We had our (hopefully) last visit to the PT today.  It went well – Daphne’s cranium feels quite wonderful, apparently.  (Which, on a surface level, is a humorous statement. It’s more important than it “sounds”; the PT really meant that there doesn’t appear to be any restrictions on innervation through the body particularly based out of the skull.)  She did notice that one side of the mouth (think of the area down from the gums along the bottom of the mouth towards the tongue) was a little tight (the left side), and a little bit in the muscles right at the TMJ (from the inside, though, not the outside) and showed me how to work on that a little bit.  I continue to be hopeful, and Daphne thanked the PT by giving her the biggest smile/laugh that we’ve seen her do so far.

I’ve already noticed the hydrocortizone that the doc recommended helping.  Now I just have to remember to use it after she feeds each time.

In sleepy news, Daphne slept from 9pm to 5am last night.  She though about waking up around 2am, but went back to sleep with a bit of help.  Her naps yesterday were fairly awful, and I think she’s starting to be more aware of who is around, and knows that she wants me there when she wakes up.  Even with her current nap, she opened her eyes once, happy to look around, especially once she knew I was there.  I’m torn on whether this is a good thing or not.  Since I’m a stay at home mom, and have strong attachment parent leanings, I don’t feel that it’s vital for how we function day to day to sleep on her own and not be able to have me there when she wakes up.  There are arguments on both sides of the fence about whether or not that is “developmentally good for baby”, but there is validity to BOTH sides of the argument.  And it’s not like she gets picked up every time she wakes up – she’s starting to learn that she can stay laying in her cosleeper and go back to sleep.  Sometimes  it’s with a finger to suck on (I am starting to wish that she would take a pacifier these days), sometimes just a hand resting on her chest.

I realized the other day that, though we are constantly trying to figure out what’s not working with our approach to her sleep, it works about 80% of the time.  When she goes down for sleep 6 to 7 times a day, however, that means we have to expect at least one failure a day.  I definitely feel a lot better about it now.  On the other hand, I think we need to start separating our “nap routine” from our “bedtime routine”, since she is clearly continuing to work on how to get a single long stretch of sleep in.

In her attempts to do that this morning, Daphne went 8.5hrs between feeds, so I had rather a lot tanked up for her when she woke up, smacking her lips, to eat.  And eat she did.  Vigorously.  Eventually, she popped herself off the second side at what felt like half way through.  She used to sometimes take too much, and I’m hopeful that her learning to unlatch herself will help reduce that.  And it might, if she’d not eat so fast that she doesn’t know that she’s full – or overfull.  Approximately 20 minutes later, she spat up a large volume of milk.  Followed by two repeat performances over the next 30 minutes.  She wasn’t bothered by any of this in the list (well, a little annoyed at the changing of the clothing for the second time in the morning), but it was a surprising amount to me!  The last time was even as she was drifting off, her eyes closed as I held her in my arms.  Up came a wave of milk, her eyes barely fluttering open, and then resting gently shut as I felt my shirt getting soggier and soggier.  It was really quite funny, and is why I’m not worried about it.  I figure, if I know that I can get nearly nine ounces out of these boobs after eight hours without any draining, and she generally only takes four or five ounces of pumped milk, it’s fair that she’s going to throw two or three ounces back at me if she tries to scarf down two full morning boobs.

In play news, she’s been enjoying the kick and play a friend got us.  We’re not sure if she likes the lights, the music, or just the kicking, because we  do know that she likes kicking!  She’s working her way to growing out of most of her 0-3month clothing (and she’ll be three months old in 10 days), but still is working on the reaching out to things.  Well, reaching out to grab anything that isn’t my hair or my shirt is still being worked on.  Those two items are apparently easy-peasy.

I have a new carrier that I’m trying out, a Catbird Pikkolo.  I am enjoying it, and I think she is too.  Generally, Daphne has been opposed to facing in towards me in a front carrier.  (Never mind the “wait until they’re three months old” thing.  After talking to the midwives about it, we went with when she had decent head control.  She had that after a few weeks.)  It’s a soft structured carrier, similar to a BabyBjorn, but has both a waist belt and wider shoulder straps, which mean I can carry her far more comfortably in it than in the Bjorn.  I am still working on getting her out of it without waking her up, but at least it has a little extra space at the top for her to have a bit of support if she falls asleep in it.  And she was willing to face inwards in it yesterday when we walked to the fruit stand.  I think part of the reason she’ll accept that position in this carrier, but not the K’Tan or Moby is that it has her leaning back from me just a little bit, so she has ample space to look around, rather than just at my chest.  She’s not happy about trying to sleep in it, resting her head on my chest, just yet, however.  She tried, but it was too tempting to rub her eyes on my and then look back out.

