(2013/05) May 2013

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Thks all! Sorry can't respond individually to your posts as im just skipping in quickly - seriously man, the time at the hospital is a time of rest. Once I got back ive been busy like mad. Or maybe im just asking for it hahaha im a v hands on mom and don't buy into the idea of conventional confinement.

Thankfully the renovation works lasted only a day at my ward; they are doing in phases throughout the hospital I think. I had a nice surprise yesterday when I checked out too. They gave us a 20% discount for the impacted day.

Re hospital bill, idont have the final bill as I opted for express checkout meaning I literally just leave my room, pick up bb and go. They will deduct from my credit card and send the bill to me 1 to 2 weeks later.

Based initial admission advice though, basic single (not deluxe) for csec with epi is $3941.88 = total pkg px inc room charges ex Dr fees. If it is w GA it's $4045.23. Total medisave claim permitted is 3500 + 450 (bring your antenatal bill). Separately, my gynae bills = 2100 for the surgery + 150 to 200 fr hospital visit. Anesthetist = 600 to 800. PD fee = 350 to 500. I have since added jaundice treatment fee and metabolic test fee under the PD ...

My goodness. Now thst I typed everything out I wonder what kind f shocker im gonna get when the bill comes

But you know ... I had dbl room with my first. It was fine though of course rest wise it was slightly compromised. Neighbour wasn't too bad and the plus was visitors tend nt to stay long ... heeeeeee. I opted for single this time as I have a 4 yr old to factor into right now. Im also 4 yr older and needed slightly more help these days. I ciukd watch tv anytime i want and set the air con as i like it. Nurses will stay longer to assist as everyone is less worried about disturbing the other patient. . Con is my mil will visit for v long and just sit tbere and watch tv. V annoying cos I felt like I had to patronise her when all I wanted was to chill.

Compared to dbl the total pkg price inc room charges ex drs fees for my single ward is only 1300 more for 3 nights. And I have the toilet all to myself ... totally worth it.

The prob though is thst usually it's really hard to get single wards. I was lucky! They only had family suite available which would totally wreck my budget not to mention woukd be completely under utilised (told all friends colleagues associates to visit post hospital stay as I really just wanted to rest)

Hope this helps
 
Oh surgical binders. My 2nd csec now n I concur that they are life savers. However pls note that they do come in 3 or 4 broad sizes and only adjustable within its specific range. Best to get from your gynae or after admitting. Can ask gynae to check for you in adv on whether the hospital will provide. In fact the gynae should already know this.

V v v impt tip. My 1st gynae's style is to hv operating theatre nurses put the binder on for patient IMMEDIATELY upon stitching. Thank god. My 2nd gynae on the other hand says only after coming bk to ward after some time the nurses will help. I requested for my gynae to follow the same as my first which was equally fine by her.

I suggest that you consider doing the same. From the feedback from my previous mar 09 mommies, all those who put on the binder at a later stage lamented they wished they had done it earlier as they felt so much better once they had their binders on.

Best of luck everyone!

Ps to add im already going up n down the stairs at home. For those having csec for the first time ... Gambatte!
 
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alfafa77: thanks for the advice on the surgical binder! It is v useful, I'll discuss wf my gynae tis Fri n ask her to put on me immediately upon stitching (if I'm going for c-sec).. How long to I have to wear the binder? Till I recover or 1 month?
 
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Hi azel, Mofmm,
Glad that the info helps.

To be more accurate though, what I meant is to put on binder while still in the operating theatre before being wheeled out. In hindsight I shouldn't have said "upon stitching" ... cis they still have to clean and what nots. Heeee just in case

Another useful item which some might want to consider - bringing your breast pump. I'm suffering from an oversupply of milk. Seriously oversupply of milk also causes alot of agony. I was hit with a double whammy during my lasr night at the hospital - too much milk yet my bb was one of those super sleepy newborn. I ended up with such bad engorgement that I had to express out my milk. Problem was I didn't have my pump with me and it was 2am in the morning. The night nurse suggested that I hand express into a sterilised bottle which she would supply. I had no choice but to use my hands to manually press my rock hard boobs to get milk into thst yiny bottle. I did it twice as my bb was still too sleepy to suckle more thsn 5 min when he came at 5am. It was torturous to hand express engorged breasts ... no funnel either hence I mis-aimed alot. Not to mention I basically couldnt sleep at all during my 3rd n last night there.

