Tuesday, 4 October 2016

8 weeks in – Dealing with Negative emotions & it just got interesting…


As we approach the 8 week point (8 bloody weeks!! – how that time passed I have no idea!) I have been thinking about the ups and downs of having a new born. Not wanting to repeat myself too much, but if I had to pick three words to describe the first few weeks of my life with a new born they would probably be:

1) DISRUPTION    
2) EXHAUSTION
3) FEAR




I appreciate people have different experiences and opinions, but to me it’s not coincidence that all three words have more negative connotation than positive. Prior to having friends with babies I’d have imagined words like AMAZING, JOYOUS & SCARY would have been more likely to feature in my list… however I’d like to explain my choices…
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1)      DISRUPTION: You think you can plan your way through life with a new-born? I did, though I expected the baby may not fully play along with my schedule. I’ve learned that there is often no rhyme or reason to life with a new born… crying can be caused by any number of factors – only the process of elimination lets you work it out…. Sleeping and feeding don’t follow pattern, with ‘rough guides’ from Healthcare workers being of some use. There can be very few opportunities to do anything that is not directly related to non-essential life activities such as eating, sleeping, cooking, washing, toileting… Yes routines can be developed (bath time, putting baby to sleep when it’s tired), but as a parent who had to work soon after the birth you simply can’t function the same way as before.

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2)      EXHAUSTION: I have BABY-BRAIN. Waking 1-3 a times a night, and working full-time has seriously reduced my cognitive capacity. I can’t remember more than 3-4 things on the shopping list, my information processing speed has reduced, and even physically I notice I have been clumsy in my movements. Obviously during this time all the things I usually do to hone those skills (such as sports) have ceased so that’s a double-whammy. I am not sure just how I have not fell asleep at work some days – only once did I actually nod-off in the car at lunch time – (I wasn’t driving at the time). As an Occupational Therapist in Vocational rehabilitation – analyzing great levels of detail when assessing job roles, work environments and work tasks and duties requires periods of focus and concentration. Some days that has been a challenge. One Friday I went to bed at 7:30 pm!!! – and didn’t wake up until Saturday lunch time!

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3)      FEAR: This is a strange one. Fear keeps us alert, and in-turn, keeps us awake. As someone I am working with recently said to me – “the first three months is about keeping the baby alive”. I didn’t really pay attention to this statement too much until I saw my partner spring out of bed (from a deep sleep state), like a startled cat and almost fly to the cot because the baby was making a choking sound. New-borns keep you on your toes… as their strength grows and their ability, and seemingly their will, to propel themselves like lemmings off a cliff becomes apparent. To avoid the hyper-vigilant state I’d suggest just bubble wrapping everything in your house! 

    Then there are the feeding issues. Is it enough? Is it too much? Is formula a bad thing? Is the baby sucking correctly, is he ‘latching on‘, does the baby have a tongue-tie? – The stress goes on and on and the poor mother is just getting more knackered with each day. It can be a very difficult time for partner’s too as there is a growing sense of helplessness as there is very little you can do, whilst your partner’s boobs are seemingly examined by what seems like a never-ending line of health professionals / other mothers.


There is also the fear of giving them anything (medicines, remedies, creams) that you are not 100% sure about – and let’s be honest if it’s your first baby you aren’t sure about anything! This Is where GOOGLE & THE INTERNET ARE NOT YOUR FRIEND!

Image result for the internet is not fact




Sure, you-tubing a video of how to how to use a baby sling or wrap your baby is a great help – however, reading the 1 in 10,000 horror story account from parents who have had a negative experience of a product / piece of equipment is not helpful, only confusing. If you google-searched dangerous baby products you’d be racing to sign your baby up for time in a sterilized isolation room… or reach for that extra bubble wrap.

Baby Injections: who like injections no matter how old you are? It’s not something that has been an issue for me, which is pretty lucky as I have had multiple vaccinations for work and for traveling. However taking a 6 week old baby for injections proved to be an event-filled outing. It felt to me as though we were taking the cat to the vets! The baby was just fine. Well, I say 'just fine' – he’d saved one of his best and biggest poos for a few moments before the Dr requested to examine his private parts. It’s the moment you think – oh shit (no pun intended) – we are competent people and don’t just leave our child in poo filled nappies all day!


