The Blob Trimester: Baby’s Z’s 1st 3 months

As my youngest (baby Z) is one week shy of 4 months, I find myself fondly reflecting on the fourth trimester haze. If you are not familiar with the term “fourth trimester”, it is common terminology for the first 3 postpartum months. Due to human anatomy and the limitations of the birth canal, human babies are born neurologically premature. Thus my rationale for (very affectionately) calling my newborn a blob.

Let’s put it this way: newborns would never survive in the wild. They can’t hold their heads up, they can’t make meaningful movements with their arms and legs, they can barely see, and they are easily surprised. They can only communicate via crying and they spend a great majority of their days sleeping, drinking milk, peeing and pooing. This is one reason why the fourth trimester is so challenging for new parents: you are suddenly in charge of keeping a small, defenseless human alive. No pressure!

Prety daunting, huh? Couple this with the fact that new parents are chronically sleep-deprived (newflash: babies don’t know the difference between day and night, so you may find yourself pulling a lot of all-nighters), moms are experiencing a hormonal hailstorm (why does everything make me cry? why am I suddenly so angry at my husband? why am I so worried about every damn thing?) and everything you previously knew about yourself has gone out the window (so long hobbies, singular focus on career, social life). Given all of the above, we might as well also call this time period the sob trimester.

Never fear, however. Between 3-4 months, everything gets easier. Yes, there are still challenges (hello 4 month sleep regression!), but your little blob has turned into a reciprocal mini-human who tracks your movements, produces wide-toothed smiles and even cackles with laughter, which makes the experience much more rewarding.

For the sake of preserving my own memories, here’s a recap of Baby Z’s first 3 months:

  • Birth: By far the best of three (third time’s the charm!). Baby X was induced and we barely made it to the hospital with Baby Y. For Baby Z, we went to the hospital as soon as contractions started and were told to walk around until they intensified. We did this for quite some time, even coming home to shower and re-pack, so by the time we returned to the hospital, it was go-time but not baby’s-about-to-fall-out time. I was able to get an epidural (thank you, modern medicine), labor peacefully and when it came time to push, he was out after basically 3 pushes with no tearing involved.
  • Sleep: We purchased a Snoo for this guy, but I wasn’t quite comfortable having him sleep in it from day one. The rocking seemed a bit intense for me and I capped it (there is a function where you can limit the motion) and have kept it as such to this day. In the beginning, he honestly mostly slept in bed with me (my husband would supervise so I didn’t roll on him) and we also lay him down in the Snoo (without turning it on) or put him in the Rock n Play (which he honestly never liked very much and also isn’t safe for unsupervised sleep). We hired a weekend night nanny for those first rough nights and she fell asleep holding the baby on the third night she worked for us! As my husband would say: WTF? YOU HAVE ONE JOB!!! That was pretty traumatic, but baby was okay and we gently told her we were no longer in need of a night nanny. I have to be honest: the sleep was pretty rough early on. He would spend a few hours up each night and I often had no idea what to do with him around 2-5am. My husband was also saving his paternity leave so I tried not to bother him since he had to work the next day. It was pretty intense. I tried to establish an early bedtime for him, but he went to sleep around 11p for a long time! Just recently (close to/when he hit 3 months), he started falling asleep around 9. Early on, he would be up cluster-feeding for quite a few hours (e.g. 8p-11p/12a) but more recently he would do a longer stretch, waking up either at 1a or 3a. So most nights he’ll wake up 1-2 times. The first nap was also the first to fall into place, as it usually does. It’s the one I can actually set him down “drowsy but awake” for! At the moment, we are traveling (good-bye Snoo!) and have him in a Pack n Play. I have to say that he’s not loving it. Last night, he was up every 2 hours, and spent the bulk of the night in bed with me. I’m not sure if this is a Snoo transition issue, a travel/change of environment issue, or the start of the 4 month sleep regression, but I don’t like it.
  • Temperament: When we first brought him home, we were a bit concerned he would be colicky like Baby X. Turns out he was just a normal newborn who wanted to be held, cuddled and carried pretty much all day. With every need attended to/preempted, he’s happy as a peach. He likes tummy time, mat time, play time (songs and the occasional book when he gets his own) and of course still loves when we tote him around all day. So far, he’s a happy, go-lucky baby who can also entertain himself independently (for now, this mostly involves staring at something in the distance).
  • Feeding: Baby Z latched pretty easily. I had one of the nurses remind me of the appropriate position when they are little blobs and can’t hold up their heads, but he quickly got the hang of it. I don’t have him on any particular schedule at the moment. He should technically be eating every 3-4 hours, but sometimes it’s less. Of all the baby things, nursing has always been fairly easy for me. Yes, it was always painful in the beginning. I enrolled in a lactation class prior to the birth of my first, worked with lactation consultants in the hospital the first two times, and also had private lactation consultant visits after the first two were born. These steps allowed me to feel more comfortable nursing. And yes, I worried ALL all of the time whether they were getting enough to eat, especially my first. Was he colicky because he was hungry? Were those tears of starvation? Did he want to nurse all of the time because he wasn’t getting enough milk? I also always pumped just enough and was worried each time about how pumping at work would turn out. Yet I was able to nurse the first two for 15 months and pumped until they were 11 months, using up my freezer stash for months 12 and 13. We’ll see what happens with this guy. I’m a bit worried because I had 187 oz and 300 oz of milk saved up for my first and second, respectively, when I went back to work, but currently have only 55 oz with only a few weeks to go (poor third child!). But I am telling myself that the freezer stash really only helped me to stop pumping a bit earlier, so it isn’t the end of the world that his is so limited. After all, every lactation consultant I’ve spoken with has said you only need enough milk for your first day back (and this is true).
  • Developmental milestones: Baby Z was quick to roll from tummy to back. I know I sound like a delusional mom saying this, but he was doing it month one and still does it to this day. He’s flailing his arms around and kicking his legs much more now. He sees well, follows you around with his eyes, smiles and laughs, has coo-ing conversations, and has started to grip things and bring them to his mouth. Actually, everything is starting to wind up in his mouth – his hands, the carrier strap, teething toys, etc. He can also reach out with his hands to swipe things hanging above him on his playmat or on one of his chairs. His neck is pretty strong and I will often place him forward-facing in the carrier (if it’s not naptime) because he likes to observe the world. He’s actually starting to show interest in food already, which seems early to me, but I’m looking forward to introducing solids.