Drop by drop I managed to express out 45ml n 30ml respectivly, just so to relieve the engorgement somewha.

It's not a common problem so I guess it is up to individual to decide. It's also because I stay a day longer due to c sec hencebi was still at the hospital when my milk supply (not colostrum) started coming in. I didnt have this problem during my first delivery via c sec as I had a big appetite girl who was much more awake. She could match my supply.

Oversupply can really cause agony ... not just re engorgement. Foremilk/ hind milk imbalance is often caused by oversupply isdue as well and that really causes misery to hoth mother andcchild. True enough on the day I got home my bb couldn't stop fussing due to tummy ache and lots of wind. His poo was foamy green the whole day n was just plain miserable. Read up on Foremilk hind milk imbalance if you plan on exclusive bfing. V useful to know the correct technique
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Hi Azel, just did a week34 growth scan on Tues and both are at 2.1kg each - still breech and transverse so will stick to the C sec date in about 3 weeks time. How are your twins doing?

Hi Alfafa, not sure if KKH has the binder...will check with my gynae the next visit. I thought baby latching is the best way to solve the oversupply problem? Also, heard that can rent the hospital pump at $20 per day, some friends even advise me not to buy a pump until it is established I have a supply leh...
 
Hi MofMM, what is s growth scsn? I am delivering at kkh too but ny gynae never schedule sny. Is it the usual appt scan?
 
Hi Min, this scan is done at ADC at week 26 n 34 as ordered by my doctor. Maybe it's cos I have twins so additional scans?
 
Icic. Maybe I ask my doc tomorrow at the appt. I remember got such scan le but dunnoe why he never get me to do it. Hmmm
 
Hi,

I just delivered my baby girl on 1st May. Same as Dreambig, went through 12hrs of labour and only 8cm dilated but baby is trying to come out need to do an emergency csect.
 
alfafa77: thanks for clarifying that that it is not immediately upon stitching. Heehee.. I did thou of bringing my breast pump to hospital but I've to handle two bb n I do not want to bring so much things. OMG, hand expressing breast milk, I can't imagine it, it sound tired n painful! I thou we can loan the pump from hospital? I hope at least one of my bb will not b sleepy.. :p

MofMM: I'm having another growth scan tml (week 35+). Last week, one of the bb r in breech position.. We will discuss with my gynae on the birth plan today, but I guess most likely will b c-sec.. Update you again.. Wow 2.1kg each, that is a good weigh! So in 3 weeks time, they will grow heavier and healthier. Good good! Jia you!

Congrats ml, rest well after e long delivery!
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Alfafa, I can fully emphathise with you.
Though I do not suffer from over supply of milk... I almost went berserk when my pump was not with me for one night and my bb girl refuse to latch!

The manual pumping is so tedious. For mummies using electric pump better get a manual one as backup
 
I guess if its natural birth, will not need breast pump. I remember my supply kicks in ard day 4 only. By then, I am already at home.
 
MofMM: came back from checkup le.. Bb weight 2.4kg n 2.5kg each. Bb gal's head is still up (breech), so it'll b c-sec for me. Gynae has scheduled the c-sec on 16 May. OMG, it is only 2 wks from today, it seems so fast! Nervous n excited!! Our bb birth dates are ~1 wk different. Heehee..
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Hi all,

I hv given birth on 26Apr, bb 3.265kg at 38wks. induce labour as my cervix open le.. Had natural w epidural.. Birth was fast but e induce process took so long. In e end gynae burst water bag n cervix open from 4 to 10cm in abt 30mins

Bb down with jaundice, tmr gota go 3rd visit to pd for jaundice review again.

Now, trying to cope w breastfeeding n e engorgement issue.. Damn painful..

Jia you all mummies
 
Congrats Yvonne! How is ur bb jaundice review? Hope bb is fine.. Guess you have to pump out more often to reduce the engorgement issue.

MofMM: I'm week 36 tml so bb will come out a tweek 37+.. I'll b delivering at NUH.. you mentioned that you'll have ur c-sec in abt 3 week, have you fix the date? Which hospital r u delivery?
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Congrats Yvonne! You may skip one or two feeds and bump the milk out if really tired.
Did the nurse teach you how to massage your breasts to relieve engorgement? I find it helpful.

Jia you!
 
