instincts

What You Might Forget About New Motherhood (and how to get help before you do)

 

I really enjoyed this essay at Atlantic by Jody Peltason, a mother recalling her firstborn’s early weeks.  The essay is based on her own journal entry titled, “Before I Forget.”  In it, she recounted how awful, frightened and generally lousy she felt soon after her child’s birth, and how irritated she was by a stranger’s remark that she must be “On Cloud Nine.” Now three years later, and the memories have faded; the recollection still hurts, but, oddly, she wouldn’t remember the details of those awful first weeks but for her own journal.

The truth is, of the 1000+ new mothers I’ve worked with in the past decade, I have yet to meet a single one who seems to me to be on Cloud Nine. Some of them are happier than others; none of them is constantly ecstatic.Not in the first six months, certainly, certainly not in the first six weeks. It’s not what new moms are like, though many of them seem to think there’s something wrong with them for not being blissful.   

I think partly this is because of what birth is like for almost everyone (even when it goes well, I have yet to meet anyone who described a hospital birth as ‘gentle’; can you imagine how those early weeks might change if new mothers routinely said, “everyone I encountered while I was doing all that work of labor went out of their way to make me feel personally cared for — they were kind and patient, took the time to do whatever made me feel like the rock star I am for having given birth”; can you imagine how different the world might be if women were taught to feel not “the only important thing is my baby’s outcome,” but, instead, that they were entitled to dignity and respect and pampering, gentle care in the hospital?  That they were taught to see that being treated gently on day 1 makes a difference in her confidence and mood on day 2, 3 and so on?). 

I also think that partly moms don’t seem to be on Cloud Nine because they’re often sent home alone with no one to take care of them during the next several months (in other parts of the world, there are cultural rituals around the care of new mothers; they are attended to so they can do the work of reinventing themselves, caring for helpless newborns, and recovering from birth. Our culture’s complete absence of any rituals is harsh by comparison).  

But mostly I feel like new moms aren’t on Cloud Nine because it’s just not like that at first – it’s chaotic, it’s a transition, your baby is a stranger and very needy, in some ways you’re a stranger to yourself and very needy, your body feels different. Even with the best of help, no one loves being a beginner. 

With my own firstborn, I remember some happiness, but mostly what I remember was that I felt drugged by him – drugged as in, dopey, in that I felt this compulsion to touch and respond to him even though it wasn’t, yet, recognizable as “love,” and also drugged as in “sort of sedated,” which may have been the sleep deprivation making it hard for me to think clearly, and also drugged as in “on downers”: I remember at least one day where I sobbed in bleary exhaustion because I couldn’t find the top of the water bottle, and at least one night where I cried and cried, because the un-shareability of breastfeeding was just too much.  I recall my daughter’s newborn period as much more straightforwardly happy, though when I hone in on it, I can also remember that that Pretenders song, “It’s a Thin Line Between Love and Hate” was literally a soundtrack in my head for the entire first month. And that there was that one afternoon when I declared, in irritation, that I was going to wean her TODAY, RIGHT THIS VERY MINUTE.  And that other time where my computer crashed and I knocked over a water glass onto some papers and my baby had been screaming herself purple all morning, and I sat down on the kitchen floor and cried and cried.

But my kids are past the newborn stage, so when I work with new moms as a teacher or lactation consultant, I’m one of the list of people Peltason says “don’t get it”: 

no one we talk to—not our mothers, not our friends with toddlers, not our pediatricians or lactation consultants—is able to re-inhabit her own experience fully enough to really understand how we feel.

That’s true.  And I’m sure that there are mothers, friends, pediatricians and lactation consultants who seriously lack empathy and make it all worse. I know some of them!  But I hope that even without being able to re-inhabit our own experiences, good helpers can help shepherd new moms through this stuff.  I encourage new moms to reach out to their own mothers, childbirth educators, kind IBCLCs, friends, and other new mothers and to keep looking till they find someone who actually helps.

