Pengalaman bersalin wish i knew


  • Orthopaedic & Spine Surgery
  • Your Healthcare is Our Mission
  • Melor Makes
  • I was a new mother and was not sure of myself, so I agreed. Until the EDD , there was absolutely no sign of imminent labour. I went in for the scheduled induction. Suffice to say that after 2 pills, lots of pitocin, 26 hours of labour and dilation to only 3 cm, water bag being released at 12 hours after the first pill at 1cm dilation , there was fetal distress and we had to proceed to emergency c-sec. The doctor put it down to non progression of induction. Note that I was a very healthy mom, I had my sugar levels well controlled with diet alone and I exercised throughout the pregnancy.

    I am also big sized XL usually and so I could foreseeably birth a bigger baby. My son was only 3. I felt very cheated at that time that I had to have a c-sec. I have always wanted a natural birth and did not believe in elective major surgery.

    I felt that I had not been given a chance to have a natural birth, but because I did not dare gainsay a doctor, I agreed to go along with his planned induction.

    Now when I say natural birth I do not mean that I wanted everything au natural. I am all for the modern medical benefits like pain control and intervention if it is so warranted. What I wanted was a vaginal birth. However, I felt that in this case, my son was nowhere near ready to come out and we basically forced him out.

    But since he was not ready to come out, we had to have an emergency c-sec. I must also point out that since I was a first time mom, and did not foresee any problems, I did not do enough reading and was not prepared for eventualities like a failed induction ending in emergency c-sec.

    So I was not entirely blameless in this. Fast forward 3 years later. I got pregnant with my daughter. I traveled extensively for work and was very busy throughout my pregnancy. I continued my usual practice of going to the gym and working out at least 2 times a week while also looking after my son after work when not traveling.

    I usually attend step classes please, this is not recommended for everyone; I did it because I have been going for Step for more than 10 years and I am one of the least clumsy people I know, including during pregnancy.

    My weight gain was acceptable. I was worried about GDM again and I kept asking my current obgyn if I should do the OGTT glucose tolerance test and monitor my carb intake, since normally if you were previously diagnosed with GDM , doctors usually recommend doing the test around weeks.

    But no, this doctor said not to worry; everything from his observation of the ultrasounds seemed to be ok. And my baby girl was breeched. And she was weeks bigger than her gestational age. This doctor who was not worried about my GDM was pro c-sec. This even though I stated from the very get go that I prefer to have natural if possible.

    He wanted to schedule a c-sec that very week! I was aghast. I had another weeks till my EDD , why did I have to schedule a c-sec right now? Was it impossible that she would turn in that time?

    That was when the reality of another c-sec sank in. I really did not want another c-sec. I decided to do some research on VBAC. There were exercises that we could do to help turn a baby the right way, to improve the chances of a successful vaginal birth. I managed to speak with Ms Soo Wai Han, a renowned HypnoBirthing practitioner who was willing to meet me to share with me her experiences.

    She also recommended that I stop seeing the pro c-sec doctor and to meet with a pro natural one. In her experience, if baby is smaller, the uterine contractions are usually slower and less intense; if baby is bigger, uterine contractions are usually faster and stronger which increase chances of rupture. Also with GDM , there are higher chances of stillbirth near the end of gestation as the placenta tends to mature faster.

    I wanted to go to Dr Tan for the birth, but since my hubby and I were strapped for cash we had decided on a government hospital — UMMC. And I had been going there for regular check ups since 35 weeks. However with each visit to UMMC I was getting very disillusioned with the attitude and service there. The doctors were very young, inexperienced even though they are led by senior consultants, and the nurses were very military.

    The hospital was NOT mother friendly. No one was allowed to accompany the mother during the labour as they did not have individual labour rooms. Birth plans were simply not heard of or done. We were told by a nurse that we could not bring anything into the labour room except for personal medications including our handphones - in case the use of the phone interrupts the workings of the machines.

