Filed under: The Baby Diaries | Tags: airline travel, American doctors, antibiotics for infants, baby illness, coach class, ear infection, Ernest Hemingway, French doctors, health, travel with infants
Never go on trips with anyone you do not love. Ernest Hemingway
When my boy turned six months old we decided that he was old enough to make the big trip to the west coast of the USA for a visit with my family. Life a good Frenchwoman, I utilised the healthcare services before leaving: I took my boy to the doctor to confirm everything was okay, particularly the ears, I have problems with my ears, too; got a few ‘in case’ prescriptions, then went to the chemist and bought saline solution for the boy’s nose, Doliprane for any pain or fever, cortisone cream for any skin irritations, and his regular creams and soaps. Luckily, my husband went to the US with me. I could not have done this trip alone.
Before boarding the plane in Geneva, we cleared the boy’s nose and gave him Paracetimal to help him relax. When the plane descended, I nursed him to help prevent pain in his ears from altitude pressure changes. It was the long-haul flight out of London that was rough. In the first instance, the airline provides either a cot or a little seat for the baby to have on take off and landing. Our boy was too big for the cot and the seat made him sit up and therefore not get comfortable for sleep. All around us babies and toddlers slept, but not our boy. By the end of ten hours, he was fussy and folks on the airplane kept giving us dirty looks as though we were pinching him. By the 12th hour of flying, I was about ready to pull my hair out.
Shortly after arriving in the US and settling into my family home, the boy came down with a fever. He was listless, hot, and clung to me as a baby monkey clings to its mother. We decided to visit a doctor and were only able to see a paediatrician because my nephew has been going to him for ten years and recommended us to him (really). The doctor told us that our boy had had an ear infection before the flight (?), which had worsened during the flight, now necessitating a ten-day round of antibiotics. We followed his instructions. Ten days later, my boy was not much better and we only had another few days before making the flight back to France. Should we cancel? We booked another appointment with the paediatrician who advised that he be given a strong dose of antibiotics shot into each of his little thighs.
The hardest thing for me was that I had gone to the doctor’s office without my mother and without my husband The doctor told me that, as the next level of antibiotic, an injected antibiotic, would be very strong, it would be best if I stayed at his office under supervision for an hour to make sure that there is not an epileptic fit, seizure, or heart attack (?!). I was terrified. I desperately tried to call my husband at my mother’s to consult him, but he was not picking up. I then tried to get my mother’s attention in the car outside where she sat waiting for us to leave, in order to get some advice and encouragement, but the doors to the clinic were closed and she did not see or hear me. I made the decision alone to do it. The two nurses came into the room while he was laying calmly on his back with his little legs in the air. They put on blue plastic gloves and held up the shots. At this moment, he realised something was wrong. They simultaneously gave him the injections in each of his little thighs and he began screaming. Afterwards, I took him to my breast in order to nurse him and calm him down. It was the very first time he bit me, which hurt and caused me to cry out, but I figured it was fair. I sat worried and alone with my little person that whole hour, wondering whether I’d done the right thing. Worried that his body would reject it. Worried that his ears would not be better for the flight back and he’d be in so much pain or he’d go deaf.
The flight back was gruesome. He did not sleep, and I was in a chair that had a broken armrest and video. But we got back to France. My boy did not go deaf. The infection was cured. The French doctors told me that it was best to have given him the injections, that it was not the Americans’ being overzealous about the administration of antibiotics.
It will be a year before I make that trip again.
Filed under: The Baby Diaries | Tags: baby, birth, Chamonix, Erma Bombeck, France health, French Alps, healthcare, infant care, midwife, midwives, sage femme, sage femmes, womb
Never go to a doctor whose office plants have died. Erma Bombeck
The sage-femmes (mid-wives) at the hospital were great. Through them, I learned to nurse and to bathe my child, as well as to take his temperature. They were also the ones who would come and relieve me, or check on us during the night, making me feel that my baby boy and I were tended to.
