Honestly, the hardest part for me was during my pregnancy, because I got so sick. As for after my son was born, I find having a routine is key. Do not neglect your treatments, even if you are tired.
I'm on summer break right now (I teach), so I'll just tell you my routine for when I'm working. I wake up at 5 am and do my xopenex (albuterol) and Vest. Then, I do my regular get ready for work stuff. Usually, at about 6:20 I feed and change the baby (this alters if he starts crying earlier) and pump to get rid of excess milk. I begin work at 7:15.
I pump at 10:30 during a break in my day and then feed the baby at about 3:00 when I'm home from work. Then, after feeding the baby I do my Pulmozyme and Vest. We eat dinner early and I continue to attend to the baby as needed. At about 8 pm, I get my four-year-old ready for bed and then do my nightly Xopenex treatment and Vest. After that I am in bed.
I find that breastfeeding is easier, since I don't have to really wake up to make a bottle/feed the baby. I would highly advise breastfeeding. I sleep with my baby in bed with me, but I also have a co-sleeper next to my bed if he is hogging too much bed space. <img src="i/expressions/face-icon-small-tongue.gif" border="0">
Cleaning is where I fall short. I try to clean more on the weekends, but I really rely on my husband to help with this and we still don't keep up. Sometimes we get so behind on laundry that I plan what we will wear for the week and only do that much laundry.
Oh yeah, my husband and I alternate cooking. I know that many recommend making a bunch of meals on the weekend and freezing. I am not all that great of a cook anyway, so I stock up on ready made food, like Stouffer's lasagna, frozen pizza for those days when I just am too exhausted to do anything else.
One last thing, having a lot of friends/family to help out can be a life-saver. PM me if you want with other questions. <img src="i/expressions/face-icon-small-smile.gif" border="0">