We aren’t able to be the new mom with you, but perhaps we can recognize your experience and try to be of comfort or of service while you go through it, just like you can’t literally understand what your baby is going through when he cries, but you can be helpful and supportive and gentle while he goes through it, and that will be good for him. 

Still, Ms. Peltason writes, it’s lonely when no one else really inhabits the new mom place with you.  

It sure is. 

At some point, I think, it begins to sink in and feel “normal” that you’re the baby’s mother.  You are, of course, always going to be literally alone with it, but as you grow into it as a role, the bad part of “loneliness” abates some.  It takes a while, though, and it’s not made any easier by the fact that you’re tired and recovering and learning and, often, for a while, stuck at home, doing stuff that most of our country deems “not doing anything.”  (i.e., keeping a completely helpless creature who can’t even move his own head alive with your very bodily fluids). It is lonely work, in the sense that you are truly alone in the role.  No one else, no matter how sensitive, can inhabit this with you, that’s what’s hard about it.  That’s why you need to be pampered and attended. It’s not something that can be fixed, it’s something you come to terms with.  And that’s work. 

I loathe strangers who talk to new moms idiotically, telling them to “savor every moment,” or that “it goes by in a flash” or that they ought to be on cloud nine.  I loathe them for the pain they cause my students and clients.I think we all know, in our ‘normal’ lives, that random comments by strangers in the drug store are worth precisely zero, but in those early weeks, new moms are so extraordinarily suggestible – I wish the world would shut up around them or commit to be extra-gentle with them.  But they won’t – random people at the drug store will continue to say random things, and in time, I think, moms find they can ignore it. 

Till then, though, what helps make it a little more bearable?  Food, fresh air, qualified helpers for specific concerns, the presence of gentle people who love you and make you feel OK – the basics of being cared for.

Do these things make the first several weeks and months easy?  Do they remove all of that self-doubt?  Do they allow you to feel you have total control and confidence, relaxed about your baby’s unpredictability?  Do they ease spousal tensions, make you never weepy and confused, erase all your problems and leave you fully rested and understand your role completely?  No.  Nothing can do that.  

But the right kind of help can help support you while you grow into being the mother you’re turning into.  It won’t take all the pain away, but it will help you live with it.  Because the truth is, the first months are bumpy for almost everyone.  Peltason is exactly right that it’s not something you can master.  You just get through it, hopefully with gentle people around you that you can lean on.  

(And when you are through it?  You still, as a mother, have periods of self-doubt, incomplete control, occasional weeping and confusion and problems, and so on.  But you find that you’re much, much better at handling it than you were at first.) 

Like Peltason, I weary of the way we talk about the early months in a harsh dichotomy of “postpartum depression” versus “sheer joy all the time.”  The normal postnatal period is trying for almost everyone.  Sometimes, (often, I daresay), the tools that help folks who are tipping into Depression are also useful for everyone else as well; often a good facilitated new moms’ group is all that she’ll need.  No one benefits from imagining that “normal” and “healthy” is the same as “easy” and “happy all the time.”  No one is happy all the time and few important things are easy.  It’s a ridiculous standard.  

It’s easy, as she notes, for helpers to encourage moms to tune into their “Mother’s Instincts” to figure out what to do during this time, but all too often, I’ve noticed, new moms are certain they have no instincts!  Like Peltason, many of the new moms I meet worry their “Mother’s Instincts” are lousy, untrustable, or absent, because they don’t feel like a mother yet. 

I say, it takes a while to feel like a mother, period.  But you are, literally, a mother.  So if your gut tells you that you should drink tea and watch The Wonder Years, as Peltason’s did, that’s your Mother’s Instinct.  And it’s probably exactly what you need to do. 

What does drinking tea and watching The Wonder Years have to do with developing as a mother?  How can it help answer your questions about parenting philosophy and whether to keep breastfeeding or buy a different brand of diapers or return to work or whatever?  I don’t know.  But if it’s what you feel like doing and you’re the mother, that’s your instinct.  Go for it. See where it takes you. 