But the sage-femme assigned to me by the obstetrician for pre-and-post-birth care was useless. Before my boy was born my husband and I went into her office, and sitting before her little desk, waited for several moments to see what she would do because we had no idea what we were to do. She didn’t say a word. Finally, we asked some tentative questions about the care in the hospital that we should expect, which had already been answered by my good doctor, but we wanted to be polite. She would answer them as an adolescent might, with as few words as possible and giving no opportunity for elaboration. It was a struggle and that 15-minute appointment seemed to last an hour.
Post birth, however, one is meant to go to the sage-femme for ten visits in order to properly recuperate. It’s actually prescribed by the paediatrician at the hospital before you leave, and the l’Assurance Medicale, the health bureau, reimburses you for the visits 100%. This is a very good and holistic approach to the birthing process that I highly commend about the French system in theory, but I’ve gone to this sage femme a few times now, and I still find it useless. On one such visit she put a long towel, sheet type-of-thing around my lower back and near my pelvis, and pulled it tightly around the area. I asked what this was for and she told me it would help ‘reshape’ my womb. On another visit, she pulled out an appliance that looked like a combination between an electric razor and a vibrator and proceeded to put it into my vagina. I asked her what this was for and she told me that it sent out electrical currents that would help ‘reshape’ my vagina and womb. On another visit she had me practice getting down and up off of the floor and doing sit ups. I’d ask her questions that I thought she might know that were relevant to me, such as about the blood blisters on the breasts, and the left breast’s drying up, and the lack of sleep, and doctor’s visits, and she was not able to provide any answers. She doesn’t have children. I could be her mother. Oh! I did find the visit in which she took out the stitches from my caesarean very useful.
Perhaps finding a good sage femme is akin to finding a good psychologist? This is very American of me, the land of people who seek to discuss their problems (and why not? I think the world would be a better place if one could unload all their worries and problems on a person they paid to listen to them and to keep quiet about it all, and who then eliminated the need to unload on your friends and family). Anyway. Perhaps it’s like a psychologist in the sense that if you get a bad one, an incompetent one, then it will turn you off of ever going again to one. I would have stopped going to this sage femme, but at the end of every visit I had with her I felt bullied into making the next appointment, so I would make one in order to get out of the room. After several visits, I decided I didn’t want to go anymore and tried to tell her that it just wasn’t ‘my cup of tea’ and it ‘doesn’t seem to be working for me,’ and I don’t want her to ‘waste’ her time on me anymore. She gave me an angry lecture on how irresponsible I am being to my body by giving up the visits before they’re over! I listened to her quietly, and then suggested we call it ten visits, as prescribed, submit it to the relevant authorities for her to be reimbursed, and I’ll give her the co-pay in cash. To her credit, she immediately agreed.
As much as I’ve appreciated other medical care in France, I’ve found my sage femme visits the least helpful. I will presume that she is an anomaly.
Filed under: The Baby Diaries | Tags: babies, baby, baby health, carte vitale, Chamonix, French Alps, French doctors, health in France, healthcare, healthcare in France, infant care, l'Assurance Maladie, Mark Twain
The only way to keep your health is to eat what you don’t want, drink what you don’t like, and do what you’d rather not. Mark Twain
Today I went to the doctor with my boy for a check-up and we had an interesting conversation. She is a ‘stand-in’ for our regular doctor. Originally from Marseille, she loves the mountains and her husband works for the mountain rescue. Normally, she does research on frostbite for a national study and she’s also six months pregnant (and looks great. Unlike the bulk I was, and remain – I’m still wearing my maternity clothes!).
After she’d checked my boy’s weight, vitals, and head circumference, etc., we got to chatting about life in Southern France (I hold onto the idea that I will live there one day, put perhaps it won’t be until I’m in my 50’s, like Colette). From there, we began talking about the state of French industry. Recently, France has lost two manufacturing company contracts, which were employing/would employ thousands of workers because of inefficiency and the demand for guaranteed lifetime contracts, respectively. After that, we segued into the dire state of the French healthcare system. I’m a great admirer of their system – a winning combination of socialist and capitalist care – and I’ve been the grateful recipient of many medical services in France. Nonetheless, I am aware the system is bankrupt. That it has been so for thirty years. It seems to me that to raise the cost of doctor’s visits, hospital stays, and long term care, SLIGHTLY, would help the system immeasurably. It may even save it. Aren’t the French meant to be collectively oriented? Why isn’t this happening?
