More Presents for Robert

After a small respite of warm weather on Sunday, the weather man predicts another cold front on the way. The forecast until Saturday is bad, and there is still no spring in sight.I got an SMS from my friend Jackie around noon today. Robert was asleep at the time, so it was one of these rare occasions when I could come near my phone. Ron was at the gym, and I was catching up on my emails and blog. Jackie wanted to know whether she can come for a quick visit and I told her that this was a good time. We had a good chat over tea; I showed her the pictures of Robert from the hospital, and she told me about her new job which she was due to start on the 17th of this month. It was a good opportunity to catch up on news and gossip, as we haven’t engaged in our girls-only chats for a long time. Jackie also brought Robert some presents from her mother, nice rompers for summer, and his first noisy truck, which I suspect will become an annoying background noise sometime in the future.

One of my milestones for today was going to the Supermarket for the first time since I had Robert. Armed with my cell phone, I left the apartment during his nap, and went straight to the shop, zipping quickly through the aisles, to return exactly half an hour later. In addition to the regular staple foods, I managed to buy steaks for dinner and some sweets- a couple of chocolate coated oatmeal bars, and a small carrot cake.

Back at home I had a shower and removed the plaster tape around my incision. The incision was healing nicely on the outside edges, and the skin has knitted together well. However, the middle had shallow flaps, little open flaps in between the stitches. I was not impressed, because it seemed that I will be left with a tiny ridge of skin around the area. Ron commented that Dr. P. will definitely not qualify as a plastic surgeon. My belly was shrinking slowly but I still had to get used to its new shape; now I had an additional fold of fat right above the incision, as if the skin was stretched over a garden hose I wore around my hips. It is a small price though to pay for my little bundle of joy.

Robert was easy to work around today because he settled into a regular schedule of three-hour naps in between feedings of one hour each. He is slowly turning into a greedy feeder, and I am still dealing with the consequences of his hearty appetite on my sore breasts. However, it is a relief that he is over his hunger cry fits. He also went to bed promptly at dinner time, giving us the chance to have a peaceful dinner and enjoy tea afterward with carrot cake.

Onset of the baby blues

The day started as usual at 05:00 with the tea tray. At the hospital you get a choice of normal tea, rooibos (Red bush tea) or coffee. For the early mornings I just stuck with normal tea. I was hungry as usual. Last night’s dinner of Lasagne left a lot to be desired, and an empty gap in my stomach that had to be filled with a “black cat” chocolate and peanuts bar. This morning my stomach was growling, and I had to grab for the energy bar with my tea, even at this early hour. My hunger was probably due to my hours of wakefulness while nursing. Robert showed more interest in feeding, and I hoped this was going to be a good sign for his future eating habits. I still did not have proper milk, but according to what I read, it will come in on the third day postpartum, which is today.

Today was also the day when boredom with the hospital started to get to me. I was anxious to get out, go home to my own space. I missed Ron, and felt like a prisoner in my hospital room. My attempts at completing the baby jacket I was knitting were futile, there was rarely a moment of quiet peace in this place.

The nurses made their usual rounds, taking blood pressure and temperature, and asking about the bleeding. My gynaecologist showed up again to inspect his handiwork (my incision), and I told everyone that I was anxious to get out of here tomorrow. The lady from catering came in again to ask about the menu for tomorrow, and settled with me ordering only two meals, breakfast and lunch. At the time I figured they will have to chain me to the bed if they wanted me to stay until lunch. But the day hadn’t even begun to take a turn for the worse yet.

Sometime around 08:00 a nurse came into the room and asked me whether I asked for a private room, and when I said no, she informed me that I am going to have company. Suddenly I found myself having only half a room; the curtains were drawn around the other bed near the door and another woman was wheeled in. She was accompanied by her mother and husband or partner, the latter took over the armchair in the middle of the room and I was cut off from the door, this added significantly to my feeling of claustrophobia. I spent the rest of the time trying to distract myself from being an unwilling eavesdropper on conversations, and phone calls. And because of the new arrival I did not get a chance to have a full shower, and made do with a quick sponge bath instead.

