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Dirt is Good, More is Better

Four days after we arrived in India, Maya came down with what seemed like a cold. She had a little fever on the first day, but not after that. Two weeks later, she continues to have a unabated runny nose. During the night, her breathing is a little ragged sometimes, especially if the fan is on, but quite normal at other times. We suspect what she has is more an allergic reaction than a cold, though friends here have colds that seem to last a month. We’ve been careful about boiling filtered water before giving it to her and so far she has not suffered any stomach disorders. One of my fears about bringing her to India was her developing breathing problems or skin conditions as an allergic reaction to the more polluted and dusty air. One of our friends had to hospitalize their child after she developed severe allergic reactions. When I had to cancel a social engagement because she seemed to be bothered more than usual by her cold, they commented that this was common, that their grandchildren all went through some allergic reaction or caught cold when they came to India from the US. One of them was even being treated with Ayurveda as the western counterpart was considered to be non-conducive.

One common folk wisdom is that children growing up in US’s sterile climate are less prepared to deal with the plethora of allergens and microbes that populate India. Shanthala pointed out an article in today’s New York Times titled “Babies Know: A Little Dirt Is Good for You”. The article alludes to what is called the “hygiene hypothesis”, a hypothesis first formulated in 1989 by a British professor of epidemiology, a hypothesis with a comprehensive entry in the Wikipedia. According to this hypothesis, now considered to be well supported by data, a lack of exposure to infectious microbes and symbiotic microorganisms in early childhood leads to a compromised immune system, a system that can’t differentiate between harmless agents such as pollen and harmful ones such as mycobacteria and so reacts to pollen producing an allergic reaction.

People of the new world were wiped out by diseases carried by the old world invaders, diseases to which they had no immunity. White settlers to the US deliberately and systematically sold small pox infected blankets and clothes to the native Americans, thereby wiping out broad swaths without firing a single bullet. Jared Diamond explored and exposited the reasons why Spaniards invaded North and South America and not the other way in his Pulitzer Prize winning book “Guns, Germs and Steel” (Paul Shepard walked similar ground but with a more incisive and unwavering commentary, see his Paul Shepard Reader for example). One of the theories he espoused is that with greater domestication of animals in the old world, people there developed better immunity and to more diseases compared to the new world where domesticable animals were far fewer.

Senses in infants is equal to the adult counterparts between three to six months. As adults, sight is our most advanced and used sense. So why do infants put things in their mouth ? The NYT article also postulates that infants and toddlers explore the world by putting things in their mouth because it provides an evolutionary advantage, by training the immune system. From the article:

“What a child is doing when he puts things in his mouth is allowing his immune response to explore his environment,” Mary Ruebush, a microbiology and immunology instructor, wrote in her new book, “Why Dirt Is Good” (Kaplan). “Not only does this allow for ‘practice’ of immune responses, which will be necessary for protection, but it also plays a critical role in teaching the immature immune response what is best ignored.”

The article quotes another researcher, David Elliot, as saying intestinal worms may be the most significant player in training the immune system. Therapies based on injecting these worms into humans has shown to alleviate the symptoms of patients with autoimmune disorders such as multiple sclerosis. Another researcher, Dr. Joel Weinstock says:

“Children should be allowed to go barefoot in the dirt, play in the dirt, and not have to wash their hands when they come in to eat,” he said. He and Dr. Elliott pointed out that children who grow up on farms and are frequently exposed to worms and other organisms from farm animals are much less likely to develop allergies and autoimmune diseases.

This advice has practical consequences for people such as us, visiting homeland for a few weeks, trying to cram social engagements and valuable time with grandparents, close friends and relatives into a short span. A sick child with a runny nose and a runnier stomach is not likely to permit too much cramming. And I wonder if infrequent exposures help much. There is no dearth of pathogens here. Shanthala was down all of yesterday with a badly upset stomach. Today, she has a sore throat. Sigh. The dilemma of parenthood. Sometimes, I think our parents had it a lot easier.

Elimination Communication

When Maya was about six weeks old, she threw a crying fit that lasted a couple of hours. This happened two days in succession. It had not happened before and it has not happened since. Worried that something was wrong, we took her to the pediatrician. They were unable to identify anything that was upsetting her. But, they made an incidental finding, she had a fungal infection in her mouth. Called thrush, it is caused by a yeast fungus, candida albicans. It is not painful, it is not uncommon in infants, but it can spread and spread it did. The infection showed up at her other end, around her groin. The doctor suggested that we give Maya some anti-fungal tonic and keep her groin area as dry as possible to remove the potentially fertile breeding ground for the fungus. This whole episode turned out to be a blessing in disguise.

