Showing posts with label developmental milestones. Show all posts
Showing posts with label developmental milestones. Show all posts

Monday, June 20, 2011

Always, In Flux (Or: The Current State of My Fifteen-Month Old’s Napping, Diet, Language Acquisition, Growth and Development)


Babies are constantly changing. Everyone knows that. It’s one of those basic tenets of baby-rearing that becomes almost cliché. Just like the adage that goes, “Just when you think you’ve got them figured out, they switch it up on you.” True but, to most moms anyway, a cliché.

Babies are constantly changing, but there are definitely periods where the changes seem to come quicker, more suddenly. Skills that have been slowly coming along for months suddenly come together and voila! Suddenly, one day, you realize you are in the presence of a different baby. Not so different than yesterday, but definitely different than two weeks ago. Sometimes it’s the people who only see your baby every so often that are most able to articulate the marked change.

Cedar seems to be in one of those periods now. For one thing, he’s about to make that big leap from two naps to just one. Sigh. For the longest time he has napped around 10:00 and 3:00. We have had a three hour chunk in the middle of the day to eat lunch and then go on a long walk or excursion, meet up with a friend, or run errands. I’ve come to depend on this routine and appreciate its consistency. But as Cedar’s afternoon nap has continued to get pushed later, and consequently so has his bedtime, I’ve wondered lately if I should enforce the transition to one nap and get it over with. But then I’ve reconsidered; why force it? It should become obvious when he is ready.

Now, it’s looking more and more like we have reached the time to switch him over. Last week for three days in a row Cedar resisted going down for his first nap. I’d try, then give up, then try again, then give up, and finally he’d go down sometime between 11 and 12. But then the last couple days he’s been back to two naps, so this is all to say that we are no longer on a predictable schedule.

I know I just need to go with the flow for a while until he settles into a new routine, but it’s unsettling to me to have to play each day by ear and feel unsure about what we’re doing, when is bedtime, whether I can commit to plans with friends, or sign him up for that upcoming swim class. I know, I know, big friggin’ deal, right?  These are the kinds of deliberations that probably aren’t very interesting to others, unless you are a parent like me who is slightly obsessed with sleep and who really likes to have a routine. I am by no means someone who likes to over-schedule my day, but I sure do like to know when naps, bedtime and wake up time are. These are hard-earned badges of a tired parent. It unnerves me to have it change every day now in a seesaw pattern. And it can’t be that great for Cedar either. His little body has an internal clock too, and a transition like this no doubt will throw him off for a while--although I suspect he’s more resilient than I am.

It’s probably no coincidence that this switch to a new schedule coincides with a period where Cedar is really exploring the reaches of his body and environment. Cedar didn’t learn to crawl and cruise around on furniture until he was over a year old, and since then it’s still taken him a while to realize that he is free to roam at will through the entire house. He isn’t one of those babies who just took off and was everywhere once they learned to crawl. It’s only now, at fifteen months, where I can truly say he is into everything; every day he discovers a new (un-childproofed) corner full of plants or lamps, a new dubiously supportive chair to pull up on, a new shelf to pull things off of. Only now is he of that age where he will take off with a devious grin as you come after him, playing a game of hard to get. I’ve also been teaching him how to safely get off our bed (mattress) by getting on his belly and sliding his feet off first, and although he still hasn’t mastered the whole maneuver, he sure looks satisfied when he manages a close approximation.

My baby is becoming a toddler. He says, “Hiii…” in a sweet call and response with me, and he understands so much of what we say now—in both English and Chinese. My mom watches him five or six hours a week and speaks to him solely in Chinese. I reinforce what he learns with her by scattering in words and phrases throughout our day when I’m in the mood, and to my delight, this has been enough for him to understand the language! Gei wo, chuan wazi, xiezi, kai deng, kan  feiji… Give it to me, put on your socks, shoes, turn on the light, look at the airplane… he knows these, and plenty more. My baby is bilingual! It’s amazing how they soak things up and learn.