Next week, she gets her first “hike” on our local county trail system.  I am quite excited, as well as quite nervous about how hiking with her is going to impact her naps.  But, I feel like we’ve got to start trying now, or we never will!

Daphne and I puttered through traffic to see the MD who specializes in breastfeeding medicine.  Fortunately, Daphne was good and hungry when we arrived.  Unfortunately, the doctor was a bit late.  She was quite nice, however, and we got started off right away with nursing on the first side.  She had a number of suggestions for positioning, and we implemented one or two and then waited for the other side to do the rest, which included letting go of my trust MyBreastFriend pillow.   Ugh!  It was like taking training wheels off your bike when you were a kid – you were fine, but it was nerve wracking!  In the end, I must say, I HATE the learning of the logistics of breastfeeding.  Do this, not that.  No this, not that.  No, no, this other thing, not that one.  BLAH!  While I can accept that this is a case where the internet is far less helpful than it should be (and even spreads misinformation), I have the experts telling me different things, and that gets annoying!  But the doctor today reminded me of the most important thing – keep trying these different suggestions, and find out what works for us.  Did someone say that earlier on in the process?  Sure.  Probably many people, but now that I’m more experienced at what works and what doesn’t, it’s actually something I’m capable of listening to.  But not using the prop and having her so slanted and slightly facing up seems so precarious.  I think, like learning to ride a bike without training wheels, we’ve just got to practice.

She did before/after weighings, and Daphne ate 2.5oz on the right and 1.5oz on the left – and both sides, but moreso the left, were less than stellar feedings since we were in a new place (new shiny objects!) and she was already fussy and overtired.  So, four ounces at an ok feeding is great!  (FYI, she’s just about 12lbs at this point, up from 11lb 6oz two weeks ago.)  And she suggested continuing to do breast compression when Daphne stops taking eating very seriously, and to continue limiting her time at the breast.  Being an attachment parenting person at heart (tempered by much, much realism), the idea of doing this bothers me on some level, but it does seem to work best – for both of us, really – if the breast is mostly about feeding, and not fluttering at for half an hour a side.  I’m glad that I can fairly easily tell when she’s actually eating, so that the time I limit is the random snooze-sucking (and if that isn’t a word, it should be one) and not productive eating.  She also mentioned going back and forth from side to side if Daphne is getting too fussy about the slower flow at the end of a feeding.  While she’s off of one boob, it “repackages” (the doc’s words) the milk still in there so that it will flow at a faster rate when she comes back to it.  (Daphne has a habit of head turning and other unpleasant boob-manipulations (another word that should exist) when the flow rate gets low, so we think.)

To continue the rambling account of this appointment, she then checked on my nipples.  She could immediately see the irritation (they look chaffed) and that there was still a bit of compression (though, really, it’s MUCH better than it used to be, so my standards are somewhat low!).  She couldn’t identify any blanching, but around 10 minutes of chatting later, when I noted that I was getting the “something is stabbing my nipple” pain, she looked and sure enough, it was blanched.  So, she definitely believes that there is some vasoconstriction going on.  While this isn’t true Raynaud’s, which is an autoimmune condition, it’s similar in manifestation.  Sometime between 10 and 30 minutes after feeding, I’ll get waves (often 10 minutes apart) of a stabbing and then burning sensation right in the nipple.  Definitely a different sensation than let down (though I also find letdown to be a burning type of sensation, and it took a few weeks to be able to differentiate the sensations), it’s apparently classic vasoconstriction symptoms.

What I had been doing – warm compresses (really, a warm buckwheat pillow) over the nipples after feeding – is definitely something I should keep doing as it helps maintain blood flow.  She also suggested making sure to NOT let the nipples air dry (moist healing being more effective), and try to use something like oil to keep them from drying out and from sticking to my bra or nursing bra pad.  (Yet another thing I didn’t know – the nipple should not stick to the bra and have to be peeled off!  And that the nipples are NOT supposed to be hard after feeding!  Who knew!)  So, I’ll try to keep my lanolin/st.john’s wort mix handy, and maybe a little tiny vial of olive oil.  (Another newborn use of olive oil!  It can do everything!)  She also suggested that I try an OTC hydrocortizone ointment to reduce the inflammation in the irritated (traumatized) nipples.  In theory, reducing the irritation that Daphne is causing every time she feeds should help reduce the vasospasm (since it appears to be induced by the damage to the tissue), so we need to keep working on good latch and good function, but treating the inflammation in the meantime is important too.