One of the big topics with infant rearing in this country is toilet training. “Have you changed your first diaper ?”, a new father is frequently asked. Parents begin to wean toddlers off the diaper and into the potty like adults somewhere around 18 months to two years of age. The popular notion here, promoted by pediatricians and other health practitioners, is that infants are simply not “ready” till they are 18 months to two years of age. Having spent their lives peeing and pooping into a diaper at will, asked to suddenly become aware of pee and poop, retain it till they get to a potty and do it there seems like too much work for them. So, you have the phenonmenon of disposable diapers for kids aged six years. And stories like the one told by a colleague of Shanthala where her kid would put on a diaper, poop in it and announce that she had pooped. And stories where using the potty became another line of control over which the kid and the parents duelled over. Starting toilet training around the time of the terrible twos seems like a decision fraught with control issues. I read a statistic that said that the average age by which a child is toilet trained is about three years now.

Like most other parents, we were considering a life with the convenience of disposable diapers, when we began to hear of the environmental costs of that convenience. Looking for alternatives, cloth diapers jumped out immediately. Where we live, there is even a diapering service, that deposits a week’s worth of clean diapers and collects a pail of the past week’s dirty diapers to clean and return the next week. You don’t even have to wash! Shanthala did some research and concluded that it’d be much better to just wash them ourselves and acquired some cloth diapers.

A couple of years ago, Shanthala had come across a book, in the new bookshelf section of the local library, called “ Diaper Free: The Gentle Wisdom of Natural Infant Hygiene” by Ingrid Bauer. Ingrid Bauer talked about toilet training done in other parts of the world where parents start the process much earlier on, as early as two months in some cultures; in India, parents start it somewhere around six months. One of the diaper free books states a New York Times report about “startled” adopted parents confronting the reality of their adopted children already toilet trained. Reading the book brought back memories of how we were raised. When we were infants, disposable diapers were unheard of. We were toilet trained at an early age. Our parents would carry us around butt naked and still mostly avoid the kind of disasters that would terrify Western parents in a similar position, pee and poop everywhere, all the time, to be cleaned constantly.

Ingrid Bauer writes that physiologically, there are two parts to toilet training, retention and release. The infant can be trained from early on to practice the latter and over time, as her muscles mature, she learns to retain till she’s taken to a potty. She says that physiological studies and looking at non-Western cultures worldwide is an indicator that infants possess the ability to release at will practically from birth. Our parents attest to this statement. Shanthala’s mother recalled how they had been training Shanthala to pee by placing her in a corner in their bathroom and saying “ssss”. Shanthala had taken the placing in the corner as the cue and on being placed in any corner would start peeing. My mother similarly mentions how she started training me to release by saying “ssss”.

Ingrid Bauer suggested a return to those practices. This technique is called elimination communication (EC). The basic idea is to train the infant to pee and poop outside the diaper, thus retaining her awareness of the elimination process so that as she gets older, she can shift gradually to asking to be taken to a toilet to finally, going there by herself. It is about not allowing the infant to learn that a diaper is the toilet.

EC consists of observing the patterns of elimination in an infant and cueing the infant to release just as she’s ready to relieve. Knowing when she’s ready to relieve comes from observing and from practice. So EC starts with the release part of the elimination and builds over time to handle the retention.

With the cloth diaper, we’d use a plastic cover as recommended. With her thrush, we stopped using the plastic cover so that we could change her diaper as soon as it got wet, thereby keeping her groin area as dry as possible. This proved beneficial to start noticing patterns about her peeing and pooping. We started saying “ssss” when we realized that she was peeing. We then started taking off the diaper a little before the time we thought that she wanted to pee, and holding her over a sink, we’d cue her release by making the sound “ssss”. Maya learned to associate the sound with peeing pretty quickly and we were off to the races.

Maya pees every 15-20 minutes after she drinks milk, for about three or four times, and then it tapers off to maybe every 25-30 minutes. However this pattern varies considerably, especially if she is going through a growth spurt; the weather also seems to affect this timing. So, keeping a dry diaper through the day is impossible. Some days, we catch enough that we use only a single diaper for about five or six hours. Other days, we’re both off kilter and we end up using a diaper every 20 minutes or so. Some days, she’d look like she was signaling that she wanted to pee. Other days, she’d just pee with no prior warning.