When the nurse came with Robert for his first daytime feeding, she told me that they will do a show-bath today, to show me how to bathe baby. I told her it would be nice if we can do it when baby’s dad is also present, she obliged as there was no rush.

Ron showed up just before lunchtime. He had to make his way to me past the curtains and visitors of the other patient. He brightened my day somewhat when he handed me a little package of goodies. As if he knew my trials and tribulations with the hospital food, he had brought me slices of wood-fired pizza from our favourite takeaway, along with a big gold delicious apple. I started immediately to complain to him about the day’s breakfast which consisted of a minute muffin with a sample of jam and a teaspoon of grated cheese. I also announced the demise of my emergency rations. My good husband has really saved me with the pizza. We had our bites of pizza while feeding little Robert, and trying to maintain our privacy from the next patient and her visitors. This day was going to be hard for me I thought and Ron agreed.

Robert was almost done with his meal, when the paediatrician showed up. Ron pointed out to him a largish red spot on the little one’s head. It is a stork-bite, the paediatrician said, and it should go away by itself. These types of spots are common in newborns, and they appear anywhere on the body but especially on the head and around the eyelids (those are called angel kisses), they are immature small veins that eventually fade as the baby grows. I asked him about the baby’s frequent sneezes, and he said that it is also a normal reflex, and baby’s only method of clearing his nose. The spots on his face are also normal and no reason for worry, as well as the little yellowish discharge from his left eye. He said that the eye should clear by itself, once the tear ducts are open. He would only prescribe antibiotic drops if there is a sign of infection such as redness, and swelling of the eye. It was good to know that Robert was perfectly normal, especially that today he has this operation to look forward to. The paediatrician said that he will check on him sometime this afternoon after the circumcision.

Lunchtime came and went; they served Chicken a la king with grated carrot salad with raisins. I found the salad interesting because it was dressed with orange instead of lemon juice. Ron shared a few bites of lunch with me, and then the coffee after lunch. It was the first time I had coffee at the hospital, and I must say that it tasted suspiciously like our famous brand of coffee-chicory blend.

We were informed that Dr. K. was running a late with a series of other circumcisions. Apparently he also has a number of cases that come into his practice as outpatients. Ron and I decided to go ahead to the nursery and take a look at the baby bath.
We wheeled Robert’s crib into the nursery. I should mention here that the nursery cribs all look like clear plastic tubs that are lined with mattresses, and they actually double up as bathtubs for babies. The bottom part of the trolley is full of baby stuff: Diapers, lotions, rubbing alcohol, Vaseline, cotton, cleanser, baby powder, a small changing mat and even a baby bag. All these things are given to parents when the baby is discharged from the nursery. There are no clothing items in the bag of goodies, but there are two cotton hats that will come in very handy to us. One of those hats is the little white hat Robert wore a few minutes after his birth.

The motherly nurse who bathed baby was very sweet, when Robert cried protesting at being stripped naked, she spoke to him soothingly: “Oh, we know it is cold, but we are going to give you a very nice bath… Don’t worry”. The bathing demonstration was very slow and deliberate for the benefit of the ignoramus parents (in this case myself and Ron – although Ron might have some edge on me in experience). First washing the eyes and ears, then the head, and lastly dipping baby’s body in the warm water. Robert was very slippery to the touch and trying to hold him was quite difficult, I don’t know how I would manage this at home.

By the time we finished the demonstration it was past two in the afternoon, Robert was fed, clean and very happy, and still no sign of Dr. K. Ron and I decided to leave Robert in the nursery and go for a walk. We walked around the terraces, looked over at Table Mountain on one side of the ward, then over to the terrace of the adjacent wing overlooking the city bowl. We talked about the wonder of being parents, and I had tears in my eyes when I spoke of my growing love for the little one. I think both Ron and I were still in awe. When we went back to the maternity ward there was still no sign of Dr. K, so we walked down to the ground floor and to the wings where the doctor rooms are located. On our way back we were told by one of the staff that Dr. K was looking for us, and we had to hurry up the steps to the maternity ward on the third floor.

