31 August 2008

Grandma Niemi

My parents visited for a week. This week was certainly more relaxed and filled with more sleep than when Camille's parents were here. Nonetheless, it was great to have my parents around to help give Avalon baths, get her to sleep, and bring to in the middle of the night so that we could get some real sleep. Here is a pic of Grandma Niemi when Avalon was 3 weeks old.

25 August 2008

Grandpa Moeckel

Here is a pic of Grandpa Moeckel at day 4.

21 August 2008

Grandma Moeckel


I realize as my parents are visiting and I'm thinking about putting some pics up of them, I should probably be equitable and post pictures of Camille's parents. So here is a a pic of Grandma Moeckel from day 3.

12 August 2008

Weight gain

Previously, I mentioned that as a new parent you are obsessed with the eating, sleeping and bathroom habits of your baby. The main reason for this obsession is to make sure that your baby is gaining weight. So the all important piece of information is `how much does your baby weigh?'

Of course, everybody reading this blog will remember (if you don't remember, this information is presented right under `About Baby Niemi' on this blog), Avalon weighed 7 lbs 8 ounces when she was born. What I did not realize and many people I have told are surprised to find out is that babies lose weight before they start to gain it back. Indeed, Avalon lost weight while in the hospital and our last measurement there was 6 lbs 13 ounces. The pediatrician also told us that if we measured her weight on the day we left the hospital, it would have decreased farther. He also suggested that if she was back up to 6 lbs 13 ounces by her first doctor's appointment, that would be good progress.

1 August 2008 Appointment - Our first appointment, as far as I understand it, was to obtain a baseline measurement of Avalon's weight. Future measurements would be compared to this baseline. From books, we know that the expected weight gain at this time is one half to one ounce per day. At this appointment, Avalon weighed in at exactly 7 lbs. Despite her only having one dirty diaper since we left the hospital (3 days ago), the consensus was that all systems were go.

4 August 2008 Appointment - We had spent the first few days with Avalon worrying about the lack of dirty diapers. At this appointment, we had spent all of Sunday changing diapers, so now we were worried if she was having too many. The clinician did not seem concerned since the color suggested that the milk was getting digested. Avalon managed to have another dirty diaper in the 15 minutes since we had changed her previously, so the clinician could see the color herself. Unfortunately, during the weigh-in, Avalon registered only 6 lbs 15.5 ounces. Although the clinician managed to hide it pretty well, I think this worried her since Avalon had lost half an ounce when she should have gained 1.5 to 3 ounces. She gave us some breastfeeding suggestions and then scheduled another appointment in two days to see how everything was going.

6 August 2008 Appointment - We, or at least I, was a bit worried about this appointment since we knew she needed to have gained weight or the docs were going to suggest something. I was heartened by the more regular dirty diapers rather than the plethora we had the previous weekend. And in fact, Avalon weighed 7 lbs 2.5 ounces at this appointment, a mere 3 ounce gain in 2 days. Our next appointment was scheduled 5 days out (2 weeks from birth), just to make sure everything was still on track.

At this point, I started wondering about the whole weighing process. I was fairly convinced that 7 lbs on the 4th and almost the same measurement on the 6th had a lot more to do with the dirty diapers than it had to do with her actual weight gain. So I started weighing her at home on our bathroom scale. Our scale seems to be pretty consistent, i.e. weighing yourself and reweighing yourself results in the same measurement. The morning before our appointment, Avalon weighed 7.2 lbs by this method. That evening, she weighed 8.1 lbs. At this point, I was a bit suspicious since her weight fluctuated almost a full pound. The morning of our next appointment, she weighed 7.5 lbs.

11 August 2008 Appointment - Judgement day! I was feeling more optimistic now since the bathroom scale said she was 7.5 lbs. Although this was our longest appointment, most of the time spent waiting for the doctor, the weight-in was done almost immediately. She weighed 7 lbs 8 ounces, exactly matching the bathroom scale measurement. Remind me again why we paid a $20 co-pay per appointment to get her weighed when our bathroom scale works just as well? The doc was sufficiently happy with her gaining 5.5 ounces in 5 days, that he gave the thumbs up. The other significance to this weight is that she is back at her birth weight and the doctors no longer suggest waking her up to make sure she gets enough calories. Of course, we have tried to let her sleep, but she still wakes up every 3-4 hours...apparently we trained her well.



All of this measurement and variability got the statistician in me thinking. In particular, I thought it was amusing that the pediatricians office always looks only at the weight gain since the previous appointment and does not use all the measurements. Since we expect her weight gain to be linear, i.e. 0.5-1 ounce per day, it is natural to use regression analysis on her four office visit measurements. The results are shown in the Figure. The important points to notice are that relative to the straight line which we might expect, the first measurement is abnormally high and the second measurement is abnormally low. So there probably didn't need to be cause for any concern. Although when all you see are the first two data points, you cannot be sure. In the end, Avalon has been gaining on average 0.86 (=0.05*16) ounces per day, so we should be happy that she is well within the expected range.

More pics

We have added a number of pics to Week 2.

05 August 2008

A milestone

A little video showing one of the milestones. The wording of the milestone in our American Academy of Pediatrics text says `moves head from side to side while lying on stomach.' This video only shows one direction, but the previous day she moved her head in both directions. If anybody knows of a good free (or cheap) video editing software, I'm thinking something like GIMP, please let me know.

More pics

I have uploaded more pics from Week 1 and Week 2.

Avalon's heritage

According to sources, my dad said Avalon looked like a `cute little Finn' to which my mom responded `I think she is more Swedish than Finnish.' This prompted us to try and figure out what her heritage is.

The data we have is my dad who is 100% Finnish, my mom who is 50% Swedish and 50% mix, Camille's dad who is 100% German, and Camille's mom who is an unknown mix of Swedish and Swiss. If we assume the mix is 50/50, then Avalon is
  • 25% Finnish
  • 25% German
  • 25% Swedish
  • 25% unknown
If my mom or Camille's mom can figure out what their mixes are we can update this.

03 August 2008

Feeding time

For those who don't remember or for those who haven't experienced, the first week of having a new baby is spent obsessing about the eating, sleeping, and bathroom habits of your newborn. As far as eating is concerned, the general advice from docs and books is that your baby should eat 8-12 times per day or every 1.5 to 4 hrs. Of course, being the numbers people that we are we noticed immediately that every 1.5 hrs would be 16 times per day and every 4 hours would be 6 times per day. Then they mention that your baby might cluster feed which means instead of waiting a minimum 1.5 hrs to feed, she wants to eat immediately after her previous feeding. I think I can sum up what the docs and books are telling us: `we have no idea how your baby is going to eat.'

Since we are numbers (and data) people, we have been recording the feedings just to see how it relates to the advice we've been given. Below are the feed times for Saturday, August 2nd:
1:10 AM4:36 AM7:36 AM9:58 AM12:06 PM1:00 PM1:45 PM
3:28 PM4:35PM7:10 PM8:08 PM9:11 PM10:32 PM
She was also fussy between the 1:45pm and 3:28pm feedings which probably means we should have fed her. Keep in mind that feedings take 20-50 minutes, so feeding at 7, 8, 9, and 10:30 feels like constant feeding. From this data, it appears she had two cluster feedings, namely noon to 4:30pm (since we probably should have fed her around 2:30) and then 7pm to 9pm. During these times, you say to yourself `how can she possibly still be hungry?'