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Dr Tan hensem? Sah... I tersilap la... I ingat Dr tan tu pompuan..... Tapi ada kan sorang gynae pompuan Chinese kat situ?....
From citer Limau_nipis & nasi_impit (nama korang!!!)... andaikata termengandung lagi right after c-sect, kena diet sebab tanak bagi baby besar. Ingat tu.... Tapi kan, kalau makan vitamin, mestilah selera makan jadi mencanak2, pastu mestilah termakan banyak kan?... |
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moimed.. thanks 
toink, takdelah.. bukan sebab makan vitamin selera makan naik tu.. gynae cakap sebab mak buyung biasanya ngade ngade nak makan lebih, sebenarnya boleh control nafsu tu.. hehehe.. betul cakap ni, dah kene monitor setiap 2 minggu, so mmg dah biasalah kalau doc warning naik banyak tiap tiap visit. dietnya mak ai, rasanya kalau tak ngandung, sure dah turun berkilo-kilo
actually doc advise suruh makan sayur dan buah banyak, tapi kurangkan air.. sebab apa? sebab takut perut tu banyak air, nanti baby ada ruang nak membesar.
gynae give stern warning jangan makan/minum benda manis sebab glukosa membesarkan anak dalam kandungan.
huhu, kalau nak ingat dulu masa ngandung, panjang betul list diet sebab doktor nak pastikan me berjaya gak bersalin normal.. sampai skrg kalau terigt kat doktor tu, suami tak sudah-sudah puji, sebab doc tu confident dgn patient dia.. tak marah apa pun
[ Last edited by limau_nipis at 20-2-2006 03:56 PM ] |
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Dr Tan ada 2 kat smc, sorang male, sorang female. Yg male BK Tan, yg female aka Dr Yee. Mmg betol kita berdoa mintak kuor ikot pintu tp kalau dah bahagian kita baby kuor ikot tingkap nak wat mcm mana ek? Betol kena prepare cash ngan CC, mana la tau kot ada apa kan.Kawah x tgk plak bilik dia, nanti next month masa anatal class kawah gi la wat tour ngan hubby.
Tp dr tan tu ensem ekk nasi? ;) Mcm ada karisma la gitu. Semlm br je gurau2 ngan hubby kata nanti baby kita kuor, manusia pertama yg dia akan jumpa ialah dr tan. hehe |
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tig c-sect jugak... baby baru nak masuk 2 bulan.. hehe.. awal lagik.. tempat jahit dah tak nampak dah... sometimes rasa sakit especially lepas mandikan baby... perut mengelebeh lagik tapi kena rajin bertungku... |
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Camel_JB This user has been deleted
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Originally posted by tig_cun at 20/2/2006 04:30 PM
tig c-sect jugak... baby baru nak masuk 2 bulan.. hehe.. awal lagik.. tempat jahit dah tak nampak dah... sometimes rasa sakit especially lepas mandikan baby... perut mengelebeh lagik tapi kena ra ...
hi tig... dah abis pantang dah...:cak::cak::cak: |
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tig, tunggu 100 hari tau.. (aku pun belum tentu bleh tahan sampai 100 hari... kuikuikuiiiii :lol ) |
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Originally posted by mclaren at 15-2-2006 01:09 PM
ada tak sesapa yg dah 4 kali c-sect & pregnant again?
ni experience dr my mom sendiri, as dia kena csect bila setiap kali bersalin, mmg tak leh bersalin normal. selalunya org yg mmg kena csect everytime bersalin ni hanya boleh bersalin 3 - 4 x je. and mostly ke 4 tu tak tentu boleh ke tak, kena refer to doctor. sbb yg ke 4 kalau doctor kata tak boleh, so mmg tak leh la, sbb takut ibu yg mengandung tu tak dpt di selamatkan. |
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Originally posted by baby102 at 20/2/06 07:06 PM
ni experience dr my mom sendiri, as dia kena csect bila setiap kali bersalin, mmg tak leh bersalin normal. selalunya org yg mmg kena csect everytime bersalin ni hanya boleh bersalin 3 - 4 x ...
