Friday, November 28, 2008
Wednesday, November 26, 2008
Maiden flight!
Traveling with GERD
Tear the middle down by 1/4 or more to fit the neck.
Voila! An ultra big and leak proof bib!
That really saved me a lot of washing. Even if you do not mind washing, it is very difficult to dry the laundry as there was no where to hang the laundry and with the air con running in the hotel most of the time, you'll need to pack the wet laundry home instead.
Even after bringing so many incontinence sheets, I still pack more than enough clothing for my princess just in case. In addition, I also brought along zip lock bags to store her soiled laundry so as not to stink up our luggage. The zip lock bags also double up as a 'container' to do chemical sterilisation of her bottles, with no need to pack her steamer along.
After all, we were quite happy to only need to bring 1 big luggage for 3 person and a foldable pram during this trip with room to fit our shopping goodies upon return. No doubt it is difficult to travel with a child, it is not entirely impossible and we are lookiing forward to our next trip in San Francisco. Can't wait!
Sleeping with GERD
Other than the danger of getting choked, such event may even result in cyanosis. Cyanosis is a blue colouration of the skin or mucous membrane due to insufficient oxygen circulation. It is especially vulnerable in infants with GERD as some vomit could be breathed into the lungs, blocking some of the ducts to the lungs. Since our baby throws up so often, we always make sure that her skin is not blue. The is of course not very helpful since my hubby is colour deficient.
Nevertheless, we are very thankful that our baby has pass her 6mth without much incident and we really look forward for her to grow bigger, leaving GERD behind.
Friday, November 14, 2008
BPA update
Thursday, November 13, 2008
BPA free bottles
BPA is short for biphenyl A, a common organic compound used in products like plastic, polycarbonate, CDs etc. Low doses of BPA can mimic hormones (estrogen) in our body, interacts with the estrogen receptor and produce estrogen-like effects on the development of the brain, male and female reproductive organs, and breasts, causing a variety of disorders, including: overgrowth of the vaginal lining, premature breast development, feminization of male offspring, and infertility. As such, BPA in baby’s milk bottle has been a raising concern.
Being kiasu parents, we went on a shopping spree for BPA free bottles. Since I’ve invested in the latest Avent Isis breast pumps, we also looked for bottles that can fit the pumps. Both of us were quite sceptical about the BPA free plastic bottles as they come in all sorts of neon colours. Plastics will always be plastics. If they do not leach BPA, they will be leaching something else. So we went to look for wide neck glass bottles and only Pigeon has them. After weeks of shopping, we finally got the following: MAM, Nuby, B-free and Pigeon glass. All these bottles are wide neck but only Nuby fits the pumps. We tried all the new bottles and teats to feed our baby and being a fussy and difficult feeder, she is only accustomed to Avent’s teats. As such, we started to mix and match bottle caps, and teats. It was an uphill task as even though the Avent teats can fit into the other bottle caps, they do not perform as well as they did using Avent bottles. Maybe due to the technical design, some of the bottles had a vacuum during feeding and milk was unable to flow out. Others were leaking at the sides as the teats did not seal well with the bottles. After some modification by trimming the Avent teats, we were finally able to use them on the MAM and Pigeon bottles. As for the Nuby bottles, I used them to store my expressed breast milk, using Avent’s rubber cover on the Nuby’s cap.
Finally, our hurdle with BPA is over and Baby Anais can feed with her usual Avent teats with brightly coloured bottles leaching everything but BPA... sigh.
Tuesday, November 11, 2008
Battle with GERD
'Oh sure, my kids throws up every now and then too.' will be the remark of most parents about their kids. However, what they meant by throwing up is only a couple of mouth full of milk post feeding. For that, I will only call it regurgitation, which is very common in most infants. My child throws up between 20mls to 120mls of milk 2 - 6 times a day, every day, 24/7 till today. Her vomit has 'territorised' every corner of the house, including me. So what exactly is wrong with her?
Being an anxious 1st time mum, the 2nd time Baby Anais threw up, I insisted on seeing her paediatrician. That day, she was prescribed some Motilium and Zantac to increase her gastric flow and reduce her stomach acid. We dutifully fed her medicine and changed her feeding regime to 1 hourly feed, reducing the volume of each feed to help her to digest better. Both my husband and I lost sleep trying to feed her about 18 times a day but it did not help. Our baby was not gaining enough weight and her vomiting did not stop. We went on to look for a pediatric gastro specialist, Dr Marion Aw from NUH and were given a stronger acid inhibitor, Omiprazole. Similarly, it did not help and the medications were making her appetite worse. Moreover, she was also suffering from some of the side effects like rigidness of her body and irritability. Since she was not benefiting from her medications, we took a brave move to stop her medicines.
In the midst of it all, I've also changed my diet to rule out any chance of food allergy that she could have from my breast milk. We also bought different formulas to try. Nothing works. We even tried to put her upright after feeding, till we doze off sitting up in the middle of the night. Even her bed was elevated at an angle. That did not work too. We burped her, used all sorts of bottles we can find in the market, massage her etc. Nothing works. To make matter worse, the pain of feeding has also caused her to hate feeding so much that she always refuse to drink. By month 2, she refused to latch on and we can only bottle feed. Today, even feeding using a bottle is a challenge as she really HATE to drink. By month 4 when we introduced semi solid food, it was much messier than I thought. First she turns her head to avoid the food, followed by flailing arms to stop the spoon near her mouth and finally, the shadow-less flying kick to throw my spoon away from sight.
If dealing with a hunger strike baby is not bad enough, we also have overly concern grandmother who will listen to all sorts of advice from ‘friends’ on how to manage a puking baby. Things like Gripewater, leaving the baby alone to sleep instead of force feeding her, feed formula instead of breast milk, apply ointment on the belly, make sure the wind do not blow her head etc. Obviously none of the above put my baby’s weight up. It is even more challenging when we have very disparate opinions about managing Baby Anais and we always end up in bitter arguments. To make things worse, Asian grandmothers love to play the blame game and they have problem accepting the fact that the baby have a problem. They will find faults with the mother that is causing the baby problem from prenatal, antenatal till postnatal.
Family support is never more important than times like this. After getting over with the anxiety of being an ‘inadequate’ 1st time mother, I had to learn to manage an underweight child with feeding problem. I was initially overwhelmed by the challenge that I had to face and I am very thankful that my husband not only helped out a lot but also supports my decisions on ways to manage the baby. Without which, it would have been a very frustrating and agonising journey. Baby Anais is turning 6 month soon and things should be getting better... I hope. Nevertheless, patience is the most important lesson I’ve learnt and GERD is only a temporary problem which will go away as the child grows older. So I’ll just endure for now...