Monthly Archives: January 2009

What Do You Really Need to Bring to the Hospital for Childbirth?

With things getting so close to the end of my pregnancy now, I have to get ready to go to the hospital. Naturally, I looked over what is recommended that you have prepacked and ready to go. It’s been a while, after all, and I don’t want to be too rushed.

I forgot how ridiculous most of those lists are.

I’d forgotten a lot since with my last pregnancy nearly 4 years ago I was sent from a routine OB check to the hospital to be monitored and prepared for an urgent C-section. In other words, no bag. No supplies.

And in my first pregnancy, I quickly found that I didn’t use that much of what I brought. There just really aren’t that many things you need there.

Toiletries

Yes, absolutely. But unless you have duplicates, they’re really hard to prepack. Just keep in mind that you will want your toothbrush, toothpaste and hair brush at some point. The hospital has soap and shampoo as a rule, so if you don’t bring them it’s not the end of the world.

Important Papers

You’ll need your insurance card. You’ll want to have a copy of your birth plan if you’ve written one. Not much else matters.

My husband and I had a birth plan with our daughter, but ended up really not paying attention to it. Sometimes they work out great. Other times… just paper.

Don’t forget a phone book or list. If you have a family member who is willing to call with the good news, you can split up this job so that you mostly call the people you really want to talk to. After giving birth you’re probably going to be tired, so anything that keeps the number of calls down to something reasonable is good.

Clothes

Most important to me has always been just having an outfit to go home in. But if you want to wear your own gown during labor, or clothes other than a hospital gown when you’re done, pack what you need.

My first time around, I found that I just didn’t feel like changing clothes much of the time, so I spent a lot of time just in the hospital gowns. Also nice that if anything got on them, I wasn’t going to have to wash them when I got home.

A nursing bra is nice to have along, though. Your milk may start coming in during your hospital stay, so have some nursing pads ready too. Oh, the joys!

Your partner may or may not want to bring clothes. My husband always just went home to change. For our first, we were just blocks from the hospital anyhow. For the second, he spent time with our oldest as well as with me in the hospital, so packing clothes wasn’t needed. But that won’t work for every couple.

Labor Supplies

What do you need to make your time in labor comfortable? MP3 players really make bringing your own music easier than it was back when I had my daughter. Some people like lotions or massage supplies, a birth ball, focus object, pillows… you can create quite a list.

Just practice at home first. If something sounds nice when you read about it, but doesn’t work out at home, odds are you won’t want it at the hospital either.

Money

Odds are pretty good that you will have to pay for parking. Not true at all hospitals, but know in advance if it’s true at yours.

Besides, your partner will want to be able to buy snacks and/or meals. The hospital rarely feeds anyone who isn’t a patient there.

Snacks

Odds are, the hospital won’t let you eat during labor. They’re too concerned that you might have to go in for a C-section, as I understand it. If you want to eat during labor, better do so before you head out to the hospital if you can.

You may be able to enjoy some hard candies and such to keep your throat moist, but that’s about it.

Your partner, on the other hand, will probably need snacks. The hospital won’t care what he eats. But if it bugs you, send him out of the room to do so.

Raisins are a fair choice for snacking after giving birth. That first postpartum bowel movement is not so fun. Making it move a little easier is not a bad idea. Though you probably don’t want to overdo it.

Camera and Supplies

I have my digital camera cleared out, and two sets of batteries charged. I still need to check the camcorder to be sure that there’s plenty of tape, although I don’t anticipate recording the labor. Cozy times with baby, on the other hand….

Baby Supplies

The only vital things are your infant car seat, a going home outfit and an appropriate blanket. All of these can be brought from home by your partner after you’ve given birth. No need to rush on getting these together beforehand if you just don’t have them ready.

The hospital will have disposable diapers and wipes for you, so just skip it unless you really, really need to start cloth diapering in the hospital. Which isn’t a bad thing, but rather more inconvenient than you may have the energy to deal with.

Something to Do After Baby is Born

Hospitals are boring! Even with a new baby beside you waking regularly to be fed, you will get bored. Keep it simple, as you’ll probably have to put down your book or whatever you bring down pretty often as people come in to visit, nurses come in to check your blood pressure and such, baby wakes up and so forth. Boring certainly doesn’t mean restful.

No, You Probably Won’t Use All This Stuff

If you get in a rush and don’t even bring the bag at first, don’t be surprised if you get along just fine with only what the hospital gives you for the first while. The only things you really need in order to give birth are a comfortable place and some good support.