For those mummies who underwent c-sec, wants to ask u some Qn to prepare myself.. Do you r wound still feel painful? Are there any food that you avoid eating (such as egg, seafood or foods that have dark soya sauce)? :p
 
Azel, I am okay, still coping with bfing issue like Yvonne. BB keeps falling asleep when bfing, sometimes he juz doesnt want to wake up and continue. So i have to increase the frequency of bfing, really tiring. I tried to bump out at night, but it's true that baby is still the BEST breast bump i think.
Last night, i felt so cold and uncomfortable, i think it's due to engorgement or maybe aircon ...don't know if other mummies have experience it before??

c-sec issue: my wound is not painful already and can move around (can't lift heavy stuff within 2 months). Taking good rest for the first few days is very important.

My gynae said can have seafood, but i still avoid those with shell coz my skin is very sensitive n easy to get allergy.
For the first 10-12 days, can't eat very tonic stuff, no chicken, no egg, no wine (or juz a little).
 
I love babies: I aso heard from my sis-in-law too tt new born bb tends to sleep while breastfeeding. It is b tired for mummies as we need to breastfeed more often. She mentioned that it'll get better, but we have to overcome this period. Thanks for the advice on e food, will let my CL knows about it.

Did you engage any massage lady to bind ur stomach? E lady told me that she will come over n bind me after 2 weeks, I'm worry about the wound.
 
Hi ladies.... Sorry I have not have had a chance to log in since delivery... It has been 1 week n it has been a very challenging week (but also very happy as we spend time with our baby..)

Congratulations to Alfafa, ML, and Yvonne on yr new bundle of joy...

Well... It was a bit drama... Cos we were both unsure what I was experiencing... I had some leakage in the morning but we thought maybe it's just a discharge that comes with the show... So we did not go to the hospital as the contractions were also only abt 25 mins apart... We are changing our bed sheet when suddenly I feel water trickling down my legs.... That's when we panicked.., went to bathroom n examined what it could be. To be honest we were still unsure but decided to go to d hospital just in case.... N when we were there, the nurses say my water bag had broken n I have to be in labor... To think of it we thought it was quite funny... N also lucky that we did not wait any longer to go to d hospital. So ladies when in doubt, just go to d hospital for a check.... N also the contractions when it is due is very different from the BH contractions... They felt very much like pre-menstrual cramps n more painful...

Alfalfa, it's great your baby has a very good weight. My Julien was born at 2.8kg n upon discharge he was only 2.5kg
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The gynae had estimated his weight to be at 3+kg so we were quite sad to see him so small at birth. What made it worse was that my baby was crying ALOT n I m on total breast feeding n people around me kept making comments that my baby is crying becos he is hungry.... N plus seeing him cry so badly makes me n hubby feel really heart pain especially when he looked so small n fragile... But I wanted to persist in BF... So we had no choice but to see him cry...
I almost had a nervous breakdown after the third day in d hospital n was crying everyday cos of the pressure n also felt bad that my baby was suffering n at the same time totally helpless not knowing what to do to relieve my baby. The lucky thing is that I have a very understanding n supportive hubby who took care of bb when I could not... I wouldn't know how I would have survived without him...
It's been 1 week now n my milk supply had come in on day 5.. So it's better now but my baby still cries a lot... N we are still at a lost of what to do.... It seems like he wants us to hold him all the time. The only other time he doesn't cry is when he is BFing....

I had a bad experience with my CL.. N I almost wanted to sack her on the first night... When I came home from hospital... I told her I am breastfeeding n in the night I would want her to bring baby to me for feeds. She seemed reluctant n she suggested I pump. I said no cos I want to have the bonding w my bb n also not to create nipple confusion. As my baby was very hungry all the time (milk hasn't come in yet at day 3) , my CL kept making comments that my poor baby is suffering cos not enough milk n hungry... I was quite upset as I was already stressed... N did not need someone else to make snide remarks like that... N she suggested that I supplement w formula... N plus she kept asking us to give our 3 day old baby pacifier as he was crying non-stop on the first night we came home. We were very upset as we already told
her our decision not to give pacifier as he is too young but she kept asking n even asking each of us separately...
N worse thing, on the first night, I woke up at 330am realizing that baby is late for his feed by 1 hour n decided to get out of bed to check. To my horror, I could not find the CL or the baby in the nursery room.. I went to d living room n found her snoring on my couch n my baby in a rocking chair. I was furious. N we took the baby back with us to our room. My CL argued with us that my baby cries so much becos we dont want to supplement n give him pacifier n that she has never seen a baby that cries so much. I almost sacked her on the spot. After that, we decided we will look after baby on our own n my hubby went to buy a Moses basket so that baby can sleep in same room as us. Anyway, it was never our intention to give baby to CL n hands off ourselves. Now we have told her we want to take care of bb ourselves n she only need to do the other things.