Dr. K was waiting in the nursery, where he was going to perform the operation. He showed us the instrument he was going to use, a cylindrical widget around which the foreskin would be pulled and clamped. He also showed another medieval-looking instrument he called the Jewish harp; a blade which looks like the instrument, and has a vertical notch right down its centre. He said that it is used in the ritual Jewish circumcision. I did not take much of that in; I was beginning to get worried and fearful about the whole thing. It looked like this is going to hurt my baby, and hurt him bad. Ron had many questions to ask and seemed satisfied with the answers. Dr. K. was matter of fact about the whole thing, he said that circumcision is performed routinely in North America (80% of males are circumcised if you can believe him) and there are many arguments for it, and probably just as many against it. But in the end it is a cosmetic operation, I now tend to agree with this last statement.

Everything was finally ready. And after making sure he had the sterile pack he was going to use (there was lots of confusion about the number of sterile instrument packs he used today), Dr K. and Sister T took positions by the crib. Dr. K asked us to leave him to it and have a cup of coffee or something while he finishes. He said that it is highly emotional for parents to watch the operation. He had done only one operation in the presence of the parents and it put him under so much pressure that he would never do it again. I was running to the door myself, but Ron needed this final argument to be convinced.

We went out again toward the terraces. My melancholy increased tenfold; I was on the verge of tears and I could not understand why. I hoped that I was doing the right thing for my son. I don’t know how much time we spent outside, it was another sunny day, but I had no eyes for the beautiful weather. We went back to my room and waited, and soon enough Dr. K. showed up. He said all went well, and that Robert was good. He gave us some advice about caring for the circumcised penis. We should keep sterile gauze and Vaseline around it until it heals. No washing with water before the wound completely heals. Do you want this? He asked and showed a piece of bloody tissue wrapped in plastic and gauze. At the sight I think Ron and I both blanched. It was a little piece of human flesh, a little piece of our baby, and it was bloodied. Ron said later that seeing it made him realise that the operation is more barbaric than it is made out to be. Dr. K said that Muslim parents bury the piece of foreskin; I simply wanted it out of my sight. I wanted to forget about it.
We went to see to little Robert in the nursery, he did not look to bad, although we did not have the heart to look at his parts, yet.

Ron left shortly after that and the full measure of my desolation kicked in. I walked again to the terrace overlooking Table Mountain and bawled my eyes out. Sister T met me as I was walking back into the lobby; she asked whether I was okay. I started babbling something about how much I love my baby and how much it hurt me to cause him pain. Tears flowed like a waterfall, while the kindly woman just held me and let me cry on her shoulder for a minute. You have got the blues, she said. It is all your hormones coming back and it is hard, I know it, I have been there. It took me a couple of minute to realise that I had to get a grip. I will be okay, I said. I just need a breath of fresh air, and I will be fine. It is okay, she said, you needed to let it go, but if you still feel sad and depressed let us no, we do not want you to go into post-natal depression. At the mention of the word “depression” my back stiffened, and I thought, no way, I won’t let myself sink into THAT! I walked outside took deep a few deep breaths of spring air, and decided that the worst was over, for me and for Robert. There was no point in moping; I needed to focus on the future. I am a very lucky woman; lucky to have a beautiful healthy child and a wonderful husband. My family has a wonderful future ahead, and I should only be grateful. With that in mind I walked back to the ward, past the same nurses who eyed me warily after my emotional outburst, but I responded with a smile and announced that I was feeling much better.

In my now divided room I sat a little on the bed and read in my baby book. The Paediatrician came and assured me that Robert is okay. His penis looks fine, he said, and he is now asleep. He had prescribed some Panado drops for him should he be in pain later today. I told him that I took a little bit of strain on my son’s behalf; he must have seen that, because my eyes looked awfully red and puffy.

