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When I was pregnant with triplets, people often said, “They’ll be three times the work, but three times the cuteness, too.”

This advice left me with more questions than answers. Namely, what else triples with triplets?

I was supposed to triple the weight I gained, for example, which isn’t as easy or enjoyable as one might think. At 15 weeks, I was still vomiting mid-day, on walks with the dogs, in the bushes of my neighbors. Vomiting between sobs and incontinence. Vomiting when I couldn’t sleep at night. Vomiting through the pain of quickly stretching ligaments, all while holding my already-showing belly.

“Eat whatever you can,” my doctor said. So one morning at school, when I dropped my Cliff Bar on the never-been-washed floor of my classroom, I weighed the risk of e-coli against not eating breakfast and decided to eat around the surface area that touched the ground.

Later, when one of my students discovered dog poop on the back of his chair and then a trail of it all over the floor leading out the door, I ran to the bathroom and vomited in the sink, unable to face the toilet.

Then there was the triple worry. At 17 weeks, the doctor told us that two of the babies – the identical twins – had a rare complication called Twin-to-twin Transfusion Syndrome, that all the fluid from Baby A was going to identical twin Baby B, and that this could be fatal for them if we did nothing about it.

We’d need to drive to Philadelphia to see a specialist there, the doctor said, perhaps resulting in surgery or the loss of one or both of the twins. Maybe even the fraternal triplet.

I googled the syndrome: a 60 percent chance of only one twin making it; a 30 percent chance of both of them making it; high risks of preterm birth and defects, even with corrective surgery.

Thank God I had my husband in those few days of panic to drive me to Philadelphia, to rub my back during the six hours of exams, to hug me when they told us the babies were stable, that we could drive home, tired, hungry, overwhelmed, but in no imminent danger. I had my husband to agree with the insanity of it all when “stable” was all I wanted to hear.

How could any woman do this alone?

Still, sometimes, I felt terribly alone in my crowded body.

I had 33 weeks instead of 40 to anticipate the arrival of our first child(ren) and accept that I’d be different forever – with scars on my belly and pubis, soreness in my hips, tearing in my knees, and a roller-coaster of hormones that would hang from me like chrysalis remains.

In the final weeks of my pregnancy, I couldn’t wait to have my babies, and yet I felt rushed, my older self whispering, “You have no idea what’s coming, you poor soul.”

Did I know what would come, even then? Did I somehow know, though the worst had seemingly passed?

Perhaps I did, crying each morning after a night of restless half-sleep, and in the car on the way to work, and while walking the dogs, cursing at them to hurry up because my bladder wouldn’t hold, because my so-called “agitated uterus” hadn’t had her morning coffee.

Perhaps I did know and was simply burying it somewhere under my babies’ three pairs of feet, because all three were healthy, all had measured over the fiftieth percentile, big even for single babies. They were amazing little things.

On one cold, rainy Saturday morning – when the dogs had spent a good 40 minutes huffing and shaking, trying to wake me, after my covers had been stolen in the night and I’d felt my stomach growling, the babies wiggling, my hips aching – I finally rolled from the bed, thumping my feet against the floor.

I looked at my husband, who glanced up once with half-open eyes and rolled over again.

So I suited up for the 40-degree pitch-black pouring rain, the dogs following me from room to room, clicking their toenails on the wood floors, jangling their collars. And I thought for sure husband would wake and join me, taking the bigger dog who pulled at the leash. Still, I heard his snore from the other room.   

I managed to pull on my boots and my husband’s jacket and hat and slip out the front door, all the while wanting to sob.

The rain came down hard and, in the dark, I bent down as best I could, searching the ground for poop, my belly hanging below me, my body hating me, the dogs pulling me, the babies punching me, the rain coming down in sheets.

A car roared passed. Inside, the driver glanced at me pathetically, at my gigantic belly popping through the jacket, at the full poop-bags and tangled leashes in my hand, at the two dogs straining to run into the street.

Back at home, my husband still lay in bed fast asleep. The wet dogs joined him, snuggling into my pillow-nest, while I brewed coffee, turned on the news, and silently cried for a while, hoping I wouldn’t throw up. Though later I would, pulling a muscle and sending Baby A into hysterics.

I realized, maybe only then, the reality of motherhood – the constant vigilance, the inability to sleep when loved ones are distressed, the willingness to get out of a warm bed and bear the storm for everyone else’s comfort. I realized that so much of motherhood would be done and felt alone, like it had that morning. Even with a supportive husband and three times the cuteness.

The endlessness of it all.

There was no use crying over it. Billions of mothers do it every day, without thanks, without help. There was no use crying over it, for we were blessed with not one baby, but three.