You know what will happen?  An hour will go by.  You’ll have an hour’s more experience, an hour where you did something that just felt right.  In time, those hours accumulate and you’ll have gotten through the early stuff. You’ll know your baby more, and yourself more.  You’ll be one step further from being that vulnerable new mom, at the steepest part of the learning curve, and one step closer to being the person who forgets herself in Duane Reade and inadvertently reminisces aloud about how wonderful it all was.

 

Are You A Mom or a Philosopher?

There’s been much hype lately about “hyper” parenting styles — from the Time Magazine brouhaha, to that book claiming that French-style mothers do everything better, and Erica Jong’s rant that overly “attached” moms don’t party enough — parenting styles are getting a lot of scrutiny, especially parenting styles that emphasize attentive devotion to an infant’s needs.

I’m always dubious about criticisms of parenting “philosophies” — there’s good and bad in any philosophy, but it doesn’t tell you much about what goes on for real people.  I’ve worked with over a thousand mothers; none of them lives a Philosophy.  

Here’s the thing — human young are extremely needy — they can’t eat regular food, or walk, or talk, or even hold up their heads, and they take years to mature — any philosophy that ignores that is at best delusional and at worst abusive.  On the other hand, real life parents cannot, as a practical matter, terminate every other aspect of life for the care and cultivation of perfect offspring for years and years on end.  They need a life, too.   Real people make nuanced choices through the day. So big arguments about whether This Style Of Parenting is the be all end all are arguments about nonsense, not practical discussions about what actually works for real moms.  I kind of feel like, let’s just throw philosophy in the toilet and talk about real life instead.

But before we do, there are two ways that I see “philosophy” really do some harm, so let’s just get them out of the way, OK?

1.  Seeds of Doubt:  

If I told you that my eleven year old came up to me asking for a drink of water on a hot day, was panting and red-faced from being outside in the heat and said he was thirsty, and I told him, “It’s not time for your water,” and made him wait 45 minutes, you’d think I was insane for withholding it.  Would it matter to you that I’d just read a book telling me to space my child’s drinks evenly through the day and not be tricked by manipulative nagging?  What if I told you that my five year old daughter was awake at 5 am crying that she had a bad dream, but I didn’t go in and tickle her back because she hadn’t been in her room twelve hours yet and my book told me that I should be consistent about boundaries and leave her till seven a.m.?  

I really hope it would sound like nonsense to you to follow a book at those moments instead of attending to my actual children.

On the other hand, I’m sure we can all imagine other types of situations where I’d be right to say no to both kids — over a lot of protest — where it was clear that they were pushing a boundary and needed some limit setting.  

In both cases, I’d be meeting my kids’ needs — the need for unexpected water or back tickling on the one hand, or the need for a boundary on the other.

What’s hard about having a baby, especially your first, is that it’s not always easy to be confident that you can tell what your kid really needs.  Here’s where the bevy of books and experts enter, designed to tell you.  But the thing is, none of the books live with your kid, and while some of them can be helpful in general about what you may be observing, ultimately the best judge of what your kids are doing and why, is you.  But  there’s a difference between giving you a general sense of what you may be observing, vs. scaring you out of your own judgment or telling you what to do regardless of the specifics.  

What’s really hard in the hour-by-hour of parenting is that no mother always knows the right thing to do.  Parenting requires living with some anxiety about how to proceed.  The wisest support people you encounter will give you some information about infant development but also help you learn to cope with that anxious feeling of uncertainty.  When you have some tools to cope with uncertainty, you can tune in to your best instincts and come up with a good plan for your family.  It won’t be perfect every time, but nothing is; it will be good enough.