I honestly can’t believe he’s almost 4 months and am definitely patting myself on the back for getting through those tough first few months. Work is just around the corner (a story for another day), but I feel very fortunate to have had this time with him.

 

Not a sleep whisperer

I spend a good chunk of my day convincing little humans that sleep is a good idea. The other day, as I was prematurely patting myself on the back for getting all 3 kids to nap at the same time, my two oldest decided they were simply going to skip their naps. Of course, they were little (cute) monsters by the end of the day.

Right now, I’m struggling most with my middle child. He has recently started to extensively delay bedtime. He wants ten stories, ten songs, a million cuddles. Every time we acquiesce, he asks for more. After all of the above, he started asking for more lights on (we already have a nightlight). So we started with one, then two (after all, if he was truly afraid we didn’t want to be the mean parents who ignored this). This was enough for a bit but then the demands escalated. He wanted all the lights on but then also wanted us to hold him to sleep. The thing is, we’ve been down this path before. With both of our older children, we’ve always given in, and then regretted it some time later. Who doesn’t love the feel of their young child against them, all chubby cheeks and fat fingers, warm breath on your shoulder, kissing your cheek and saying “I love you, mommy”. I mean, what could be more precious? But it is hard to tack on an additional two hours for bedtime after a day packed with activities and attention doled singularly on the children. That extra times leaves us extra wiped, so we bring even less to our relationship, our home, and our work. And I am a firm believer in children needing to get a good night’s (or nap’s) sleep! When our kids put themselves to sleep, they fall asleep more quickly and wake up better rested.

