antenatal class (part 3)

Sambungan (episod terakhir)

The last session was “breathing techniques during labour” by physiotherapist. Well I am a bit disappointed with this session as we only learned about the exercises that can be done by a pregnancy woman. No breathing techniques were taught. So we did the exercises during the whole session. Most of them can be found in the pregnancy book, and I already practice some of them (ikut kerajinan jugak..hahahha)

On the other hand, the physiotherapist advised all the future mommy to not doing the indicate exercises after 8 months (takut akan mempercepatkan kelahiran baby which is still belum cecah 38 weeks la kan). We were also advised to take a deep breath between each exercise (jgn nak lasak main tibai buat semua serentak).

My comment about the antenatal class:

Overall, me and hubby sgt puas hati la..we learnt a lot..we got new info..yes it is beneficial for both of us..especially my hubby. So my opinion is, this class is a way to expose our hubby to the info related from pregnancy, labour, breastfeeding and how to take care of newborn. Listen to the experts are more convincing than read then interpret by us. My cuak feeling to labour has already lessened by half.

You can also learn about the options/facilities and procedures provided by the hospitals. It might help for your birth plan.

To attend this class, you may wait till you enter second semester. But don’t wait too long..nanti banyak useful info pasal nutrition u akan miss….lagipon nanti lenguh2 plak dok lame2..hehehhe

So if you have time, grab you hubby along and attend the class.

p/s: there was a contest, organized by Mamil Gold that day..and thanks to my hubby’s creativity, we won a Medela mini electric breastpump. Sukaa!

antenatal class (part 2)

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Sambungan…

Before lunch break, we had a tour to labour room, and the maternity ward. As DEMC just moved to a new building, of course everything looks great and nice. We also had the opportunity to visit the suites, and yes it is like a hotel, with a minimum price rm600 per nite..haha..jgn mimpi le kami nak dok situ..

Then we had our lunch, provided by the hospital at the cafeteria in the building.

Next session was “Successful breastfeeding” by Pn Jasmeen Tan Abdullah. If im not mistaken, she is a lactation consultant from HKL, actively involve with MLO and susuibu.com. She showed us on how to hold a baby while BF, she told us about what do and don’t for BF, she provided us some tips and a lot more. It seems that hubbies enjoyed this session as most of the questions asked were from hubbies..hehehhe wifes bukan tanak tanye soklan..tp kami dah banyak membaca..ecehhh..hahhhaa

Here a long list of things that I managed to jot down in this session:

• Breastfeed: sunat start sebelah kanan, then baru pegi sebelah kiri. If susu blom abis dari sebelah kiri tp baby dah kenyang, so utk next feeding, start pulak sebelah kiri. Ni utk balancekan stimulation untuk kedua2 belah breast. If not, nanti ade belah yg asik diminum tu lagi banyak susu dari belah yang jarang diminum

• Don’t allow your baby to be a lazy sucker..means dia letak je mulut tp tak hisap pon. If tertido, bleh geletek chin or kaki or tangan untuk kejutkan..untuk make sure dia sentiasa nyot nyot.

• Nursing bra: beli one month before deliver (jgn beli awal) and buy one size extra..sbb nanti breast akan besar (and bertambah sexy..haha). Avoid wired bra for the first 6 months sbb ia boleh block milk production

• Jgn pegang breast dgn cara scissor shape, but C-shape (yg ni saye nak explain tak reti..kne tgk demo)

• Usap dari pipi ke mulut bayi untuk stimulate baby utk minum susu. According to her, even org dewasa pon bleh meleleh air liur if diusap seperti itu.

• To check if it is a good suction(dari baby), si ibu akan rasa ngilu di bahagian rahim. If tak rase (n rase sakit kat nipple) which means tade latch-on, positionkan balik mulut bayi.

• Priority to breastfeed your baby dari makan jamu.

• Tanda baby lapar:

1. Flexing arms and legs
2. Clenching and unclenching fist
3. Chewing on hands

• If u see this signs, bagi baby minum susu..otherwise, the next sign is menangis tanpa berlagu..heheh by that time..susah dah nak breastfeed sbb baby dah merajuk..penat kasi sign, tp mommy tak paham2 :D

• Cara penyusuan: Jgn bongkokkan badan kepada bayi..nanti bayi pon tak selesa sbb breast kite akan hempap hidung n muka nya. So duduk dgn tegak. There are 3 position to hold ur baby: cradle hold position, football hold position and cross hold position (sile google :D)

• Some hospitals may or may not support BF..check with ur gynae..and inform them that u want to BF ur baby (by hook or by crook) once he/she is born.