    Nonsense I felt. During one of my checkups, the administration was not up to par, they actually misplaced my file and could not find it even though I waited 5 hours that day. The antenatal and post natal rooms in the new building were nice though. She shared with me some techniques and HypnoBirthing philosophy. It was good that I did, as reading from websites did not really show how things should be done and Wai Han answered many of my questions.

    She also helped me visualize how the birthing process would go. This was very important for me so that I did not panic and knew what was coming at each stage. Many times a labour may take many hours or many days and if you were to admit yourself to hospital too early, then there is a high chance for interventions.

    As long as there are no signs of complications, it is often better for the mother to experience the first stage of labour in the comfort of her own home. This is how it is done for many births in the Western countries where doulas and midwives are the primary caretakers of mothers during pregnancy and births. He also made sure to put me in the hospitals system that day itself.

    Birth Show! When the first show began, the surges were no longer painless. I was excited, nervous, but tried to keep cool.

    I spent the night periodically waking up. The surges were irregular, between 3- 12 minutes but sometimes would stop for half an hour. Surge On! I messaged Wai Han in the morning and she confirmed that most likely I was in early labour.

    She recommended that I do not inform anyone other than my husband of the imminent labour as she knew from previous experience working with VBAC mothers, the labour may take some time, and it was pointless to cause worry and in turn negative pressure on the mother. That night, I could not sleep, the surges were becoming more and more regular and uncomfortable. The birth show continued. The exercise ball became a good friend. It helped to ease some of the painfulness, but this was a good pain.

    As Wai Han said, every surge is bringing the baby closer to me. Bring it on! I was off work that day already but my husband had to go into work for an important meeting. The pain from the surges was getting more intense, I was tired from a sleepless night. However I managed to send my son off to school, then took a nap after he had gone. I felt much better after the rest and decided that I had better go into Selayang to meet with Dr Roslan or at least get registered at the hospital, just in case I went into active labour that day.

    Again with the support of Wai Han, I managed to bear with the pain and go through with the normal motions of life. When my husband got back around lunchtime, we got ready our things perhaps to be admitted and left for Selayang Hospital around 2 pm. During this time the contraction pain was bad enough that I could not speak during one. However I could pick up the thread of conversation after the surge had passed. I told her that I wished to register and make an appointment to see him.

    Then as there was nothing to be done and my surges were continuing with not much change in intensity and timing plus my hubby could not find a parking spot! On EDD To the Hospital, Again That night the surges became more intense and regular from 1 am.

    As I kept waking up at the start of each surge, I decided to time them. By 4 am the surges were becoming regular, every minutes.

    I debated whether to wait till after the morning jam to go to the hospital or to leave before the jam. Also I became hungry and decided to have a snack at 4. After a slice of bread, I decided it was probably prudent that we go before the jam. He agreed. They were a bit taken aback but when I told them that my surges were now mins apart, they agreed that I should be admitted.

    Then they put me on the CTG , which was really painful as I had to lie down on my back for half an hour and they did a VE. I was dilated 4cm. It was 6. The MO in charge called Dr Roslan shortly after. Dr Roslan was due to do his rounds at 8 am.

    Spine Surgery : Dr. Deepak Singh , Dr. Lim Sze Wei , Dr. Ozlan Izma Muhamed Kamil Some highlights of our surgical expertise include paediatric hand reconstruction for congenital conditions of the finger and hand in children.

    For ankle joint, surgeries like complex ankle ligament reconstruction and ankle joint replacement are performed. For knee joint, surgical reconstruction for multiple ligament injuries, meniscus repair, joint preservation and cartilage regeneration are available.

    Our orthopaedic surgeon are well versed with use of Computer Assisted Surgery in knee joint replacement. In addition, we offer all-arthroscopic surgery of shoulder, hip, knee and ankle joints. Last but not the least, non-surgical pain-relieving procedures for joints and spine are frequently performed by our orthopaedic surgeons accredited in interventional pain procedures.