doc skrg dah advance, dia akan bagi c-sect sampai 5 kali, tapi biasanya not adviseable lah..
bila tanya kawan, suami dia doc, dia cakap doktor skrg lagi prefer c-sect dari normal, since it will be less messier dan tak stress..
i ada satu artikel pasal c-sect ni, sat paste
This post was from msn.com.my
It is an eye opener article, quiet long, but really worth reading. It shows that your baby delivery is also a choice in life: whether through normal or through C-sect. It also shows how the good values in life has been placed by money minded doctors.
Hail Ceaserean by Jennifer Tai
I've wanted to tell this story for a long time. However, it makes me to be this ignorant fool that I am embarrassed (and reluctant) to admit I am. Like a friend of mine said, even some of the most educated people on earth can make some stupid mistakes. I guess I'm not as informed as I thought I was after all.
On 6th June 2002, I had a Caesarean birth for my first child, a girl, two weeks shy of my actual delivery date.
The day before, I had gone for my routine checkup and my doctor (now my ex-gynae) told me that I was dilating and wanted to check me in. Putting my full trust in her, I checked into Pantai on 5th June 2002 at about 11pm.
At about 1pm, my gynecologist came and checked me again. She said my cervix was only two to three centimeters open, and had to wait further. At 3pm, when nothing seemed to be happening, she burst my water bag to see if that would help things. Note that during all this time, I felt no labour pains and even wondered arrogantly then what the fuss was all about.
I was only six centimeters at about 7pm, which was more or less when they decided to induce me, but not before I had my epidural. The contractions started coming at about 8pm and the epidural did not work properly as I still felt the pain. The anesthesiologist re-administered the drug and half my body was numb while the other could still feel the pain from the contractions. And YET, I was not dilating fast enough.
At about 9pm, my gynae informed my husband and I that progress was slow and if I did not reach ten centimeters by tonight, she will perform an emergency C-section for the safety of our child. At 11.00pm, we made the call as Raeven was not crowning at all despite having reached ten centimeters dilation. I was rolled from the labour ward into the cold operating theatre at 12 midnight and gave birth to my daughter at 12.35pm under general anesthetic.
Suffice to say, this was an expensive experience. In total, we paid over RM10,000 in medical fees to Pantai, comprising the food and accommodation for four days and three nights, the doctor's fees, the anesthesiologist fees (he charged us twice for the re-administration of the epidural!) and the full suite of painkillers used, the paedetrician's fees (the only thing I was happy to pay), the nursery, UV light fees for the baby et al. After addressing this unhappy issue to our gynae, she managed to negotiate a refund of RM400 or so, off the price of the second epidural administration.
Still, it was over RM10k. And this isn't including my confinement lady fees of RM2, 500.
Fast forward two years later to May 2004, and my friend Mae in Singapore is having her second child. She emails me from her office.
"I am only three cms so my doctor told me to stay at home first. I was bored and decided to go to work."
Imagine my surprise. No, imagine my shock. Three cms and she got to go to work? I was in the hospital BEFORE I was three cms! What on earth?
As I had already changed my gynae for my second pregnancy (am six months along now) due to the fact that I did not want to go to Pantai anymore due to its exorbitant fees, I decided to ask my present doctor some questions. He listened to my grim tale patiently and when I'd finished, asked me only one question.
"Was your ex-gynae going on holiday the week after?"
And that was when it struck me. She had told me that she was going on her vacation around the same time. It just did not occur to me the significance of it because hell, she's my doctor. She should be able to manage her schedule and not only because I am paying her to be around when I'm ready to pop.
Of course I was outraged. I began to see why I was rushed to the hospital before my labour pains started, two weeks ahead of my due date, before I was even dilating properly! And to realise I should have known about this dilating thing - but then again, how many first time mothers do?