We were blessed. We were blessed. We were blessed.

And still I cried, because I couldn’t reach over my billowing breasts to rub my own shoulders. I cried silently behind a shut door where I wouldn’t wake my husband. Like any mother, I felt alone. Though I had three times the babies pushing on my bladder, sitting on my diaphragm, kicking my colon.

Three times the blessing. Smothering me with love.

Who said motherhood doesn't come with a manual?

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Going back to work after having a baby is hard. Regaining your footing in a world where working mothers are so often penalized is tough, and (just like most things during the postpartum period) it takes time.

The challenges we face as working women returning from a maternity leave can be so different from those we faced before, it can feel like we're starting over from scratch. But mothers will not be deterred, even if our return to the working world doesn't go exactly as planned.

We are resilient, as Serena Williams proved at Wimbledon this weekend.

She lost to Angelique Kerber in the final, just 10 months after welcoming daughter Alexis Olympia and recovering from a physically and emotionally traumatic birth experience.

Williams didn't get her eighth Wimbledon title this weekend, but when we consider all the challenges she (and all new moms) faced in resuming her career, her presence was still a huge achievement.

"It was such an amazing tournament for me, I was really happy to get this far!" Williams explained in an emotional post-match interview.

"For all the moms out there, I was playing for you today. And I tried. I look forward to continuing to be back out here and doing what I do best."

The loss at Wimbledon isn't what she wanted, of course, but Williams says it does not mean there won't be wins in her near future.

"These two weeks have showed me I can really compete and be a contender to win grand slams. This is literally just the beginning. I took a giant step at Wimbledon but my journey has just began."

When asked what she hopes other new moms take away from her journey, Williams noted her postpartum recovery was really difficult, and hopes that other moms who face challenges early in motherhood know that they don't have to give up on whatever dreams they have for themselves, whether it involves working or not.

"Honestly, I feel like if I can do it, they can do it. I'm just that person, that vessel that's saying, 'You can be whatever you want to be.' If you want to go back to workand to me, after becoming a mom, I feel like there's no pressure to do that because having a child is a completely full-time job," she said.

"But to those that do want to go back, you can do it, you can really do it."

Thank you, Serena. You may not have won, but this was still a victory.

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Since baby Crew became the newest member of Chip and Joanna Gaines' family three weeks ago, his proud parents have been keeping the world updated, sharing sweet snaps of their youngest and even giving us a glimpse into his nursery.

Now, Chip Gaines is showing off a pic that proves there is nothing cuter than a floppy, sleepy baby.

"My heart is full..." the proud father of five captioned the photo he posted on his Instagram and Twitter accounts.

Earlier this week Crew's mama shared how she gets him so sleepy in the first place, posting an Instagram Story showing how she walks around the family's gardens on their Waco, Texas farm to lull her newborn boy to sleep.

The couple are clearly enjoying every single moment of Crew's babyhood. As recently as 7 days ago Chip was still sporting his hospital bracelet. Joanna says with each child he's worn his maternity ward ID until it finally wears off. We can't blame Chip for wanting to make the newborn phase last as long as possible.

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It was a changing table must-have a generation ago, but these days, many parents are forgoing baby powder, and now, the leading manufacturer of the sweet smelling powder was dealt a big financial blow.

Johnson & Johnson was just ordered to pay almost $4.7 billion to 22 women who sued, alleging baby powder caused their ovarian cancer.

A St. Louis jury says the women are right, but what does The American Academy of Pediatrics say about baby powder?

It was classified "a hazard" before many of today's parents were even born

The organization has actually been recommending against baby powder for years, but not due to cancer risks, but inhalation risks.

Way back in 1981 the AAP declared baby powder "a hazard," issuing a report pointing out the frequency of babies aspirating the powder, which can be dangerous and even fatal in the most severe cases.

That warning didn't stop all parents from using the powder though, as its continued presence on store shelves to this day indicates.

In 1998 Dr. Hugh MacDonald, then the director of neonatology at Santa Monica Hospital and a member of the American Academy of Pediatrics Committee on Fetus and Newborn, told the Los Angeles Times "Most pediatricians recommend that it not be used," adding that the consensus at the time was that "anybody using talcum powder be aware that it could cause inhalation of the talc, resulting in a pneumonic reaction."

Recent updates

A 2015 update to the AAP's Healthy Children website suggests the organization was even very recently still more concerned about the risk of aspiration than cancer risks like those alleged in the lawsuit. It suggests that parents who choose to use baby powder "pour it out carefully and keep the powder away from baby's face [as] published reports indicate that talc or cornstarch in baby powder can injure a baby's lungs."

