Sunday, August 11, 2013

Reevaluating our OB world...

I am a nurse.  A postpartum nurse.  I have been a postpartum nurse for my entire career, going on 13 years this fall.  I have seen a lot and experienced a lot in those years, and I change and learn and grow with every shift I work.  The way I practice nursing and my attitudes and opinions have evolved and changed so much I feel like I'm not the same girl that graduated years ago.  And I'm not.  Thankfully. She was young and immature, but she was skinny.

There is one thought that has stayed in my brain for all those years though.  It rolls around in my head and grows and changes shape like a snowball or a rock in a riverbed.  But it has stuck with me from night shifts as a young nurse through three pregnancies and deliveries, from full time to part time and back and forth through every shift and area of my Mom/Baby practice.

We need to change OB.

This is a very sensitive subject, I know.

But I think it's time we, and I mean Americans, reevaluate our OB world.

People, when you can get matching monogramed patient gowns and pillow cases to wear while you are groaning and sweating and leaking all kinds of fluids in labor, you have gone to far.

So hear we go, let me just step up onto my soap box here...ahem.

Attention pregnant women:

When you give birth in a hospital (and if you choose to home birth please make sure you have fully researched it, that is a whole subject I will not discuss here), rather it's with an OB or a midwife, epidural or hypnobirthing, c-section or vaginal, you are a patient.  Let me make this clear: you are being admitted to a hospital, you are not checking into a hotel.  Yes hospitals are trying really hard to remodel or build and look beautiful, and I will tell you I do love the nice clean crisp look of our new lobby at the hospital I work at.  But please people, pick a hospital based on the quality of nursing care you are going to receive, not on the way it looks.

No seriously, pick a hospital for it's nurses.

I almost want to go so far as to say be more concerned about the nurses than the docs.

I love our docs, they are AMAZING, I have seen them in action and I respect them and love working alongside them.  The care team is a wonderful thing, everyone working together.  But really, nurses spend twelve hours with you, your OB will show up for a few minutes at a time and when the baby is crowning or the spinal is kicking in and be gone before you've finished the first feeding. They check on you daily during your hospital stay but depend on the nurses to be their ears and their eyes and provide quality care for their patients.  They trust us, so you need to too.

Your nurse will stay by your side while you endure painful contractions, help you into positions to move the baby down, teach you how to push and cheer you on, teach you how to breastfeed, how to care for yourself and your baby, and keep you and your baby safe.  The slightest hint of danger brewing and she jumps to attention to protect you and your baby.  When you choose a hospital pick one that has you and your baby's safety and health at their core, not one that focuses on anything, ANYTHING less.

Having said that I beg of you, pregnant women, to talk to your nurses and the whole care team.  We are there to care for you, be honest with us, trust us.  If you're afraid, let us know.  If you don't know something, let us know.  We can't read your minds.  And I have learned that there are so many different  types of families out there.  There are scared new parents, who have never changed a diaper before, there are introverts who are overstimulated by everyone in the hospital, there are patients who need the nurse to advocate for her with pushy family members, and so many other kinds of patients.

And if you are more concerned with the decor in the room or you're upset because the TV doesn't have ESPN than you need a complete overhaul of your priorities.  You're a parent now, it's not all about you.  So turn off the TV and stop texting while I'm trying to show you how to swaddle the baby.  Use your hospital stay to bond with your newborn, answer your questions and rest up as much as possible before you are discharged and off into the real world and adjusting to your new life.

And don't forget to thank your nurses.

Tuesday, July 23, 2013

It's a Boy!!!

I have to admit, I was super excited about the new little prince born yesterday! Ever since I flipped the calendar to July I've been watching my computer to see if there was any news of Kate, new pictures of her pregnancy and so on. So much of my life involves children and childbirth and pregnancy and postpartum that it's kind of hard to get away from it.


They look happy, motherhood suits Kate. And from what I can see of the little prince he's cute. That fair, soft baby hair and those wrinkly little fingers. Babies are so cool. I'm happy for them. My husband doesn't get it. Yesterday when I was all excited about the baby he said something along the line of, "you're not even British, so why are you even interested?" Well, I may not be British, but I am a mom, and I was a first time mom once, cradling my newborn in my arms and taking her home.