According to my present gynae, depending on the health of the pregnancy after months of monitoring, the practice is to admit a patient only when their contractions are minutes apart, or when the water bag has broken, or if the husband is around to check, if the cervix is about 5cm dilated. Anything earlier is just a waste of time and money, UNLESS complications are expected to arise.
That said, my gynae confesses that he is pro-Caesarean himself. Why? Because it is safer for the mother and the child. However, for first time births, he usually discourages it unless the baby is breach (positioned wrongly) et al. For mothers who have gone under the knife, such as myself, he recommends another Caesarean simply because of safety.
"Honestly speaking, it poses less stress for the doctor as well because we are worried for you, if your wound might rupture, which is very messy. The decision is ultimately still up to you to go elective or vaginal," he told me.
In considering this (I was very determined to go natural the second time around until his advice), I looked at my friends around me, about nine of them having been pregnant and expecting earlier this year. Out of the nine, eight had Caesareans. Three were emergency while the other five were elective (i.e. voluntary, planned cuts that are grossly cheaper than emergency ones due to hospital protocols).
This was when I decided to do a little sleuthing. I asked all of them why they went for the cut. Three electives quoted that they wanted to be done with it quick and tidily, as advised by their doctors. The other two said that it was because of the money (emergencies cost more than electives, almost a thousand more, give or take, due to hospital protocols and manpower, although natural births cost much less) while one was also afraid of the pain. She obviously did not think of the pain AFTER the drugs taper off.
The three emergencies were due to complications such as breach, placenta previa and a blood clot found in the placenta.
All of them paid no less than RM5k/S$6k for their deliveries (two of these friends delivered in Singapore).
Out of so many of my school friends I still keep in touch with (rough number of 20) who are parents now, only THREE have delivered naturally, and that is only for each of their first children. Two of these ladies went under the knife the second time around.
This leads me to realise many things. Firstly, for an educated, affluent couple to have a baby today is a truly expensive affair - and this isn't even including the postnatal stuff and the future.
The more you know, the more you seem to want to pay. Take those folks who go to government hospitals (and I know two women who gave birth in Klang GH). They pay RM2 for the urinal cup if they have the good fortune of a natural birth. If there are complications, a week's stay, everything included, is about RM400. Sure, the buildings seem old (for some), the nurses are rude and the doctors don't have a lot of time to spend on you. However, the equipment is top notch and medical care is reasonable.
Still, private hospitals and medical care seems to be THE preferred way to go (and I am guilty as well for holding on to this perception), and as such, one gets the feeling that most gynaes these days seem to be out to literally put you to the slaughter.
Secondly, while safety is always paramount to mother and child, doctors seem to think that a C-section is the panacea for troubled minds (and not blogging!). Do a cut, quick and simple, and mother and baby are safe. According to my gynae, his record is SIX C-sections on a single mother and he knows of a doctor who holds the record of 11 cuts on a single patient.
As such, if one is only planning for two to three kids, C-section is actually quite safe.
With so much for Caesarean, what then is the case for vaginal or natural birth, if one dares to ask? Why was I so adamant?
1. Cheaper fees (which is apparently more of a gamble than Caesarean these days)
2. Less pain and better recovery after (which my doctor insists can be achieved as well in a properly performed C-section these days)
3. Better 'bonding' between mother and child because both are 'alert' at time of delivery (this is very iffy factor to grasp for many simply because it's not exactly proven by science. However, I for some reason believe in it, although my first child and I bonded very well because of co-sleeping and breastfeeding)
4. Easier breastfeeding immediately after (there is no doubt that nursing after a Caesarean is a challenge in itself)
5. The satisfaction after delivery that a Caesarean birth will not be able to replicate (another emotional factor that's hard to push for - pun intended)
6. A friend of mine told me that her paedetrician conducts research on children delivered using Cesarian, who may suffer from a nerve-related growth impediment compared to children delivered vaginally - although none of this is proven yet. This has something to do with the birth canal massaging the nerves as the baby descends. |
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sambungan artikel lagi...