What she told me was surprising. Particularly from a French person. She said that the French complain about the 23e or 28e they must pay for each doctor’s visit, which is the amount one pays before being partially reimbursed. In reality, only about 10e per visit goes to the doctor. Unlike their American counterparts, for example, doctors here are not getting rich through their vocation. She told me that when the doctor is unable to process a Carte Vitale (one’s personal health card which is registered with the health authorities, is run through a machine at the chemist, the hospital, by doctors at every visit, and then is automatically reimbursed for a given treatment) and must give them a brown form to fill out and send to the l’Assurance Maladie (health office) for reimbursement, instead, the French patients complain about having to pay for the price of a stamp in sending the form in for reimbursement.
She is very pessimistic that anything will change in France, despite the dire state of affairs within the medical arena and the economic problems for the country as a whole. She believes that in general, the French believe that they are “entitled.” They do not care whence their rebates, subsidies, incentives, reimbursements, and retirement plans come from, only that they receive them and pay as little toward them as is possible. She believes that short of a huge philosophical shift in thinking, which is not likely to happen as the general population in France refuses to accept that there is a problem that requires everyone to adapt, the French medical and economic systems are doomed. I want to believe this is not so.
Filed under: The Baby Diaries | Tags: accompagnateur, assistante maternelle, babies, Chamonix, creche, existential struggle, exotic, famille garder, France, motherhood, mountain leader, nanny, nursery, P.J. O'Rourke, toddler
Everybody knows how to raise children, except the people who have them.
P.J. O’Rourke
I took my baby boy to the lovely Welsh assistante maternelle today. She’s still undecided about whether she’ll return to being an assistante maternelle after the last three years in which she’s spent under the famille garder while raising her young son. Even so, she’s kindly agreed to watch my boy for a few hours a day, a few days each week, while my husband is away working as an accompagnateur, and I’m grateful.
So today I dropped him off at hers for the first time, went home to write, and attempted to have something to eat at a leisurely pace. But all I could think about was how I really am a different person now that I’ve had my baby boy and this unsettles me. I feel as though I’m more emotionally tender, and consequently more vulnerable than I’ve ever been in my entire life. A little person depends deeply on me now and I am completely responsible for him. I realise, now, that my life has been relatively carefree thus far. I’ve cared about jobs, work, boyfriends, husbands, sure, but ultimately I’ve always been free to do as I wish. To go out to a dinner at midnight. To sleep till 10am. To miss the last train and take the night bus home or stay with friends. To travel to exotic places with my only concern being to get the correct inoculations beforehand. To leave a job or a place or a man because I’m unhappy. To do most personal things on an impromptu basis. To do most things selfishly.
I’d been so cavalier before having my boy about putting him into care as soon as it was possible so I could resume my professional interests. I was so cavalier about taking him with me on travels to places I want to visit and revisit in the second and third worlds. But now that he is in day care and not with me, I find myself feeling nervous, agitated, and I have an enormous, nebulous sense of guilt. As for traveling to obscure locales with him, I think ‘No way!’ I suddenly fear excessive heat, uncomfortable lodgings, bad water, food poisoning, malaria, typhoid and hepatitis!
I’m not the easy-going mother I’d hoped to be, taking my child everywhere with me and not particularly concerned about dangers, and more carefree. I fear I am conventional. That said, maybe things will change with time as he ages and becomes less vulnerable? Although, from what I hear from my elders, one’s child never really seems grown-up even when they are. Maybe as I learn to trust that my boy is happy in care, or at least not unhappy, I will be able to relax and concentrate on other things. Maybe with time I’ll better remember warm days and nights, exotic food, and the stars of the Southern Hemisphere, rather than its heat, poverty, and potential for bad stomachs.
