Tag Archives: 1 week

Neola Bethany: 1 Week

21 May

Neola was one week old on May 19, our 14-year wedding anniversary.

Unfortunately, her first week of life outside the womb was a blur of doctor appointments. We got discharged from the hospital the day after she was born, around 5 PM. Since I was Group B Strep positive, they wanted us to go see our pediatrician for a checkup right away the next day just to make sure everything was ok. So we did.

Before our appointment with the pediatrician though, we had to stop back by the hospital for Neola to get her hearing test redone (her right ear had failed the day before, but the way they test the hearing is so pathetic!!). She passed that time just fine. We also met with the lactation consultant because Neola was having trouble latching in the hospital, so one of my nurses helped me start using a nipple shield (which I’ve never used before). We weighed her before and after feeding, and she didn’t really gain anything, but we chalked it up to my milk not fully being in yet.

At the appointment with the pediatrician afterward, we discovered that Neola’s weight was down to 7 lbs 7 oz (from 8 lbs 4 oz at birth). Since my milk was just starting to come in that day, Dr. Winter wanted us to come back on Monday for a weight check.

At the appointment on Monday, Neola was down to 7 lbs 4 oz. I nursed her while we were there, and we weighed her before and after, and she had only eaten 0.5 oz. No wonder she wasn’t gaining weight! They also wanted her bilirubin to be checked, so the lab come up and poked her heel. Poor girl! It took the lab tech a good 10 minutes to get the blood, and even then, she wasn’t sure it was enough. (It was.) Her bilirubin level came back at 17.7 — high, but apparently not high enough to treat.

We scheduled another appointment with the lactation consultant for Wednesday. In the meantime, Dr. Winter told us we should start supplementing her nursing sessions with bottles. Since I was already using a nipple shield, she explained, there wouldn’t be any nipple confusion with using bottles that early. At her age, Neola should be drinking 2 oz per feeding, at least every 3 hours.

Neola took to the bottles like a champ. We started her off at 1 oz, but quickly increased it to 2 oz. I was mostly able to pump 2 oz consistently after nursing attempts, but we did get some premade formula from the pediatrician, who said we could mix breastmilk and formula together if we needed to (and we needed to).

At our appointment with the lactation consultant on Wednesday (the day Neola turned 1 week old), Neola had gained 4.5 oz! She was up to 7 lbs 10.5 oz, which meant she was only 7% down from her birth weight (from 11% before). They apparently want babies to be back up to their birth weight by 2 weeks, so I feel like she’s right on track for that. We again weighed her before and after a feeding, and she only took in 6 mL with the whole nursing session. She latches fine, but just doesn’t suck fast or strong enough to get my milk to let down — with or without the nipple shield. Part of that is the sleepiness from the jaundice. She got a heel poke after that appointment, and her bilirubin was up to 18.8. (Since I’m posting this a little late, I can say that she got heel pokes again on Thursday and Friday, and she went down to 18.2, then 17.3, which satisfied our pediatrician. So we are done checking her bilirubin!)

She’s had plenty of wet and poopy diapers, and her poops started off as the dark meconium, but have changed to the yellow mustard color. She is sleeping much better now that she’s taking in enough milk, but part of that might be the jaundice. She has a hard time staying awake drinking a bottle, and falls asleep almost immediately when I try nursing her. I’m going to keep trying to nurse her, but for now, bottles seem to be the way she’s going to build up her strength and energy.

Which means I pump every 3 hours, even at night. Valine, the lactation consultant, gave me some tips on how to maintain my milk supply while pumping, since when I’ve pumped before after I went back to work, my milk supply eventually dried up. I discovered that my breast pump flanges are a size too small, and I wasn’t pumping long enough. Just since yesterday, I’ve seen my pumping yield go from 2 oz every time, to 2.5-3 oz. So that’s encouraging!

As far as personality, Neola hates being cold, and has strongly disliked diaper changes overall. She has a good loud cry when she is upset. When she’s awake, she is pretty mellow and likes being held. She seems to prefer either not having her arms swaddled, or just one swaddled. She sometimes takes a pacifier.

She’s been sleeping in her swing or the rock ‘n’ play during the day, and just the rock ‘n’ play at night. Sometimes we have to wake her up to eat, and sometimes she wakes up on her own. I just borrowed a Moby wrap from a friend so that when my MIL goes home, it’ll be easier to be outside doing stuff with the other kids. And we bought a new car seat that snaps into our jogging stroller (our old one expired) so we can take her on walks that way too.

Emma and Annabelle were over the moon for Neola right away, and very eager to help, which was a little stressful because they wanted to do things slightly outside their capabilities, and they were competing against each other for turns holding Neola. But now they’ve mellowed out a little, and are better about taking turns.

Corbin says Baby is cute and brings her toys. He also likes bringing me my nipple shield — “Try it!”

And that’s Neola at 1 week old!