Offering a release immediately after she woke, either in the morning or after a nap, almost always produces a pee. From when she was three months old to almost seven months or so, she even remained dry throughout the night. Somewhere around seven months, she started peeing in the night and we had to make a diaper change or two in the night. We started carrying her without a diaper for extended periods of time, sometimes getting wet in the process, but usually doing quite well. I also noticed that she was better at signaling and I was better at noticing that she wanted to pee, when I held her. If I put her down in a chair or her jumperoo, she’d pee without prior warning. Maya indicates fairly consistently that she has no pee/poop by arching her back if we start taking her to the toilet or her infant potty.

Luckily for us, Maya poops only once a day. Infants apparently learn to control their anal muscles much before their bladder. We found this to be very true. For the past six months, we have had only four incidents where she pooped in her diaper; they were all caused because I was engrossed in something and missed her signal that she wanted to poop. Otherwise, she’s been pooping very successfully in the toilet. This in itself is a very welcome change for us because it makes cleaning her diapers so much more simpler.

We were a little apprehensive whether we’d lose it all when we hired a nanny. Luckily for us, Ginez while unfamiliar with the practice, was eager to try and soon became proficient at it. She even takes the infant potty with her to the park and makes Maya use it. She says proudly how she and Maya are the star attraction at the park with the people being completely amazed at Maya’s ability to pee on command and stay dry. Ginez is also happy with the process because she has no mess to clean up as Maya poops in the toilet.

When we travel outside, we usually don’t get a chance to get Maya to pee in a toilet. So we either carry a handful of cloth diapers or we use a disposable diaper. We acquired a regular pack of disposable diapers when she was born, to tide over the initial days, and we still have a lot of them left. When we start traveling, we’re planning to carry a pack of gDiapers, an eco-friendly diaper that can be even thrown into a compost or flushed down a toilet, as we may no’t be able to wash her diapers. After some reading, it appears that gDiapers aren’t as good as I originally thought them to be.

Nothing comes for free. Toilet training an infant this way requires considerable effort from the parents, or at least it did from us. As Ingrid Bauer writes:

No book is written from a wholly objective viewpoint. This one is no exception. Though backed by extensive research, I write from my personal experience with a bias that reflects my parenting philosophy. I believe babies are happiest when they spend their first months and years in close contact with their parents, particularly their mothers. I think babies usually thrive best when they are nurtured at their mother’s breast. I assume that babies sleep most securely with loving parents in the family bed. I believe that children are simultaneously far more capable than we often give them credit for and far more dependent than we appreciate.

As a parent, I want to be my child’s ally, and I want to cultivate compassion, creativity, and a willingness to take my child’s needs seriously. I believe that a prompt response to a child’s needs helps that child maintain and develop an innately secure interdependent nature. And I believe that Natural Infant Hygiene provides a wonderful part of that picture.

Our reading of anthropological studies of infant rearing in books such as Meredith Small’s “Our Babies, Ourselves” had already won us over to this philosophy. Over time, EC has become natural and less stressful. As I was writing this entry, Maya signaled that she wanted to poop and I took her to the loo. It seems quite effortless now to be in tune with her needs this way. There are times when I’ve felt constrained from letting Maya play for a longer period of time because I had to take her to pee. Then there are times when I couldn’t catch a single pee and this only added to the frustration and exhaustion. But I learned that it’s OK to let her pee in the diaper if I was too busy or exhausted or I didn’t want to interrupt her play, I learned that interrupting her play was more an interruption in my head than in hers.

Whether EC will ease Maya’s transition to normal toilet usage is something that we’ll know, only in time.

References:
- Christine Loh’s Book Diaper Free Baby is a very easy and practical introduction to EC.
- DiaperFreeBaby.org is a very useful online resource for EC including information on local support groups.

Parenting: The Fears


A few days after Kitty had died, I found myself lying curled up on the kitchen floor, at 4 in the morning, convinced that we’d lose the baby in Shanthala’s womb again, that Shanthala would also die and that there was nothing I could do about it. I was terrified, crying and I could feel my heart beating so hard and fast. I called a friend in India but could not reach him. I hung up not knowing what to do. A few minutes later, I told myself that I couldn’t spend the rest of my life terrified like this. I realized that I had even less control in life than I had thought. That was an epiphany.