But having things packed means your partner can bring the things you need for after labor pretty easily. No wondering about what you want to wear when you go home. No searching for baby’s first outfit. No wondering what you’d like to do with your spare time.

Ignoring the Natural Childbirth Naysayers

I’m going to try really hard to have this baby naturally. At the hospital still… my husband is finally almost comfortable with the notion of home childbirth as a possibility with the hospital so close, but not for a VBAC.

But what amazes me is how little people who should know better know about VBAC. I had the receptionist at my pediatrician’s office surprised that VBAC is possible.

Yet it’s safer than a repeat C-section, from what I’ve read! At least in the appropriate circumstances, such as mine. I’ve delivered vaginally before, and I had a transverse C-section, rather than vertical. My OB gives me 90% odds of success.

Considering my daughter had a 95th percentile head and her fist up along side it when I pushed her out, I figure I’m quite capable of pushing anything out!

When I mention natural childbirth as my preference to other moms, they just about go nuts, or at least say I am. But I think it makes a lot of sense to at least try for it.

First of all, I did great with my daughter until they put me on pitocin. By the time they finally found the anesthesiologist to give me an epidural for the pain that caused two hours later, I almost had it under control again. But the nap the epidural allowed me to take sure helped.

Second, I want to be able to walk around, squat or do whatever I want as much as possible. Medication limits all that.

Third, I have confidence that I can do it this time. Selene’s doing great, kicking ribs and has plenty of room. I’m comfortable with the sensations I expect to be dealing with, and my husband is very supportive. He’s getting better with the terminology I need him to use, such as sensation rather than pain. Some words will be mine and mine alone to use, just to keep my support positive for me.

And the most minor reason of all… it will save us money. Not really important, and if I really NEED a C-section or medication I’m fine with that, but we pay a percentage with our insurance. If I can keep costs down, I just think that’s smart. That it would be by doing something I’d like to do anyhow is a minor bonus.

I am very determined that this will be my last pregnancy. If things go to a C-section, I’ve already signed the tubal ligation paperwork. May as well finish things off while they’re in there. If not, there are other alternatives my husband and I can go over.

My plan is to go to my mother’s house when I suspect I’m in labor, even a little bit. That puts me close to the hospital and my husband’s work. It’s a nice, comfortable place where I can get things going, almost as good as staying at home. Home being 30-45 minutes from the hospital in average traffic, worse in rush hour.

It’s been interesting educating the naysayers. I had one woman insisting that the uterine rupture risk was far higher than it is. I explained to her the different types of C-section and that the risks are very different for the two.

I’ve explained to others that it is entirely possible to control the sensations if you prepare for it and can move around until you’re comfortable. I won’t say they were converted, but that’s a bit trickier. We are very conditioned in this culture to think of the screaming woman lying down in the hospital bed. That’s not what I want or what any laboring woman needs as a visualization.

Taking Care of the Kids – CPSIA Style!

If the government can overreact, so can I! It’s time to clean house and make sure there are no toys, books, clothing or anything else that might contain lead or phthalates. Nothing in my home has been tested; how do I know my children are safe?

The only solution is to start cleaning it all out. After all, it could be toxic and it’s for the children’s safety!

Time to Clean House, CPSIA Style!

Let’s start with the things we have for my soon to be here baby. May as well get her off to a healthy start. Goodness knows my other kids are probably contaminated already.

Handmedown clothes. Well, so much for those. I have no idea what’s in them.

Come to think of it, her few new outfits and cloth diapers haven’t been certified so far as I know. Oh well. Do I really want to use disposables? I guess we’ll have to try elimination communication with baby.

Oh crap, the potty hasn’t been tested. This is going to take some work.

Toys. Oh my. Toys. Let’s see… handmedown, handmedown, handmedown, new but has it been tested? Really can’t tell yet.

Crib, cradle, what about my rocking chair? I’ve used them all for each of my kids. Then there’s the stroller and car seat. Not to mention my other kids’ beds. Is there any place safe for them to sleep? Can we even go anywhere safely if I don’t know what the car seats are made of?

Awww! Books! I like my supply of baby books! But how can I know if they’re safe? Even libraries are worried. Not to mention my books for my older kids.

OMG! The older kids! Can I even send them to school? Will the schools do enough testing to keep my kids safe? They have books there too!

Guess we’ll just have to start all over with all the kids’ stuff.

Maybe that’s the idea! Stimulate the economy by making people buy all new stuff to protect their kids! Too bad lots of manufacturers will go under because they can’t keep up with expenses. The price of safety, right? Surely we can cope with the scarcity created and cost of extra testing by paying more.