The dogmatic books and experts, on the other hand, tell you it’s all very simple — three steps or five minutes or twelve nights, but if your life doesn’t happen to fit perfectly with their regimen, that lack of nuance sadly works to increase your self-doubt the way that airbrushed and photoshopped images of women plant seeds of self-doubt even in the most body-confident woman.  

With the photo-shopped images, the best course is to minimize your exposure so they can’t infect your brain.  Increasingly, I’m thinking, lets do the same with experts and books that leave no room for the real, weird, nuanced complexity of you and your baby.  Find the people who help you learn to cope with uncertainty.  Real moms, in real life, are the best place to start.

2.  Some Philosophies Are Just Wrong. 

OK some basics:  Human infants need to be held.  They need to be fed very frequently.  They need an adult around who can make eye contact, and engage.  There is simply no way around these facts.  Any book that is essentially telling you that you can turn your human infant into a tadpole who does not need parenting, is wrong.  Any book that says that you can harm your children by loving them or by attending to their needs, is wrong.  Any book that says that you should not ever trust your instincts about what your child needs, is wrong.  

Having said all that, we’d be missing half the problem if I ended it there.  Because the flip side is:  Human mothers have feelings about meeting the needs of their infants — good feelings and bad feelings.  It is not always easy, it is not always fun, it is not always lovable to be appropriately available to the needs of a growing child.  It can be frustrating and annoying and very lonely.  And any book that says that your own feelings and needs are irrelevant, that you shouldn’t have them or that you should ignore them, or that good mothers never feel these things — is equally wrong.  And any book that tells you that you should not want anything beyond meeting the immediate needs of your infant, is wrong and misogynist.  What you feel, and what you want are not always aligned with what you are prepared to do.

So — on the one hand, infants are genuinely needy and it is appropriate to meet their needs.  On the other hand, as a mother you may not always love that.  How do we reconcile these things?  

I think the way to answer that is to look at what not to do.  It’s a mistake and so unfair to reconcile these by not meeting your baby’s needs or by deluding yourself that your baby doesn’t have them.  Your baby is just a baby; she needs parenting.  

On the other hand, you don’t want to go to the other extreme either.  I like this piece by Katherine Stone which reviews a study in the Journal of Child and Family Studies which found that an “Intense” parenting style made parents unhappy and even clinically depressed.  “Intense” parenting style puts the needs of the infant at such a premium that the parents become irrelevant, and it’s no better than the other extreme.  Katherine discusses how this is different from developmentally appropriate parenting, where parents attend to the children without ignoring themselves. 

I have to tell you, I read the list of “Intense Parenting Tenets” and felt like clawing my eyes out — yeah, you’d become depressed if you believed these things.  Below are the “Tenets” and, following, my revision, for you to modify to your own life and your own needs, day by day:

INTENSE PARENTING:  mothers, not fathers, are the most necessary and capable parent

REVISION:

1.  Mothers are really important to their babies, and women who’ve just become mothers sometimes underestimate how much they’re capable of and how necessary they are in their babies’ lives.  That doesn’t mean you’re the only one who can or should attend to your baby’s needs.  It also doesn’t mean that you are going to love every second of it.  

(also, p.s., how heteronormative?!)

INTENSE PARENTING: parents’ happiness is derived primarily from their children

REVISION:

2.  Parents of older children often describe their children as a source of happiness and enrichment — this is something new parents can look forward to.  Parents of newborns are often surprised that they don’t feel a deep relationship yet.  Many of them take great pleasure and satisfaction in many aspects of being with their babies, but many of them also feel a sense of mourning for the kind of freedom and happiness that went with being childless.  It is an adjustment.  As an ongoing matter, adults need adults in their lives for happiness and stimulation, not just children and babies.  However, the bond you share with your children can be extremely rewarding, especially as it deepens over time.