Filed under: The Baby Diaries | Tags: assistante maternelle, baby care, child care, creche, feminism, France, French, infant care, nanny, Paje, W.C. Fields
I like children – fried. W.C. Fields
It may be difficult to get a place in the crèche for your child, but it’s even harder to find an assistante maternelle, literally translated as a mother’s assistant, or nanny.
The way the assistante maternelle system works is that she can take from one to three children between the ages of one and three into her home for childcare. At three, the child will ostensibly go to the local ‘maternelle,’ or public nursery school. The assistante maternelle is a person who has been certified and registered by the government to tend to children. The cost of an assistante maternelle is generally about six to ten times more expensive than a place in the local crèche. Being rather enlightened in the way of childcare, however, the French government subsidises the expense of an assistante maternelle for those who pay their taxes. At the end of each month, the employer of the assistante maternelle (that’s the parent of a given child) registers all of the hours, days and ‘indemnities’ the assistante maternelle has charged, on an online system for the entity Paje.fr (the entity that takes care of the subsidies). Shortly thereafter, the Paje partially reimburses the employer based on their taxable earnings and the cost of the given assistante maternelle.
The tricky bit is to find an assistante maternelle. There are ‘x’ amounts of them in a given area, and it is likely that a given child will be in the care of a given assistante maternelle from infancy until they are able to go to the local school. Because the law states an assistante maternelle can only have a few children being cared for in their home at a given time, there is little movement and timing is everything. My husband and I went down to the mairie (mayor’s office) and asked for a list of the registered assistante maternelles in the area. There were about 40. We then marked the nearest to us and called each of them to enquire about a spot for our son in the autumn. Not one had a place. We ended up calling every single assistante maternelle on the list – near and far- and only one had a space available in the autumn or, indeed, at any time over the next year. We went over to her house to meet her. She was French and nice enough, very patient with us as she explained her hours, her holidays, her rights and the time in which one must drop off and collect one’s child. Unlike the stereotype that French women are fit and slender, this one was rather heavy set. I noticed that there was a deep fryer on the counter, which probably meant lots of fatty foods. The assistante maternelle’s husband came in while we were there and he greeted my husband but did not meet my eyes or acknowledge me. I am a mere woman. Later, my husband and I discussed it and to be honest, we didn’t feel the house was very comfortable, and we both felt a little bad that our boy might spend days on end there, but we didn’t know what else was available or what the French households are really like, and we have to work sometimes without our boy and we can’t afford a private nanny. In the end, we rationalised that we liked that the household was French because it would be good for our baby’s assimilation into the culture…and perhaps in a year a place in the crèche would open up? Ultimately, ‘beggars can’t be choosers.’
Or can they? It turns out that there is a woman in my book club who was an assistante maternalle. She’s Welsh and married to a Frenchman who is a fourth generation local. She’s taken three years out to tend to her youngest child, utilising the French system of famille garder, which is a very civilised scheme that allows a woman who has worked and paid her taxes to take up to three years off of work after having a baby and still receive monies from the government. Apparently, her son will be going to school in the autumn and she may then resume her assistante maternelle activities. We phoned her and set up a meeting at her house. She has two little boys, a friendly three-legged dog, chickens, a huge garden, and the parents, grandparents, and cousins all live on plots neighbouring her house and land. She cooks from the garden, believes in organic food and creative compositions, and she speaks both English and French fluently…which is a help, to be honest, as we can then discuss in nitty gritty detail, what happens with our child each day…she’s not sure that she will resume her previous profession, but she’s thinking about it and we’re to contact her shortly. Oh dear, I hope that she decides to return to being an assistante maternalle and, moreover, that she decides to accept our little boy. I know everyone would be happy with that placement…I’ll cross my fingers and hope for the best…
Filed under: The Baby Diaries
Abstainer: a weak person who yields to the temptation of denying himself a pleasure. Ambrose Bierce
I thought it’d be too scary to be left alone with my baby boy when my husband went off to work in the mountains for the first time this season, so my best friend from London came over. Over the course of her visit, she’s encouraged me to be myself and to enjoy the baby, relax, and not to hover over him!