He also knows now what ‘no’ means, and he’s old enough to erupt in a tantrum of an arching back and screaming protest when prevented from doing something he wants. I’m seeing more of his stubborn will every day. It’s both exciting and daunting to think about this coming (nearly here, already here?) stage of toddlerhood. Perhaps I will soon long for the “easy days of old” when he was a baby, as much as I’ve longed for the “easier days to come” when I’m no longer nursing and can eat whatever I want again, not to mention leave him for a whole evening or (hard to even imagine now)— a whole week!

Quick diet update: I am still not eating any dairy, soy, garlic, onions, tomatoes, citrus, coffee or chocolate. When you can’t eat garlic, it’s near impossible to eat out (unless I want to just special order a plain piece of meat, after first ascertaining that they don’t cook with soy oil, so why bother when I can make something much tastier at home?). Soy, of course, is everywhere—in most store-bought breads, crackers, chips, spreads, you name it—so that is a big one I need to watch out for. Both soy and garlic still give Cedar terrible gas pains (last time I tested), which leads to a terrible nights of sleep for all of us. I’ve learned from experience many times that it is not worth it for me to eat soy in any quantity. I will eventually test these main off-limit foods again, but there’s plenty of other stuff to test and retest in the meantime.

With his other restrictions, I’ve started to allow a little here and there. Dairy gives Cedar a rash, but it’s not too bad if I just have a little on rare occasion. I will occasionally now allow some organic ketchup on a burger, or some canola mayo (that has lemon in it) on my sandwiches, because being able to eat those two condiments goes a long way in the flavor diversity department. I will also occasionally allow a rare, beautiful cup of coffee, which doesn’t seem to affect Cedar unless I start to have it multiple days in a row. And I will eat a few pieces of certain brands of salami or other items that contain the ambiguous ingredient “spices” which no doubt means a little onion or garlic powder, but which I can get away with in small quantities. I still stay away from cabbage and broccoli, especially raw. Beans, which I’ve tried a bit more of recently, seem okay.

It has gotten way easier, this diet, but we are far from being out of the woods. In the meantime, I’m still constantly trying out new foods directly with Cedar, and since it is a rare day when he doesn’t have some slight rash on his cheeks still, then it can be hard to gauge whether he is having a subtle reaction to something or not. I never want to feed a huge quantity of something to him before I’ve given him just a little the first time, and so inevitably there are many foods I have to give him several times before I can truly say (or guess) that they are okay.

So far (besides the aforementioned things that I’m not eating and so by extension am definitely not giving Cedar until he can first tolerate my eating them), he has also proved sensitive to: bananas, strawberries, possibly potatoes and corn, and also plums, apricots, and peaches. I plan to retest the latter-mentioned fruits because I so hope he can enjoy with us the summer harvest, but I’ll hold off on the other stuff in the time being because my suspicion is great enough, and because there’s plenty of other new stuff I can introduce to him first.

This is such a slow process because I don’t want to test stuff on him if he’s already got a rash, and I also don’t want to test stuff on him if I’ve eaten something questionable myself within the last couple days. For the longest time I was also following the ‘wait three days after trying something new’ rule, but lately I’ve grown impatient and sometimes only wait a day or two if we are trying foods that I’m not that worried about. I’ve tried both egg yolk and whites on him separately, but he didn’t eat much of them, and his ensuing rash the next few days was not obvious enough for me to be able to say definitively if it was from the eggs or not. I haven’t gotten around to trying any nuts or shellfish on Cedar yet, but I have given him tuna and salmon which seem okay, thankfully. Wheat and gluten are fine too (thank god—it wouldn’t be fair for one kid to have so many restrictions!), as are all the meats he’s tried—chicken, turkey, beef, and a tiny bit of pork.