This is on my hand because my middle child just cried himself to sleep for nap time. He only cried for five minutes or so, but it of course broke my mama heart. In truth, if I didn’t have a third child currently strapped to my chest for his own nap (we are visiting family and my oldest is sleeping in my room, where the crib is), I would probably just hold the kid to sleep. Again-who doesn’t love that feeling? So there’s the added guilt of attention being taken away from him by the baby. But we did try the “cuddle to sleep” method the last two days and he just ended up giggling, playing, and essentially doing everything BUT sleeping.

I reached out to our sleep consultant this week (honestly, at this point I should just have her on retainer) and she advised that if the gentle approaches weren’t working, to firmly return to business as usual. She advised either letting him cry or spending less and less time in the room with less and less physical or verbal interaction. The latter sounds like it would be torture to do, so we have settled to let him cry. Bedtime has improved dramatically (still delays, but not as many demands and we haven’t had tears for a few days). Naptime has proven to be more difficult, perhaps because there is less sleep inertia and it involves taking a break from playtime. I joked with our sleep consultant that I should print out a frame with “When in doubt, cry it out” for the nursery, because this seems to be what we resort to after a few days of failing at every other approach. Her philosophy, at least with our family/children, has always been: if baby/toddler/child is dry, fed, healthy, has gone to the bathroom and if you’ve addressed all of their fears, questions, and concerns, then there’s no reason why they shouldn’t be able to sleep by themselves.

I recognize this is a very Western philosophy. It is very foreign to my mom, who always had children in bed with her. In truth, our youngest (almost 4 months now) has spent more time in bed with me than I’d like to admit. This is mostly because I’m so exhausted when he wakes to feed that I accidentally fall asleep with him. I sleep alone (poor hubby has been banished to the guest room for this reason), with no extra pillows, blankets, or throws. I wear warm clothing so as not to cover myself and make sure the baby’s unswaddled and in the very center of the bed. It always fills me with great trepidation, despite all of these measures. For us, the main reason we haven’t intentionally shared a bed is fear. The second reason is that it’s been really important for my husband and I to have adult time after the kids go to sleep. We are not perfect in this regard, as I often allow housework or work work to bleed into our time, but it is theoretically more possible if there is no child in our room.

I’ll end on a positive note: my 4 year old has become a much better sleeper with time. He was our crazy colicky baby who refused to sleep on his back and had us up every twenty minutes as a newborn. We held him to sleep for naps until he was almost 3! But now this very same child will tell us he’s tired (before nap or at bedtime) and then go to sleep by himself. He sometimes needs a bit of encouragement when it comes to changing into PJs, but then he’ll happily settle in under the covers with his stuffed animal and put himself to sleep with no extra support. If you had told me this four years ago, I would have never believed it. It’s amazing how children change over time.

One of the greatest challenges of parenthood has, for me, been sleep. There are a good days and bad days, but definitely lots of sleepless nights, sleep regressions, and changes – potty training, separation anxiety, nightmares, travel, teething, etc., etc., etc., which seem to knock the schedule right off its track. But one day, these little humans will become (really) big boys, and then I will probably be nagging them for sleeping TOO much. Funny how things work. For now, I’ll try my hardest to revel in the baby snuggles and to try to focus less on the naptime/bedtime snuggles. However, I will never sleep when the baby’s sleeping, because when else would I get anything done!?

The Village

I was recently surprised to learn that I had lost my desire to move back to New York. As recently as a few months ago, when people would ask me whether I envisioned myself staying in California forever, I used to respond with “Probably, because I don’t think I can convince my husband to live anywhere else.” Now I pause, because the answer is that I can’t quite imagine living anywhere else.

When and how did this drastic shift occur? I left New York when I was 18 years old. To be honest, I was thrilled to do so. I lived in the suburbs outside of NYC, had moved during my freshman year of high school (NOT a good situation), and was excited to “discover the world”. I floated around New England for college and medical school, and spent a requisite year living and working in NYC. When it was time for residency selection, my husband (also an East Coaster) and I were adamant that we needed to get out of the cold. He wanted to work in California and I was game to live in California and so I applied and was accepted.