    It is our vision for Prince Court Medical Centre to be the advanced center for orthopaedic surgery. We wish to be of service to you. Diagnosis Prior to any surgery, patients will have to undergo extensive testing to determine appropriate corrective procedures. Tests may include x-rays, computed tomography CT scans, magnetic resonance imaging MRI , diagnostic arthroplasty, and blood tests.

    The orthopaedist will determine the history of the disorder and any treatments that patient had previously undergone. Surgery candidates undergo standard blood and urine tests before surgery and, for major procedures, need to undergo an electrocardiogram or other diagnostic tests prior to the operation.

    Surgical Treatment Orthopaedic surgeons perform various types of surgeries. The common procedures include: Arthroscopy — a procedure using special cameras and equipment to visualize diagnose and treat problem inside a joint.

    Internal Fixation — a method to hold the broken pieces of bone in proper position with metal plates and pins or screws while the bone is healing. Joint Replacement partial, total and revision — when an arthritic or damaged joint is removed and replaced with an artificial joint called a prosthesis. Osteotomy — the correction of bone deformity by cutting and repositioning the bone.

    Soft tissue repair — the mending of soft tissue, such as torn tendons or ligaments. Spine — to correct problems with the small bones of the spine vertebrae. Arthroplasty — to restore the function a stiffened joint and relieve pain.

    This surgery is performed using an arthroscope, a type of endoscope that is inserted into the joint through a small incision. The advantage of arthroscopy over traditional open surgery is that the joint does not have to be opened up fully. And thanks to the smaller incisions, both pain and scarring can be minimized.

    The smaller surgical instruments allow the surgeons to view the joint area via a video monitor in order to diagnose and repair torn joint tissue such as ligaments or cartilage. The common joints that can be treated through arthroscopy are the knee, shoulder, elbow, wrist, ankle, and hip joint.

    A meniscus tear is a common injury that affects the knee joint. Even without playing sports, a twisted ankle can cause similar patterns of injuries; the kind that can happen to an athlete and can therefore be treated in the same manner. In such cases, the surgeons will have to repair the torn tissue or reconstruct torn ligaments. Some ligaments, when torn, are not repairable, so they need to be reconstructed. Reconstruction surgery uses replacement tissue or also known as a graft to replace the ligament.

    Once the graft is in place, the replaced tendon is then gradually converted to become a new ligament. Multiple Ligament Injury of the Knee Diagnosis and treatment of multiple ligament injuries of the knee remain a real challenge for most surgeons. These injuries involve the rupture of at least two of the main ligaments of the knee, and are associated with meniscus ruptures and cartilage injuries. Multiple ligament injury of the knee is a complex problem in orthopaedic surgery, something that is not commonly dealt with in Malaysia.

    Multiple ligament knee injuries are usually the result of knee dislocations following a high energy motor vehicle accidents or high velocity sport injuries.

    The surgical reconstruction takes a dedicated and highly experienced team to execute and is a very technically demanding procedure. Rehabilitation The rehabilitation program differs according to the type of injuries. The orthopaedic surgeon will guide the rehabilitation process because we diagnose the problem; and the rehab physician and the therapist who will run the day-to-day program.

    Internal Fixation — a method to hold the broken pieces of bone in proper position with metal plates and pins or screws while the bone is healing. Joint Replacement partial, total and revision — when an arthritic or damaged joint is removed and replaced with an artificial joint called a prosthesis. Osteotomy — the correction of bone deformity by cutting and repositioning the bone. Soft tissue repair — the mending of soft tissue, such as torn tendons or ligaments.

    Spine — to correct problems with the small bones of the spine vertebrae. Arthroplasty — to restore the function a stiffened joint and relieve pain. This surgery is performed using an arthroscope, a type of endoscope that is inserted into the joint through a small incision. The advantage of arthroscopy over traditional open surgery is that the joint does not have to be opened up fully.