As a further lesson in interdependent autonomy, we went and spent the afternoon at the local Lac Passy as soon as my husband returned home. Initially, I was anxious about leaving the boy with him, but E reminded me that my husband is “the second best person” in the world to look after the baby and to relax. Certainly, the clear, cool waters of the mountain lake on a hot day, the Alps reflected on the lake’s surface, encourages one to be ‘present’ and to enjoy the sensory sensations. After that first day, the two of us took to swimming in the lake each afternoon before the thunderstorms would arrive, which also allowed for a leisurely morning and ‘midi.’ After a few hours at the lake (I can only depart from my boy for 3-4 hours as my breasts will burst!), I feel rejuvenated, sane, clear, and more able to tend to the many constant needs of a newborn with good humour, patience, and tenderness. I have decided that I will definitely put my boy into the hands of a nanny for a few hours a day while my husband is frequently away this summer. It’s not, perhaps, what many women do so early in their child’s life…in fact, I’ve been told by a couple of mothers when I’ve asked them if they ever need time away from their babies, that they actually want to spend time with their babies, implying that I do not… this has hurt me because its prompted me to feel as though I am somehow failing as a mother because I do not want to spend 24 hours a day with my child, and because I do need to be on my own sometimes, and yet I do love my baby boy so very much…Ultimately, however, I have decided that what works for one does not work for all, and for me a little time to myself is the best thing to help make me happy, which will, in turn, help make my boy happy…(now just to find a good nanny!)
I cried when E left. I feel bereft of camaraderie and understanding. I stood outside with the boy in the crook of my left arm, stupidly waving as her transfer van disappeared down the dirt road, then I looked down at my gorgeous wee one and said, “It looks like it’s just you and me, kid.”
Filed under: The Baby Diaries | Tags: baby in France, Chamonix, French Alps, French babies, Geneva, happy mothers, hovering mothers, infant, motherhood, newborn
It’s the friends you can call up at 4am that matter. Marlene Dietrich
My close friend of 20 years has come over from London to help me with the baby while my husband is off to work as an accompagnateur en montagne for the first time this summer season. E was a highly paid nanny for many years, working for an illustrious broadcaster and a journalist, respectively, before moving to another profession. Shortly after arriving at my door via transfer from Geneva, she exclaimed that she’d expected me to look like the crazy cat woman from The Simpsons, but was relieved to discover me showered, dressed, and composed. She told me that as she’d been traveling from the airport, gazing out the window of the van, she’d kept noting it was ‘gorgeous, gorgeous scenery, yet completely not Victoria’s natural habitat.’ C’est vrai, mais je dois etre ici pour maintenant.
E happily cooed and exclaimed over my ‘beautiful, beautiful’ boy, and he immediately took to her with her large bosom and animated face. We went out for lunch and a walk, which is a mission with an infant in tow because one must bring every conceivable item one might need for an excursion. Lunch was a good catch up. E made me laugh by not even attempting to speak French with the waiters, instead, she irreverently mimed her needs, such as putting her hands to her lips and making the noise ‘num, num, num, num’ to indicate she wanted to eat. I work so hard to be polite to the French, aware of their disdain for the outsider, and am often met with blank or disdainful looks for my efforts. When I began breastfeeding the boy at the table, E quickly raised my scarf to shield the world from my breast, which she declared is like a woman in National Geographic: “Jesus H Victoria! The size of that nipple! It’s the size of my little finger! Good grief woman, cover that up, you’ll cause a traffic accident!’ That said, she stopped nursing her own boy when he started giving her (what she thinks were) lascivious looks. After lunch and during our walk, my boy pooped three times. I worried we’d run out of nappies and wipes and have to wipe his bottom on the grass, or dip it in one of the basins provided in the countryside for the animals to drink from.