I feel good coming out of that appointment that we can continue to improve the situation.  I’m not quite hopeful enough that we’ll get to the “she can breastfeed as long as she wants” stage, but I’m definitely feeling more confident that we can keep going for at least a year.  Heck, we’re nearly 25% done with a year already!  (Crazy!)  Hopefully, the PT will be able to help us continue improving the symmetry of Daphne’s feed, which the doc noted was something that could still use improvement.

On the way home, I opted to stop at a store in the  area and look at another carrier.  Jason was a bit less than enthused by me trying another one, but I really want something I can carry her for longer times in and let her fall asleep and still have support for her head while facing out.  (I do plan to attempt to “moby train” her, to borrow that other mom’s phrase, to be accepting of facing inward, but I know that it will not be a permanent solution.)  Baby carriers are expensive, though, so I can understand his reticence.  (I’m opting not to do a 300-hr yoga teacher training this year, since working it around her would be challenging, so I’m using a little bit of the money I’m saving there for other things. 🙂 )  Fortunately, there is a return policy at the store in case he really really hates it and I don’t love it.

And, finally, with all that going on today, Little Miss Daphne had some horrid napping, so I allotted extra time to getting a good nap in for her.  After she ate, I swaddled her up, held her in the rocker, and gave her a pinky finger to suck on (human fingers >> pacifiers, still).  She got to the first asleep stage, and I went to put her in the bouncer she often sleeps in, but she woke up and was less than pleased, doing more abdominal scrunching, like she had been.  Sensing that she was continuing to change her sleep habits, I put her down on the bed (cleared of poofiness) still swaddled, squished a pillow along her side (below head level) and myself along the other, with a leg draped (gently) over hers.  I gave her back the finger, hummed at her, and she feel asleep, on her back, on the bed.  (And has been there nearly two hours.)  I think we’ve moved on to another stage in the sleep game.  Now, will she do this on her mattress, and not our memory foam mattress?  (Though, we have the option of buying a memory foam mattress in “portable crib size” for the cosleeper, if we want.)

In the next few days, look forward to a not-totally-baby-centered post, as Hike-a-thon is just around the corner!

Jason, Daphne, and I went to a BBQ for a bunch of doulas, preggos, and new families.  Think of it as a big reunion type of thing.  Of course, the only person I know coming into it was my doula, but everyone was very friendly, there were all kinds of cute kids (and babies as young as five weeks), and there was good food to share.  I was worried about heading out when Daphne won’t nap anywhere that’s not at home, but Jason noted that if I let her naps rule my whole day, I won’t get out anywhere.  So, we left for the BBQ around the time she was going to nap, so she could sleep in the car, and left the BBQ about two hours after we got there.  It didn’t get her naps as long as she would normally take, and kept her up a little longer in between, but it sufficed.  And we were still able to stop for an errand (more swaddle blankets and some Whole Foods specialties) on the way home.

Seeing the range of babies and little kids was fun – things I get to look forward to as Daphne gets older.  One of the little girls gave Jason a branch that had fallen off a tree, and told him it was an umbrella (which worked for both the sun AND the rain), and he did a great job pretending it was just that.  I look forward to see him in imaginative play with Daphne (though he might get tired of dressing up in hats and having tea parties where you must stick out your little pinky :P) There was an eight month old trying to crawl (but mostly just pushing herself up into down dog!).  And lots of cute babies.  (Yes, of course, we think ours was the cutest.  But we’re not biased in any way. :P)

I look forward to being able to do more of that sort of thing – get outside, chat with people, be a part of a nice, family-fun atmosphere.  It’s easy to get a bit isolated when the bulk of friends you see most often and in the most similar situations are either not close by, or have conflicting schedules.  But my Tuesday yoga class is going to be over as of the end of the month, so that may help! 🙂

Yesterday, Daphne got to see the PT again.  She has been doing a fair amount better, but the PT noted that the right side of her tongue still feels tight (the muscles that connect it at the bottom, in particular).  That explains the sheering that I feel when she gets tired at the end of a feed.  We’ve got one more visit with her this coming Friday, and that may well be the end of it.  At the moment, Daphne has a reprieve on being taken off boob privileges.  Breastfeeding certainly isn’t comfortable, but it’s not painful as it was, and it’s tolerable for the foreseeable future.  But she’s on probation – no promises to her!