In the end Robert behaved better than I did and woke up promptly for feeding in the early evening. He was nodding off to sleep in his bassinet when the visitors for the woman in the next bed started arriving. First it was the mother and the partner whom I saw earlier today, and then there were other family members and friends. Soon enough the room was full and people were starting to drift over towards my side of the room. Little eyes peered at me from behind the drawn curtains. After some time I found that I could not handle it anymore, my senses were bruised enough as it is today, and I did not think I should stay in this hubbub any longer. The next door festivities were evolving into a full-fledged oriental bazaar – or so it sounded to me at the time.

I wheeled out Rob’s bassinet between the jostling crowds of visitor and headed towards the nursery. I don’t think I was very coherent when I tried to explain my predicament to the nursery staff. One nurse thought it strange that I am bringing the baby back to the nursery while family is visiting, and I had to explain to her time and again that it was not my family who is visiting, but that of my roommate. Once however they looked across towards the corridor they immediately understood as the visitors have already spilled into the hallway and were queuing to view the newborn baby-girl. In the end, I was given a chair in front of the television, and one of the nurses switched the channel to some entertainment program. In my state of mind though I could not care less what was on. I just nodded off in the armchair in front of the television. When I got up half an hour later I was happy to find out that visiting hours were over.

I returned to the room alone as Robert was still sleeping, and was greeted back by my roommate, who apologized for the number of her visitors. I told her that of course she could not help that she comes from a big family who came from all over the peninsula to congratulate her on her first child. In truth, the woman was alright, and kept to herself for the rest of the night, nursing her child and her various aches and pains (she was also a c-section case). The rest of the night was quiet, punctuated only by the muted sounds of the television, which I could hear from her headphones, and her quiet conversations on the cell phone with the father of her baby and other relatives.

The only entertainment that I had to look forward to was dinner, which was waiting for me forlornly on the bed tray; A single baked potato with cheese and some nondescript salad. I was glad I still had the big apple Ron brought me this morning, which I devoured immediately. I was ripe and ready to go home.

During this evening, my milk came in. My breasts were engorged and sore and I waited for the breastfeeding sessions more anxiously than ever. Robert’s enthusiastic nursing relieved some of the pain and I spent most of the night going hot and cold with the onrush of milk. The nurses however assured me that this was normal, and all I had to do was wait for the supply to diminish gradually and become more or less equal to the demand.

D-Day




The day before Robert arrived was a Sunday, and my day off work. I joked with my colleagues that it will be my last day off before I start my new job for life. Surely, this is no joke, it is a reality.
We went out for breakfast to a restaurant on Kloof Street in town, and Ron said that we could have almost done the breakfast thing on Monday, since Arnold’s is so close to Cape Town Medi-Clinic.
Sunday was a spring day, the kind of Cape Town day where you cannot very well decide whether to keep the sweater on and off. The setting though was perfect, breakfast with a view of Table Mountain. I had two very nice Cappuccinos, along with a breakfast of egg and sausage while Ron treated himself to a savoury croissant with brie and peppadew (a small very sweet red pepper that is used often as a piquant condiment here in South Africa). After breakfast we went on to the V&A Waterfront where we just strolled around the harbour, and then browsed at the bookshop. I wondered briefly whether I will ever be able to leisurely shop for books again, Ron suggested that I start buying kiddies books. I thought it would be hard to buy a book now for a child we haven’t met yet.

The afternoon we spent at home, Ron read the Sunday paper while I tried to complete my knitting of baby’s jacket, in white and blue. No pinks for this baby even if it is a girl. At the end of the day I washed my hair and went to bed, even on this momentous night, my last night with baby in the tummy, I slept reasonably well. By morning the hole on my side of the bed was its usual size and shape, and we crawled (baby and I) out of bed for our morning walk. It is quite surreal to know that this is it… And the next time we hit the promenade we will have baby with us in the carrier or the buggy.
Ron bought the newspaper for the day, to save for baby. It is a family tradition he learned from his late father I think.
Baby will wonder in later year about the strange news in his birthday paper, the most sensational stuff is usually some or other corrupt politician. Under the spotlight at this time is our Health Minister, famous for her revolutionary ideas in the treatment of HIV AIDS (the use of beetroot, garlic and African potatoes instead of the anti retrovirals- for which she earned her nickname Dr. Beetroot). This time she is accused of Alcoholism and kleptomania to add to her other many virtues.