Fear. Along with death, it is one of the great unmentionables in life. We tiptoe around it, we allude to it and though we run our lives driven by it, we won’t openly admit to it or talk about it. Parenting comes with one of the biggest fears of all, the fear of losing a child. The primary fear of parents, of even my parents generation was of losing the child. Even today, the under 5 infant mortality rate (U5MR) is significant in many parts of the world, of the order of 185-285 deaths per 1000, though the world average has decreased from 198 in 1960 to 83 in 2001. India has the highest absolute numbers of infant mortality and maternal mortality according to a report by the organization, Save the Children. After Kitty’s death, I came to the realization that an unspoken reason why many parents have a second child is to help them overcome the potential loss of one child. That fertility rates are higher in places where infant mortality is higher bears out my observation. When I asked some parents about this, they admitted that it was a factor though they didn’t openly talk about it.

I sometimes wonder how I’ll survive if Maya were to die, if I’ll survive. A good friend’s brother-in-law lost their two year old daughter to SIDS. They had left her sleeping with her grandparents and gone out. When they came back, she was dead, she had never woken up. I wonder sometimes how they go through life, how they find the strength to wake up each morning. But thanks to my 4 am epiphany and Kitty, this is not really a fear I live with.

One of the myths of parenting is that if we’re good parents, bad things can’t happen to our children. If bad things do happen to our children, we’re somehow responsible for it, there was something that was in our power to affect the outcome, but we failed to exercise that power. We so accept this myth that I think many parents are unable to openly admit to the feeling of powerlessness, of the illusion of control, of the fear of walking at the edge of the precipice all the time. As a result, we express our fears through behaviors that cause our children to suffer from different forms of neuroses. The lines from a Louis Simpson poem “The Goodnight”, speak to the dangers of such expressions:

A man who cannot stand
Children’s perilous play
With lifted voice and hand,
Drives the children away,
Out of sight, out of reach,
The tumbling children pass;
He sits on an empty beach,
Holding an empty glass.

While I think I lost a major part of my fear that night on the kitchen floor, the feeling hasn’t entirely left me. All through the pregnancy, I found myself keeping an emotional distance from the outcome because I was afraid of another loss, so soon after Kitty’s death. Of course, Kitty’s death had numbed me too. Typically, I like to read up a lot about whatever it is that I’m going through. But I didn’t read up much about pregnancy. I didn’t read about all the possible things a mother can do to ensure that she has a healthy baby. I didn’t read up about labor and delivery, of what it maybe like to be present at a caesarian section. I didn’t want to know all the possible things that could go wrong and then add my fears to Shanthala’s labor. I decided that I’d worry when someone told me to. That made for a very enjoyable labor and birth for both of us.

When Maya emerged, I didn’t check to see if she had the right number of toes and fingers, that her face might be misshapen or that she may be damaged in some way. Apparently most men count the fingers and toes when they first see a new-born baby. I said to myself that if something was wrong, I’d know about it soon enough and therefore all the worry of how she might turn out was useless.

The fear started the second day after she was born. All infants lose weight after they’re born and it takes them upto two weeks to regain their birth weight. Western medicine has decided that it is not OK for a new-born infant to lose more than 10% of her birth weight. I have not been able to obtain the data that forms the basis of this diagnosis. Maya was weighed every night, just after midnight, when we had finally managed to put her to sleep and were just shutting our exhausted, sleep deprived eyes. A nurse would come in, start undressing her to weigh her, which would wake her up and we’d all be up for another hour or two with an unhappy baby. I don’t know why they chose to come at midnight or at a time when the baby was asleep. The third day I requested them to not wake her up, that we’d call them the first time she woke up after midnight, before we fed her.

Maya lost almost 8% of her birth weight in the first three days. The pediatrician who came to visit us told us that she recommended Maya be given some formula to supplement the breast milk to reduce the weight loss. We ignored her recommendation because we had hoped that Maya would be exclusively breast fed. The next day she insisted that Maya be given formula as she had continued to lose weight. We gave in.

Thus began almost two months of fear that Maya was not drinking enough milk. We meticulously noted down how much she drank every day, when she peed and when she pooped. Every reference I could find said that a healthy, normal infant must drink about 2-2.5 times their body weight of formula. So, Maya who weighed 8.25 lbs at birth needed to drink at least 16.5 ounces of milk everyday. We had decided that even with formula, we’d only feed her when she wanted rather than on a schedule (such as every three hours which is what pediatricians in this country recommend). With this fear running inside me, I’d start worrying if she drank less. Even though she regained her birth weight in ten days, I worried if she drank less than the specified amount each day.