Also, though I have no pictures of it, and only Jason to back me up, Daphne rolled from her tummy to her back yesterday evening.  Just once. And wouldn’t do it again today, and probably not again for a couple weeks.  But it was quite impressive and seemed to catch her off guard.  She’s also learning to put more weight on her feet/legs, and particularly enjoys doing so as she is in the Baby Bjorn (facing out, of course!) and I bounce on the ball with my legs out of the way so she can stand on the ball.  (One of the moms at the BBQ noted that she had to train her baby to face inward in her carrier and deal with it.  I may give that a try with Daphne.)

This week, I may try to get to a yoga class that I haven’t been to in ages, I’ll be seeing the MD in Seattle who specializes in breastfeeding and see if there is anything on my end that’s contributing to the pain, have the followup with the PT, and another Mom’s Group meeting.  I’m looking forward to it, and hope to get a chance to visit with people more as I feel we’re in a position to start regularly emerging from the world.  I’m happy to have been a bit insular so far, and don’t plan to go become a social butterfly with baby in tow, but I think we’re ready for a gentle shift.

Daphne saw the craniosacral therapy person yesterday, on the recommendation of my midwives and my gut feeling.  She was very nice, and Daphne was good for her, for the most part until she got tired and cranky.  The adjustments she makes are so incredibly subtle that you can’t see anything occurring at all, but having had craniosacral massage myself, I know that you feel a difference afterwards.

Our goals – mine, really – going in to it was to see if we could do anything about the breastfeeding, help her digestive system, and possibly help her nervous system allow her to sleep better.  The CST didn’t feel she had a particularly high palate (which, four weeks after the OT saw her, may simply be how it’s changed over time – it apparently forms very late in gestation, and is significantly modified when the head is compressed during the birthing process), but did think it was angled a bit oddly.  So, with very gentle pressure on the palate, and very gentle traction on the back of the head to provide more space for the two sides of the palate to return to a more natural position, she was able to work on our first goal. On the second goal, she didn’t notice a whole lot going on, digestively, but was able to free some restriction in her mid-back area (behind the stomach). On the third, it’s a lot of seeing how she integrates the adjustments over the next few days and weeks.  We’ll see the CST for a followup in about a month.

The breastfeeding has been going alright.  She had two or three days where she was doing it badly again, but has gotten back to a four on the pain scale, down from seven or eight.  With a four, I won’t cut her off from direct boob access at three months.  But, with a four, I may change my plans of breastfeeding as long as she wants, and consider making an effort at weaning around a year of age.  I’m a little sad about that, because I fully support “extended” breastfeeding (and find it ridiculous that we consider breastfeeding until 2 years terribly long and weird when that’s the WHO recommendation, and many cultures breastfeed much longer), and had hoped to have the opportunity.  But I am constantly reminded of, and thankful for, the advice my midwife gave us: “What gets the most needs met of the most people in the family is the right way to go.”

Sleeping is also improving.  Not certainly what I’d like just yet, but since we’re being relatively vigilant about trying to get her down when she starts getting sleepy, it is usually only taking 10 to 20 minutes to get her down (asleep enough to be put down in a bouncer to sleep – haven’t braved down bare in the cosleeper/playard yet).  Sometimes we miss a nap opportunity in the day, and it shows in her behavior.  But I try incredibly hard to not miss more than one, and not (again, when possible) have back to back days where she entirely misses a nap.

In milestone news, she still can’t really intentionally reach for anything, and you can just kind of tell that she’s trying.  But she has ridiculous head control – unless she’s tired, it stays still.  She loves sitting (holding on to her arms and she wavers in a sitting position), and loves trying to stand (which, I know, is ridiculous for a 10 week old, but it entertains her).  She can lift her head and shoulders off the ground from her tummy (but hates tummy time), but doesn’t recognize her own hands or feet yet. She’ll track some objects, but not all that often, and usually a face but not anything smaller.  She makes one syllable noises, and sometimes attempts two syllables, but doesn’t vocalize a whole lot. She is starting to laugh out loud occasionally (still rare), and definitely makes verbal responses to input.  She’s also trying to blow bubbles, on occasion.  She’s rolled from back to side once, but I haven’t seen that, or tummy to side, since that one time.  Totally normal development, as far as I can tell. 🙂

Last night, Daphne “slept” 11.5 hours.  I put her down at 9 or so, and headed to bed with Jason taking the first shift.  Or so we thought.  She had been fairly consistent in doing two stretches of longer sleep in the night – not necessarily consistent in length or when they’d happen, but two stints through the night with one feed in the middle.  Jason would take the first one, because she generally is awake a bit after eating, so that I could go to bed and maximize my sleep.

