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Showing posts with label Delivery. Show all posts
Showing posts with label Delivery. Show all posts

Thursday, July 26, 2018

40th week of Pregnancy #2


29jan-4feb 2014

Wed
Is the EDD soon???

Thur
After 4 weeks of Primary school for neighbour Aunt A's elder child E Gorgor.

Fri
Power Daddy fetching and sending Gorgor to and fro Childcare by baby stroller in public transport. Mummy will be admitting to delivery ward soon after simple family steamboat meal. Mummy still has very good appetite and oh isn't it good to be full term pregnant and just sit and wait to be served?

Sat
Expecting Meimei in a few hours' or maybe minutes' time. One centimetre dilation. How long will the wait be? Daddy is hungry too. We need our food. Dr, can Mummy have my booster meal first? After lying down waiting for the delivery and having contractions for more than 8 hours, Mummy is getting sleepy and hungry. Daddy went into the Labour Room with mobile ready to capture Meimei's first smile.

Sun
TK came to visit Mummy and Meimei at the ward with Daddy and grannies. Meimei is crying alot and loudly as nurses told Mummy she's hungry and not getting enough breast milk. Come on, baby, suck harder! Or else the nurses will be feeding you formula milk. We should be going home tomorrow.

Mon
Granny is fetching us home in taxi. The auntie nurse was so nice to carry Meimei to the taxi stand to wait for our cab while Granny carry Mummy's bag. Mummy can walk slowly as the wound still hurts and couldn't sit vertically except on one side. Mummy asked for a few bottles of milk in case Meimei cries for milk. However, nurse told Mummy nowadays, they don't give, but they can open and offer one bottle to Meimei upon discharge.

Tue
Grannies are not attending Senior citizens activities in the afternoon.

Monday, January 6, 2014

Some Questions to Ask Your Obstetrician During Pregnancy

You've just found out you're pregnant, but you don't have an obstetrician yet. What questions should you ask potential candidates to figure out whether they're right for you?

Good prenatal care is one of the most important ingredients in the making of a healthy baby. The benefit to finding your perfect match now is that you’ll be able to build a strong bond with someone who can help you through all your gynecological needs. Here are a few questions you may ask your candidates:

1. Do you practice solo or as part of a group?
There are pros and cons to each scenario. Chances are you’ll get plenty of personal attention from a solo practitioner, but if your doctor is on vacation or at the hospital delivering someone else’s baby, you may have your appointment canceled…or you may end up delivering in the hands of someone you've never met. If you choose a group practice, you won't see your primary doctor at every visit, but everyone in the office will be thoroughly familiar with your medical history.

2. How involved can I be in making decisions about my own care?
The more pregnancy decisions you’re involved in making together — such as creating a birth plan and deciding when and whether you’ll be given an epidural — the better you’ll feel about your birth. By asking a potential candidate this question, you’ll get a better sense of how much the doctor will let you have a say in the process.

Thursday, January 2, 2014

What is a placenta? What to expect during the final stage of labour? What happens when delivering the placenta?

After much pushing and the baby is delivered, the final stage of childbirth is it's time to deliver the

Stage 3: Delivering the Placenta

With baby finally out of your birth canal and into your arms, the hard work is over — but childbirth isn't. This last stage of childbirth is actually a very important one — and a very symbolic one. The placenta, also known as afterbirth, provided bed and board for your baby for most of his or her stay in your uterus, and its delivery represents the end of that era, and the beginning of a new one on the outside.

This last stage of childbirth usually lasts anywhere from 5 to 20 minutes or more. Mild contractions that last about a minute each will help separate the placenta from the uterine wall and move it through the birth canal so that you can push it out. Your practitioner may help speed up the process by putting gentle pressure on your uterus (you may feel a little discomfort). Once the placenta is delivered, your practitioner will stitch up any tears and you'll be free to enjoy your new baby.

