Monster (monster),
<hugs>
only the ladies here will know... what one is going thru', went thru' and going thru'... again.
my doctors are from raffles hospital - all the while since i was 22yrs i see Dr. Joan Thong Pao-Wen
http://www.rafflesmedicalgroup.com/web/contents/Contents.aspx?ContId=331
(she was also my then ex.company doc) my late mum had cancer, so i had to see Dr Thong for pap annualy, so i am very comforatble with Dr Thong. she even delivered my 1st born - my son 8yrs ago, i was then 29.
in beginning '06, after trying for months and finally gotten preg. it was really a wonderful moment... my son was then 6yrs old... and we were all looking forward to another child.
my preg. moments are all very smooth, no morning sickness, no risk, no crave, etc... the only prob was having break-outs but i was able to eat and get-on day to day.
but... yet, this "hypercoiled umbilical cord causing thrombotic fetal vasculopathy" happened.
pathology was Dr Hwang from KKH and he mentioned in the report that there were no 2nd occurrence known... when my baby had it the 1st time in '06.
Dr Thong, sat thru with hubby and I, and we ended up almost 2hrs of talking and understanding... as you know, medical term very "chiam", so she had to go thru' with us the details in lay-men's term and that takes up alot of time explaining. she even spend some time talking to my son... and let him know what had happened.
well, she advised a complete 3 AF cycles before trying and since the report shows that i am fit and well, passing all the numerous tests. she was certain in no way i am / my body at fault. but hubby and i wasn't so hard-working trying again...
till in Aug'07, we were blessed again.
immediately at 5wks she did a v-scan and found the sac. she told me, if possible to slow-down and rest more (which i really did) even though knowing that i am fit and able... but i guess, deep down we all want to be "safe" and do the right thing.
she got me in again at 7wks and again v-scan and we saw and heard the heart beat
i saw her every 2 weeks and baby growth was good and well... nothing amiss.
at the 1st FTS 12wks (can't quite remb) DR Tony Tan (he's a maternal fetal medicine specialist)
http://www.rafflesmedicalgroup.com/web/contents/Contents.aspx?ContId=359
he did the thorough scan and did notice of a 'norch' in the blood flow of the cord, but it wasn't anything dangerous / complicated... but due to the 1st loss, he then advise to put me on blood thinners - baby aspirin (Glyprin - made up of 100mg aspirin & glycine 45mg) <font color="0000ff">i am taking this still, just to prepare my body in case i do get preg. again. no big major harm to the body actually just that when you get a little cut, you will bleed a little bit more, but it does good to one's heart, providing a good smooth blood flow thru' the heart, etc... so it's more of a plus taking baby aspirin than not - just my humble opinion that i agreed with my doctors</font>
pass all the blood, urine tests, etc...
so taking aspirin and the usual bed rest... baby and i were doing well.
then came the 20wk FTS scan - again Dr Tan did and it was so good. that 'norch' disappeared, showing the flow of blood was very smooth.
(can see on the ultra-sound scan machine, for blood it's shown in colors blue, yellow... and also on another the wave graph reading report will tally accordingly)
hmm... i am not sure if all the other doctors in other hospitals have such or do such, but i know my doctors are very passionate on their job and also base on what had happened, i know i am "very well monitored" by them.
the blood, urine test etc... all showed normal again. and Dr Tan said to still stay on aspirin then too... same reason as mentioned...
but in Jan'08, i remembered praying so hard that night... b'cos i didn't recall feeling baby moving; i was up alone watching tv, hubby and son were asleep and it was a weekday... Wed night/Thurs morning... and at 4am i was at peace - a feeling that i know my Abba Father has given me... i finally fell asleep and got up later to get b'fast for hubby and son. i put my fears aside and didn't want to know... i kept feeling lil' movements, so i thought was ok...[which later Dr Thong told me it's b'coz baby was floating in the water bag] but i lost baby then already... only on Sunday 20th call Dr Thong who told me to come in and we found out then.
i delivered on 23Jan naturally, of course... and was very fast...
the same Dr Hwang from KKH handled my autopsy. and he did refer back to the '06 report and that's when now Dr Thong and Tan brought it up to the panel of doctors at their monthly meetings. they had to investigate and did some research and Dr Tan gotten hold of 2 overseas doctors it seem who has a little information on this "hypercoiled umbilical cord causing thrombotic fetal vasculopathy".
they made me go thru' further blood testings again and hubby too... and even went back to the 2 autopsy reports to check further - i was told they did some lab tests to check if baby had any infection or was developing any infection, etc...
but sadly no conclusion on how to prevent or how did this "hypercoiled umbilical cord causing thrombotic fetal vasculopathy" happened...
there was a couple of suggestions but <font color="ff0000">!! NOT a confirm preventive !!</font>
- like taking injections can't remember what it is call... but this has a severed known side-effect that if MTB takes this injection - baby is at a risk of retardation...