We flew to the West Coast with one suitcase. (I can imagine myself telling this story to my children one day, at which point they’ll roll their eyes at this particular sentence.) We had less than $5,000 combined in our bank accounts. My husband was unemployed (“between jobs”) and I was days shy of starting my intern year. We rented a small unit in a house of four units total and decked it out in IKEA furniture. My husband bought a Samsung flat screen TV which we still own 8 years later. We weren’t married yet but reasoned that we needed to move in together because the rent was too expensive to swing two apartments. When he proposed to me, the engagement ring was the most expensive thing we owned. We didn’t have much but we were so happy.

In the past 8 years, we’ve spent 5 of them living together (we were apart for 3 years while I completed my residency), got jobs, got married, bought a house, tucked away money for retirement, had 3 kids, tucked away money for college education, and created the life we always wanted – one we could have never quite imagined when we landed in California in 2010.

Yet there were bumps in the road. I started my first job out of residency in 2014 and had a baby 3 months later. I’ve had 2 additional children since. I had no idea how difficult it would be to raise a family away from our families. It often felt impossible. I vividly remember those first colic-filled weeks with our oldest. We had help for a few of them but were on our own most of the time and I cried constantly. When I went back to work I was convinced there was no way I could juggle motherhood and my career without help. Most of our acquaintances at the time were my husband’s friends and, although mostly good people, they just weren’t my people. Is that a terrible thing to say? I hope not. You know that feeling when you just click with someone? When you can tell them anything – lay all your cards on the table, be completely vulnerable – and they will accept you wholeheartedly? Let’s just say I didn’t get that vibe from his people. And that’s what I struggled with the most – not having someone I could text frantically when our first was up at all hours of the night, not having someone I could ask to watch him for an hour while I took a breather, not having a tribe to commiserate with.

So I put myself out there. I met a group of women I now call “The Mommies”. My first mom friends! Now, the group has changed dramatically these past 4 years as moms move away and group dynamics shift, but we have each other’s backs, an ongoing calendar of events, never-ending birthday parties, and most importantly the knowledge that we have known each other since our little ones were just months old. I rekindled friendships with people from my intern year and became closer to co-workers with young children. I met more moms through preschool and subsequent “new mom” groups as more children joined our family. We acquired a network of people who have helped us out in some capacity around the house – gardeners, painters, nannies, cleaning crews, etc. Today, our nanny saw that I was clearing out our shed for some upcoming work and (unsolicited) called her husband to see if he would be willing to pick up all of the items we were throwing out to save us the hassle. He came by an hour later and I was so happy I could have cried. With such distance between ourselves and our families, these random acts of kindness mean everything.

I also have to admit that there are serious perks to living in California: great weather, tons of diversity, generally liberal politics. It’s also true that we both love our jobs and our house. But the game-changer for me was truly the evolution of our community and little village. We’ll see how we feel as the kids get older and schedules become more demanding but, for now, I am truly loving where we live, and this is the first time since 2014 that I’ve been truly able to say that.

To have and to hold

I love weddings. It is so magical to watch people embark on their “happily ever after”. When I was single, weddings gave me hope that I would find the love of my life. When I was newly married, weddings were a joyous occasion with the knowledge that these newlyweds were as happy as we were. Now, more than half a decade into our marriage and brimming with children, weddings are a reminder of those exciting honeymoon days of a marriage. I love my husband dearly but I have to confess that marriage is very different with children than without children.

As a newlywed, my husband could do no wrong. His quirks were endearing, and I’m sure he felt the same way about mine. Now, after a full day of chasing after my toddlers and feeding/changing/rocking my baby, one of my husband’s quirks can quickly send me over the edge. After a full day with all three boys, my cup is empty, and I often feel like I have nothing to give to my husband. He too seems to need some time to unwind after the kids fall asleep. Don’t get me wrong – we love each other more than we did as newlyweds, but we have found that we need to be more intentional about conveying that love. We also need to take a step back to truly see and acknowledge one another. Most parents find that they have less time for self care once they have children and the same is true of spouse care!