After delivery you'll notice bloody vaginal discharge (called lochia) that's comparable to a heavy period, and you may experience chills. Expect to feel hungry and thirsty (especially if labour was long and you weren't able to eat or drink) and a wide range of emotions — especially relief, elation, and impatience to get your hands on the baby!

Wednesday, January 1, 2014

What can you do during the second stage of labour? What are some pushing tips?

When the first stage of childbirth (or labour) is over, the next thing to do is push and deliver.

Stage 2: Pushing the Baby Out

With dilation complete, it's time to help your baby through the birth canal by pushing. Delivery generally takes 30 to 60 minutes (second and subsequent babies usually pop out a lot faster than first ones), but it can be as short as a few minutes — or as long as several hours. During this stage, your contractions should be more regular (usually about 2 to 5 minutes apart), but they'll still last for 60 to 90 seconds each.

You'll move into the pushing position of your choice and, following the instructions of your practitioner or the hospital or birthing center staff, you'll push at regular intervals, usually three times with each contraction, or as you feel the urge. You might want to rest for one contraction if you're getting tired. Put all of your effort into each push, but maintain control, too — you don't want to push with your upper body or strain your face (could actually leave you with black or bloodshot eyes or bruises on your face). Here are some pushing tips:
  • Push as if you're having a bowel movement — the biggest one of your life. And speaking of bowel movements, put all your concentration and focus into the pushing — not into worrying about whether you'll be emptying your bowels or passing urine while you're at it.
  • If you're propped up on your back, make sure you put your chin to your chest to push. This will help you focus your pushes to where they need to be. It might also help to look down below your navel so you remember where your pushes should originate from.
  • The nurses might tell you to hold your breath and push while they count to ten, but feel free to do what comes naturally if that makes you more comfortable. Follow the urges you feel to push rather than holding your breath, and if that means pushing for only five seconds per push, that's fine too.

Tuesday, December 31, 2013

What can you do during transitional labour? What happens if you start pushing before dilation?

The first stage of childbirth is labour, which is in turn broken down into three phases: Early, active, and transitional.

Phase 3: Transitional (Advanced) Labour

During transitional labour, the last, most intensive, and fortunately the shortest of the phases of labour which generally lasts 15 to 60 minutes, your cervix will dilate from seven to its final ten centimeters. Contractions are very strong at this point — usually 60 to 90 seconds long, and with intense peaks. Because they're spaced only about 2 or 3 minutes apart, it may seem as though you barely get to relax before the next contraction begins. During transition, you're likely to feel strong pressure in the lower back and rectum, nausea, fatigue, tightness in the throat and chest area, shakiness, chills or sweats (or alternating between them). You'll also notice more blood-tinged show as capillaries in the cervix rupture.

The last of the three stages of labor is a physically demanding and draining time and you may feel exhausted, frustrated, impatient and overwhelmed. Hang in there, though — soon, you and your newborn will be meeting face to face. Panting and/or blowing can help stop you from pushing if your practitioner says you're not ready for pushing yet. Pushing before dilation is complete could cause your cervix to swell, which can complicate delivery.

What can you do during active labour? How long will the contractions last and what's the interval? Is it a good time to ask for an epidural?

The first stage of childbirth is labour, which is in turn broken down into three phases: Early, active, and transitional.

Phase 2: Active Labour

Your contractions will grow stronger and longer during active labour, a phase that usually lasts from two to three and a half hours. You'll usually be in the hospital or birthing center by this phase. As your cervix dilates to seven centimeters, contractions will come every 3 to 4 minutes and will typically last 40 to 60 seconds (may not follow a regular pattern).

Do your best to stay relaxed and comfortable, and don't be shy about asking for whatever you need.
  • If you're having an unmedicated or natural birth: 
- your contractions will soon become too strong for you to talk through them (start your breathing exercises).
- you might be offered a light snack and clear beverages or ice chips to keep you hydrated (you might get an IV to maintain fluids if you want).
- walk around a bit (if you can) or change positions between contractions.
- make sure you continue to urinate regularly.
- staff at the hospital will be on hand to take your blood pressure, time your contractions, and monitor the baby's position and progress.
  • If you want to get an epidural, now would be a good time to ask for one. If you do, you'll be hooked up to an IV to maintain your fluids and also probably be hooked up to a continuous fetal monitor. Try to change positions if you can.

