Baby care: what you should know

Looking after my second baby girl, now twenty days old, I really feel I have a handle on what this baby-rearing thing is all about. While all babies are unique, it seems to me to be a difference of degree rather than of kind. As I’ve said before, baby care is mostly a case of putting stuff in one end and cleaning it up when it comes out the other, and in the interim making sure she isn’t too hot or too cold. If you keep that in mind, and don’t sweat the small stuff, you should do fine.

That said, becoming a parent for the first time is an incredibly scary, difficult thing. I know that some of my readers are planning on having children, and some are soon to become parents themselves, so for your benefit I thought I’d share my take on parenting – all the facts you need to confidently raise a baby. At least, the facts as I see them, and the things that I’ve found invaluable in my own life.

The General Stuff

  1. There’s a lot of sentimental guff spoken about babies. You hear people on the way out of the delivery room saying, ‘I love her so much, she’s perfect in every way, it’s the best thing that’s ever happened to me.’ There’s this expectation that you’re going to feel an instant connection. In my experience, new born babies look like asthmatic Smurfs – blue-skinned, gasping for breath, and stuffed into oversized hats. You look and think, ‘What on earth have I done?’ If it takes you a few days to warm to the little creature, a few days to work out how you feel, a few days to get your head round things, that’s okay. You’ve got a lifetime of emotions to come – don’t expect too much too soon.
  2. New born babies feed every couple of hours, sometimes for a couple of hours. If it feels like you’re always feeding your baby, you are – their stomachs are very small and with all the growing they do, they use up what they’ve drunk very quickly. Luckily, it settles down and they get into a pattern, sometimes having a big feed and a three hour sleep, sometimes cluster feeding every thirty minutes before drifting off. And when they’re finally asleep, I have one word of advice: sleep!
  3. Baby poo changes rapidly over the first few days, from black tar to green whole grain mustard to yellow mush. This is normal and nothing to worry about.
  4. Babies aren’t made of porcelain. They’re designed to make it through the birth canal, so unless you’re really clumsy, you’re probably not going to break them. But don’t put that to the test!
  5. You might not think of yourself as a particularly violent or jealous person, but you may find that when people pick up, touch, or even look at your baby, you feel like scratching out their eyes. This is normal, but try to remember you’re not the only one excited about your child, and you’ll have more opportunities for cuddles than anyone else can ever hope for.
  6. Even though they seem to prefer lying on their front, when you put your baby down to sleep, always put her on her back. If your relative tells you that the advice in their day was to put them on their front, ignore them – the advice was wrong. Babies on their front are eighteen times more likely to die of cot death than babies on their back.
  7. Though it is lovely to let your baby fall asleep on you, and such cuddling is to be embraced, be sure to transfer them to the cot or Moses basket for a proper sleep – you don’t want to get to the point where they will only sleep on you, or you’re setting yourself up for a very tiring couple of years.
  8. Babies communicate. Try to learn the little signs that they’re hungry (rooting, poking out tongue) or need burping (fidgeting, gasping) or need changing (a slightly shocked facial expression accompanied by the smell of sour milk), and deal with these things before they start to cry – it makes life much more peaceful.
  9. Babies cry as a form of communication – mostly because you haven’t met their needs quickly enough (i.e. within about thirty seconds!). It can be distressing for a parent to hear their child wail, seemingly in despair, but don’t take it to heart – it’s how she’s talking to you. It’s your job to figure out what she needs.
  10. Babies only have a handful of needs. They need to be fed; they need to be winded; they need their nappy changed. Do these things and they are normally happy.
  11. Babies are sometimes unhappy. When they have belly ache or a non-disclosed need, or simply want to hear their own voice, they can cry and keep crying. This can be upsetting for you, but there’s not really a lot you can do about it except rock them and hug them until they fall asleep.
  12. If you suspect something more serious is wrong, don’t be afraid to get advice or seek help. If you go to an out-of-hours doctor or A&E, they’re jam-packed full of new parents with young babies. It’s part and parcel of being a new parent, so don’t ever feel like you’re being neurotic.
  13. In the womb, babies are lulled to sleep by movement, light and noise (i.e. during the day, when mum is busy), and come awake when all is still and quiet and dark (at night, when mum is exhausted). Why, then, do we expect them to sleep in a dark, quiet room? If you’re struggling to get your baby down at night, a Moses basket on a rocking stand at the bedside, a night-light and some quiet music or a radio tuned to static can really help give you some well-earned rest.
  14. Make sure you have plenty of everything. Taking off a poopy nappy at 3am to discover it was the last one is nobody’s idea of a good time. That said, there will be occasions when you need to buy something in a hurry, so be sure to locate a good 24-hour store long in advance of actually needing it.
  15. You’re going to be tired, you’re going to be crotchety, and the baby is going to push your buttons. That’s just the way it is. If you ever feel yourself at breaking point, put the baby into the cot or Moses basket – somewhere safe, at least – and walk away. Take some deep breaths. Make a cup of tea. Ask for help. Don’t keep going until you break.
  16. Forget the housework. Sure, do enough to keep the place ticking over, but you don’t need to live in a show home. Provided it’s clean, don’t get too hung up on it being tidy or spotless, unless you’re prepared to add extra stress to your life in pursuit of perfection.
  17. Babies are better off being too cold than too hot. Older people are paranoid that your baby isn’t warm enough, but being too hot is actually dangerous for babies as their brains are vulnerable to increases in temperature. In fact, the recommended temperature to keep your home with a baby around is 19 degrees centigrade – colder than we like it.
  18. Eat. Drink. Sleep. You might think you can keep going forever, but trust me – if you neglect your own needs, eventually you’ll be good for nothing.