I'm glad I didn't have to appear in front of cameras and crowds the day I took Abby home from the hospital. I don't think my hair looked as good as hers. But I had the same tired and overwhelmingly emotional smile. I remember my heart feeling like it couldn't swell any bigger. 

As I type this, I imagine what it must be like in their apartment or her mother's home or where ever they are staying right now. Baby in a bassinet next to the bed. Lanolin and a burp cloth on the bedside. Are there royal Tucks pads? They seem like down to earth parents. Maybe she asks her mom for advice, maybe she just looks at William in the middle of the night and says, "do you think he's still hungry? I tried burping him and his diaper is clean, why is he still crying?"

I care for newborns and their parents everyday I work. I'm there the moment they take their first breath and cry, I get to swaddle them and bathe them and teach their dads how to change a diaper. I try my hardest to remember that even though this is no big deal to me it really is a big deal. Each and every baby is a miracle, someone who didn't exist last year at this time. A complete and total life changer. A mommy maker. That's true whether the baby is the firstborn for a nurse in America or third in line for the throne of England.

Congratulations to the Royal family. And congratulations to all the other new Mom's who had their babies yesterday. They are all blessings.

Abby - December 8, 2005

Elijah - October 24, 2008

Hannah - July 28, 2011

Thursday, July 18, 2013

Carpe diem, Carpe the good ice cream...

I've been reading a lot of other people's blogs lately and I realized how much I missed writing on my own blog.  But then I was overwhelmed, feeling like, "where do I start?"  So much has happened and maybe I will write all about various events from the past several months but for now I just have to write about today.

A typical summer day for the Gregg household:

5:15am ish (I'm not sure because I'm sleeping): Jeremiah's alarm on his phone goes off.  I roll over and re-tuck the covers around me while I adjust my pillows.  It sounds mean, but there is something so wonderful about being the person who gets to go back to sleep when the other person has to get up.

6:45 ish: tap, tap, tap on my head, "Mommy, I'm hungry" and/or "Mommy, Hannah has a poopy diaper  and it smells really bad/she is playing in it."  Ugh.  The days of sleeping until 10 are such a distant memory they seem like a lifetime ago.  Well, actually they are a lifetime ago, Abby's lifetime.

Breakfast time: check blood sugar, distribute vitamins, pour cereal and glasses of milk, measure cereal and dose carbs, turn on the coffee maker - oh yes, soon I will wake up, oh man is that good coffee, clean up spilled milk, "sit down Eli," pick up Hannah's bowl and spoon off the floor, clean off sticky hands and faces.

Sometime after breakfast I hear "Moooommm, come wipe me!"  Oh yes Eli, I did tell the world.  His timing is impeccable, I'm usually in the bathroom myself or am changing Hannah's poopy diaper (yes another one, the baby eats a lot of fruit) or I am in another room as far from the door as I can get and I have to hurdle toys and clothes and couch cushions and who knows what else and I only have about 4.6 seconds to get to him before he starts going ballistic.

While I'm making my bed/sorting laundry/doing my makeup, Abby comes in to recap the episode of Full House she just watched with a real time replay only it takes longer than the actual show because she keeps getting distracted by stuff.  Hannah will toddle in and out, steal someone's water bottle and spill it on the ground.  Eli keeps begging to play Angry Birds on my iPad.

Lunch is mostly uneventful.  Sweep up bread crumbs and pb&j crusts off the table and floor.  Pick up Hannah's sippy cup.  Eli poops again, so does Hannah.  I'm serious, these kids are more regular than a Japanese commuter train.  Nap time for Hannah.  Oh this is heaven, I snuggle with her and read her a book and sing to her and she kisses and hugs me.  I melt.  Every time.

The witching hours start when Hannah wakes up from her nap.  It's then that she struggles with the little things that come between us, like molecules of air.  I'm trying to make dinner, keep Eli from running over my feet with Hannah's car that he's NOT SUPPOSED TO BE ON ANYWAY!  No Abby, you may not have a snack it is almost dinner.  You're NOT going to starve to death in 30 minutes.

I love dinner.  Eli sit down, Hannah don't throw food.  Abby tells us all about the games the neighborhood kids are playing, in detail.  Eli just try a bite before you tell me it's gross.  Clean up spilled water.  Pick up Hannah's plate and fork off the ground.