Over the course of her stay, E has been most useful as a sounding board for my thoughts and worries. I can completely be myself with her at a time when I’m not sure who I am anymore. She advocates a mother maintaining her sense of self and her own interests, even as she puts her child, or children, first, which I’m receptive to. E encouraged me to have fun with the boy, and to do things the way I want to, and when I want to, in order to ‘create the child you want.’ To this end, she’s encouraged me to let him cry and not to jump at his every cry, in order to retain my sanity and to allow him to soothe himself. She’s been teaching me to get him to sleep alone. Thus far, I have had to hold him, or sit touching him while he falls asleep, and its almost as though he has a sensor because he realises when I move away and then wakes up. E has shown me to sit with him for a moment or two, coo and talk softly to him about sleep, and then slowly move away. The first couple of times I’ve tried this he cried, but E encouraged me to stay away for five minutes, go in, assure him, then leave, and repeat in ten minute intervals. It’s really difficult to hear your baby cry for you and not to go to him, but it’s well worth the liberty of being able to go and do things while he sleeps. That said, I still check on him every two minutes, despite a baby monitor at hand, causing E to laugh at my expense and telling me ‘You won’t be like that for long! You’ll let sleeping dogs lie soon enough!’ Further encouraging some semblance of autonomy for us both, E has also taken to feeding the boy with formula once in the night so that I can sleep. This is very helpful, I feel revived, and my boy doesn’t seem to mind. During a trip to Italy, she taught me to simply let him cry when we’re driving, particularly as stopping just makes a journey tedious. Knowing I’d need some logic to back up my doing this, she would remind me to note the checklist: ‘Is he hungry? Is he sullied? Is he ill? Is he cold or hot? If none of these apply, he just wants you and there’s nothing to be done for it while you’re driving…’ I do see the sense that an attentive mother is not the same as a hovering mother. And that a happy mother contributes to a happy baby.
Filed under: The Baby Diaries | Tags: France, house visit, infirmiere, newborn, nurses, nursing, nursing problems, Pole Emploi
“Courage conquers all things: it even gives strength to the body.” Ovid
I’m really enjoying my brother and sister-in-law’s (belle-sœur) visit, even as I must admit, it makes both my husband and me a bit nervous to watch my sister-in-law bounce our baby because his neck jostles so much we’re afraid she’ll break it, but trusted assistance at this time is so appreciated.
Thank the fates that they were here, too, when my left breast dried up. From one day to the next it was suddenly not producing milk. I cried my eyes out, afraid that I would not be able to feed my baby, that I would have to use formula and my son wouldn’t get the best possible start to his life…that I had failed as a mother (self denigrating ideas courtesy of La Leche League?). My brother and sister-in-law were invaluable. They told me to keep nursing him on that breast. That he could ‘call’ the milk to it in a way nothing else would. That my hormones would be alerted by his sucking and would tell my body to produce the milk, get the ‘milk factory’ going again. Most importantly, they told me not to despair. My worried look each day prompted my brother and sister-and-law to download a hilarious TV series for us to watch en famille and laugh together. They also introduced me to a baby ‘boppie’, which looks like a big neck rest that one gets in order to sleep on a plane. It goes on your lap and your baby lies on it, meaning you don’t have to hold them up to your breast, but are, basically, hands free. Their quiet confidence and encouragement helped me relax and lo-and-behold: the milk returned after a few days! The body is truly miraculous. Then I went to the doctor’s again to check my son’s weight and he had gained the shocking amount of 200g in ten days! He obviously had heard the doctor’s saying he wasn’t performing as expected, and had decided to get busy showing her what a victor looks like. My GP also told me more good news, that there’s a nurse who’d visit the home and who would be paid entirely by the province*.