I scoured the web for determining the basis for coming up with 2-2.5 times number. If a baby is exclusively breastfed, how do you determine how much milk the baby nurses, I wondered. I found references that said that this number was for formula-fed babies and that it didn’t directly translate to breast fed babies. I also read that breast fed babies tended to gain weight slower than formula-fed babies, that the growth charts carried in pediatrician’s offices were based on formula-fed infants and that they were based on white caucasian kids. Maya was Asian and also was not exclusively breast fed or formula fed. So how was I to interpret all this information ? My fears of how much nutrition Maya was getting didn’t subside till she was almost three months old.

The other big fear was of of her falling ill at so early an age. So I insisted that people wash their hands before even touching her, demanding it even of Shanthala’s parents who were living with us. If someone wanted to visit Maya, I’d ask them if they were ill. When one of Shanthala’s cousins from out of town came to visit us, he came with his cute three year old son. I had asked Shanthala to check if her cousin and his family was free of illness before they came to visit. She didn’t and I was furious. I refused to take Maya down to meet them, pretending that we were asleep. When her father came to inform us that they were here, I asked him if the kid had a cold. “No, he doesn’t”, he replied, “But you can give him one if you want to”. I didn’t see the humor.

Maya started sleeping through the night when she was five weeks old. A good seven hours, from midnight till seven. Whenever anyone asked if I was getting enough sleep at night, I told them about her sleeping hours and I’d get shakes of wonder, of envy. You’re really lucky, they’d say, we didn’t get a whole night’s rest till our daughter was almost nine months old. So I awoke one night to find Shanthala staring intently at Maya’s sleeping form. Is everything OK, I asked. How can this five week baby sleep through the night, she said, something must be wrong. So in the middle of the night, I sit there explaining to her why I think she’s wrong and that everything’s well with Maya. The fear, awkwardness and insecurity of first-time parents is well-known.

Shanthala says that she worries about the future, especially of Maya having some kind of learning disability or developing that dreaded scourge of modern parents, autism. According to the famous Lucille Packard Children’s hospital, the number of school kids in the Bay Area diagnosed with autism has increased by 150% between 2001 and 2007. It almost seems an epidemic in California. I don’t worry about it too much, at least not now. I don’t know what I can do to prevent her from developing any of these problems.

Louis Simpson concludes his poem “The Goodnight” about learning to live with our fears as a parent, about never letting them become the guiding light in raising our children, that even though we maybe afraid, we must hope that each night is always only good.

Who said that tenderness
Will turn the heart to stone ?
May I endure her weakness
As I endure my own.
Better to say goodnight
To breathing flesh and blood
Each night as though the night
Were always only good.

On Parenting: The Initial Months


July 17, 2008. I feel her stirring beside me. I’m still groggy, it’s 6:15 am. It’s the second day that Maya has woken up an hour earlier than usual. Yesterday, I had protested this change, pretending to ignore her stirring, trying to fall back to sleep. But she had played with herself for a few minutes and then started pawing my face. That brought back memories of Kitty waking me up and I had gotten out of bed, grumpily. Today, I’m prepared to deal with the new reality. I pick her up with a smile and she coos happily. After taking her to pee, I put her back in bed while I prepare her milk.

A few minutes later, milk consumed, we’re downstairs. She’s playing with a spoon that I’ve given her, content to let me go prepare that wake-up elixir, coffee. I awaken the laptop from its sleep and sit down beside Maya, talking to her (more like muttering, since I’m not really awake yet). The coffee machine gurgles as the last drops of water filter down. When I return with the cup of coffee, I find that Maya has thrown away the spoon and has that “I need your attention” look. I pick her up thinking she wants to pee and find that her dress is soaked. She’s gagged herself with the narrow end of the spoon and thrown up a lot of the milk. I put the coffee down and pick her up to clean her.

An hour later, I’m rocking her to sleep. I try playing soothing sounds, slow, gentle melodies that reflect the morning mood for me. But Maya will have none of that. Since she’s discovered Sade, it’s nothing but her fast uptempo songs. So, at 7:30 in the morning, I’m playing “Paradise” and moving vigorously to the beat. Maya is asleep in a few minutes. Sade croons “Ooh, what a life !”

I’ve been meaning to write what about our approach to parenting in the initial months. I’ve written about my thoughts about watching her grow and the major (and minor) transformations of each month. But I’ve wanted to write about our perspective and our ideas. This entry is an attempt at that.