Because of our slow progression in trying new foods, and also because he is somewhat of a picky eater (well, who wouldn’t be when you have only been allowed so few things), Cedar’s diet right now consists mostly of a few key foods: oatmeal, bread, pasta, and puffs; blueberries (his favorite), apples, pears, and peas; a bit of the aforementioned meats (he’s not so hot on plain meat- who can blame him- but LOVED the bbq smoked chicken); carrots he can take or leave, and the same goes for green beans, beets, or squash. I’m constantly trying to strategize what else I can give him, as this diet seems rather boring and often vegetable deficient (usually all he’ll eat are peas and avocados) and protein deficient. It’s hard to make things more enticing when there are still so many foods and spices he hasn’t tried. His main source of protein is still breast milk, and since he can’t have any other kinds of milk, this means it’s important for me to keep nursing for some time—especially until he’s outgrown some of his allergies.

I’ve thought about sharing some of the ways we’ve learned to make food taste good during this period with so many restrictions, although I doubt that many people out there with food sensitivities would match our particular list of what’s okay or not okay. (People always assume that I can’t have gluten when I mention ‘food sensitivities,’ because that’s the allergy that has become more common and thus recognized in our culture. Restaurant people also often don’t realize that soy is in everything, and that vegetable oil = soy oil. And I’m not vegan; I eat eggs and meat, but I can’t do dairy.) I know, it’s a lot to keep track of. But personal gripes aside, I doubt that there are many out there who have to avoid the combo of dairy, garlic, onions, tomatoes and citrus. How do you cook a tasty pasta without these things?! Think lots of olives, capers, mushrooms, peppers, or artichoke hearts; plenty of herbs, olive oil and balsamic vinegar. For other flavor punches, also think bacon, roasted root veggies, and lots of avocados. And think spices like celery salt, paprika, and cumin. Not curry powder though, because that has garlic in it usually, and nothing too spicy either.

Anyway, this blog post is all over the place. I guess it’s just my personal taking stock of where we’re at now during this period of solstice and change. We’re growing up, we’re letting go, we’re stuck in old ways, we’re holding on. We’re trying to remember to appreciate each day, each stage, and each small new success along the way. We’re not walking yet, but we’re getting closer every day, and not that much in a hurry. (I was relieved, however when Cedar finally started crawling because it is such a useful skill for him to have in the interim before walking, even if it is not an essential milestone.)

What else? We’re packing up the 12 months, well into the 18s, already wearing some of the 2T tops, and soon, believe it or not, even 3Ts will be on the radar. (Our collection of hand-me-downs are in constant rotation between the too big or too small boxes in the attic, the “holding drawers” for the next size on the horizon, and then the one big drawer for current mainstays.) One month, one age, one size bleeds into the next, and before I know it, I’m signing my baby up for co-op preschool (starting next fall! Just one morning a week, though).

Some days I think that my life is incredibly tedious and boring. Other days I feel incredibly thankful and blessed. Some days I can’t wait for Cedar to get older and start going to school so I can claim back more time to write and work. Other days I just want to savor these days when he’s still a baby, my constant companion, sidekick, boob man, snugglebug nestled into my chest. I want it to faster, I want it to go slower. Always this push and pull, push and pull. Always, we finally reach out only when someone is about to leave. Always, something to praise, something to disdain. Always, in flux. Always, the norm. Always, surprises. Always, this moment to anchor my fly-away thoughts, to anchor my being in what is.

Monday, March 28, 2011

On Turning One, Developmental Milestones, Being Proactive and Letting Go



Cedar turned one on Friday, and is on the cusp of so much change. He’s been a bit of a “late bloomer” on a lot of fronts—the most obvious one being the fact that he still has not figured out how to crawl. I didn’t worry about it much for many months since I knew that crawling was not an essential milestone and some babies skip it all together and go straight to walking. But as more time went by and I watched my friends’ babies who were the same age scramble across floors and furniture, I began to worry-- just a little. It wasn’t just that he wasn’t crawling, but he wasn’t moving around much—rolling, lunging, or dragging his body in ways that other non-crawlers nevertheless learn to get around. He abhorred tummy time, and within seconds would usually just sink his face into the carpet, complaining. Mostly, he seemed fairly content to just sit there and stretch his body as far as he could for the toys that were within reach--developing an impressive ability to do the splits. You could see him looking at something and calculating whether it was worth going for, and in many cases he’d decide, nope, too far.