So I called the number my doctor gave me and the nurse came for a visit after my family left. She was kind and spoke French slowly so that we could understand all she said. She showed me several positions to nurse the baby in, but the ones I remember (keep in mind my dazed state of sleeplessness and fatigue) are the classical manner of holding him cradled in your arms (or on your ‘boppie’ as I do) and an American football hold in which you put the baby’s body to your side and behind you, with their face to your breast, coming from behind. Strange. Apparently, it’s so that one can walk around easily while nursing. My son seems to prefer my right breast, which is resulting in my breasts becoming lopsided. I pointed this out to my doctor and she laughed, admitting they are different sizes but that it’s not “so noticeable.” What is noticeable is that I have developed little red blood blisters on both of my nipples. First the drying up, the lopsided-ness, and now this. At the moment, I dread my son’s nursing because it’s so painful. My doctor is amazed I keep going with it. She tells me most women would have given up nursing by now if they’d encountered these problems. It is curious regarding nursing patters. In the lower hemisphere, an average 80% of women nurse their babies for up to 2 years, which is what UNICEF recommends. Meanwhile, in the US and the UK, while the numbers of women nursing are growing, less than 25% of women nurse their babies past the first 2 months of its life.
I tell her I am determined to make it to 3 months, with my ‘outside’ goal being 6 months. She quietly shook her head and told me to get pure lanolin cream to help ease the pain and to wash the nipples with iodine to keep them from becoming infected. Good grief, I had no idea the myriad of ways that babies challenge you… is it easy for others or are they pretending it’s easy for them?
*The nurse’s office is located inside the local Pole Emploi. It is here that she has regular office hours for anyone to drop in. I assume that because my husband and me are self-employed but pay French taxes, this is a general service that is not necessary to register for because we filled out no paperwork, nor made any special arrangements other than requesting her to visit.
Filed under: The Baby Diaries | Tags: American in France, expatriate, family, France, French doctors, Geneva, infant jaundice, newborn, newborn gas, newborn weight gain, sleeping with a newborn, US culture, US politics
‘So live that you wouldn’t be ashamed to sell the family parrot to the town gossip.’
Will Rogers
I had been a bit confused when I was only prescribed the mid wife (sage femme) and the physiotherapy at the hospital after my son’s birth, but now I’ve discovered my regular GP will be my baby’s doctor. I figured I would get a paediatrician assigned, but it turns out there aren’t many to spare in France.
Adhering to the old wives’ tale that one should not take a newborn out of the cloister of its home till it has been alive for two weeks, I took my son to my GP when he was 15 days old. The doctor told me that my son’s jaundice is gone, which is good (the time spent in the window like a plant worked!). She also told me that he was not gaining weight at the rate that he should be, necessitating that we monitor this closely. I left the doctor’s office completely freaked out and cried. I don’t want anything to be wrong with my baby and I’m scared because he’s such a defenseless little thing.
Luckily, my brother and my sister-in-law (belle-sœur) arrived from Seattle to help us out. They have two children of their own, now ‘tweens.’ I figure the fact that their kids have survived thus far makes them ‘old hands’. Moreover, it’s wonderful to have my family nearby. It’s hard to be so far from them. It takes 14 hours flying, through 9 time zones, to get to where they live, which prompts my feeling rather isolated on holidays and in vulnerable moments (for any of us). My husband and I drove to Geneva to collect my brother and sister-in-law – our boy’s first ‘big’ outing – and dined at an outdoor café on the lake. I had been a little nervous about nursing my son in front of my brother, but then realized it’d be stupid to go and secret myself away each time the boy ate, which is every hour. Besides, scarves are immeasurably helpful for discretion (and luckily I carry one always, stuffed into my purse or in a pocket, even before I began nursing!).
I live in an almost perpetual state of embarrassment for being an American in Europe given the antics of American politics, the regular shootings, and the disparate tax rates. But every once in awhile, I am reminded how wonderful we Americans can be. My brother and his wife are full of optimism and earthy pragmatism. They’re open and encourage others to be so. They’re warm and gracious. When I told them that the French doctor had said that my son was not gaining weight as he should be, they assured me the rates of growth are different, particularly in this early stage, and the important thing is that he is not losing weight. When I told them that I didn’t know how to pass the time with the baby, who doesn’t seem to be able to do anything, they didn’t pretend to have all the answers. Instead, they assured me that no one really knows what they’re doing when they have their first child and you simply follow your new-born’s cues: eat when he eats. Sleep when he sleeps. Go outside and take a walk when you’re bored and stir crazy. They advised me to enjoy this initial period of my baby’s new life as though we’re both convalescing (we are!). I admitted that I’m sleeping with the baby on my chest, which ‘everyone’ tells me not to do, but which seems right – I can’t move with the caesarean anyway- and they didn’t judge me. Instead, they went to a local baby store and found a soft, little, slightly slanting bed so the baby’s head is a bit higher than its lower torso, with two detachable soft sides to it to keep the baby from rolling, which the baby can sleep on and which fits right between the pillows that my husband and I sleep on.
