Top 10 Postpartum Must-haves for Mama

If you’ve been stressing out about what you need for your baby’s new arrival, let this blog help ease some of that stress. I feel like a lot of new moms stress about what they need for baby and forget about what they need for themselves. So I’m going to go over a few items that helped me through the first few days of postpartum and they are still items I’m using right now. Giving birth is hard enough, the time after it shouldn’t be as hard.

Depends | Don’t knock the diapers until you try them! You’ll most likely be given mesh undies, small chux pads, and a maternity pad (a normal period pad) after labor. You may be surprised at how much you’ll be bleeding after labor. You have to remember that you just lost a fairly large organ and you have a wound inside that needs to heal. Changing your pad after you use the restroom can become very tedious when you have multiple items you’re trying to shimmy up your legs. Lining a Depends with your tucks pads is so much easier than trying to make sure your pad stays in place in your Asian pear undies.

Dermoplast and Tucks | Your punani is going to hurt, and so is your butthole. You just had a human and an organ pass through your punani, so don’t be surprised if it’s super sore for a few weeks. Plus all of that pressure from baby’s head on your rectum is going to give you some mean hemorrhoids. Dermoplast has benzocaine and menthol in it to help give a nice numbing feeling to the area. It’s a spray you can use 2-3 times a day. Tucks contains witch haizel which helps with the pain from swelling and the itchiness that comes with hemorrhoids. These two items will make using the restroom a lot less scary for the first time.

Disposable Ice Packs | Sit on these, sis. Ice packs will help reduce swelling which helps with pain. That gate control theory is real with these ice packs. So the idea is that your brain can only process one sensation at a time. The receptors that process temperature differ from the ones that process pain. So if you overwhelm these nerves with a cold or hot sensation, then it’ll reduce the way you process the pain. So sit on it sis.

Aloe Vera and Vitamin E lotion | You will be so itchy after you give birth. During my pregnancy, I was so adamant about putting on my almond oil, Vitamin E belly balm, and lotion on that I didn’t think it’d be as bad after birth. BUT I WAS WRONG. My stomach was (and still is) itchy AF. So I’ve been using both lotion and aloe vera on my tummy to help soothe the itchiness. Both are good for helping keep your stretch marks hydrated. A plus for the aloe vera is putting it on your perineal pads to help soothe that area too.

Peribottle | Touching your punani is going to be scary the first few times around. Wiping your butt is going to be scary the first few times around. But I can’t stress enough how important it is to keep your area clean after delivery, especially if you were the unlucky few to get stitches during delivery. The last thing you want after delivery is an infection. So using a peribottle with warm water and some soap will save you the hassle of constantly wiping to keep yourself clean. Plus it makes peeing a whole lot easier when you spray at the same time. Your hospital should give you one to use, but if you want a better one, the one from Frida is a good purchase!

Motrin | The Army’s holy grail of pharmaceuticals; heals all ailments. LOL, just kidding. But after 9 months of not being able to take Motrin, it was the first drug I requested after delivery. You’d be amazed at how limber you are after delivery with all of the adrenaline rushing. Motrin helps with those afterbirth pains. Your uterus contracting back down, your perineum throbbing from having spit out a human and an organ, and the rest of your body aching from delivery and being so tense. This is one drug I would not pass up on.

Lanolin | I’ve been using lanolin for awhile now. I bought Lano’s Multipurpose balm and I use it for my lips and dry patches on my hands due to the constant handwashing. Lanolin is made from wool grease, or the oil from animals who have wool (sheeeeep, baa!) It’s widely used by breastfeeding mamas as nipple cream. If you and your little nugget are going to go on adventure together into the world of breastfeeding, then this is a must have. Cracked nipples are no joke. It increases the risk of infection for you, and can be really painful when baby is feeding. No one wants to be in that kind of pain. Trust me, it isn’t fun. The one I recommend for breastfeeding and pumping is Honest Company’s Nipple Balm!

Haakaa | This won’t let you down when it’s catchin’ your letdown (lol, bad mom jokes.) Honestly though, I’ve caught almost 2 ounces each time I stick this baby on to my other boob while Maverick feeds. It’s such a good way to build a small refrigerator stash. I don’t freeze it (… yet) because I only catch about 2 ounces. But it’s a nice lil snacky snack if baby is still hungry and you’re over breastfeeding for 40 minutes. Babies get heavy after awhile. This was a great gift from our sis Amanda. So if you know someone who is pregnant, get them a haakaa.

The great thing about most of these items is that you’ll receive them after delivery, so you won’t have to buy your first set, but it’s always good to buy a set for home. Or if you’re not wanting to buy a bunch of different products, you can grab the Frida Mom Postpartum Kit that includes disposable undies, cooling wipes, perineal foam, and ice packs. There’s a peribottle that is also available for a separate purchase! Regardless of how you decide to get your hands on these items, they’ll all be super helpful in helping you heal so you can take care of your little baby.