Bedtime takes forever.  Who knew three little sets of teeth needed so much maintenance, I mean, they're all going to fall out anyway.  And really, can you just put on your pjs already!?  No, don't put both legs in one hole.  Three books, eight songs and at least two, "it's time to go to sleep, yes you are tired, just stay in your bed, GOOD NIGHT"s later I get to slink down the stairs.  This is when I get to eat ice cream.  Secret ice cream, the good kind that's hidden in the freezer behind bags of peas and broccoli.  I mean, what ice cream?

By the end of everyday I am EXHAUSTED.  I am worn out, tired, finished.  I don't want to hear anyone say "Mommy" for awhile.  And yet, I wouldn't change any of this for all the money or mani/pedis in the world.  It's true.  The days are long, but the years are short.

Thursday, December 6, 2012

Abby's 7!

Today is Abby's seventh birthday.  I can't believe she is already seven, and yet I can't remember life before kids.  She is my oldest kiddo, the one who made me a Mommy.  She is the trial-and-error kid, the test pilot, the leader of the pack.  She is my favorite Abby ever, the one who makes me smile, and sometimes makes me crazy.

Abby loves her little sister (and sometimes her little brother), she loves pink and purple and black.  She likes candy and frosting and requested steak for her dinner tonight.  She loves art, anything drawing, writing, creating.  She loves to play with the neighborhood gang of kids, and hates it whenever she feels like she's missing out on anything.  She is sensitive and sometimes shy and often nervous or anxious whenever she is doing something new.  And yet she is so brave and so tough I can't believe it.

I never wanted to have a baby in December, too close to Christmas and cold in the winter and everything.  Two years before Abby was born Jeremiah's mother died suddenly four days after Christmas.  It was heartbreaking and the next year Christmas was lonely and hard for the Gregg side.  When I found out I was pregnant I was elated!  We had been trying for a baby for almost a year and I was starting to get nervous, every month I would cry and think, I'll take any month, I don't care if it's winter, I just want a baby.  So, go figure, it ended up my due date with our first child was December 3rd.  Oh well, at least I got Christmas off from work!

God's timing is always perfect, and everything happens for a reason, to glorify Him.  The one month I didn't want to have a baby was the month He had chosen.  Jeremiah said looking forward to having our first child gave him a reason to like Christmas again.  And having a tiny baby made celebrating Christmas so much more special.

We found out she was a girl at the 20 week ultrasound and then tried to pick out her name.  We didn't tell anyone her name before she was born, only that it was a girl.  We chose Abigail because it was one of the only names we could agree on.  It's Hebrew in origin and depending on where you look it means "father's joy" or "gift of the father."  PERFECT!  A baby, sent from God, at Christmas time, for my husband.  Abigail in the Bible was one of King David's wives and considered a righteous woman.  Her middle name is Elizabeth, in the Bible she was Mary's cousin, the mother of John the Baptist.

My little girl, she's turning into a big girl.  I love watching her grow up and, as much as I miss her as my little tiny baby, it's wonderful to see the person she is becoming.

Happy Birthday Abby!  I love you!

Sunday, December 2, 2012

Monthly Mission - New Month, New Mission

Well it's December 2nd, how did that happen so soon?  Of course we are having a hard time believing it in Colorado because it has been 60-something degrees forever.  It's hard to get into the Christmas spirit when the kids are wearing shorts.

So my mission for this month, and I'm excited about this one, is exercise.  I'm more excited about this than giving up the internet.  I have chosen Jillian Michael's 30 Day Shred to torture myself with.  And I've already learned a few things about myself.

1. I am out of shape.  Really out of shape.  I was grunting and yelling in my basement today trying really hard to get through the easiest workout.  And my body hurts, a lot.
2. I don't think I'm going to like Jillian Michaels much longer.
3. I have muscles where I didn't know I had them, and they all hurt.
4. Motrin is my friend.

It's going to be a long month.

I hope at the end of this month I will be stronger, have more endurance and more energy.  I'm not trying to loose a bunch of weight, but it would be nice.  I really just want to be healthier.  I'm thinking somewhere around day 10 I'm going to want to give up, or skip a day, and it's then that I need to maintain my self-discipline and get my butt out of bed and down to the basement first thing in the morning.

Wish me luck!