Last week, after much debate with my husband and discussion with my gynae, coupled with my own research on the Net, I relented to an elective Caesarean on 31st December 2004 for my second child.
Of course, this is just for me as I have a few 'extraordinary issues' to consider, such as my previous C-section, the fact that I was overweight and may have early diabetes.
Still, I cannot help but wonder that with medical advancements having reached its state today where in so many areas, doctors are availed more and more research and methods to help perform their jobs better and easier, that if perhaps they too have forgotten their Hippocratic duty to provide their patients the best possible medical care without conflict of interest - such as to fatten their bank accounts by opting for the easy in the name of safety.
With the dearth of healers in our country, I dare not think about what lies ahead for health care in our country and how high the costs will eventually shoot up if gone unchecked.
It is any wonder that our money-minded mothers wish us to marry doctors these days? |
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Kawan2 nak tanya la. Betol ke kalau kita bersalin kat private doc akan cpt2 soh kita c-sec sbb dia dpt charge lebih? Meaning, doc will not give up some time to see the progress for vaginal birth? Betol ke ek? |
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Originally posted by kawahapi at 21/2/06 08:57 AM
Kawan2 nak tanya la. Betol ke kalau kita bersalin kat private doc akan cpt2 soh kita c-sec sbb dia dpt charge lebih? Meaning, doc will not give up some time to see the progress for vaginal birth? B ...
yup yup.. betul, macam kawan aku tu kena sorang.. padehal terbukak sikit je, dalam 2 cm.. lepas tu dah kena tolak masuk labour room.. tunggu dalam 3 jam, tak terbukak banyak, doc pecahkan air ketuban.. tapi still lambat terbukak.. doc decide nak operate on the spot.. keluar bill RM 7k kooo.. :cak:
yg kawan aku lagi sorang tu plaks, dia tanya 2 gynae.. gynae pertama cakap boleh aa nak bersalin normal estimate dalam2 minggu.. yg gynae dia yang dia dah biasa tu, check up je, terus cakap.. waa, awak ni kene emergency c-sect ni.. tak dan, terus je c-sect within 2 hours
terus 2-2 kawan aku ni tobat tanak pergi kat hospital tu dah (BTW, both stories happened in the same hosp), suka bedah orang je kerjanya |
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baca artikel tu buat aku pun terpikir.. |
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Tu yg ngeri kalau nak gi private ek limau.. Bgtau la kat mana, kot2 kat tmpt aku plan nak bersalin ni ke. Area KL ke shah alam hosp tu? |
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Originally posted by kawahapi at 21/2/06 09:41 AM
Tu yg ngeri kalau nak gi private ek limau.. Bgtau la kat mana, kot2 kat tmpt aku plan nak bersalin ni ke. Area KL ke shah alam hosp tu?
area KL, kang tulis nama hosp, kena saman laks aku |
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Hmm.... what an interesting article. Tulah maslaahnya pegi private... Memang I dengar ada gynae yang nak keje senang & suka nak buat c-sect. Sebelum pilih gynae tu, survey2lah dulu. Tanya pendapat orang. Kalau c-sect, apa sebabnya. Tapi kan kalau kita pikir2 balik, org zaman mak2 kita jarang caesar tak? Tapi skang ni macam selalu je dengar org kena caesar...
One thing, private hospital ni depa tak suka amik risk. Tu depa suka nak amik jalan mudah. Agak2 kalau private wing kat govt hospital tu boleh pakai tak? Ni yang rasa nak beralih arah ni.... I kalau boleh memang takmohlah c-sect lagi. Memanglah masa beranak tu tak sakit, tapi sakit leaps tu Tuhan aje yang tau.