 The Controversial Stuff

  1. Breast is not always best. Since breastfeeding has become something of a sacred cow these days, you might be treated like a pariah by the sisterhood if you shun its self-evident benefits. But not everyone can breastfeed, despite their best efforts, and you shouldn’t be made to feel a failure because of that. Faffing about with nipple shields while you’re tired, the baby’s tired and hungry, and you’re both crying does not help either of you. It can harm your self-esteem and mental well-being, and make it more difficult to bond with the baby. If you don’t feel you can cope breastfeeding then switch to the bottle – it’s as easy as that.
  2. Dummies (pacifiers) shouldn’t be dismissed out of hand. Like bottle-feeding, these simple tools have earned the opprobrium of the ‘all-natural’ brigade, but unfairly so. It’s not a means of making a baby shut up but of meeting her needs. Sometimes, between feeds, a baby needs to suck to soothe, and giving either the nipple or the bottle is inappropriate. As with anything, it’s a personal choice and nobody has the right to judge you for what you decide is best for your baby and family.
  3. Never underestimate the utility of swaddling. A fidgety, unsettled baby can be transformed into a contented sausage roll by wrapping her in a blanket and gently rocking her.

The Little Everyday Stuff

  1. When a baby breastfeeds, if done right, the first part of its body that comes into contact with its mother’s boob is its nose. If you’re breastfeeding, using a bottle or trying to keep a dummy in, and having little success, rub the baby’s nose – it often triggers the baby to latch-on.
  2. If your baby is distressed, has a rock-hard belly but isn’t able to poop, sit with your knees up in front of you and rest her in your lap, facing you and leaning against your thighs. Using two fingers, rub her belly in a clockwise direction centred on her belly button. After a few minutes, switch to gently pushing her knees up towards her chest. Alternate between the two. If this fails to work, pick her up under the armpits and allow her to stretch out in the air – oftentimes, gravity will cause the world to fall out of her arse.
  3. Whether male or female, while changing nappies you will get explosions from front and back. Before removing the nappy, be prepared: make sure you have cotton wool, water, nappy bag, clean nappy, and toilet paper. Keep them out of the way so that if things do go flying, they don’t get soiled too.
  4. Urine has a chemical in it that can’t simply be scrubbed out of the carpet with soap and water. I’ve tried. A couple of days later, you start to smell stale wee and go mad trying to locate the source. If there’s an accident and baby champagne goes everywhere, you need to use a proper cleaning product. I recommend the spray cleaners sold in pet shops as they contain enzymes that neutralize the odour while also disinfecting the area.
  5. When bottle-feeding a baby, an armchair or a sofa with a cushion – or even putting your knee beneath your elbow – prevents you getting a dead arm. Make sure you’re in a comfortable position that you can maintain before you start feeding or you’ll regret it.
  6. Always burp your baby after feeding. Babies have immature digestive systems and inefficient swallowing reflexes, so gulp down a great deal of air along the milk – air that causes wind and discomfort. It’s sometimes tempting in the middle of the night when the baby falls asleep at the breast or bottle simply to place her gently down and return to bed. Don’t. You’ll be getting up again in 5-10 minutes to burp an unhappy baby, right when you’re falling asleep, making both of you grumpy.
  7. Check out Dunstan Baby Language. This is the idea that all babies are born with five ‘words’ that they use for the first three months – ‘neh’ (I’m hungry), ‘eh-eh-eh’ (I need burping), ‘eairh’ (I’ve got belly ache), ‘heh’ (I’m uncomfortable/please change my nappy), and ‘owh’ (I’m sleepy). Though this hasn’t been scientifically scrutinised, it has undoubtedly worked for both of mine, especially the first three words. It makes it so much easier to know what she wants, and this leads to a calmer household.
  8. Make a record of every time she eats, poops, sleeps, for at least the first couple of weeks. You can very quickly spot patterns to her behaviour, and knowing when she last ate or had a bowel movement is very reassuring. It’s also helpful to be able to tell to doctors, midwives and health visitors, in case there is anything wrong.