Last night, he brought her in, in the bouncer she’s been sleeping in, at 2am, still asleep.  Ok.  That’s somewhat surprising.  I waited for her to wake up at any moment for food (she’d woken at 2am or thereabouts a number of times.)  But it didn’t happen.  And at 5am, after being up for an hour wondering if her shifting and fussing in the night would lead to her waking up to eat, I got up and pumped to relieve the excessively full feeling in my breasts.  Nearly 9oz later, I went to bed, and she didn’t get up until 8:40am.

So, here I am with far less full breasts than usual.  She wasn’t still hungry after eating at 8:45am, but did she get as much as she really wanted?  She ate again and hour and a half later, three hours after that, and two hours after that.  I think she doesn’t know what to do with this change.  She had a horrid time napping during the day as well, with neither of us being able to figure out how to pattern the eating and the sleeping together.  And then she had a long nap during class, and went down for the night later than usual.  I’m curious just how long it’s going to take to figure it all out.

Of course, I don’t expect her to repeat this performance for a while – and indeed she did not sleep through the night this morning (getting up at 3:30am to eat).  But hopefully, her body and brain will process that it’s a good idea to do it again some time soon. 😛

I didn’t expect it, but the sleep approach seems to be our first (likely of plenty) parenting disagreements.  I’m trying to not let Daphne go more than an hour or two between naps, and will start putting her down at very early and mild sleep signs.  But Jason thinks I’m just going to be spending all my time trying to put her to sleep.  Of course, I feel like he usually tries to get her to sleep when she’s overtired, and hence it takes him longer.  (Or, he gives her to me after she’s been up too long and I have to take 45 minutes to get her down.)

I’d feel more inclined to listen to what he has to say equally weighted if he did any reading/research on sleep in infants, or if he experimented more with putting her down as often as I do.  But honestly, he just says “I don’t like this plan because I’m concerned you’ll be spending your whole day feeding her for 20 minutes, playing with her for 20 minutes, then trying to put her down for 90.”  He neither offers an alternative approach nor takes into consideration the fact I’m not going to try to put her down for 90 minutes.  (I think the longest I’ve taken so far is 50.  That was unusual.)

I really wish he’d read some of the books I got which I asked him to read two weeks ago, but I think that’s just another sign of our parenting approaches – he’s much more “go with whatever”, including not really asking people with more experience (anyone with a kid!) about their journey through this (or other) issues.  He seems to think what we have is working well enough, and with both of us sleep deprived and cranky, it’s taking more effort that usual to remember to “argue” productively and nicely.  Oh, I know we’ll figure it out, but it’s definitely a frustrating process.

The sleep project is going.  With the two of us not on the same page, it’s hard to get a good feel for how well it’s working, and the heat wave we recently had didn’t make it any easier for Daphne to sleep.  I do think that her getting more sleep has been helping, but I don’t think she’s really going to be a 15hr/day three month old.  Perhaps 13.5 or so.  My intuition is that she’s got a pattern (schedule, if you will) that fits her best.  Neither of us want to parent on a schedule, but she seems to do best on days that follow a similar schedule.  Now that I’m living it, I understand why parents put their babies on schedules.  I’m not prepared to go that far, and I certainly don’t think Jason is, but I’m going to see if we can encourage something that is loosely similar day to day.

We are, though, getting more smiles, and some vocal laughing.  She’s not able to reach things yet, and has just taken to staring at her feet, but she’s got almost a completely stable head when she holds it up.  Oh, she gets tired and it droops, but she’s not a bobble head any more.

Daphne had her two month doctor visit yesterday, which meant her first shots.  We opted not to get the HepB vaccine when she was born (the birth center doesn’t offer it, and we didn’t take her in to have it done right away), and are going to continue delaying that one for a while, as it is not one of the vaccines that needs to be given by a particular age.  (And we don’t forsee her doing IV drugs or having random sex any time really soon.)  We also passed on the new rotavirus vaccine, as she is not at any particular risk for it – it’s neither winter, nor is she in daycare or around a lot of other kids.  But she got the rest of them – DTaP (diptheria, tetnus, pertussis), IPV (inactivated polio), Hib (haemophelia influenza b), and Prevnar (pneumococcal).