Oh ya Nasi_impit, hari tu kan I kemas2 terjumpalah SMC punya bill masa c-sect hari tu. I perasan kan, kat item bill tu ada OT charges. 3 kali OT charges tu keluar kat bill, ada RM100 lebih, ada RM200 lebih... OT charges tu apa? Nurse yang OT tu kita kena bayar ke? Hai.. cekik darah betul private hospital ni... Tapi nak gi gomen, saspen pulak.... |
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Originally posted by limau_nipis at 21-2-2006 10:26 AM
area KL, kang tulis nama hosp, kena saman laks aku
bagik initial dier ajek.....contoh mcm yg dekat dekat subang jaya tue......:cak: |
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limau, nasi,
membaca artikel tu membuat saya terfikir juga..
Masa Nureen dulu first time katakan exited lebih (blame my self too, even dah baca kat NET, when the time comes still tak praktik)
Masa tu saya sakit every 5minit..tapi still boleh tahan..pi hospital jam 6.30pagi..nurse check..baru buka 1.5cm..so doc tanya nak bali atau nak stay kat wad..oleh sebab brg semua dah bawa so i've decided to stay at hospital..tunggu bukaan naturally..mungkin saya jenis tak tahan sakit..doc pon cakap..eh baru 2 cm u dah tak tahan ni..nanti lagi sakit tau..ok ok..lepas tu dlm jam 2 doc bagi tablet utk makan.(induce) ekceli hati tertanya gak nape nak kene induce? nape perlu gesa? tapi my mom bidan tak kata apa2...dan doc kata nak bagi cepat bersalin so saya diam jee..jam 5 lago sekali induce..mmg bertambah sakit tapi tapi poor progress..jam 6.30 baru buka 4cm..saya minta epidural..doc kata i takut if epi still tak buka rugi u nanti kena bayar extra if undergo c-sec..so kenala operate..
And i fail bfeed..sebab susu kurang..dan diri sendiri yg tak cekal!
Even sampai sekarang saya masih tertanya kalaulah saya balik jek rumah tunggu waterbag pecah or tunggu sakit terlampau bari pi spital mesti boleh bersalin normal..even dah tanya my mom dia kata mmg my kes kene c-sec tu bukan sebab doc suke2 saya still rasa tak konfiden..
tak kisahla..janji selamat dedua..no.2 nanti saya mmg nak cuba normal..nak bel ALERT dgn tanda2 nak bersalin.. |
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Originally posted by tina^^ at 21/2/06 11:03 AM
bagik initial dier ajek.....contoh mcm yg dekat dekat subang jaya tue......:cak:
intial? Hosp P dekat-dekat Bangsar
bluejambu, you pun emergency c-sect ye? kesian kan.. rasa tension pulak sebab we put our 100% trust to our gynae.. my first gynae pun kelam kabut bila tau my baby songsang, actually, i was in my 37th week, kalau tunggu dalam 2 minggu, org tua aku ckp maybe budak leh pusing to normal. so i opt for c-sect, sebab i trusted my gynae 100%
then bile dah ngandung no 2, i changed gynae. my gynae listened to my problem and said i actually can deliver normal for my 1st. so i was like, huh? terkejut sgt.. my 2nd gynae ni cakap kalau baby songsang, actually possibility untuk bersalin normal walaupun baby songsang still boleh.. |
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Area KL ek? Toink, ko dah ade pengalaman kat SMC kan? Rasa2 nye kalau gynea suggest c-sec tu makna nye mmg patot c-sec ke? Adakah aku bulih insists gak nak vaginal delivery? Ko ngan doc mana ari tu ek? |
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Limau Nipis, hosp P yea.. Sedih kan kalau mcm tu. We trust our gynea tp kalau dia nak make profit out of our worries for the baby mmg x patot la. Gynea you tu male ke female? |
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Post time 20-2-2006 03:45 PM
