18 November 2011

Not cool, KKH!

I read about the necessity to have regular scans close to EDD to monitor baby's position, water level, weight etc. I worried about the umbilical cord more than anything else, getting paranoid because of all that tossing and turning I do when I sleep.

I checked with friends who goes to gynaes at the same hospital and they confirmed that they were scanned to monitor the baby close to their due date. It was deemed necessary close to due date for a safe delivery.

I called the hospital on Monday and was told that they do not do scans close to EDD. I was asked what scan I had intended to get, the nurse even asked me if it was my first pregnancy. I struck me that they thought I was over anxious about it.  The nurse told me that, maybe, at private doctor in the hospital have scanning machines in their offices and so they just do it for the patient as a matter of course. At subsidized clinics, they do not do further tests after the detailed scan at week 32 unless they suspect a problem.

I wanted to do it anyway and after being on the phone with the nurse for some time, clearly and specifically asking for scans to monitor my baby for the purposes of delivery (particularly the umbilical cord and water level) I gave up explaining and just said "ok, I'm now insisting to be scanned, just schedule an appointment for me."

She said "I need to check with the doctor which scan we can give you, I will call you back".

Yesterday afternoon, I received a call from KKH and the same nurse told me "I've checked with the doctor and the only scan we can think of to give you is a 4 in 1 scan for checking fluid level, baby position, weight and (something I forgot) because there's really no other scan to give you". I couldn't be bothered to say more to her. I just agreed and said "ok, I'll go for that scan."

The scan today reveals that I have low amniotic fluid and it is necessary for me to deliver Joy Joy soon by inducing (!!). The doctor checked my cervix and said it is very soft and thin although not dilated yet. Considering that I am due in a week in any case, I was advised to go for induced birth within the next few days.

This and various bad experiences with the medical at the hospital is sufficient for me to never go back to the subsidized class again. Not if I can help it.

Everytime i see a gynae there, they ask me if I have any questions rather than provide me with medical information likely to pertain to that point in my pregnancy. If one is not the kind to read up when they feel that something is amiss, their condition would have been left untreated. I am given to think that the hospital treats subsidized patients in a production line manner and simply apply a set of fixed procedures coupled with a "you're overreacting" attitude because they have "seen it all". In situations like this, too much experience (with pregnant patients) is not a good thing.

Before I left the gynae's room today I asked her about epidural and birth plans but she said that I can ask the asthestist about epidural instead when I go into the delivery room. I am not sure if she didn't have the information, didn't want to tell me about the information or it's not her job to do it so I'm not getting the information.

I think the hospital neglects to take due care of their subsidized class patients. Customer service leaves much to be desired as well. Save for the exception of a few, most of the staff do not read my notes or any paper passed to them, they just asked me what I was there here for instead. Perhaps it is faster for them to ask but its not very pleasant for a patient to repeat a story at every department they go to.

17 November 2011

Labour Drill

I have been training Daddy on what to do in the labour ward. For ages its been:

(1) NO medical students pls.
(2) Full breastfeeding, NO formula pls
(3) I want Joy Joy to latch on immediately after birth, definately within 15 minutes. Weighing, cleaning etc can wait.
(4) Tell the nurses / doctors I MIGHT want epidural
(5) Check with me at around 3cm & again at around 6cm on whether I want epidural
(6) No C-Section unless absolutely, life-threateningly necessary
(7) Daddy to cut Joy Joy's cord

Now, I want to add the following:

(8) Daddy to video Joy Joy's birth moment
(9) After baby has latched on, we take a family photo then Daddy is to FOLLOW THE BABY and take photos (we had a short photography session so that Daddy know how to use the cam / video cam)
(10) I want Joy Joy to sleep with me. Beside me in her baby bed / with me in bed so that I am not far away when she needs Mummy.

And change (4) and (5) to:

I want to have a natural birth without epidural. TRY!

Poor Daddy haha.. so many things to remember.. but i've written it down here, just in case... hahaha

Good read


Went to the library today to re-loan this book but they can't locate it for some warped reason. I later received a call from them, asking me to go collect after 3PM today (another trip out is sooooo tiring at this stage of my pregnancy). 

So far, the most comprehensive, easy to read breastfeeding book i've read.
Maybe, I should just buy it la!

Epidural or no Epidural

These are the responses I get from FB on Epidural or no Epidural. Isn't it just amazing.

Thing is, I think my uterus is contracting (i.e. when Joy Joy is not moving but my uterus tightens and wraps around her and I can see her bump clearly and my whole tummy area is like a hard basketball) once in a while, but I don't feel contraction pain! So when do I go to the hospital? When the water bag bursts? When I have bloody show?

I also have a funny and secret worry that my water bag will burst when I'm on the bed. Whats gonna happen to the bed...

16 November 2011

Drought relief


True story.

Pregnancy makes my skin ultra ultra ultra dry (like a very severe skin drought) . So dry that it cracked and bleed. Scratching my skin and causing pain to myself is more relief than feeling the itch (I did a blood test, cleared for liver problems) but it resulted in a multitude of scratch marks on my body rather than stretch marks. Daddy said its painful for him to see me scratch myself, the wounds are really bad.

I have been going to dermatologists at the national skin centre for years and at one of my appointments I asked the doctor how i could relief the itch also particularly since I am pregnant and should avoid certain ingredients in skincare. Usually, the dermatologists are spot on with their medication but this time, nothing they prescribed could help me at all. I also tried other moisturisers  ( cetaphil, physio gel, QV etc etc etc) and no matter how potent they claim to be, they didn't give me any relief at all.

By accident, I found that the calendula from California Baby which we got for Joy Joy for nappy rash helped tremendously. But it is (very) expensive and I can't bear to use it on myself. I discovered the first sustainable itch relief from calamine lotion, which a doctor at KKH finally prescribed to me but it helped only with relieving itch for a few hours (after which I needed to re-apply to get relief) and caused me to have uber  dry skin.
And this is the only complete relief I found, after MANY MONTHS of suffering. The Gynae says it safe for use in pregnancy. Even on my thighs and tummy.
I bought this once many months ago and left it unused (at my own home) after two applications because it felt horrible on my then oily skin. In a moment of desperate need for relief whilst I was out, I bought it again when I saw that it was on promotion and really cheap and I'm so glad I did buy it.

I use it everywhere. On my face, neck and wherever needs moisturiser / itch relief and it makes my skin velvety soft (true story!) and very smooth to the touch, solved the dry skin, provided me TOTAL relief from the itch and my wounds are clearing up so quickly, I'm surprised.

So I am writing this down to remember it for the next time I am pregnant (we want two!) or in case anyone else suffers from the same problem.
This is, obviously, not an advert.

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