There is the famous adage, “Before I became a parent, I had three theories about parenting. Now I have three children and no theories”. Since we have only Maya, I guess I have two more theories left. In reality, our ideas about how we wanted to parent have so far largely borne out and we hope in some sense contributed to how easy and how happy Maya has been. These decisions were largely driven by our intuition, by Meredith Small’s incisive analysis and examination of parenting from an evolutionary perspective and across cultures in her book “Our Babies, Ourselves” and by having seen the results of a close friend who parented that way. The goal was single and fairly simple, to make Maya feel as secure, loved and accepted as possible. Our reading of various infant studies indicate that more than anything else, making them feel secure and loved was the bedrock to a happy and healthy individual.

Margaret Mead said that parenting was a reflection of the culture, that the general structure of any culture could be understood at a fundamental level by following the treatment of children. More recently, anthropologist Robert LeVine has said parental goals have little to do with the immediate situation of the child, and more to do with the entire social system and its institutional goals – especially in the areas of interpersonal relationships, the level of personal achievements expected, and the degree and manner of social solidarity that is favored in that particular society. For example, “independence” permeates the American child rearing lexicon. When I called the pediatrican’s office the first time because Maya was crying inconsolably for fifteen minutes (she was a month old), I was advised to put her down and walk away. “She needs to learn that you won’t be there all her life. She needs to learn to be independent”. I hung up in disgust.

LeVine says there are two kinds of cultures: agrarian and urban-industrial, and in both, parents want some things ”from” their children and some things ”for” their children. This translates to (in the words of Steven Pinker): “In contemporary middle-class American culture, parenting is seen as an awesome responsibility, an unforgiving vigil to keep the helpless infant from falling behind in the great race of life. And that race goes to the smartest, the most competitive, the most independent”. We didn’t want that. We wanted to deconstruct parenting as much as possible and choose consciously what we thought was best for Maya to feel loved and secure. We also told ourselves several times that we had no experience parenting and so we’d not assume that we know, but would be willing to learn, not hold on steadfastly to any idea save ensuring that she felt loved and secure. Dr. Spock and the associated mainstream American child rearing practices were out, ethnopediatrics was in.


We felt that the basic attitudes that we needed as parents was captured best by Myla and Jon Kabat-Zinn in “Everyday Blessings”: sovereignty, empathy and acceptance. Sovereignty implies that the child has a perspective, and that it maybe different from mine. Empathy implies that I can commiserate with her perspective. Acceptance means that I accept the conditions for what they are even if they’re not what I want them to be. For example, if I want her to sleep because I’m sleepy, I have to consider that she may not want to sleep because she’s not sleepy, and knowing how difficult it is to sleep when you’re not sleepy, that I accept her not being sleepy and play with her even though I fervently wish that she would sleep and allow me to. An alternate way of being, which we rejected, is to think that she’s deliberately manipulating us, or that she’s a “difficult child” or “hyperactive child”.

An infant’s needs are fairly primal: food, sleep and poop. Initially, an infant uses her cry to communicate everything, be it hunger, sleep or attachment. Studies that I’ve come across indicate that an infant doesn’t have the machinery to manipulate parents until they’re much older, six months at least, much later according to one of our close friends. So our first decision was to to respond to her cry immediately and do what was necessary to soothe her. I’d like to think that this is a reason why Maya never cries much. In the initial weeks she cried a little more as we struggled to figure out what she was trying to say. She probably also cried because the whole thing was so alien to her, she who was comfortably ensconced in Shanthala’s womb, her every need automatically taken care of, not needing to breathe, eat or poop. Past her sixth week, when we began to read each other better, she became a very easy and happy child. Everyone who sees her remarks on how happy she seems. That and what beautiful eyes and long eyelashes she has.


Research by James McKenna, a medical anthropologist and sleep researcher, has shown that when infant and mother sleep together, the two function as a dyad, their sleep, arousal, breathing and heart rate synchronizing with each other. There is a significant push by pediatricians in this country to have the baby sleep separately. The American Association of Pediatrics strongly recommends against sleeping with the baby because of increased risk of SIDS (sudden infant death syndrome), of suffocating the child by rolling over it and because of possible psychosexual problems. There aren’t studies that back these claims. The psychosexual babble is a holdover from an 18th century church edict. Among African and Asian societies where cosleeping is common, there are hardly any reports of these problems. James McKenna postulates that a possible cause for SIDS is that infants with their immature nervous system have not yet learnt how to breathe and go into deep sleep at the same time. He says that cosleeping helps them learn how to breathe and go into deep sleep. In the US, Dr. Richard Ferber’s method of putting infants to sleep is the most common practice. The method involves leaving the infant alone in their crib and letting them go to sleep on their own and not responding to their cries. When Shanthala and I first heard about it, we cringed. There is an interesting article in the New Yorker from 1999 about one person’s attempt to put his son to sleep the American way that includes an interview with Dr. Ferber in which the doctor recants his method, somewhat. So another decision that we made was to have Maya sleep with us, in our bed.