    And thanks to the smaller incisions, both pain and scarring can be minimized. The smaller surgical instruments allow the surgeons to view the joint area via a video monitor in order to diagnose and repair torn joint tissue such as ligaments or cartilage. The common joints that can be treated through arthroscopy are the knee, shoulder, elbow, wrist, ankle, and hip joint. A meniscus tear is a common injury that affects the knee joint. Even without playing sports, a twisted ankle can cause similar patterns of injuries; the kind that can happen to an athlete and can therefore be treated in the same manner.

    Elok je nak naik atas katil…another contraction come! Mase tu I cry… sbb sgt sakit, lebih sakit dari contraction sepanjang hari tadi. I lean my elbow kat ujung katil mase tu. Once the contraction hilang i naik atas katil utk check dilation. After the feeling to push went away, Cassie directed me to take off my cloth dan turun pelan and masuk dalam tub so that we can have the baby in the tub.

    Orthopaedic & Spine Surgery

    Yup only once. Hemm tak selesakan? Cassie, one of the midwife on call that night. Meet her few times during appointment so I knew her. Shanti asked me to follow my body. Push only when I feel like pushing. Air suam2 panas dalam tub tu sangat lah melegakan. It helps soothing the pain i had.

    Your Healthcare is Our Mission

    Selawat dan ayat2 quran tak lekang dari bibir. I can feel the baby head moving and pushing to come out. It was so amazing!! Then comes the 4th pushing — plobb! We prepare 2 names, if girl we will name her as Iris and Irfan for boy. Now we have Irfan Iszad Jeffri.

    Mimin tgk baby masih purple! The doula brought in Yasmin to meet her baby brother while we were still inside the tub. Sepanjang hari bersama Mimin dan contraction, I terlepas tinggikan suara kat die sekali, masa tu tunggu Iszad balik kelas malam, she was so cranky and I was having a contraction at that time. She understand that mama is having a baby and we need to hurry.

    Itu lah amalan I kalau termarah dia, I akan apologize and explain why I marah. After 10min Cassie said that I boleh keluar dari tub. I hold the baby, and tali pusat baby cukup panjang untuk I hold him kat dada. Diorg dah prepare stool so that I can climb out of the tub safely and naik atas katil.

    Remember, placenta still inside me and umbilical cord baby belom potong. Naik je atas katil baby dah start rooting! We are skin to skin and I nurse him right on the dot!

    Meanwhile the midwives get ready for the placenta. Tade jeb2 pon untuk keluarkan placenta. Shanti tunjuk uri baby, explain baby duduk kat mana, makanan masuk utk baby ikut tali mane. She said my placenta is small but yet the baby is quit big. Lepas sejam baru diorg ckp nak potong tali pusat baby. Shanti said I have minor tear and it looks like being cut, she said it was a straight line cut, perhaps it was the tissue from my previous episiotomy and I need some repair.

    Melor Makes

    They have all the equipment just like hospital to do the repair and I got 2 stitches. I was hoping for zero tear but 2 stitches is minor to me. Kate weight and measure him, he is 8 pounds and 2 oz. Owh it feels so good and tak rasa mcm baru lepas bersalin.

    Ade org sediakan light meal, dpt mandi air herba, ade org tolong lapkan badan. I love being pampered hahah! Yup all women who just give birth really deserve that right?

    Lepas selesai berendam dengan air herba yg suam2 panas, rasa fresh badan. Kaki tade lenguh2 or ketar2 mcm mase bersalin Mimin.

    Elok je berjalan dari bathroom ke bilik. Iszad sempat lah cuddle dgn Irfan sementara I rest and makan. Lepas tu I sambung nurse Irfan and Iszad lak sempat tido. Mcm die plak yg labor hahah! He wanted to schedule a c-sec that very week! I was aghast. I had another weeks till my EDDwhy did I have to schedule a c-sec right now? Was it impossible that she would turn in that time? That was when the reality of another c-sec sank in. I really did not want another c-sec.

    I decided to do some research on VBAC. There were exercises that we could do to help turn a baby the right way, to improve the chances of a successful vaginal birth.

    I managed to speak with Ms Soo Wai Han, a renowned HypnoBirthing practitioner who was willing to meet me to share with me her experiences.