Online one day, I ran across a link to a free developmental screening offered by the local nonprofit Parent Trust. Why not? I thought. Even though people like my mom told me not to worry, Cedar would crawl when he was ready, I knew I would feel better if I was being more proactive. I wanted an expert to tell me not to worry, or to suggest exercises I should do with him. I’d tried for months placing tantalizing objects like the remote control or other things he wanted but wasn’t allowed to have just out of his reach, then putting him on his tummy and encouraging him to come get it. This occasionally motivated him sufficiently to inch forward a tiny bit, but almost always ended in cries of frustration.

I’m really glad I went to the screening. We sat on the floor in a room full of toys with a woman for an hour and I answered questions about what Cedar could and couldn’t do, while we observed him play. The screening confirmed what I suspected—Cedar was right on target with everything, with the exception of gross motor skills. It wasn’t so much the actual not crawling that was significant, but more that he figure out how to move his body around and get places and things by himself. Cedar had rolled over more or less “on time,” but he rarely did it. Cedar had also not figured out to sit up from a lying down position. He could hold his weight just fine when I helped him stand on his legs, and he was getting more and more balanced while standing against a couch, but he was still pretty far from being able to scoot himself around by himself while holding on to furniture. He was probably most active when he was pulling himself up onto my body, but he still often favored his tiptoes instead of standing flat-footed.

The woman didn’t raise any alarm bells with me, but she did encourage me to start giving him more tummy time—perhaps more often, but for shorter periods. We needed to see how much of his not crawling had to do with the fact that he didn’t have enough practice and motivation, or, if he still didn’t progress in the next month (he was eleven months when I brought him in), then I might want to look into whether he had weak muscle tone. Also, she encouraged me to give him plenty of opportunities to practice standing, for instance by putting toys on the couch for him to reach for and play with while standing up.  

I’d done this before, but now I was definitely more motivated because I had concrete suggestions, perspective, and accountability to someone whom I trusted and liked. It just was that much more on my radar to make sure Cedar got more than just one token attempt at tummy time a day.

It’s been amazing to watch how much he has now learned and explored in just a few short weeks. I don’t know how much of this had to do with my efforts, and how much coincided with the timing and the fact that he was just ready, but it didn’t take long for him to get more tolerant of hanging out on his tummy (reading to him in that position worked well since he loves books), even if he still was far from crawling. And then one day he figured out how to push himself up back onto his knees and then awkwardly get his legs out from under him back into his favored triangle-leg sitting position. This was huge! Once he practiced this a few more times and mastered it, then being put on his tummy was no longer a big deal since he could easily push himself back up. Granted, this means he is still not increasing his tummy time, but what he has been doing is lunging for things, falling onto his tummy, then sitting back up. Or else he’ll use one leg to scoot himself around on his bottom. I can still get away with plopping him down with some books on the floor and going into the other room for a minute (max), but on the contrary, I am getting more cautious about leaving him in the middle of our king-sized bed for even a few seconds (especially if our cat, Miles, is lying there, for Miles is one “forbidden to grab object” that Cedar will not hesitate to lunge towards). While it’s been kind of nice to have been able to delay worrying about childproofing (especially our bed, which we all sleep on and which we’ll have to change to just a mattress on the floor really soon), this is not something that I have wanted to brag about.

Although Cedar still lags behind many of his peers who mastered crawling long ago and are well on their way to walking, I know that there is a big range in which babies hit their milestones and now that he’s made so much progress in just a few weeks, I feel reaffirmed not to worry. I also know better than to blame myself or worry that I created his lack of motivation to move because I “carry him too much” or bring toys to his side. Surely giving him more tummy time helped, but I also think that the main factor in how kids develop has to do with their innate personalities and bodies. Cedar has never liked to be laid down for long (perhaps partly due to his frequent early discomfort from gas?), and so I’ve held him all the more. Cedar has also always been a watchful baby, content to sit back and take things in as opposed to a baby who impulsively lunges and grabs for things. He loves books and is content to sit there flipping through one after another on his own. He alternates between being quiet and serious, and being loud and talkative. I continue to be astounded by how fast he recognizes new songs and words.