When we argue, one of us may break the ice by bringing up two of the tricks we learned at our Catholic Engaged Encounter weekend, prior to our wedding. Both have always made us laugh. The first is to hold hands while arguing. If you try this, you’ll quickly learn that it is impossible to truly be angry at someone if you are holding their hands. The second is to consider whether your words are “life-giving”. If they are not, consider how they sound to the person hearing them.

We haven’t mastered the art of making time for each other since this last child was born (9 weeks ago). This is partly due to the fact that we live far away from family, but mostly due to the fact that we are exhausted. For now, we are focusing on not being short with one another, spending time together after the kids go to bed, finding joy in the mayhem, and allowing the other parent to rest when one of us feels more energized. This is about as “life-giving” as we can manage to be at the moment.

Chaos coordinator

I’m 3 weeks into having three children (one day I’ll get around to sharing the birth story, but for now I’ll just say: the baby was not born in the car and I was able to get an epidural, which is seriously the best medical innovation to date) and it is absolute chaos.

Let’s discuss some of the ridiculous things that have happened since bringing our baby home:

  • Our middle child, Y, bit new baby’s Z finger when he was only a few days old. Seriously kid!? Fortunately Z was okay, but it was a clear sign that Y was not going to warm up to him easily. We’ve since made sure that Y has a bit more one-on-one time with everyone, and we continue to call him our baby. He has since only given him lots of kisses, so perhaps our approach is working.
  • Z was not sleeping at all the first few days (and, truth be told, is not sleeping great now, but I’m giving him the benefit of the doubt since he’s still a newborn). I should clarify: he would sleep just fine as long as he nursed the whole time and/or I held him. We ended up hiring a night nanny, who came highly recommended by two friends. We had her spend 3 weekend nights with us so we could be as well-rested as possible for the big kids during the day. It was incredibly helpful (even though I still had to wake up every 2-3 hours to feed the baby), but on the third night we caught her catching a snooze with our baby on the couch next to her! As my husband would say: “Seriously!? You have one job.” So we don’t have a night nanny anymore. But Z is cooperating and starting to sleep a bit at night. We can usually get one or two 2-2.5 hr stretches. I believe there was one night when we got two 3 hr stretches. Glorious!
  • I took Z out with me to a store the other day, when he was 2 wks old. I’ve been trying to lay low and not exert myself too much (also trying to keep Z away from germs), but I have unfortunately had a few time-sensitive errands to run. On this particular day, Z bawled his eyes out in the car (his M.O.). After we parked, I was trying to load up the stroller quickly so that I could pick up the wailing newborn. I thought I had closed our SUV’s trunk, and didn’t see that it had ricocheted back to half-open due to an umbrella stroller wheel sticking out the back. Unfortunately, I wasn’t looking up when I walked behind the car again and I ran straight into the side of trunk door. It was a pretty good blow, but when I touched my hand to my head to feel it, I was still surprised to see my hand coated with blood. OMG. My husband was at work, my mom was at home with Y, and I was bleeding from my head in the middle of a parking lot 30 minutes from home, with a wailing newborn still buckled into his carseat in the car. The whole thing was ridiculous. I ended up keeping my appointment at the store (I’m sure the woman working there thought I was insane coming in with a newborn with a blood-soaked Kleenex pressed against my head, asking whether I could use their bathroom to clean out my wound). I called one of my surgical colleagues right away and asked whether she had time to squeeze me in that day because I was pretty sure I needed stitches. And that’s how my quick errand turning into an afternoon spent in my clinic getting stitches. Silver lining: at least this happened on my scalp, where the scar will be hidden by my hair, and not on my forehead!
  • Negotiating 3 sleep schedules has been tough. As I mentioned, Z is not sleeping great. X has woken up really early a few days (e.g. 5:30am). I wouldn’t care if he could just sit quietly in bed, but he usually uses the restroom and calls someone to wipe him (so that’s one adult who needs to wake up) and then he goes back into his room, usually noisily, and wakes up Y (since they are now sharing a room). I also wouldn’t care about this if Y was a morning person, but he likes to sleep in, so this automatically makes for a cranky pants morning. Y still takes long naps (3 hours) so we pick him up after a half day of “preschool” and let him snooze at home. Honestly, it would be much easier to have him stay at school all day as opposed to driving to this school three times per day (drop-off for both kids, pick-up for Y mid-day, pick-up for X end of day), but the times we’ve tried a full day of school (including today) have been an absolute disaster. Y is a zombie and in a TERRIBLE mood, so it’s honestly more miserable than taking an extra drive mid-day. Just a few nights ago, I had finally settled Z out of my arms and into the Rock ‘N Play. Then, all of a sudden, I hear crying coming from X&Y’s room (it’s around 9:30pm so this shouldn’t be happening since they had fallen asleep some time before). I check out the Nest Cam and see that Y is standing up in his crib bawling. Oh no. If he wakes up X, we’re going to have a problem. And why is he up crying!? I rush into the room to make sure he doesn’t have a dirty diaper or a fever. Negative on both counts. I carry him out of the room to comfort him and then tell him calmly that he’s going to have to sleep in his crib tonight. That doesn’t go over very well. Ultimately, I let him cry it out in his crib and spend the whole time praying that X doesn’t wake up. By some miracle, he does not, and Y settles to sleep after a few minutes. And, of course, Z wakes up just a bit after that.
  • Family outings are a nightmare. I’m serious! It takes forever for us to get out of the house and we seriously need a rolling suitcase as opposed to a diaper bag whenever we leave. My mom has been in town, so right now we have a 1 adult to 1 child ratio. However, when she leaves, we are going to be in big trouble! X and Y always seem to dart in different directions. Z has blowouts literally only when we are out somewhere! And without fail someone will throw a tantrum.