The Annoying Stuff

  1. If you’re female and you go out with the baby, nobody will bat an eyelid.
  2. If you’re male and you go out with the baby, you’ll be stopped by every old woman you see. But they’ll only ever ask you how the mother’s coping, and then congratulate you on ‘doing your part’.
  3. People will give you advice. Lots of advice. Much of it will be wrong and directly contradict what you’ve been told by the midwife. Much of it will be against your principles. Luckily, advice is free and is not mandatory. You might as well listen, smile, and say ‘I’ll think about it.’ And then do what feels right for you.
  4. People will give you opinions. Lots of opinions. You will feel judged, because they are judging you. But the only expert in your baby is you, and everyone else can bugger off, because opinions are like arseholes – everyone’s got one and they’re mostly full of shit.
  5. People will make out like modern parents are useless because when they were parents, they never had car seats and parent/child parking, or washing machines or paternity leave or Perfect Prep machines. They’re just resentful they didn’t have these conveniences, and criticising us makes them feel better about the fact that their infant mortality rate was about ten times what it is today.
  6. You will feel patronised because people will be patronising. This is my second baby, yet I’m still told to ‘make sure she’s warm enough’ and ‘support her head’, as though without these instructions I would somehow flush my baby down the toilet without realising I was doing anything wrong. Unfortunately, there’s no way I know of not to get annoyed by these ‘helpful’ comments.
  7. Your family and friends will no longer talk to you, except about the baby. They’ll come to see the baby, but not you. And they won’t listen. You can break off mid-sentence and nobody will notice. You’re not going to have a grown-up conversation for a while.
  8. Unless you’re really weird (or single), you and your partner will argue. You’re both tired, you’re both under stress, you’re both trying to adjust to this new life you find yourselves in, so don’t expect your relationship to be perfect. In my experience, you’ll have a crap time for a few months but it’ll pass. Don’t take your disagreements too seriously. Don’t throw in the towel too quickly. It all works out in the end.

The Good Stuff

  1. Being a parent is awesome.
  2. Looking after something that is entirely dependent upon you for its very existence is an honour as well as a responsibility.
  3. You get to use parent/child spaces.
  4. When you hop about, sing, dance and act like a clown, you can say you’re doing it to ‘entertain’ the baby.
  5. You gain a new understanding of your own parents.
  6. You watch more sunrises than you ever knew existed.
  7. You get the morning news before anyone else.
  8. You realise it’s the best thing you’ve ever done and you’re grateful to experience the ever-changing miracle that is your child.

And that, mums and dads, is baby care in a nutshell. Here endeth the lesson. Now go forth and multiply!

Parents with Autism

I have mentioned before the overwhelming focus on children in the literature on autism, and the corresponding lack of study on adults with the condition. Indeed, researchers know next to nothing about autism and sex, and autistic parents, which seems odd given that one often leads to the other and the consequences can be profound and life-long.

Studying the issue of parents with autism would be helpful in two major respects. First, it would ensure that autistic parents received appropriate guidance and support for the demands of parenting, which, let’s face it, is difficult whether you are on the spectrum or not. Secondly, it might help to normalize the notion of autistic parents and remove much of the stigma surrounding this section of the community.