Hyperbilirubinemia: My baby is yellow and it's not because he's Asian!

You should’ve seen the unease in our pediatrician’s face when they told us Maverick’s bilirubin levels went down, and we said, “oh so he’s just yellow because he’s Asian then.” We never fail to make people feel uneasy with our Asian jokes. But with all of that aside, the word hyperbilirubinemia can already be scary to someone who can barely break it down to pronounce it correctly. So I’ll try to do a quick breakdown on what it is.

Disclaimer: The content on my website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.

A tough time trying to be the mom and not the nurse of Maverick

Maverick had to be under the phototherapy lights for 2 nights. The first night we had him back in our room was extremely difficult on me and Sean. We were up every 2 hours to go to the NICU and feed Maverick on the first night and we were up the entire first day after delivery. We were extremely excited to have him in the room with us, but he was not excited about the phototherapy lights. I thought I would do okay with this since I’ve helped treat so many “bili-babies” as a nurse, but I was so wrong. The emotional attachment that I had as a mother was hard to overcome. Every time Maverick started crying, my first instinct was to take him out. It was extremely hard to not soothe my baby. When I would breastfeed him, I’d still hold the bili-blanket underneath him, but even that irritated him.

His level at initial testing was 11.4, and after one night of therapy it went down to 11.3. Not much progress was made and that was probably due to the fact that breastfeeding was new to us both, and because we kept pulling him out from the lights. We opted to put him back in the NICU for phototherapy hoping that a more controlled environment would help him get better. His levels did go up to 15 the second day, but since he was getting older, the threshold for therapy went up as well. It wasn’t enough to keep him admitted for phototherapy, so we changed the treatment to breastfeeding with formula supplementation and was seen the next day as an outpatient. When we came back, his level dropped a little bit, and we decided to treat his tongue tie by having the pediatrician do a frenulectomy. After a few days of great breastfeeding sessions, formula, and sunbathing, we noticed his jaundice start to go down. At his first well-child check up, they drew labs and said the would call us if his levels were abnormal. It’s been a week since the lab was drawn and we’ve heard nothing back, so it looks like we’re in the clear!

What is hyperbilirubinemia, and is it normal in babies?

So let’s just break down the word: Hyper as in excess of; bilirubin as in the compound that is made due to the breakdown of RBCs (red blood cells); and -emia as in the suffix that refers to something to do with blood. So basically, there is an excess of the remnants of broken down blood cells circulating in babe’s blood. It isn’t uncommon that a baby will be slightly jaundiced after birth. The reason that babies appear yellow when jaundiced is because bilirubin is pigmented yellow!

When a baby is in utero, the placenta works hard at removing bilirubin from the baby’s bloodstream. After delivery, the baby’s liver takes over and sometimes needs a little time to catch up. Don’t be surprised if your baby is more jaundiced after a more traumatic delivery that causes bruising or a hematoma. There is a certain level that babies have to reach to receive phototherapy, so not all jaundiced babies need to be put under lights.

How is hyperbilirubinemia tested and treated?

So this is where nursing comes in! Aside from physical assessment of the skin every shift, at the 24-hour mark, every newborn is screened. This screening includes things like hearing screen, congenital heart disease test, PKU (phenylketonuria) screening, and a TcB test. TcB stands for Transcutaneous Bilirubin. This is done with a device that is pressed against the newborn’s forehead and takes a reading of how much bilirubin is detected through the skin. If the levels are above the facility's recommended threshold level, that’s when the nurse will draw a TSB, or Total Serum Bilirubin. This is done with w a heel stick and drawn in a pediatric blood tube.

American Academy of Pediatrics

The American Academy of Pediatrics has a chart showing the serum level vs neonatal age and what the risk zones for treatment are. If the TSB levels are high enough then phototherapy will be started. If they are considered low-risk, encouragement of breastfeeding with supplementation of formula may be recommended. This is because bilirubin is excreted in stool and urine. This could be another reason why it is more common for exclusively breastfed babies to become jaundiced after birth. It can be the learning curve that momma and baby have as they begin their breastfeeding journey and waiting for mommy’s milk to come in. So if your baby does require more than just frequent breastfeeding sessions and supplementation, your pediatrician will go over what phototherapy is.

What is phototherapy? Can it be dangerous?

The risk of putting your baby under phototherapy lights is pretty low. Proper precautions are taken to monitor the baby’s well-being under the lights, such as an eyemask, continuous temperature monitoring, and a new one I’ve seen, continuous pulse ox. Phototherapy lights are blue spectrum lights that mimic what the sun would do for Baby. It helps breakdown the bilirubin through the skin, which will come out in Baby’s diaper as soiled diapers. Most facilities have triple light therapy which just means in addition to the two lights that are placed above Baby, a special blue light fiber-optic blanket will be placed under Baby. Baby will only be wearing a diaper while receiving light therapy to maximize skin exposure. This is why it is important to monitor Baby’s temperature to make sure that it isn’t too hot or too cold under the lights. I hadn’t seen continuous pulse ox monitoring until Maverick received phototherapy. They told me it was because they wanted to make sure they could see his oxygenation was normal since the blue lights could cause him to be mistaken for cyanosis. I didn’t think it made any sense, so I just appreciated the continuous pulse ox since he had been admitted to the NICU for oxygen therapy. Good thing I’m a nurse, right?