Thursday, November 29, 2012

Monthly Mission: Wrap Up

So my first monthly mission was to limit internet and give myself a curfew with the iPad and the internet in general.  I'll be honest, I didn't do so well.  I started out really well, not spending more than 2 hours total a day on the internet and iPad, but somewhere after the first week it started to go downhill.  And then I really kind of lost interest!  I know that's awful, but you, dear reader, probably found this boring too.

I guess I expected some major breakthrough or enlightenment regarding the amount of time I waste on the internet...but I already knew that I waste time on the internet and iPad games.  What I lack is the self-discipline to keep myself from staying up browsing on pinterest until 11:30 at night.  

Yesterday, without my asking, my husband set up some kind of internet filter that turns off my internet after 9 pm.  TURNS IT OFF!!  Like a curfew, for a kid.  At first I was insulted.  But then I realized my husband is just trying to help.  He's not always around when I'm going to bed and need someone to tell me to go to sleep.

You may not realize this, but I lack self-discipline.  Have I mentioned this already?

Somewhere in between vowing to eat only fresh fruits and veggies and organic meat and dairy with my first pregnancy with Abby, to wondering if it was okay to top belgian waffles with a chocolate donut and whipped cream when I was pregnant with Hannah I lost my self-discipline and willpower.  That's kind of what this whole project of mine is about.  Trying to teach myself how to be disciplined again while learning good new habits and getting rid of old ones.

November is almost over, December starts on Saturday.  I have a new mission planned for a new month, and hopefully a little more willpower to see this one through.

Monday, November 19, 2012

Super Saturday Six

Oh my goodness!  I completely forgot to put up my Saturday post last week and then waited until after work on Saturday to write this, but then Jeremiah needed to use the computer and I was so tired that I just decided to finish later.  Now it's Monday!  Yikes!  Anyway, my favorite things:

1. We had Eli's "kid birthday" party a few weeks ago.  I had eleven kids in my house all dressed as superheroes!  My mom made capes for all the kids and I made masks that they got to decorate.  We played "Pin Spider-Man on his web" and Superhero freeze tag and they devoured cupcakes.  Eli was thrilled!  I can't believe my little baby boy is so big.



2. Last Saturday (when I forgot to post, forehead slap!) it snowed on and off and was so cold, so the kids and I made hot chocolate and stayed on the couch watching movies.  Recently Abby has started to show more interest in "real people" movies instead of just cartoons, she says they will watch scenes from musicals in music class sometimes.  She wanted to watch The Sound of Music because she had seen parts of it in class and wanted to see the whole thing.  Eli said it was "boar-wing," and Abby wouldn't let me sing along, but it was fun to cuddle on the couch with her and she was really engrossed in the movie.  I think this year she will be ready to watch White Christmas with me.

3. On that same Saturday Jeremiah was off and we got to have dinner as a family, it's amazing how much I love that.  While we were getting everything prepared and setting the table we had the music turned up loud and had a dance party in the kitchen.  It's fun when we all get silly like that and all three kids are hoping around (well, Hannah wobbles).  It's those times that I know my kids will remember when they're older.  Plus, I have some pretty cool moves!

4. Jeremiah did a little mini-bathroom face lift a few weeks ago.  It all started with a leaky toliet and soggy carpet (who puts carpet in a bathroom! Really!)  So now we have a new floor and a fresh coat of paint on the walls and new towel racks.  I hope we can put in a glass shower door in the near future.  It wasn't the $10.000 bathroom remodel I had dreamed of, but really, I don't need that right now anyway.

5. I took Hannah to visit her cardiologist this past Monday.  She didn't want to lie still for the ECHO at all and I had to kind of restrain her a bit, it didn't matter that Elmo's Alphabet Countdown was playing on the big screen.  My favorite cardiologist, Dr. C., said that it was hard to read her ECHO, but what he could see looked like it had improved a bit.  Her tricuspid valve is still leaky, but is growing with her and that's good, her heart is not enlarged and the pressures are slightly improved.  All good news.  We go back in six months!  Six months!

6. This week is Thanksgiving!  I love Thanksgiving, the turkey, spending time with my family, the Macy's parade.  I will be spending this Thanksgiving with my work family and eating our cafeteria turkey, but then I get to come home and cuddle with my kiddos and hubby and be thankful for them, and all I'm blessed with.  God is good.  Through good and bad times, always, God is good.

Happy Thanksgiving Everyone!