What are the 3 stages of childbirth? What can you do during early labour? When do you admit yourself to the hospital for delivery?

The first stage of childbirth is labour, which is in turn broken down into three phases: Early, active, and transitional.

Phase 1: Early (Latent) Labour
You'll experience mild to moderate contractions that last 30 to 45 seconds and are spaced 5 to 20 minutes apart.

It's important to try to relax as much as you can during the early phases of labour — you'll need to save your strength for later on.

If it's nighttime, do what you can to get some sleep (when your contractions become more insistent, you won't be able to).

If it's daytime, keep yourself busy. Cook a few more dishes to add to your freezer stash, fold some baby clothes, and do the rest of the laundry so you can come home to an empty hamper. You can also try taking a walk, which might even kick up the contractions a notch (don't go anywhere without a mobile phone and make sure the battery is charged). Eat a light snack if you're hungry, but avoid fatty foods and don't overeat.

Don't worry about obsessively timing contractions at this point, but do check periodically to see whether they're getting closer together. Lastly, make sure you use the bathroom often — a full bladder can get in the way of labour (or get a quick shower to make yourself comfortable). Most women will head to the hospital between the first two phases of labour — as the early phase ends and the active phase begins.

Saturday, September 11, 2010

1st week of motherhood

6sep-12sep

- woke up at 4.40am and 6.55am to go to the washroom
- going to gynae to induce delivery w mum in the morning
- had 2 pc oats bread for breakfast
- mum bought a pkt of rice from Novena Sq Lingzhi Vege Restaurant and we shared
- we bought bought a pkt of bread (she was buying for dad, and me bought for darling as he may feel hungry tonight when I'm delivering, but we finished half pkt while waiting at the gynae)
- had 2 doses of pill inserted to induce delivery and felt slight contraction by 3plus
- reached home 4.10pm and mum prepared potato soup for dinner
- admitted tonight w darling at 7plus after abit leakage

- BC registration at TMC is $39.40 while at ICA is $18 (within 42 days after Singaporean child is born)
- bb born after midnight (~5h) and weigh ~3kg vaginal birth w/o epidural
- longest hour of my life when nurse Ms. Wang told me that I need to wait for another centimetre of dialation at 11pm- bb born before 12 midnight is charged for that day in hospital
- finally I can push at 11.45pm (~50min) but it was like the longest marathon I ever had (10km in ~67min) and very breathless

- nurse came to check my tummy (pressing on it was uurrrggghfully pain lor) and blood pressure 3 times in the night
- had to urinate latest by 6.30am or have to insert tube (so sip warm water obediently)
- darling lunch @Dolcevita at Mandarin oriental
- families & collegues came to visit and not all got to see little bb (by 2pm and by 8pm) as visiting hours are over (10am - 2pm; 4pm - 8pm)
- had minimal painkillers and doc said the wound healing well

- passed motion finally w/in 48h of labour (had been passing wind since)
- the food is good except I only got to enjoy once the veg fish and green papaya soup for morn tea (complimentary for breastfeeding mums)
- weather was cool and raining outside (felt cold & abit backache at night)
- suspect the mattress had to be flipped and turned upside down, bottom top but nurse said no need, so I requested for extra blanket to tuck beneath my back
- darling and family came to visit (pa & ma carried little bb and darling too and ma tried to feed for the first time)