Image result for funny baby poop

The nurse was great and gave us detailed explanations of each vaccine, and then the needles came out and the tears flowed soon after! The baby was fine – he had about 30 seconds of crying – then settled.  ‘Mum’ on the other hand was a blubbering mess. I’ve learned from our ante-natal group that this is a pretty common reaction from new mums. Another 6 weeks and we repeat the process again.


THINGS JUST GOT INTERESTING….
If I’m honest, I got over the ‘cuteness’ phase of the baby quite soon after the birth. The dream-like state that we’d made this living thing was soon replaced with the realities of new-parenting. The funniest moments were usually centered around a comically times fart or burp, or a funny looking pose you could put the baby in when whilst he slept. These things aside, direct interaction with the baby was a little boring. Now however the baby clearly recognises us, is starting to smile / half-smile & is alert for long enough periods to be a little more interesting. He can grip items and react to things in his immediate environment with more consistency. I enjoy the interactions a little more now, though I’m still holding out for those times when he’s mobile and talkative. So we’ll settle for the half-smiles and the comically times farts and burps.
Image result for funny baby burps

My favourite moment so far came about just a few days ago when I was able to take the baby out for a walk (which turned into an 11k trek). Being out of the house (which started to feel like a little bit of a prison for me), with the baby for a good 3 hours, and doing something active was awesome. I have to admit that the many positive vibes I detected from people who walked past us was very welcoming. Being an active ‘Dad’ was always one of things I imagined would be important for me if I had kids. Admittedly, the baby slept through the majority of the 3 hours, but that was not why it was my favourite moment – well – not entirely.

THE OCCUPATION BIT....
The number of tasks in my day, like the majority of people I imagine, are filled with tasks that we do because WE WANT TO, and tasks that we do because WE HAVE TO. I'd say for me my daily occupations throughout his period have definitely landed more on the side of tasks that I HAVE TO do, and this has been a real challenge for me. I would say the challenge comes as my values haven't changed, (I don't suddenly value my past occupations such a  community participation any less), but my priorities have changed. Therefore I prioritize tasks (mainly parent-based tasks) out of a sense of responsibility, rather than desire. This is something I have slowly been doing since getting married, and having a step-child, however this process has been brought into a sharper focus by a more intense shift into the world of parenting a new-born.
This shift in daily activities being led by responsibility rather than desire have impacted upon my levels of daily enjoyment. I don't get the same buzz from completing the disposal of nappies and sterilizing baby bottles as I do from scoring a goal at footy - even though the sense of importance is far greater in the first task.
The phrase 'oh your world is going to change when that baby arrives' is usually met with a sense of pleasant optimism, however the reality of that change for me has been far more neutral and pragmatic.  My world has indeed changed, as have my daily occupations, however I would not say it has been a joyous, fun-filled wonder - it's been bloody hard work, mot without it's moments of fear, joy, frustration and laughter. 

 

Tuesday, 13 September 2016

The lost art of sleep & the spirit of kindness.

One week ago: I'm totally KNACKERED... and it's only Monday I'm at the start of the week and I feel like I've ran a half marathon, built a wall, moved house, and studied for all the exams I have ever taken in a 2 day period. Somehow my brain is functioning - albeit slowly, but my eyelids are making the loudest protest right now. I've gone from not caring when the baby wakes up (because you just want to give him whatever he needs any time of day or night), to thinking that he is really a an evil mastermind who has the ability to sense when you are at your weakest - then give you a look of pure cruelty...

Image result for baby & sleeping deprivation




What I wouldn't give to be back in Vietnam with a two hour lunch break - and the chance of a power nap. Mind you, if I could sleep for two hours at work I'm afraid I'd be a drooling mess within 10 minutes and snoring like a bear after a night on the beers....

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I honestly can not remember how a time when my sleep has been so interrupted. I'm not after sympathy here, I know there are lots of people out there who have sleep issues. I'm merely commenting that having a new-born in the house who needs immediate attention at any given point in 24 hours - is bloody hard work when you are not used to it.

One week later: I had a great night's sleep last night and feeling alert and fully orientated to time, place & person! I'd definitely score 30/30 on the mini-mental state examination today - what a difference a good night's sleep can make!