An infant also loves being held, being enveloped in the warmth of our body. Reading books about the real life experiences of parents, I found that so many speak of difficult sleep times, of crying insistently on being put down, of suffering from that fearful word, colic. Meredith Small says that studies have found that incidences of colic are very small in Asian and African countries where traditionally infants tend to be carried more compared to the Western societies. So we decided that we’d hold her as much as possible, even carrying her in a sling as a new born while she slept. I found that she slept longer when she either slept in the sling or when she slept on me.


No disposable diapers was another major decision. We have both tried to keep as small a footprint as possible given the current environmental conditions on Earth. It’s been a modest attempt compared to some others I’ve known, but we try. Disposable diapers are the third largest item in this country’s landfill and we didn’t want to add to it. There were other positive consequences of this decision, but more on that later. Shanthala researched a lot and stocked cloth diapers before Maya was born, buying good quality, some used and some unused diapers, from eBay and other outlets for throwaway prices. She also decided that we’d wash our own diapers rather than use a diaper service. The whole thing has turned out to be fairly easy.

In an essay titled “Negotiating Violence”, the author, Meri Nana-Ama Danquah writes: “A native of Ghana, I have lived in the US since I was six years old.. My family strongly believed in traditional African values and principles such as prerequisite respect of elders, the unspoken second class citizenship of children, and the collective endorsement of corporal punishment.” The traditional African values don’t sound very different from traditional Indian values or at least different from the way I was raised. Even in America today, spanking a child is a divisive subject, with quite a few considering it acceptable, even though it is illegal. That is not how we want to raise Maya. Corporal punishment is out. As Danquah writes: “.. to understand that love and violence do not go together and should not be accepted when given hand-in-hand by the same person – be that person a lover, a friend or a parent.” I still remember vividly the terror of being beaten by my father, the indignity and humiliation from feeling violated, being subject to what seemed to me as a child, the mood of my caregiver. Just as we reject an abusive husband’s excuse “she made me do it”, we must reject a parent’s twin excuses of “the child’s actions made me do it” and “it’s only for his good”. If we use violence to teach something, the evidence indicates that the lesson will not be learnt. We don’t even want to threaten her. No “or else”.


Despite all this, it has been surprisingly easy for me to get frustrated and angry. Between Shanthala and I, I’m more patient except when it comes to Maya. Shanthala wins hands down in that category. Many times, I’d put Maya down and go to the next room to scream my anger or frustration, I’ve picked her up a little less gently sometimes. Eventually, I figured out that most of my anger came from lacking control, control as I know it. Once I realized that my anger or frustration was a consequence of counter-factual thinking, of wanting things to be what they’re not, I calmed down considerably. I realized that with an infant, you don’t set the agenda. She does. It’s still hard to accept on days I’m tired or sleep deprived, when I’m upset with something at work or I feel overwhelmed.

Food turned out to have been decided for us. Shanthala couldn’t produce enough breast milk to satisfy Maya’s needs right from the start. At best, she gave her fifty percent. At the end of her second month, we gave up and continued to feed her only formula. The decision was not easy, but we had little choice after trying everything possible from finger feeding her and using the breast pump to Shanthala taking pills and herbal supplements to produce more milk. The positive benefit of this has been that I’ve been involved intimately in feeding Maya which delighted me (the flip side was that I had to share the load of waking up in the middle of the night to feed her).

We hardly watch TV, using the set only to watch movies. Just before she was born, we gave away the TV and DVD player. We didn’t want her to grow up watching TV. We now watch movies on our laptops, maybe once a week at most. We also consciously avoid having Maya see us in front of the computer, though not always successfully. I attend to work email in the morning as I sip my coffee while she’s next to me, babbling away happily.