I was due to arrive in hospital at 12:30 and my operation was scheduled for 14:30.
I prepared myself a hearty breakfast of oats and yoghurt, since god knows when I will be eating again. After my shower I insisted on taking a pose in front of Ron’s camera for my official preggie belly pictures. I went for the beach look and luckily the sun obliged.
Registering at the hospital went quickly enough and a porter carried my hospital overnight bag and escorted us into the maternity ward, I was assigned bed H21. I had a general ward room with two beds, but at the time I was its only occupant. Chains and jewellery off; track suit pants and vest off; on with the surgical gown, a ridiculously small thing, its fastenings keep a huge portion of the back visible. I kind of wondered how a hefty person would ever fit into this sort of thing.
I was ready, and then there was the indefinite wait… nobody tells us anything, we just stay put in the room, watching people come in with new linen and towels. One of the catering staff came to ask me for my menu choices for tomorrow, so many irrelevant decisions to make: tea or coffee, veggies or salad. Which meal would Ron like to share with me? She asked. The choice looked better for lunch tomorrow (steak rather than fish), and besides I thought hospital dinner wouldn’t be enough pickings to stick to Ron’s ribs. The time 14:30 comes and passes.
But suddenly things start to move quickly, a nurse comes into the room and asks me to lie on the bed and the whole bed is wheeled out of the room and into the theatre elevator. Once we reach the theatre level, I am wheeled into a preparation area, while Ron is whisked away somewhere to be ‘prepared’ in his surgical outfit. The time is closer to three than two thirty.
In the preparation area I see a middle aged woman sitting in wheelchair, looked like she was also waiting for some surgical procedure.
Ron shows up in a green hospital scrub, boy I must admit he looked good in the outfit, I wanted to take his picture, but never got around to it.
Someone comes into the room and asks: “which of you is having the baby?” the older woman smiles and says: “not me, I had my time”.
A grey-haired surgeon peers over my head; he looks familiar, with kindly brown eyes and Middle Eastern features. I would have guessed him to be of Greek origin.
He introduces himself as the anaesthetist, the guy who is going to help me experience the delivery without feeling the pain. At some other point my Gynaecologist arrives, and introduces me to his wife Lynn who will assist him. I knew she was a doctor, but I never thought she took part in surgeries! There was also the Paediatrician, a man with clean and innocent looking features, and a soft voice. Babies must love that I think to myself. The last person I remember from the crowd, is a heavy-set nurse with round glasses, she is the recovery nurse she says.
Later Ron would say that there were at least seven other people hovering in the background and attending to different parts of the process.