Being 'on-call' 24 hours for a baby got me thinking about a really good discussion point - Attachment Parenting:
Attachment theory states that a strong emotional and physical attachment to at least one primary caregiver is critical to personal development. John Bowlby first coined the term as a result of his studies involving the developmental psychology of children from various backgrounds.

This theory splits opinion in the parenting and psychological worlds. I think some people get caught up with the extreme idea that attending to your baby's every whim, instantly for as long as you can - is probably going to lead to some pretty exhausted parents / care givers - and fractured social relationships. Also some people believe that you will set a precedent were your child becomes needy and unable to deal with delayed gratification... you know the tantrum child who wants instantaneous attention
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 On a more realistic level I do believe that having close physical bonds with your baby is not going to do any harm, and (for me personally) I believe that a new-born baby is not able to manipulate it's carer into bad habits. 


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I've seen the effects of poor physical and emotional attachments both through my time in Romania www.otdaninromania.blogspot.com and arguably throughout my time working in 'moderate to severe' mental health services in the UK and NZ.

Anyone that knows me pretty well knows I'm also a great fan of the behavioural school of Psychology and like to get creative in problem-solving when trying to modify the behavior of others. My theories of school discipline in the UK has raised more than a few eyebrows (think white vans, physical punishment & regulated assessors / pain administrators). 

 Image result for santa naughty nice list

Then there is the Santa Claus motivator. Having a Santa suit handy mainly through the months of March - December can be a great way to keep you youngster in check. Having Santa appear shortly after your child's severe misdemeanor or great behaviour with a 'Naughty/Nice' list - (with your child's name in BIG RED letters on the naughty or nice list) - can be a great reinforcement for good behaviour.

Getting out and about:
Someone said to me that when you have a baby "it's all about home,  home is pretty much where you live all your life". I'm not a homely person - the idea of spending endless amount of time in the  the house fills me with dread to be honest. I like the idea of a restful few days, but ultimately after a few hours of 'chilling out' I'm looking for something to do.
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Hence, the frequent debates about under what circumstances is it ok to take a young baby out. To put this in context - I live in one of the windiest cities in the world - honestly... and when the wind comes from the South (South Pole) it's bloody freezing. Lots of people have an opinion on exposing babies to the elements however getting fresh air and especially natural sunlight can be really important.
It's not just about the baby though, having some time away from baby (where possible) has been hugely helpful, and being reminded that you have not been put on this earth for the sole purpose of cleaning poo and providing food is pretty good. Interestingly for me is that so far - the baby is often sleeping better when he's out (or on the move - in the pram or car), and seems to be pretty happy letting other people handle him.


Image result for friends and food

Fortunately we have been blessed with amazing friends who have not only brought food with them when they visit, but also they bring tales of the outside world and a reminder that we didn't always live exclusively in these few walls. Honestly, the spirit of kindness shown by people continues to move me and we have lots of karma we need to pass on to others to keep the karma flowing.


The Occupation Bit
So what have we learned since the last post? Sleep is the most precious thing in the world:
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As OT's we often talk about problem solving, goal setting, mastery of skills, the establishment of routine, and the impacts that our occupations have on our self-image, self-worth and general well-being. The role of parenting has been a role in which I've been made to feel very inadequate, very quickly, without any real quick sense of mastery, definitely no definitive routine and feeling like the locus of control is very much external - i.e the baby! So many parents talk of feeling frustrated in those moments whereby you try everything and nothing seems to work when you try and settle your little one... The role also totally encompasses and fills your world to the point that you can really start to question your own competence and self-confidence.

Your general well-being is certainly put to the test with the sleep deprivation / disturbance, and reduction of other social activities. Keeping a sense of reality, by sharing the experience with others - either family and friends that have been through it, and also most helpfully other new parents, is a great help as you realise that you are certainly not going through this alone and the difficulties you face are not unique to your baby. 

That's enough for now.
Regards from New Zealand.





Thursday, 1 September 2016

He's arrived & time as an occupation in itself....

Image result for new born funny parenting pictures


So 3 weeks ago today the baby arrived! A baby boy with a full head of hair which is a very different colour to my own. He seemed fairly chilled as he made his first appearance in this world and stayed like that for all of 24 hours... then reality kicked in and life has changed beyond all recognition...