Even though Cedar will probably be a late walker too, I am nevertheless beginning to see the toddler in him emerging. This is both exciting and a bit scary (can you say, hello temper tantrums and stubborn will?). Although he has yet to utter his first words beyond mama and dada (and perhaps a few others I can’t be sure of), I can tell he understands so much more than I realize. I ask, “Do you want to read a story?” and his eyes flash up to the bookshelf by the bed. “How about ‘Mud’?” I’ll say, and he’ll smile and pant and wave his arms excitedly. In response to other questions he’ll answer simply by uttering the all-purpose affirmative syllable, “Na.” I feel like I can now have a call and response conversation with him, and I witness more and more of his distinct little person every day. What happened to my baby? He’s still there. But so now is the vision of a growing, opinionated child.

Case in point: just yesterday I registered him for a toddler co-op preschool starting in the fall. It will only be once a week for a couple hours and I will be there with him (unless it’s one of the alternating where I’ll spend an hour in the ‘parent education’ group), yet still, it is a bit mind boggling to already be signing him up for something called school! It’s exciting to think of all the books, animals, songs, games, train tracks, jungle gyms, circle times, dancing, painting, cooking, and sensory projects to introduce him to in the years to come (hello nascent preschool teacher inside!—yes, I’ve worked part-time in preschools since high school, and I probably still would if they didn’t pay so little). At the same time, I also keep reminding myself to imprint the image of him now, as a baby, in my mind. Imprint, imprint, imprint. For it won’t be long before I’ll look back on pictures of today and say, “Look how little he was!” instead of bemoaning how BIG he’s gotten, and how much carrying him around is killing my back.

Other recent changes for Cedar include finally waving bye bye, finally cutting his first tooth at eleven months, and just in the last week or so—rolling around or outright sitting up as I nurse him to sleep in bed (or when he wakes up later on). Part of this has to do with the fact that we finally stopped swaddling him at eleven months (I asked the popular Seattle nurse and educator Anne Kepler what she thought about us still swaddling, and she said if it was still working for us no reason to stop swaddling before he’s a year or so). The transition went just fine, although I fear the day when he outright protests going to sleep AND we can’t just confine him in a crib and walk away since we don’t use a crib. (Cross that bridge when we get there). For now, I am grateful that he goes to sleep mostly without protest and sleeps pretty well at night (without flailing all over the place) by my side.

I’m supposed to schedule another appointment with the developmental screening lady soon to check in, but I don’t feel a pressing need to now that Cedar’s made so much progress. I think I still will however, because I enjoyed having a knowledgeable and concerned woman to talk to at length about my son’s growth, especially when my visits with Cedar’s doctor at Group Health are so hurried and short.  The screening also helped put on the radar for me other developmental skills to look out for in the coming months and gave me ideas for activities to do with Cedar to help encourage them. Any Washington state resident can schedule one if your child is between the ages of one month and five and a half years.

I do not aspire to be the kind of mother who is obsessed with developmental milestones or to be constantly comparing my child to the children of others, but I admit, it’s hard not to enter the comparison game, especially when I know so many parents of children who were born within a month of Cedar since we were all in the same PEPS group. I suspect we all do it, whether we are aware of it or not. It doesn’t just happen when our children can’t do something that others can. It also happens in the natural bubbles of pride that swell when our child does do something new that seems fairly advanced. But it’s so important to keep all of this developmental milestone and comparison business in perspective. Watch, take notice, celebrate, and talk to others about your concerns. Try not to worry or jump to conclusions, but also be proactive and look into it. I know this can sound contradictory, but for me, I worry more if I try to corral off my worries into a little corner of my mind that I don’t want to look too hard at. I feel better if I investigate my small seeds of concern, and take conscious actions. That way I can know
that I’ve done what I can do, which makes the more important and difficult act of letting go that much easier. 

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