If you go online, much of what is written about autistic parents is by adult children of these same parents, and almost universally the experience seems to have been less than positive. Some say allowing autistic parents to raise neurotypical children is a form of abuse, and others that autism constitutes a ‘parenting disability’. There are even sites that claim autistic parents inevitably raise emotionally and psychologically damaged children. As an autistic parent, with an autistic wife, and raising an apparently neurotypical daughter, all I can say is: ouch.

On the other hand, I neither agree with nor believe any of these statements. For one thing, many of these parents haven’t received a diagnosis of autism by any other authority than their children, who might not necessarily be able to disentangle autism from other conditions such as narcissism, avoidant personality disorder, OCD, and just being a plain bad parent; and for another, people who have had an unhappy childhood and a strained relationship with their (autistic) parents are far more likely to write a blog about it than people who had a happy childhood and good relationship. Thus the picture is skewed away from reality because of the very lack of objective input from academic researchers mentioned above.

It’s also important to note that these apparently awful autistic parents had not received a diagnosis and therefore did not know they were autistic – and to me, knowing is everything. If you know you have autism, you know to work on certain areas in which you’re weak; you know to regulate your behaviour in order to meet the needs of your child; and you know to get help and advice from others. Autism is therefore no barrier to being an effective parent.

My belief is that your parenting ability comes down to you as an individual. There are some fantastic autistic parents out there and some terrible neurotypical parents, just as there are terrible autistic parents and fantastic neurotypical parents. The point is, a diagnosis or otherwise doesn’t dictate an individual’s ability to parent or the long-term outcomes for their child.

I was lucky enough to be interviewed by Spectrum Magazine for an article on parents with autism that discusses these very issues. It is well worth a read, and contains some beautiful photos of my wife and daughter, and unfortunately some of me as well. Here’s hoping that these holes in the story of autism will soon be filled.

In Praise of Mothers, Part 2

In terms of parenting, the biggest difference between the sexes is not in our abilities but in the expectations put upon us. And these expectations are the reason mothers have it harder than fathers – because there are no expectations put on us at all.

To illustrate the point, a story little. When we had a meal out on our recent holiday on the Isle of Wight, I sat on the bench seat while Lizzie had the chair. I therefore put Izzie, in her car seat, on the bench seat beside me and spent the next two hours soothing her, playing with her, heating her bottle in a jug of water, feeding her, changing her, and generally eating with one hand. We were with friends, the conversation flowed, and the two hours passed in amiable, unthinking companionship.

While we were finishing our drinks, the table next to us got up to leave. It comprised three elderly couples. Before they left, they came up to our table and said they’d been watching me the whole meal, and remarking on what a good dad I was, and how impressed they were with me, and as I recall, the word ‘amazing’ was used. One woman even turned to the two girls at my table and said, ‘Whoever is the mother of this little girl is a very lucky lady to have such a man.’

Now, it’s very gratifying to have strangers (six, no less) commend your parenting abilities, and gives you a warm and fuzzy feeling inside. However, this was at the time that Lizzie’s confidence in her mothering ability was at an all time low, and even as they said it, I looked at her, her face expressionless, and thought, ‘Ouch, that’s a kick in the teeth for her.’ The whole situation wasn’t very helpful and led to resentment and upset. They might have meant well, but it had the opposite effect.

And it only happened because I’m a man.

If I was female, the old people would have walked on by. Nobody goes up to a woman with a baby in a restaurant and tells her what a great mother she is and how lucky the father of her baby is for having her. Because it’s expected of a woman to look after her baby and do it well. It isn’t expected of us men.

Everywhere I go with the baby, people (mainly of the older generations, to be fair) tell me I’m a great father, congratulate me on giving mum ‘time off’, and praise me for being a ‘hands-on dad’. By these comments, and others about it being a breath of fresh air, they must have great experience of hands-off dads. But just who are these dads who don’t change nappies, help feed the baby or carry her about in public? They surely can’t be as rare as the comments would have us believe.

Regardless, the expectations placed on men are remarkably low. We’re expected to be rubbish at pretty much every hands-on baby caring task, with the possible exceptions of bathing and playtime. And then, when the hard stuff starts, you hand her back to mum.