I came across a study the other day with the headline: “Sociologists are discovering that children may not make parents happier and that childless adults, contrary to popular stereotypes, may often be more contented than people with kids. Parents ‘definitely experienced more depression,’ says Robin Simon, a sociologist at Florida State University who has studied data on parenting.” What is interesting is that Robin Simon also states: “People ought to understand where this unhappiness comes from. I would say it’s not from their kids per se, I would say that it comes from the social conditions in which contemporary parents parent.” The headline could’ve been: “Parenting needs stronger support from society”, but that’s not as catchy. One of the earliest decisions of our marriage was that we’d have a child when we could devote all the time that was needed to raise her/him. I didn’t want having a child to be just a milepost that we cross in this journey we call life. Or even a tourist spot where we checked out the highlights. We wanted it to be a place where we stopped. For a long time. Where we checked out the terrain intimately, got to know the locals, understood what it meant to be a native of that place.


It’s 6:30 PM. Maya has woken up again. We head out for our evening walk with Maya comfortably ensconced in a sling. As we walk by a house with people sitting out, enjoying the chilly summer evening, we greet each other. They notice the baby and ask the usual questions. An older man comes out of the house and seeing Maya asks “How old is she ?”. “Five months”, we reply. “She’s so alert. She looks ready to do calculus”, he says.

It’s 10:30 by the time Maya falls asleep. I was so sleepy at 8′o clock and now I’m wide awake. My brain is too exhausted to do anything much.

What has caught me unprepared and still struggling with has been the lack of solitude, of time for myself and in my control. I want to run, to write more, to read, to reflect. When I switched to working part time, one of the things that I enjoyed most was the expanded time I had. I didn’t do anything different, but just having it and knowing that there was the potential to do anything I wanted was liberating. I had come to dislike the schedules set by the alarm clocks and daily grind at work, even though it was work that I enjoyed and was good at. I yearned to march to a different drummer. And now I am, to Maya’s.

Nightmares and Dreams


In the movie “The Sweet Hereafter”, there is a scene in which the main protagonist, played poignantly and with great subtlety by Ian Holm, is talking to a childhood friend of his daughter. They meet on a plane. She remembers him and asks how his daughter is doing. He dismisses her initially with some cliches, but gradually he starts telling her the truth. He’s estranged from his daughter. She’s on drugs and in bad relationships. He doesn’t know what he did wrong, where did he fail as a parent. He tells his daughter’s friend about a time when his daughter was still a baby. They live in a rural area, far away from modern conveniences such as hospitals. As the three of them – his wife, daughter and himself – are sleeping one afternoon, a spider bites his daughter. She’s allergic to the sting and reacts violently to it. She starts choking as her larynx starts swelling up threatening to cut off her air supply. They call the nearest hospital, about a half hour or more away. The medics ask them to drive over immediately. They tell him to have a sharp knife ready to make an incision in the baby’s throat if the swelling gets so far as to cut off the air supply completely. He recalls how he watched his daughter gasp and struggle to breathe, as his wife speeds to the hospital, and he waited with a knife in his hand, to cut her throat to save her life. She’s saved without his having to cut her throat. He says that he was ready to do whatever it took to save her life. How did they go from there to where they are now, with a daughter lost and dying due to drug abuse, he wonders.

In the book, “Everyday Blessings” by Myla and Jon Kabat-Zinn, the authors recount a story. A woman is visiting her grown-up son for dinner. She has raised him alone and tried her best to be a good parent, instilling in him values that she aspired to and practiced. One such value was respect for all people regardless of age or their station in life. As she enters her son’s building, in a borough in New York City, she notices a homeless woman, begging, right near the entrance. She averts her eyes, as most of us are wont to do, and enters the building. As she comes out with her son, he stops by the homeless woman, drops a few coins and pointing to his mother, says “This is my mother”. The homeless woman smiles at her and she smiles back. She writes: “I had wanted him to learn to see the common humanity in all people without exception – and so he had. I felt deeply moved as I realized that now he was re-teaching me a lesson that, on that evening, I had lost track of.”

One of these stories is my nightmare and the other my fervent hope. How can I achieve one and not the other, I wonder, as I watch Maya laugh and play her way through life. What values do I wish to practice with the utmost integrity so that she can learn them too ? When I’m brushing my teeth or shaving, Maya watches me with such curiosity in her eyes. I know that she’s absorbing without understanding, things she’ll imitate without understanding. Someday she’ll fall in love with somebody who shouts her name loudly with love, and she may feel deeply loved, without knowing why. Oh Maya, sweet child, how do I ensure I do not sully this gift of life ?