Well I could go on n on about my CL as I am really not happy with her....

Hope everyone is doing ok n all the best to those who are delivering soon.
 
Hi Azel, yes I fixed the date just b4 Vesak Day hehe, delivering at KKH at wk 37+. Can't wait - v v tired (wake up every hour to pee), achy, as big as a house, vomiting daily...
 
Hi mummies,

My engorement issue is much better le.. I tried hot compress for 2days then pump. Now change to cold compress, cold seems better and not so pain n hot..

Plus I engage massage lady to massage n bind. She also help to massage my breast hence helping to clear a bit of lumps n clots.

As Bb jaundice level is high, hence I m alternating e feed w BM n formulae.. Hopefully it will clear soon. N I also pump more than latch as pumping out to bottle feed at least I know how much Bb drink n not so tired..
 
Dreambig: dun worry.. U really hav a challenging week but at least it is going on the right track now and most impt is that your husband is very understanding. Dun worry ur bb Julien will slowly gain weight cos you r bfing him now. OMG that CL is really bad! *slap slap* Mayb it will b good that you take care of bb n let her do the rest of the houseworks.. If not, she may wan to use her method.
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MofMM: oh one week after me, same same 37+ week.. Heehee.. I'm aso v tired, every night needs to turn every 30-60min n toilet break almost once every 3 hrs. some night the muscle below the breast area will ache so much, I've to sit up n massage the area b4 I can sleep again. yap they r v big, we r reaching the finishing line soon.. Lets count down together..
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Thanks Azel... Yes challenging week but I will go through it..!
Hubby going back to work today... I will have to get used to him not being around to help...

Re: CL - she told me yesterday her sister is very sick n she needs to leave in a couple of days. Anyway I told her she can leave today n she said let her think abt it (???)... Plus she broke my bottles santiziser n hid it until I asked to sanitize something......

Righ now, I have terrible sore nipples.... It's so painful...
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You are very close to yr due date now... All the best to you n your two babies...!

For the massage n binding I m starting only 3 weeks after due to c-sect...
My wound is still painful (1week now) but I m taking 2 different kind of painkillers to help ease the discomfort... The painkillers really help.

I love babies: I experienced feeling very cold too last night (air con was at 28degress) n my nipples were also throbbing pain....hope it's not some infection .....
 
Hi Azel, yup I hear you on the muscle pain under breasts. The pain was like a stabbing pain on my left side - Dr said its diaphragm or other organs pushed against rib cage. Can ask for some gel/cream to use to relief the pain.
With your DD next week, Have you started cleaning the milk bottles and breastpumps to use yet?
 
Azel, I haven't engaged any massage lady as I am not sure whether it's worth it or not. Also i heard that it would be very painful, so i might consider normal postnatal body massage instead of Javanese massage.

Yvonne, have you completed your massage program? Can share your experience? Thanks
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Dreambig, i can imagine how frustrated you are, it's similar to my last confinement. Did she leave or still give you diff excuses? If she's still can cook nice food for you and do the rest, you may let her stay. But if you are really unhappy with her, I think you may just let her go.
Do you have any backup plan?
 
EC13: My Dr gave me metoclopramine before , to stop nausea and vomitting ...I only take when i really cannot continue my routine then i take ...
else i try not to .....
 
Hi ilovebabies n other mummies,

I jus had my 5th session of massage, 2 more sessions to go. My Malay massage is a bit exp as she uses aromatherapy oil to massage n then she will use clarins to apply on tummy n buttock.. But gd as I can see my bloated tummy gettin smaller.

This is my second time engaging her. She did for my first one too. Honestly , it's painful but to maintain back figure have to endure. Cos if not pain, equals no results. Massage of breast to clear the lumps/ blockages n pushing of womb is the most painful. After massage she will use her cloth to bind my tummy area. Can take out after 8hrs cos if put too long will b a bit itchy. My sessions with her average abt 2hrs per session.
 


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