It was not pleasant to watch that process.  She woke up just before we had to leave for our appointment, and was quite hungry when we arrived.  That ought to have been fabulous, since nursing during the shots can help.  Only doctors visits often take rather a long time.  So, I nursed her on one side in the waiting room (and managed to mostly successfully walk to the exam  room with her still hooked up.  I waited to go to the other side until they were ready to do the shots, but we had to do the heart/lung check, weight check, questions about eating/pooping/peeing, and physical exam first.  Which meant the questions.  There was discussion over the reflux and how that was going (was getting a little worse since we started working on the sleeping, and I think because she was eating six times a day instead of eight, so I was giving her thirty minutes total to eat, rather than the twenty I had been doing, and I planned to go back to twenty minutes total), my questions on the vaccines (I’ve reacted to the Pneumovax, so I wanted to make sure the pneumococcal vaccine she was getting wasn’t the same, or I’d want to wait two or three weeks on that one), and so forth.

Eventually, when the doctor was done, she sent the nurse to draw the vaccines.  Only the nurse was in with another patient, so I had set up and started breastfeeding on the other side way too early.  Daphne had finished eating by the time the nurse came in with the shots!  I left her at the breast for some comfort sucking, which she likes and does intermittently, while they gave the shots.  I couldn’t see the needle go in, but I could see her slowly open her eyes very wide, turn quite red in the face, open her mouth (with my boob still in it), and then scream.  My boob did nothing more than muffle her cry.  She calmed fairly easily, but she was certainly not soothed through it.

She slept on the way home, and then for three hours after getting home.  It was time for a nap, but we hadn’t expected such a long one.  When she woke up to eat, we found she had a reaction to the DTaP/IPV/Hib vaccine (all done in one shot) with a slightly raised, large, red area under the injection sight.  While that type of thing is fairly common as a reaction, it was a bit larger than I would expect to see, so we did call in to the doctor’s office.  Unfortunately, we missed their call back, so I have to get back in touch today.  It’s doing much better, but I’d like to have the reaction noted in her chart for reference.

Other than that, the appointment went well.  She’s looking alert and active, showing good head control (which we knew), is up to 11lb6oz (still growing at nearly half a pound a week), doesn’t have anything funky going on with her skin, and so on.  That growth rate means we’ve already moved on from just about all of the newborn clothes and will need to buy the next size up diapers (we’re using Gdiapers) soon!  (Interesting side note: she’s staying right around the 50th percentile mark at the moment for weight.  If she stays there, she’ll hit the 28lb mark (which is the max recommended size on the next size up Gdiapers) at 27mo (though it varies between 21mo and 34mo for the 75th and 25th percentiles, respectively).  If ECing works well, or she potty trains on the earlier side, there’s a good chance we won’t need the large Gdiapers.  It makes the purchasing decisions interesting.)

In other news, the sleeping has been going interesting.  She is doing better about napping semiregularly, but isn’t very consistent about how much sleep she’s getting in a day.  She had two days that were closer to 14 or 15 hours, and then two that were closer to 12 or 13, and then back to 14 or 15 last night.  That did, however, include a six hour long stretch of sleep, only moderately interrupted by intestinal fussiness.  (That made for eight hours between feeds at night – my boobs were confused.)  She isn’t going for very long awake during the day, but she seems generally happier, doesn’t take forever to get to sleep (we soothe her to the first stage of sleep – it’s taking between 10 and 45 minutes with the 10 occurring when we catch her sleep signs early enough).  We’re definitely getting a routine down – she gets sleepy and gets swaddled (it really helps, but Jason doesn’t do it as often because he’s not confident about swaddling her), and then bounced or jiggled in some fashion.  If it’s a fussier time, she may get a finger to suck on (pacifier if she’ll take one), and sung to or shhh’ed.  I’m hoping that setting up a routine that she comes to recognize as “this means sleep” will help in a few months when she’s even more inclined to fight sleep and explore the world.  In the meantime, she’s more rested, and seems to be feeding better.  I still need to investigate one other suggestion my midwife had – that I may have Raynaud’s in the nipple.  Basically, that’s vasoconstriction – the blood vessels all clamp down, and when they open back up, it hurts a lot.  (Think of sitting on your foot or hand until it falls asleep (REALLY asleep) and what it feels like when it “wakes up”.)