And don’t worry about the landfills. Or do. There’s an awful lot to be thrown out if companies don’t want to or can’t afford to test their products.

I wonder what it would cost to test the house. Can’t be too careful, after all.

Ending on a Serious Note

Ooh, sounds important, doesn’t it?

But seriously, read up on CPSIA directly from the CPSC site if you’re concerned. It’s confusing at times, boring as can be to read, but a much better source for information than any secondhand, unofficial interpretation. It’s still miserably written, and no doubt will have a major impact on small and home businesses that produce children’s products, but keep an eye out for good bits such as:

Will infants’ crib bedding, blankets, bath textiles, and apparel fall under the heading of “durable product”?

No. Congress did not define the term “durable,” but it is commonly understood to mean able to exist for a long time without significant deterioration. Cloth/textile items are generally not considered to be durable goods. None of the items Congress specified in section 104 as examples of durable products are items made entirely of cloth, rather they are primarily made from rigid materials (e.g., cribs, toddler beds, high chairs, strollers, bath seats).

Do the phthalate limits apply to children’s shoes or socks?

Shoes and socks are not considered to be children’s toys or child care articles.

All that said, I really think the targeting should have been more focused. The problem products have not generally come from small or home based businesses; for lead the problem has often been Chinese imports. A better look at the standards of where we are getting children’s products from, and rules about what we will accept would make more sense than CPSIA. Not to mention a better time frame for things companies haven’t had to test for before.

I’m Enjoying Crockpot Cooking Again

The further along I get on this pregnancy, the better a friendship I’m developing with my old friend, the crockpot. I really love that thing.

It uses less energy than the stove or oven, doesn’t heat the house on warm days (it’s southern California, we are still getting warm days here), and I can fit pretty much all of dinner in it, except anything we want raw.

When baby is big enough, anything made in the crock pot is likely soft enough for the food mill, so she’ll be able to join in.

Then there’s being able to start dinner at whatever time works for me that day. In the morning when I have the energy, up to early afternoon when I realize my energy levels are sagging. I just have to pick a high or low cooking temperature.

As I drag through this last month of pregnancy, retaining far, far more water than I ever had before, this really helps. Lucky for me, far, far more water still isn’t an actual medical problem. I just didn’t retain much water at all in past pregnancies. Now my sandals barely go on.

How Green Has My Pregnancy Been?

Here I am, on the homestretch of this whole pregnancy thing. I’m pretty pleased with how the whole thing has gone.

First of all, I bought very few new clothes. Total costs for new clothes for this pregnancy was probably under $100, with the largest piece being my maternity girdle – a must as new since I wanted very good elastic. It really helped me get through some of the horrendous hip pain.

Aside from that, just some maternity jeans and shorts when I couldn’t find used. That’s it. I still had enough shirts from either past pregnancies or that were old enough already that stretching them out didn’t matter. Plus a couple larger shirts handed down from my sister for just in case I needed to go larger.

Drove my mother-in-law nuts. She had been thinking about taking me shopping.

We even have an infant car seat promised. My oldest sister doesn’t need her old one, and while you aren’t supposed to buy them used for safety reasons, I have no problem with a used one with a known history. My mother just called last night to point out that she has a reversible car seat that she wants to keep on hand in general, but she can loan us until my sister can dig hers out of storage when they move into their new house. I love not having to buy things!

My goal is to have this baby as naturally as possible. I keep getting the “you’re nuts” response from people, but I really believe I can do this. My husband is supportive if occasionally clueless. I think he finally understands that HE is not to talk about “and if it’s too painful…”

I need him more positive than that.

Quite possibly the least green thing we’ve had to do is shop for a minivan. I keep saying sedan, but I don’t seem to be winning that debate. It would be tight with 3 kids in the backseat, but doable. I grew up that way, although I will concede that car seats were used far less back then. But since the current car is not up to the job, a second vehicle must come to be. SOON!

No choice but to get used; we don’t have the budget for new, although I would love the added flexibility on gas mileage. I always prefer to keep a vehicle as long as possible anyhow, typically until it’s not worth the money to me to repair it.

A plus is our ability to reuse so many handmedowns. Selene won’t be getting much new stuff, but babies don’t really need that anyhow. They don’t know the difference, and they can learn to appreciate whatever you give them if you don’t make it a big deal.

And of course, cloth diapers, as I’ve said before.

All in all, I feel pretty good about the pregnancy, and how we have things planned to start out for baby.