    She also recommended that I stop seeing the pro c-sec doctor and to meet with a pro natural one. In her experience, if baby is smaller, the uterine contractions are usually slower and less intense; if baby is bigger, uterine contractions are usually faster and stronger which increase chances of rupture.

    Also with GDMthere are higher chances of stillbirth near the end of gestation as the placenta tends to mature faster. I wanted to go to Dr Tan for the birth, but since my hubby and I were strapped for cash we had decided on a government hospital — UMMC.

    And I had been going there for regular check ups since 35 weeks. However with each visit to UMMC I was getting very disillusioned with the attitude and service there. The doctors were very young, inexperienced even though they are led by senior consultants, and the nurses were very military. The hospital was NOT mother friendly. No one was allowed to accompany the mother during the labour as they did not have individual labour rooms.

    Birth plans were simply not heard of or done. We were told by a nurse that we could not bring anything into the labour room except for personal medications including our handphones - in case the use of the phone interrupts the workings of the machines. Nonsense I felt. During one of my checkups, the administration was not up to par, they actually misplaced my file and could not find it even though I waited 5 hours that day. The antenatal and post natal rooms in the new building were nice though.

    She shared with me some techniques and HypnoBirthing philosophy. It was good that I did, as reading from websites did not really show how things should be done and Wai Han answered many of my questions. She also helped me visualize how the birthing process would go.

    This was very important for me so that I did not panic and knew what was coming at each stage. Many times a labour may take many hours or many days and if you were to admit yourself to hospital too early, then there is a high chance for interventions.

    As long as there are no signs of complications, it is often better for the mother to experience the first stage of labour in the comfort of her own home. This is how it is done for many births in the Western countries where doulas and midwives are the primary caretakers of mothers during pregnancy and births.

    He also made sure to put me in the hospitals system that day itself. Birth Show! When the first show began, the surges were no longer painless. I was excited, nervous, but tried to keep cool. I spent the night periodically waking up. The surges were irregular, between 3- 12 minutes but sometimes would stop for half an hour. Surge On! I messaged Wai Han in the morning and she confirmed that most likely I was in early labour. She recommended that I do not inform anyone other than my husband of the imminent labour as she knew from previous experience working with VBAC mothers, the labour may take some time, and it was pointless to cause worry and in turn negative pressure on the mother.

    That night, I could not sleep, the surges were becoming more and more regular and uncomfortable. The birth show continued. The exercise ball became a good friend.

    It helped to ease some of the painfulness, but grape trellis ideas was a good pain. As Wai Han said, every surge is bringing the baby closer to me. Bring it on! I was off work that day already but my husband had to go into work for an important meeting.

    The pain from the surges was getting more intense, I was tired from a sleepless night. However I managed to send my son off to school, then took a nap after he had gone.

    I felt much better after the rest and decided that I had better go into Selayang to meet with Dr Roslan or at least get registered at the hospital, just in case I went into active labour that day. Again with the support of Wai Han, I managed to bear with the pain and go through with the normal motions of life.

    When my husband got back around lunchtime, we got ready our things perhaps to be admitted and left for Selayang Hospital around 2 pm. During this time the contraction pain was bad enough that I could not speak during one.

    However I could pick up the thread of conversation after the surge had passed. I told her that I wished to register and make an appointment to see him. Then as there was nothing to be done and my surges were continuing with not much change in intensity and timing plus my hubby could not find a parking spot!

    On EDD To the Hospital, Again That night the surges became more intense and regular from 1 am. As I kept waking up at the start of each surge, I decided to time them. By 4 am the surges were becoming regular, every minutes. I debated whether to wait till after the morning jam to go to the hospital or to leave before the jam.

    Also I became hungry and decided to have a snack at 4. After a slice of bread, I decided it was probably prudent that we go before the jam.


    thoughts on “Pengalaman bersalin wish i knew

    1. Between us speaking, in my opinion, it is obvious. Try to look for the answer to your question in google.com

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