In sum, things are crazy. I feel like I am barely surviving when all 3 kids are home. That being said, I would choose to have a third child a million times over. I love the chaos and would honestly love a fourth child (crazy, right? Pretty sure there’s no way to convince my husband that this would be a good idea). I also know that these days are fleeting. In just a blink they’ll be teenagers, looking for ways to escape into their rooms. So I’ll enjoy the endless cuddles, each boy vying for mom’s attentions. And I’ll even take the tantrums, tears, and sibling rivalry.

36 weeks + 1 day

Almost to the finish line and I have so many mixed feelings about this:

  1. Incredulity – I can’t believe this pregnancy is almost over – where did the time go!?
  2. Panic – How are we ever going to complete our to-do list before the due date? I have so many things I want to accomplish before the baby gets here. Some minor home improvement projects, wrapping up everything at work (I am so behind – it seems insurmountable!)
  3. Anxiety – Labor is not the most pleasant experience so I can’t say I’m necessarily looking forward to that part! We also almost didn’t make it to the hospital when my second was born, so I’ve been thinking about scheduling an induction this time around. I do prefer to go into labor without intervention, but didn’t love how chaotic things felt with my last delivery.
  4. Exhaustion – I’ve been staying up late to get things done and work has been super hectic because patients keep calling to make an appointment before I go. I feel guilty leaving them for so many months (although have amazing colleagues who will see them while I’m out) and keep saying yes, even though the days are long. Also, my belly is getting heavy and being on my feet during the day is exhausting!
  5. Worry – Will baby be healthy? Will my older kids be alright with the new addition? How will we handle the sleep deprivation? What if this baby also has colic (like my first)?
  6. Sadness .- This may very well be my last pregnancy (definitely will be, according to my husband!). I know I’ve been incredibly blessed to be pregnant 3 times (especially after my fertility struggles the first time around), but it does make it sad to think about closing the door on my childbearing years.
  7. Excitement – Another newborn! I can’t wait to see and hold him. I wonder what he will look like. I had a growth ultrasound yesterday (still being monitored because of the false negative toxoplasmosis result) and they estimated that he was 6 lbs 9 oz. I couldn’t believe it! That’s like a real baby! He was so cramped in there – space is certainly getting tight.