You know how people tell you things like "oh you'll be having sleepless nights for a while" and "get lots of sleep now", and "oh you won't have time for anything with a new-born" - and you think to yourself, why would you say all these (fairly negative) things to me now - just before I am going to experience one of the most joyous life experiences?  - well now I know why people say these things - it's a warning! It's not a flippant remark. They are secretly saying 'oh you poor bastard! You have no idea what you have signed up for"...
As a pretty organized person 'time' has always been a friend to me. My weeks have always been packed with lots of different activities, different groups of people and not so much time at home. Well that's all changed so drastically that I have to check my own passport to make sure that I am not suffering from "Imposter syndrome".
Image result for thinking someone else is an imposter

Time no longer feels like something that is endless, fluid or variable depending on any given activity. In these first few weeks of the baby's life there is almost no way to plan ahead. The household routine has revolved solely around the baby's needs - mainly feeding. All other household activities get pushed down the priority list and non-baby meal-times, teenager's homework time, visitors, showering and even dressing on occasions get delayed. There has been little rhyme of reason for the baby's variable sleeping and feeding times so everyone else simply has to adapt. Quieting a crying baby was week one's priority, though the urgency of this is reducing.

What I have come to realize quite quickly is summed up pretty well by this next picture, because no matter how organized you think you can be...
Image result for parents lack of time




Since the baby arrived the kind of conversations had at home have totally changed as you might expect. Instead of talking about work, football, tv, family or news - we talk about poo, wee, breasts, sleep, nappy (diaper) quality, skin rashes - oh and then maybe about what we will have for dinner. Conversations outside of home have changed just as much. I don't think I've ever had so many conversations about my wife's body parts in all my life, as much as I have within the last few weeks. Health professionals, the antenatal group members, other mothers, friends, work colleagues, - all ask (what in any other context would be really intrusive questions) - about my wife's body - but it seems quite normal to ACTUALLY SHARE THIS INFORMATION. Seeing the boundaries of relationships change (even temporarily) is something that has really surprised me.

On a totally random note, when the baby was born, the hospital midwife pointed to an area on the base of his back and said " oh look, he has a "Mongolian Blue Spot" - at the time I was in too much of a state of wonder to know if I should be worried or offended....  For those of you wondering what the hell a Mongolian Blue Spot actually is:

Mongolian spots are very common in any part of the body of dark-skinned babies. They are flat, gray-blue in color (almost looking like a bruise), and can be small or large. They are caused by some pigment that didn't make it to the top layer when baby's skin was being formed.

People say that babies can test the patience of a saint, and just 3 weeks into this experience I can totally agree with this statement. I'm not saying that I am a 'Saint' but I do have a serious amount of patience (generally speaking). One problem I'm finding though is that babies are really good at making you feeling guilty when you experience a negative emotion towards them- not consciously of course... you can find yourself starting to feel angry towards them because they do some of the following:
- appear to cry without any good reason, and don't top crying,
- shit in their nappy the minute you put a clean one on them,
- pee all over you, and then crap in their newly changed nappy again,
- wake you from that precious hour of sleep you thought you just might get,
- stop you from being able to eat when you are hungry, or sleep when you are tired.
- turn you into an 'on-call zombie'.

So there have been moments when I think to myself, ok, I'm doing this for you now, but I'm going to get some compensation back from you in the future - such as 50% of your life-time salary, 25% of any big lottery win, or perhaps the ultimate revenge (see below):


Image result for new born funny parenting pictures


Then you have the flip side of things that just make you keep doing all these things that you don't like doing... because the baby has those moments of total and utter cuteness. They look up at you as if to say: " you are my world - so you have to help me" or "thanks dad, you are the perfect shape to sleep on". However if babies had a more developed form of communication I'm pretty sure they would be saying:


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So, 3 weeks in and despite living in a time vacuum around this little poo-bag / sound amplifier - my 'occupations' and the boundaries around personal disclosure, participation in social activities, division of family time and personal values have already changed substantially.

In my humble opinion the traditional Occupational Therapy Theories & Models that depicted finding a balance between Self-Care, Leisure & Productivity to maintain well-being do no apply to the guardians of a new-born baby.

If this was the Kawa River Model - I'd be somewhere in a big river, surrounded by rapids, perched on some driftwood with a paddle the size of a spoon... or looking something like this...
Image result for river and rapids cartoons

That's probably enough for now... as time has caught up with me....

Night from New Zealand
Dan