I never imagined I’d be so grateful for assistance – even the opportunity to give the boy to another pair of trusted hands in order to de-gas him is appreciated. I don’t think I have needed help as I do now. Perhaps it’s that in the past I was too proud to ask for and accept it, and now that there’s another person involved, I don’t have that same sense of ego?
Filed under: The Baby Diaries | Tags: birth, France, French, healthcare, hospital, jaundice, midwives, paediatric, pets, pre eclampsia, pregancy, pregnant, sage femme, vw van
“I learn by going where I have to go.” Theodore Roethke
I ran into a woman at the hospital whom I’d met in a café last summer. It turns out her husband is a friend of my husband’s. She suffered pre-eclampsia with her baby, who is, consequently, down the hall in urgent care. I went to look at her new daughter through the window – she’s tiny, and my new friend says that she’s not been able to hold her yet, as she is so vulnerable and must stay inside the oxygen tent. Apparently, however, the little girl is developing and will eventually be fine. I told her that’s great, as we’ll be able to have play dates with our new babies. Makes me realise that having a little jaundice is not a big problem.
After vacillating the last few days, the doctors told me that we’d be able to go home from the hospital. I actually involuntarily clapped my hands and cried with joy at this news. I am, however, to seat Sebastian naked in the window every day for a ½ hour as you might a plant, and the rest of the jaundice will consequently go away in a few weeks. I packed my bags and nervously my husband and I walked down to the check out area with our new, precious, little cargo. It’s amazing how easy it is to walk out of the hospital with a baby. We literally took the child out of the paediatric ward unchallenged, went down the lift, noticed the check out desk of our own volition, put the wee man on the floor there, got his birth certificate and paid (only 220e for ten days in the hospital, the c section, the paediatric care, the phototherapy, all the sage femmes and nurses…it’s cheaper per night than a hotel in New Delhi) then walked out to the parking lot with no one noticing. Mark and I also feel like frauds because we aren’t quite sure about what to do with the baby once we get home.
We put S in our trusty old VW van, and carefully drove home. Upon our arrival, we put the sleeping tot on the floor for our beloved cat to get used to. He walked around the seat, and then began tentatively sniffing and batting it. It’s a good job my husband had regularly brought things S had worn from the hospital so that the cat could get used to his smell, because Oscar took to him pretty quickly after the first few moments. Breathing deeply of my home, I went upstairs to take a nap in my bed while my husband looked after our new charge. I marvelled at the fact that it felt as though a part of me was physically missing…as if I now have a phantom limb. The distance from our bedroom to the living room is the farthest I’d been from S for nine months. It was anxious, lonely, and poignant. Even so, I fell asleep pretty immediately.
What is anxiety provoking now is that no one at the hospital, or our good doctor, had told us what we do now. I’ve been given ordinances (prescriptions) for several sessions with a sage femme and a physiotherapist, respectively. This is very civilised in terms of postnatal care and adopting alternative therapies into recovery, but I trust conventional medicine. I know the sage femme is the one who will remove my stitches in the days to come, but no one has mentioned what to do for any health issue S may have – even a check-up on the jaundice he’s had to make sure it goes away. Do we go to our regular doctor? Is a different doctor assigned to S by mail or something? Do we go back to the hospital? When are we meant to go for a check up on the wee tot? Maybe the sage femme, or even the physio, will know the answer to these questions…
Victoria Jelinek 