In other news, our (current) littlest guy started preschool 2 weeks ago. It was ROUGH in the beginning. He had a tough time adjusting. As it happened, he wasn’t able to attend the first 3 days we had enrolled him because he woke up sick on the first day of school! We couldn’t believe it. This kid has been the healthiest since birth (despite a germ-y older brother), but of course he had to wake up with a fever on his first day. Fortunately, our nanny was available to help us out. However, she had other plans the last two days of the week, and my husband and I had to work, so we threw him right into the deep end – he stayed for the whole day those first two days! He was always so tired when we picked him up. And he cried…a LOT.

So the following week, we decided to stick with the half-day schedule. I wasn’t sure how this would fly with my oldest (they are at the same school but different classes, so I didn’t know if he would be confused/upset if his brother was picked up earlier), but he did great. We told him his little brother couldn’t stay the whole day yet because he was too small, even though he really wanted to. Drop-offs were still tough that first half of the week (he even angrily hit a teacher one morning after I left!), but he soon began to adjust to the schedule, and started to cry less and less at drop off.

This Monday, the sweetest thing happened. He clung to me like he always does when we arrived at school. But when I told him that it was time for me to go and that he should stay with his brother (they have a joint playtime in the morning while all the kids arrive), he took a few steps towards his big brother with tears welling up in his eyes, held his hand, and tried his best to look brave. He turned around to look at me when I left, but he didn’t bawl for the first time! And since then, it has only continued to improve. Today, he walked away from ME when I dropped him off, and happily took a spot next to his brother on his yoga mat.

Overall, he’s adjusting REALLY well and I am so happy this happened before the new baby comes to town. They’ll have their summer break soon, and then we’ll need to decide whether it’s time to enroll him in the full day schedule!

Here are a few books I found useful to prepare your little ones to start preschool. Both kids really loved these books during their transition periods, and I think they very plainly lay out the emotions kids may experience when leaving their parents for the first time.

How I do it

I can’t get into Instagram. Like other social media platforms, I follow a handful of friends, family, and acquaintances and post very sparingly. I don’t post a lot because I’m fairly paranoid about privacy (all I can say is: thank goodness it did not exist when I was in high school – I would be mortified to have those memories immortalized) and I honestly just don’t have time for it. I’m constantly in awe of people who capture and share so much of their lives. How do they manage to do it? I have no idea.

I worry about young women following certain “influencers” (what does that even MEAN!?) who post regularly on working motherhood, work-life balance, etc.  These influencers leave out so many important details of their lives when they post. They talk about being imperfect but then always post “perfect” photos. I couldn’t believe it when I learned that some people hire photographers to take their pictures! What happened to authenticity!? How can these people write about “keeping it real” when someone’s following them around with a camera? I’d love to see more influencers post while wearing yoga pants (not actually used for exercise, mind you) with their unwashed hair pulled up into a tight bun because they haven’t been able to escape for 15 minutes to take a shower in 3 days.

These influencers also rarely address the role of privilege in their lives. Did they come from money? What role do their husbands play in their financial success? Have they faced any hardships? What does “hustling” mean in the context of not really having to work?

I would be a terrible Instagram influencer because I don’t sugarcoat things. I am very upfront when I give advice to young women who ask me about work-life balance. So I’m writing this post today to share the authentic side of working motherhood, how I’ve been able to balance both aspects of my life, and how I’ve learned to be at peace with my decision.

1. How I decided to keep working full-time after my first child was born: I actually didn’t have a choice.* This is not a glamorous answer, but it’s the truth. My husband supported us through medical school (full disclosure: my parents also supported me quite a bit through medical school, before my husband and I were married) and residency. Once I graduated and had a real job that brought in actual income (sorry residents!), it was my turn to support our family while my husband started his own company. I came home from the hospital after my son was born and announced that I never wanted to go back to work (I loved my job and still love my job, but those postpartum hormones and attachment to your newborn are strong forces!). My husband, who is very loving and supportive, looked at me and said that wasn’t an option. Ultimately, he was right. We had a mortgage, lived in a high-cost of living area, and both had to hustle to set our family up for success, because we were not about to inherit millions of dollars any time soon (or ever, having both come from humble backgrounds). So 4 months later, I went back to work.