And therein lies the problem for women. They’re expected to be perfect mothers right from the get-go, as if it’s natural and automatic, programmed into their DNA. They’re expected to do nappy changes, night feeds and look after the baby in public, and to do this without complaint and without mistake or they’re somehow defective as women. They’re expected to be horrendously tired all the time, yet selfless, knackered but energetic, caring and patient, self-sacrificing – essentially Twenty-First Century martyrs.

And they get zero thanks or appreciation for it because it’s what they’re ‘meant’ to do, whereas if I walk down the street with my daughter, I get to bask in the adoration of strangers. And that’s what makes being a mum so much harder than being a dad.

So if you’re a dad, be sure to give your lady thanks for all the crap she does. And next time you see a woman pushing a baby in a pram with a toddler in tow, remember there’s nothing ‘natural’ about it, and it’s a lot if jolly hard work!

In Praise of Mothers, Part 1

This is going to sound like I’m betraying my sex, but I have to say it: I think mothers have it harder than us dads. That’s not to say that it’s easy for us, because being a parent isn’t easy for anyone, but we men have certain benefits that most women don’t.

Firstly, most men go out to work while the woman stays at home. Now, work is hardly a blast, but you get to get away from the screaming ball of snot and poop that happens to be your beloved and longed-for child. You get to have adult conversations about topics other than teething, weaning and dribble, conversations that keep you sane and allow you to acknowledge a world existing outside the insularity of child-rearing and the nuclear family. Don’t get me wrong – I love my daughter more than anything in the world – but it’s a bloody hard, unending slog, and sometimes you need a break from it. Most men get that break five days a week. Most women don’t get a break at all.

And men get to do all the cool stuff. The mum is washing clothes, changing nappies, breastfeeding or making up bottles, cleaning, sterilising, trying to soothe the screaming monkey, wiping its nose, changing every vomit-drenched outfit, and suffering under the burden of endless responsibility, every second of the day. Then dad swans in from work, to be greeted with an outlandishly huge smile from his little baby, because dad is cool and she hasn’t seen him all day and mum is boring because she’s always there. And he then bathes her (splash, splash, splash), and reads her a story, and gives her her last bottle and puts her to bed. All the pretty parts of childcare you see in TV adverts. The dad is the rock star of the parenting team; the mum’s the smelly roadie you only notice if they’re not doing their job.

At the NCT classes – that’s National Childbirth Trust, for those who don’t know – the men even said they were most looking forward to ‘daddy day care’. Because men look after their babies so rarely, and for so short a time, they can compare it to a situation in which a kid gets dropped off with a carer for a few hours before it gets picked up again. Lucky fellows.

Mothers, on the other hand, are looking after the baby all day, every day. It’s not ‘mummy day care’, it’s ‘mummy constant, oh God, where’s my time off, I’m losing my identity and my soul, care’, otherwise known as, ‘this is my freaking life’. I think there’s this idea that men go out to work and work, whereas women stay at home and don’t, so their lives must be easier. Let me tell you now, as a stay-at-home dad, it’s not easy at all.

But that doesn’t change the impression. Certainly some men come home and expect to get a couple of hours on the Xbox or watching TV, because they’ve earned some down time by working all day. Well, what do they think the mum’s been doing, putting her feet up, eating chocolate and watching morning TV while picking her nose? She has earned just as much down time, if not more. After eight hours looking after a baby by yourself, you don’t care how busy your partner’s been during the day, you just want an hour where you can switch off. It’s the constant focus that’s the killer, never letting down your guard, head in the game all the time, nothing missed. You can’t be a mum and do it half-arsed – you bring your all or not at all.

Mums can’t use work as an excuse, either. I’ve known men who think that, because they go out to work and their work is so much more important than the mother’s, they can’t do any of the night feeds – they need to earn a living, after all. Now put yourself in a mum’s shoes – get up, feed baby; change baby; dress baby; dad goes to work; entertain baby while doing chores; feed baby; change baby; take baby out; try to get baby to nap; feed baby, change baby; more chores; dad comes home and enjoys giggle time; baby’s gone to bed; go to bed yourself, exhausted; get up a couple of times in the night to change and feed baby; repeat. And how can looking after the next generation, and your own flesh and blood, ever be considered less important than anything?

I really think mums deserve a bit more credit than they’re given, don’t you?