In a 2017 interview with USA Today, Dr. David Soma, a pediatrician with the Mayo Clinic Children's Hospital, explained that baby powder use had decreased a lot over the previous five to eight years, but he didn't believe it was going to disappear from baby shower gift baskets any time soon.

"There are a lot of things that are used out of a matter of tradition, or the fact it seems to work for specific children," he said. "I'm not sure if it will get phased out or not, until we know more about the details of other powders and creams and what works best for skin conditions—I think it will stick around for a while."

Talc-based baby powder is the kind alleged to have caused ovarian cancer in the lawsuit (which Johnson & Johnson plans to appeal), but corn starch varieties of baby powder are also available and not linked to increased cancer risks as alleged in the case.

Bottom line: If you are going to use baby powder on your baby's bottom, make sure they're not getting a cloud of baby powder in their face, and if you're concerned, talk to your health care provider about alternative methods and products to use on your baby's delicate skin.

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In the days since a The New York Times report revealed a resolution meant to encourage breastfeeding was blocked by U.S. delegates at the World Health Assembly, breastfeeding advocates, political pundits, parents, doctors—and just about everyone else—have been talking about breastfeeding, and whether or not America and other countries are doing enough to support it.

The presidents of the American Academy of Pediatrics and the American College of Obstetricians say the controversy at the World Health Assembly reveals that mothers need more support when it comes to breastfeeding, while others, including The Council on Foreign Relations, suggest the national conversation needs more nuance, and less focus on the "breast is best" rhetoric.

The one thing everyone agrees on is that parents need more support when it comes to infant feeding, and in that respect, the controversy over the World Health Assembly resolution may be a good thing.

In their joint letter to the editor published in the New York Times this week, the presidents of the American Academy of Pediatrics and the American College of Obstetricians, Dr. Colleen Kraft and Dr. Lisa Hollier urge "the United States and every country to protect, promote and support breast-feeding for the health of all women, children and families."

The doctors go on to describe how breastfeeding "provides protection against newborn, infant and child infections, allergies, asthma, inflammatory bowel disease and sudden infant death syndrome," and note the health benefits to mothers, including reduced risks for "breast cancer, ovarian cancer, diabetes, hypertension and heart disease.

"Helping mothers to breastfeed takes a multifaceted approach, including advancing public policies like paid family leave, access to quality child care, break time and a location other than a bathroom for expressing milk," say Kraft and Hollier.

Certainly such policies would support breastfeeding mothers (and all mothers) in America, but some critics say framing the discussion around domestic policy is a mistake, because the World Health Assembly resolution is a global matter and women and babies in other parts of the world face very different feeding challenges than we do here at home.

In an op-ed published by CNN, Gayle Tzemach Lemmon, an adjunct senior fellow at the Council on Foreign Relations suggests the laudable goal of breastfeeding promotion can backfire when mothers in conflict-riddled areas can't access formula due to well-meaning policy. Lemmon points to a 2017 statement by Doctors Without Borders calling for fewer barriers to formula distribution in war-torn areas.

"International organizations like UNICEF and the World Health Organization (WHO) promote breastfeeding ... and provide infant formula, but only by prescription. We believe that distributing infant formula in a conflict situation like Iraq is the only way to avoid children having to be hospitalized for malnutrition," Manuel Lannaud, the head of Doctors Without Borders Iraq mission wrote.

The various viewpoints presented this week prove that infant feeding is not a black and white issue, and policy debates should not be framed as formula versus breast milk—there is more nuance than that.

A recent study in the Journal of Pediatrics found opting to supplement with formula after first breastfeeding improves outcomes for infants and results in higher rates of breastfeeding afterward, and while the benefits of breastfeeding are numerous, they are sometimes overstated. Another recent study published in the journal PLOS Medicine found breastfeeding has no impact on a child's overall neurocognitive function by the time they are 16. Basically, parents should not be shamed for supplementing or choosing to use formula.

This, according to Department of Health and Human Services says national spokesperson Caitlin Oakley is why the HHS opposed the original draft of the breastfeeding resolution at the World Health Assembly (although critics and the initial NYT report suggest the United States delegation were acting in the interests of infant formula manufacturers).

"Many women are not able to breastfeed for a variety of reasons, these women should not be stigmatized; they should be equally supported with information and access to alternatives for the health of themselves and their babies," Oakley said in a statement.

That's true, but so is everything the presidents of the American Academy of Pediatrics and the American College of Obstetricians presented in their op-ed, and that's why the U.S. should support breastfeeding policy.

Here's another truth: This is an issue with many perspectives and many voices. And we need to hear them all, because all parents need support in feeding their babies, whether it's with a breast, a bottle or both—and we're not getting it yet.

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