I vividly remember new moms I met during maternity leave saying things like: “I can’t imagine going back to work and leaving my baby with a stranger”, “babies need their mothers”, etc. and feeling so incredibly hurt. I never once congratulated myself in front of them for going back to work, or made any arguments as to why working motherhood was “better” (is there a better? I don’t think so – I truly believe every parent tries to do their best within their means). Although I was hurt at the time, I think they were trying to rationalize their own choices, and I don’t fault them for it. I now have almost 4 years of perspective to see how that decision has impacted their relationships and careers, and I also see that our kids don’t differ in any appreciable ways, despite mine having had >1 caregiver. So the first thing I tell young women is this: you have to do what’s best for you and your family. How much choice you have in the matter will depend on many personal circumstances, but you can never go wrong if you love your child and try your best. And don’t listen to anyone who tries to tell you there’s only one right way to do things – they are trying to convince themselves, not help you. 

2. How I “do it all”: Today, a weekday, I organized a play date with a close friend and her kids. I ran errands, prepared dinner for everyone, read a story to my son’s preschool class, and spent some time calling patients with results, speaking with other doctors about complex cases, and working on administrative projects. My friend sent me a text saying “Wow – super mom! You crushed it today!”. Yes, I was pretty productive, but I also have a lot of privilege and extra help, so it’s really not that impressive.

First of all, I have a very rewarding and flexible job. I love what I do and who I work with, I have great benefits, I have a lot of autonomy, and I have the opportunity to do some work from home. I’m not in the hospital taking 24 hour call and I’m not working a dull, minimum-wage job. So how did I get here? Well, I have always been driven, but I also had parents whose main goal was to set me up for success. They were present, supportive, loving, and sacrificed their own livelihood to put me first. This allowed me to focus on my education, to attend an Ivy League college, and to ultimately graduate from medical school and enter into a competitive specialty. I worked hard, but I also won the lottery by being born into an amazing family, and also encountered a lot of luck along the way. There are many bright and promising people who are not so lucky, or whose lives are transformed by tragedy. Second of all, I have an amazing husband. He is very affectionate, closely involved with the kids, does groceries 90% of the time, and cooks pretty much every night (my cooking tonight was indeed an anomaly). He has also been very successful in his career, and this has set a solid financial foundation for our family. I truly won the husband jackpot. Finally, we can afford to hire help. We have our oldest in a nurturing, full-time preschool (and his brother will join him in a few weeks) and we also have a full-time nanny. Without family in the area, I can’t imagine doing this without our nanny. She has been a true lifesaver, taking great care of our kids, tidying up our home, doing our laundry – I could go on and on. And because our jobs are flexible, we don’t utilize our childcare resources to the max, so we are still able to be their primary caregivers.

Now, there are certainly many people who are much better off than we are, and our arrangement may also not work for everyone. But the advice I usually give is this: split the household responsibilities with your spouse. If you can afford it, outsource household work you don’t enjoy or find fulfilling (e.g. washing dishes, cooking, etc.). If you can’t afford it or can but wish to reach financial independence more quickly, figure out what you can do without. Can you ignore the laundry piling up for a few days? Can you leave dishes in your sink? In sum: try not to sweat the small stuff so that you can focus on what you truly love, which for most people is spending quality time with their kids. Doing it all is really just a matter of how much you put on your list. Put less on your list and you’ll automatically do much more!

In sum: I don’t think my situation is all that impressive. I continued working because I had to (but 4 years later am so incredibly happy that I did, because I truly do believe I have the best of both worlds now) and I “do it all” because I was privileged enough to have been set up for success and I can outsource some household tasks and afford quality childcare. And this is precisely why I would have a terrible public Instagram account – the truth is not very awe-inspiring, but I do think it’s important for young women to hear it so they are not discouraged by “perfect” lives on social media.

*In truth, there were things we could have done to make my staying at home feasible. My husband could have stayed at his well-compensated job, we could have moved to a lower cost-of-living area, we could have relocated closer to family. Ultimately, however, we chose to remain on this trajectory because we liked where we lived, I had a great job, and my husband had a lot of opportunity with his new endeavor. It was not an easy decision, and I shed a lot of tears, but I don’t regret making this decision.