Dr Tan gave me 1set of reading research notes... which only a doctor can get access to.
you can only read a little info on this website:
human pathology volume 35, issue 12 12 Dec '04 pages 1494-1498
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WGD-4DS45J8-1&_user=10&_coverDate=12%2F31%2F2004&_rdoc=13&_fmt=high&_orig=browse&_srch=doc-info(%23toc%236820%232004%23999649987%23545107%23FLA%23display%23Volume)&_cdi=6820&_sort=d&_docanchor=&_ct=31&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=5bb224fe767193b1c5c6635f25ada8f4
i have a full copy but there isn't any findings i am afriad...
indeed, not all M/C or stillbirth can be prevented...
and it actually helps if people also STOP comparing... or <font color="119911">think they know what had happened or could do or should do... blahh-blahh...</font> i am sure you gals know what i mean....
for me - my family... we move on by Faith. it is honestly the only way (for me)...
i may seem strong, but only i know how weary i can be...
emotion is within... deep down in our hearts... that's why it is known and written in the Bible that we (women) are the "weaker vessal" and our husbad are to treat us right...
we are known to rule with our hearts... not so much of our mind...
there is so much unexplaining that is happening around the world today... so i guess, our stand is HE IS IN CONTROL (as always, and we need to let HIM hold the remote-control)
i am not from the medical field, but i am a 1st aid trained and am also train to deliver a child. haaa...!! those were the days...
i do read alot, i am that person who needs to read, to need to fit in some logic words for understandings... so i guess it helps my moving forward.
as for our husband - well, ladies, not that my husband is any better... but he tries...
like mentioned above, men works with their mind... they don't feel as much as we do b'cos
1- they didn't carry the baby... they can never know and feel that.
2- the pain are in our hearts... and it's not something we can pass on to them for them to feel.
they can just wipe our tears and hold our hands...
3- they have WORK / DISRACTIONS to keep their minds off "unhappiness"... remember, they don't feel with their hearts.
when the dates approached, i had to remind hubby what i want to do and also to please give me that extra 'grace' for being in the blues... i share a lot with my son as we spend so many hours together... my son and i have a pretty special bond also lah.... i b'fed him for 3yrs leh !!! he better be nice and loving to me !! haa !!!
ohh... how i wish i could write more... i want to address on the issue on the many mentions on having to deliver stillborn naturally.
ok, just a quick one... as i need to get off line liao.
ladies,
it is a known fact that our body will naturally expell what is not part of our inside/body...
in time, even if you don't relised that baby has died in the womb, in a matter of weeks, you will go into labour - naturally.
why naturally,
stillborn less than 38wks is not a full grown 48~52cm, there is no 10cm dilation required... the cervix will be naturally soften, open up (after taking the oral or drip, etc...) and you will be able to be in control to push when you know it's ready.
also, no one would know how long already baby had since passed-on...
just that the longer the wait and delay, infection could set-in. so natural expell is encourage as baby is pushed out, thereafter tissues, placenta, membranous,etc...
in fact if all is passed out naturally and completely, sometimes D&C is then not required.
naturally for your safety (also)
your doctors / mid-wives is able to attend to your scream, cries, etc... you are able to talk to them and let them know what is happening, etc...
c-sec / epi / ga (all co$t alot more too)
all these have 'side' effects or some form.
c-sec will slow down the recovery. and baby could be really tiny and i think there is a doctor's code as to how and when they can do a c-sec, when necessarily.
epi will cost alot extra and also have to be administer at the right time, which only having a live baby / labour can provide as the OCT monitor will be tape to your belly as your 'tell-sign', but... in this case can't tell...
most importantly,
the test that are required of you to do after the delivery... if i am not mistaken, you need to give your 1st pee within the 1st hour of delivery. and in order to do this, one must be able to stand / be able... then also the blood tests, have to give samples, etc...
doctors would want minimal complications to happened, and natural derivery is <font color="0000ff">tough to go thru</font> but it's honestly for our body better, to not have any "foreign" matters involve.
well... guess, that's just my 2cents worth of knowledge sharing.
i really got to log-off now...
do take care ladies, and stay in touch online.
Please do forgive me if my words are too forwarding and caused you hurt... i meant no malice hor...
have a blessed rest and a wonderful weekend too.
<love-love>