So if it’s so common, why should we be worried about jaundice in a newborn?

Though most of the time jaundice in newborns an be harmless, the reason to treat aggressively is to prevent any brain damage. When severe jaundice is left untreated, the excess bilirubin can cause seizures and brain damage. Kernicterus is the name of the disease when bilirubin levels reach too high of a limit and cause this brain damage. Signs and symptoms of kernicterus include drowsiness, fatigue, fever, uncontrollable or high-pitched crying, trouble feeding, fever, abnormal muscle tone/spasms, and abnormal eye movement.

So if you are concerned that your newborn could be developing jaundice after you have been discharged from the hospital, make sure that you bring it up at the first well-child check up, or sooner if you’ve got a few days before.

Baby Boot Camp: Why are these classes so helpful?

Today, Sean and I attended baby boot camp. These classes can be extremely helpful if you haven’t spent too much time around newborns, or it can be a refresher if it’s been awhile since you’ve had a child. These are normally taught by registered nurses that have vast experience in labor and delivery and the postpartum period. For me, it wasn’t too much new information since I’ve spent quite some time as a nurse helping take care of infants and mothers, but it was an eye-opener for my husband that’s only held one baby in his entire life.

The class went over going into labor, what to expect at delivery, and the postpartum period. Some things that you may want to discuss are:

• What should I expect in early labor, and when should I go to the hospital?

• What will I need to bring with me in my hospital bag? Will the hospital provide a lot of the essentials to recovery and send me home with some?

• What are my pain management options - pharmacological and non-pharmacological? When’s the latest the anesthesiologist will give me an epidural?

• What will my diet be leading up to labor? Will I still be able to eat or is it going to be just clear liquid or ice chips?

• Are there other methods of delivering baby rather than just being in bed on my back? Water births? Squatting?

• What are your c-section rates or thoughts on episiotomies versus tearing during birth?

• If you’re having a boy - should I expect to have baby circumcised before we leave or at a later appointment?

• Are there lactation consultants to help me with breastfeeding afterwards?

• What’s not normal during postpartum recovery?

• Are there support groups I can attend during the postpartum period?

• What to expect from baby during feeding and how to tell if they’re hydrated and fed? (Importance of diaper counts!)

• Help on learning to swaddle a baby, change a diaper, and how to hold baby

• What are the signs that my baby blues is starting to develop into postpartum depression? (Because mental health is SO IMPORTANT!)

Preparing for baby is more than just making sure you have enough diapers, wipes, and onesies ready for baby at home. The nursery and gear can be totally set up, but if you aren’t mentally ready to take on baby, make sure you’re asking the right questions. There’s no such thing as a dumb question when it comes to the care and well-being of your child. Even as a nurse that’s helped a lot of moms after delivery, there’s still so much that I don’t know about when it comes to baby being at home.

Disclosure: Sometimes these classes can be giving outdated information, or they just haven’t “updated” with the times. There’s so much advancement in childbirth from the early 2000s, that it’s still best to discuss with your provider on what their recommendations are. With that being said, here are some photos of Sean learning what it’s like to carry around a belly and how to be a new daddy!

Sean had no idea what to expect from the class, but by the end of the class he said that it was becoming more and more real for him! As you can see below, he becomes very protective over our make-believe simulation baby.

This is the kind of face I expect to see in the first few weeks postpartum with the baby. A daddy who is lost, a baby that’s half naked, and me behind the camera laughing. I can’t wait to see you be a daddy!

My Dearest Lemon Baby

We’ve been bonding now for almost 14 weeks, and with every passing second I love you a little bit more. I never thought that I could feel this much love for something I haven’t met yet, but I do. I’ve been at the bedside of many women giving birth to their babies, seen hundreds of ultrasounds, and have taken care of newborns, but nothing in this world has compared to the feeling I get when I see your photo. Nothing makes me feel happier than when I think of seeing you move in my tummy, growing every day.

You might be wondering why we call you Lemon Baby. Well, your daddy has made it his duty to make sure mommy doesn’t get crazy stretch marks on her tummy, so he does our post-shower ritual of rubbing burt’s bees mama bee products all over you. One of the oils smells like lemons. I can’t wait for you to start hearing so you can hear his silly little songs as he does it. I really hope you don’t grow up sour or grumpy!

I can’t wait until we can start to feel you move. This pregnancy has felt like an eternity due to how sick you’ve made mommy, but it also feels like it’s going so fast. I wouldn’t mind having it slow down a little so I can cherish you a little bit longer.

Say hello to the world little baby. We all love you so much already.