My friend Britt who has two daughters, both born by c-section, described the procedure to me at length and I also read about it. But watching a movie or hearing a second hand account is never the same as the actual experience.
According to the literature I read: A long needle is inserted into the spine and kept there to administer medication that will numb the uterus and lower body within ten minutes, enabling the obstetrician to make the incision of the c-section, take baby out, clean out the whole uterus and close it up with very little discomfort to the mother.
I am only supposed to feel a sensation of tugging to the skin, and rummaging through the innards.
Only some of this went as I expected. My hospital bed was brought alongside the operating table, and I was helped to move to the operating surface. The recovery nurse must have been the one who hooked me up to the drip and the various beeping and bleeping instruments, she keeps me facing her and looking into her eyes while the anaesthetist jabs the long needle into my back. Ron is watching him do this, it seems to me that he tries several times before he finally gets what he wanted. I do have some sensation, very much like a needle jab.
The anaesthetist explains to me that I am going to feel heat in my legs, and he is right. heat flashes run down my legs, very strange. At the same time I think I get a catheter inserted, which I do not feel, much. Obstetrician and anaesthetist start pouring many types of liquids over my lower body and legs while asking me whether this or that feels cold, testing my sensation of the area I assume, and doing something else as well in the meantime, who knows what.
My surgery gown is yanked up over a bar mounted above the operating table at a level near my chest, this is the screen that I read about in medical literature, to prevent me from peeking while my insides are poked, I think to myself.
Many more questions from the doctor and the anaesthetists, yes I do still have some sensation, but I am not quite sure what they are doing. To me it still feels like pouring drops of water. Another sensation follows; the anaesthetist asks whether I felt him pinching me, I did, but he said he pinched quite hard, what I felt was not exactly painful.
Ten minutes must have passed already, the obstetrician and his wife are right in position and I hear something. Ron asks whether I feel ‘unzipped’ it sounds and feels like somebody ripping two pieces of cloth apart at the seams, but it is not really painful. I have no idea what is happening, the next thing I feel is tugging, and it does hurt, it is like somebody pulling at my outer skin quite hard. I start to feel faint and the beeps of the instruments take a threatening dimension in my head. This must be my heart monitor I register in panic, I am going to pass out. The anaesthetist hovers above me, are you okay, he says, I am giving you some oxygen. A small clear mask is pulled over my nose and I breathe, the faintness and nausea are kept at bay. I hear Ron’s voice saying something, but the action has suddenly moved away from me. They show me a little grease-covered infant over the screen, definitely a boy as I felt all along. The sight of him takes the edge off my panic for a second, but I am still struggling at the brink of consciousness. The bleeps are going erratically fast then slow again, people around me are moving at a frantic pace, and I have no clue whether this is normal, or the prelude to disaster.
The next thing I hear is the soft voice of the paediatrician, as he hands me a bundle wrapped in a towel, a small face peers at me under a white hat. “Here is your Son” the man says, and I feel like I am in some kind of a dream. The clock in the theatre shows around 15:20.
This must have been happening while my doctor and his wife were still putting me together, but I do not remember any more pain.
The experience I relate here is part recollection and part reconstruction from the excellent pictures Ron took. Knowing that he was there was a great comfort to me, and I do appreciate how strong he is.

What happens next is exactly by the book, I got to hold little Robert while in recovery and then I was wheeled up to the room. At this point I was ‘paralyzed’ from the waist down, and while I inched myself to the operating table by my own strength, I was hefted by the anaesthetist and the recovery nurse from back to the bed.
Pain would come in later, but it was only a minor detail. The focus was now on Robert, getting to look at him, learning to nurse him in my incapacitated state, and trying to get to grips with a whole new reality. I have become a mother to this tiny little infant. At around seven or eight in the evening I decided to ask for something to eat, I was not hungry, but I thought the last time I ate was twelve hours ago, and the food I though would keep me occupied for some time and take my mind of the nagging pains. When it came dinner turned out to be a slim slice of bland fish, with two teaspoons of rice and some type of non-descript salad I can hardly remember. Three days in this place and I will starve to death, I thought to myself.

I do not remember a lot about this first night, but I know I drank a lot of water. I must have asked for two jugs of water during the night.
Hardly any sleep with people coming in and out every so often, checking the drip, the catheter bag, blood pressure and temperature.
At regular intervals I kept hearing this beep, and every time it happened my feeling-less leg would stiffen. It took me some time to realize that I had been put on automatic blood pressure monitoring. Every hour or so the monitor would start up and tighten the blood pressure cuff around my ankle. The nurses came in at regular intervals to check the measures, and at some point woke me up to ask whether I am okay (no joking).
Throughout the night they brought Robert to me from the nursery at least twice, pain medication kept me drowsy, and the sensation slowly started to return gradually to my legs. I remember at some point concentrating very hard and looking at the legs to make them move. Early in the next morning though I was able to pull my knee up and extend the leg again.