Monday, August 30, 2010

40th week of Pregnancy

30aug-5sep

- woke up 2am and 5.53am to go to the washroom (weather is unbearingly warm) & took 3 dates feeling very hungry
- ma will be coming over to accompany me this evening
- had multigrain bread for breakfast & took a pkt of wang wang biscuits for tea1
- finished reading 1 magazine+1 recipe book borrowed from NLB
- mum bought brown rice w veg fish and potatoes for lunch (had a ripe avocado each after lunch)
- feeling abit sleepy at 11plus in the morning and 2plus after lunch
- mum cooked white rice w potatoes, xiao bai cai for dinner (veg fish from lunch)
- napped for more than an hour before dinner at 6plus
- aunt came to visit and bought durians (had 2big+3small for the first time this pregnancy)
- foetal movements were noticeable at 10plus after dinner (read abit before sleep)

- woke up at 3am, 5.10am and 7.15am to go to the washroom (foetal movements were felt)
- staff dinner this evening at Holiday Inn Atrium@Outram (took bus 56, transfer bus 5 opp TMC, alight at Grand Copthorne Hotel)
- had multigrain bread for breakfast & rice w veg fish for tea1 (bro drove us there)

- mum gg to gynae with me in the morning (darling taking pm leave) after gg w dad in bro's car to pray
- had brown rice for lunch w lots of veg (potatoes, brinjal, long beans, lady's fingers, dou pau etc)
- little one is ~2.9kg while I've gained ~300g (49.4kg) & next gynae appt on Fri (can induce delivery anytime)

Friday, August 20, 2010

Stages of Labor

- there are 3 Stages of Labor
- the length and duration of these 3 stages may vary slightly for each individual.

- the first stage of labor is when you are actively having contractions & officially diagnosed as being in labor.
- this can last a few hours or from to 8-14 hrs.

- the first stage of labor is divided into 2 phases.
- the latent phase is the first portion of the first stage.
- this is the slow, drawn out portion that everybody hates (and they're told, "no, you're not in labor, go home.")

- active phase is the second portion of the first stage of labor, and this is when the delivery process occurs at a faster rate.
- as labor is more predictable at this point and the progress is steady, patients are typically admitted to the hospital once they reach this point.

- the second stage of labor occurs when the cervix is maximally dilated (10 cm).
- this is usually when the mother is told she can push.
- for a first-time mother if she doesn't have an epidural, this second stage of labor can last 1-2 hrs
- with an epidural 2-3 hrs (an epidural can slow labor down).

- the third stage of labor begins after the baby is delivered until the placenta comes out.
- this stage can last up to 30 min

Friday, July 30, 2010

Caesarean Birth (C-section) Delivery & Birth video

So informative and educational.

Before the procedure:
- IV line
- Catheter (inserted into the bladder to drain urine)
- Regional or GA (General Anaesthetic) given

During the procedure:
- Incision will be made at the abdomen
- vertical incision from just below the naval to the top of the pubic bone
- more frequently a horizontal incision across & just above the pubic bone (bikini cut) will be made.

- 2nd incision will be made on the lower part of the uterus
- time duration from the initial abdomen incision to birth is ~5 min
- clamp and cut the umbilical cord and gently remove the placenta which last ~45 min
- usually stay for 3-5 days in hospital after delivery and breastfeeding is encouraged
- full recovery takes 6-8 weeks and scar will lighten as it heals

Caesarean Birth (C-section) Delivery & Birth

Vaginal birth 3D video animation

Amazing..how baby wriggles out..
Vaginal birth 3D video animation

Wednesday, July 7, 2010

What to bring for admission for delivery

1. Admission Letter from doc
2. Letter of Gurantee from employer/Insurance company if any
3. NRIC
4. Passport if foreigner
5. Antenatal receipts for medisave claims (doc fees will be paid before the hospital bill upon discharge)
6. Original Marriage Cert to apply BC for NB with name chosen in advance

What to bring for the hospital stay (mainly mom's personal items)
1. Personal pyjamas (preferably front-open for breastfeeding if need)
2. Breastfeeding bra
3. Bedroom slippers
4. Sanitary towels
5. Personal toiletries and skin care if need
6. Cardigan (optional)


Bath towels, toothbrush, toothpaste will be provided.

*Preferably to prepare these items in a bag packed 2-3 weeks in advance of EDD (estimated delivery date).