INTENSE PARENTING:  parents should always provide their children with stimulating activities that aid in their development

REVISION: 

3.  Living with an attentive adult who makes eye contact, holds the baby and talks, and reads to her, is phenomenally stimulating for an infant.  Think of your job as a parent as to introduce your child to the world, not to create a second-by-second bonanza of stimulation.  Hanging out is often the perfect activity.  When you’re about to do something, you can start by thinking, “does this seem like it would be fun?”  Yes, for you, not just for your baby.

INTENSE PARENTING: parenting is more difficult than working

REVISION: 

4.  Parenting is surprisingly difficult if you imagined it was going to be easy.  It is harder than some jobs and easier than others.  The pay is awful but there is a casual dress code.

INTENSE PARENTING: a parent should always sacrifice their needs for the needs of the child

REVISION:

5.  A parent should sometimes sacrifice her needs for the needs of the child, and sometimes the child is going to have to sacrifice or wait on the needs of the parent.  This is true in any relationship and also true in parenting.  The difference is that in other relationships, both parties decide together about give and take.  With your child, you are responsible for figuring out what fair sacrifices on both sides are, because you are the adult.  If you have loving friends in your life and you aren’t depressed, you will learn to have confidence that you can make good judgments about how to balance that, but you will not always be certain that you’ve done it right.  That is okay, and enough.

This is a saner version of parenting, but it needs some honing to your particular situation, and that takes time. I hope you contact me so we can talk about it further.  

Consumer Reports: What To Reject When You're Expecting

This article from Consumer Reports is a great piece on the ten most “overused” procedures in childbirth:

1. C Section in low risk first birth

2. Automatic repeat C Section

3. Elective early delivery

4. Induction without medical reason

5. Ultrasound after 24 weeks

6. Early epidural

7. Continuous electronic fetal monitoring during labor

8. Routine artificial rupture of membranes (“breaking the bag of waters”)

9. Routine episiotomy

10. Sending baby to the nursery

The article, of course, goes into greater detail about how each of these is overused and what the alternatives are.  I like this piece because it’s a great reminder to everyone of a few really crucial points

1. When you’re there, in the hospital in labor?  You’re still a consumer, and entitled to excellent customer service.

2.  Health care is a product we pay for and it is important to think about whether each thing you do is necessary/worthwhile.

3.  You, as an adult, are competent to evaluate whether you need an induction/episiotomy/c-section/ultrasound, just like you evaluate whether you need the other things you pay for.  You don’t need to be a medical expert to do this.  You do need a medical expert *with you* to talk you through the benefits/risks/alternatives, but after that the decision is yours. 

4.  Not all of the things that doctors do routinely are helpful or necessary.

Ask questions.  Get to know your caregiver.  Be the customer.  Get good care.

If Ezzo and Sears had a baby . . .

I like this blog post. It reminds me of a really wonderful, honest woman I worked with many years ago who sat down with me at our first visit and laid down two books and said, “I like a lot of things in both these books and I want you to help me weave them together to make something that is true to me.”

The two books? Ezzo’s Baby Wise and Sears’ The Baby Book.

I had to stifle a giggle at first, because the two books hold to nearly opposite ideals of parenting. But I deeply respected my client’s desire to combine a natural touch with a modicum of control, and we worked together to find a path that suited her and her family.  

Don’t get me wrong, you should absolutely not give your money to that nutbar Ezzo.  

But the bigger point is that even those of us who are instinctively high-touch and low-tech, through cluster feedings and colic and night-wakings — even for those moms, an urge to have some control over it all is not at all wrong.  

In fact, as long as you don’t imagine you can transform a normal, needy baby/toddler into a pet robot, it’s completely appropriate to look for the things you can control.  You must not imagine that a “good” mother is the one who erases herself to her baby’s existence.  Babies are needy and your job is to meet those needs.  But they are not so fragile that they can’t handle living with real, human mothers, who need a some efficacy over their lives and a sense of self.  

It’s the balance that’s hard — figuring out what would help you feel a little control and learning what your baby’s needs are.  That’s where help, support, and friendship can be so useful.  Help helps.