasonable budget. :D I get a wonderful high out of it. My nerdy theory is that is hearkens back to my hunter/gatherer roots. (I'm envisioning some ancestor coming back into her family tent with a basket full of nuts and berries and roots on her head, silly with glee over the great bounty she found, with her husband nodding and grunting with a bemused glint in his eyes...but I digress.)





Anywho, I'm in the habit of looking over the sleeves and collar of baby items for stains, and tossing basic items into my bag if they're under a dollar, which is exactly what I did with this happy little mustard colored hoodie.



I failed to notice the spectacularly mass-produced look of the glittered rainbow/butterfly combo, and when I spotted it at home, I blinked in consternation. And then remembered some fabric I'd picked up at a secondhand store a month ago, and realized it would be a cute match. Whee! I spent the evening stitching and entertaining baby with left hand while watching Arrested Development.



Butterfly/rainbow glitter paint explosion:



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With the panel of fabric sewed on:



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and a crocheted flower



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tada! B'Eva likes it. Photobucket





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Tuesday, August 25, 2009


So, recently, as I was laying down baby Eva for a nap, I heard the suspicious sound of sticky giggles floating down the hall from the kitchen.

It suddenly occurred to me that after a breakfast of waffles, I had forgotten to put away the bottle of maple syrup. Crud muffins. After a quick effort to quietly run down the hall, managing mostly to sound like a sneaky elephant, my suspicions were quickly confirmed. Big puddle of maple syrupy goodness, with my delighted little toddler dipping her fingers into the sparkling amber lake and licking the sticky trickles off arms happily.

I did what every good mommy would do to keep from completely losing her cool. I grabbed the camera and made a happy, gooey movie.

(she's saying..."I poured maple syrup on the floor, just for funsies!")




I'll be the first to admit that I wanted to say some choice words and react in anger, initially. It's adorable to read about, and even charming to write about, but in the moment,I was mightily tempted to blow a fuse. Maple syrup is an expensive treat that we use sparingly, it's a pain in the back end to clean up off the floor, and it was the third thing my 2.5 yo had dumped in the past few days. I wanted to grind my teeth and shout at her, and scare her to death, honestly.



As luck would have it, something she'd said earlier that day stopped me. She'd been watching a mild "bad guy" movie with us this weekend, and afterwards, while talking about it, she snuggled down on the couch and said contentedly:

"There are no bad guys in our house. Our home is a safe place. I love my home!"



That little statement really stuck with me. Home is a safe place. A simple observation that rings true on so many levels. A good home is safe for it's occupants. A place where it's OK to mess up, where it's alright to cry, where a person can try their wings and crash and get up and try once more. There's a marvelous shortage of bad guys who might tell you you're not capable, tear you down, or hurt you spitefully.

In light of this, I'm making an effort to help our children take responsibility for their mistakes, and to also make home a safe place to learn that lesson. Correcting without shame is a learned skill for most humans, I think, but I'm in the midst of trying to learn how. If I can make a habit of gently correcting without sarcasm, shaming or intimidation, I think I'll be thrilled to find that I've tapped into the heart of "home".

Undoubtedly, it's going to take some time to fully get there, but I do believe that eventually, one maple syrup success with follow another, and eventually, we'll have a string of successes consistently following another like a pearl necklace. The language and tone of gentleness with start to feel less like marbles in my mouth, and I'll learn to speak "good guy" quite fluently. Hopefully, as it becomes habit for mama and papa (well, especially mama...my spouse is already quite good at it), gentleness will be set as the default tone of the home. As a lovely ripple effect, I suspect that kindness and laughter will drizzle on down the ladder of authority like golden honey. Correction will become sweet, as rebukes are much more precious from the lips of a safe person.

It's a super cool thing to be able to say, "My house is safe. There are no bad guys here." I'm all for that. <3

Wednesday, July 1, 2009

Placenta....Not for the Sqeamish of Stomach

I'll warn you...unless you're committed to alternative birthy crunchiness, you might get a little ill over this one. :P I'm trying to spare you, so you can reconsider and not scroll down if you don't wanna. If placentaphagy gacks you out, turn away, dear reader. Laaaa dee da, dootie do: filling up the page so you can click away if you must...
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No? OK. Here we go.




This weekend, I had several doula friends at my house, and, at my request, we all had some fun with the placenta from Eva's birth (which, until Sunday, had resided in my freezer). Wheeee!
;OP It was actually really cathartic for me to examine it and marvel at the miracle of life, after the whole retained placenta drama. A friend helped me examine it and try to find the spot where the retained piece had been, and then we dehydrated it for encapsulation.

my friend L helps unfold it, while Essie is very interested. She's striking a pose here...silly willy.

Essie's words were, "This is SO. COOL. I'm going to be a midwife or a SURGEON when I grow up, because I'm a *lover* for how the body works!"
She asked us over and over to explain the order of how nutrition gets to the baby. Her original theory was that the placenta carried milk directly to baby's tummy, and when she found out that the nutrients and oxygen went from one bloodstream to another, she was over the moon. She asked us to draw us a diagram: mommy to placenta, placenta to cord, cord to baby's belly button.


We first thawed it with lukewarm water...you can see the cord (white) still attached

The water bag membrane was tough and wicked cool, if I do say so myself. :P All that vitamin C payed off, apparently, because it was beautifully flexible but super, super tough. It was so very smooth and supple, the perfect home for a tiny baby in utero. God's seriously smart. That bugger was STRONG. No wonder my water stayed intact until the pushing phase! That's the way mama likes it. ;oP


When it finally thawed and we could unfurl it completely, my friend Jen pointed out small patches of white calcification, on par for a 41 week baby. :O) Baby's side was smooth, while the side that had been attached to the uterine wall was wrinkled, and the wrinkles fit together like a puzzle piece. It was really amazing to see how functional, comfortable and miraculous this temporary organ was for my baby girl...her very first "home".
Jen shows me how the wrinkles line up. It look oddly pale after rinsing, as I'm used to seeing them very red right after birth.

There was literally an odd, small rip on the very edge of mine on the side where the piece had been retained, and it was exactly the length of the piece my midwife retrieved and showed me. Bingo! Little booger. That was the trouble maker. :P There was a bit of strangeness going on at the cord attachment site, AFA how the membranes were attached to it. I need a midwife opinion on that one.

The actual separating of the membrane and the placenta was the trickiest part of the whole deal, really. My friend J did that bit, and I'm forever grateful...it took quite a bit of doing. Then I (forgive the gory detail) chopped it into little chunks and we blended it to a pate consistency witha ridiculously funny shot taken by my Lindsay...placenta bead provided by another sweet, funny friend. Oddball humor abounds.

some ginger (ginger optional ), spread it thinly into dehydrating trays and dehydrated it. I left the dehydrator on 150 or so for probably 12 hours, and probably it would have been safe with less...but we went to bed.

(At this point in the process, I suggest cooking something that smells rather strong, or sticking the dehydrator on the porch. My dh made curry for us that evening, and the scent of the dehydrator was pretty much completely masked. No earthy icky weirdness, unless you just stuck your nose into it. MUCH better than I'd imagined.)
Me and baby Eva...cuter than her "wombmate", eh?

It's broken into dried wafers and stored in my fridge (sorry, dh).

I have some pics of the dehydrated bits for anyone who's interested...in fact I'll go ahead and commit to posted them later. This afternoon, I'll do the actual encapsulation and post that, too. :O) Thanks for looking, and HTH if you're intested in your own dehydration! It's much, much simpler than I'd originally supposed.