• To check if ade prob ngan inverted nipples or not..tekan nipples for 10 seconds dgn jari anda, and then release it. Observe if the nipples pop out and membentuk seperti biasa or not. Klu tak, blum terlambat untuk dapatkan bantuan supaya berjaya breastfeed nanti.

• Bawak picture baby ke mana sahaja, kerana dgn melihat gambar baby, ia akan membantu badan kite utk stimulate milk production. There are a lot of breast pump kat market, tp tak semua sesuai as kadang2 dia hanya pump bhgn nipple je (which is sgt menyakitkan). So recommended breastpump are: Spectra, Medela, Ameda, Callypso, Mamivec and Avent. Double pumping provides better stimulation and jimatkan masa.

• Kalau simpan expressed breastmilk (EBM) kat bhgn peti bawah (bukan tempat ais di bhgn atas), sila letak di 1^st level sahaja!

• Warmer is optional, klu takde, bleh je rendam EBM dlm air panas/suam

• Tips untuk banyakkan susu:

1. Drink hot nutriets soya, red dates, horlicks
2. Massage breast with warm towel
3. If ade engorgement, letak cold towel/cabbage kat breast (not more than 10 mins)
4. Or buat coffee paste(using warm water) and tampal kat breast for (15-20 mins)

• Express and store up breastmilk 3 weeks before start working.

• Avoid using plastic bag to store your EBM. It is because, the nutrients of EBM could be lost up to 40% (sbb diserap oleh plastic tu). Best option, use PP storage bottle.

• Don’t forget to niat before breastfeeding. Semoga urusan kite utk breastfeed anak dipermudahkan..dan semoga susu kite pon banyak. Insya-Allah

Ok that’s all, folks. Tunggu pulak entry antenatal class part 3 ek :D

antenatal class (part 1)

As we (me and hubby) already decided for me to deliver at DEMC, so both of us attended the antenatal class provided by the hospital. It’s not free. RM100 per couple (4 meals are provided). People had been asking me why I wanted to go to a paid antenatal class while there are free classes in other places. Well the thing is, different hospital got different opinions or policies. In this class, you will be introduced to labour procedures, to your anesthetist so you will know what the options provided by the hospitals.

Antenatal class at DEMC is a one day class (from 9am to 4.30pm), hold on Sunday, once in a month, and it is divided into 4 sessions.

Firstly is "Nutrition During Pregnancy by dietitian". It provides useful info to pregnant women, what do and don’t as well about weight gain control. As for me who is already in 30 weeks, I just took it as a reminder for my second child (huhuhu) and at the same time, try to improve my daily intake for the 10 weeks left. =)

Secondly is “Pregnancy & Labour Process” by Consultant O&G. It happened that it was my gynae who gave the talk that day. So she explained in detailed all the 3 signs for labour, the 3 labour stages, the natural birth, the intervention that might occurred during the labour, the episotomy, the complications during the birth.

My note from this session:

3 tanda labour

• Show: mucus plug, blood stain or spotting
• Leaking: clear fluid through vagina (air ketuban pecah)
• Contraction: perut menegang, it comes regularly, and the intensity + duration increased by time

Peringkat pertama labour: 8-16 jam

• Kontraksi makin kerap (bawak kurma dalam labour utk tambah energy)

Peringkat kedua labour: (1/2 – 1jam)

• Kelahiran baby.

• Untuk dibenarkan melakukan kelahiran secara normal, si ibu has to oblige to these 3 rules: laluan terbuka, baby engaged, and ade contraction supaya baby keluar. Otherwise, gynae will advice to opt for external intervention like induce, forceps, vacuum etc.

Peringkat ketiga labour: (i lupe nak catat) rasenye after kelahiran, proses untuk plasenta keluar dari rahim

Third session is “Pain Relief” by Anesthetist

There are Entanox (bile rase contraction datang baru sedut), Pethidine (sort of drug, it last for 3-4 hours and the mother will feel sleepy), and Epidural.

According to anesthetist, if you can survive till 5cm, she will advice you to not take anything, as from 5cm to 10 cm, it will only take about 2 hours, while from 0cm to 5cm, it can last for hours. However, if mase bukaan 1 cm pon dah tak dapat tahan, she strongly advice to take the pain relief.

Forth session is “Care of newborn and effective baby massage” by paediatrician

We watched a nice video on how to do a baby massage..ya Allah..mmg sweet sgt..rase tak sabar nak massage baby sendirik..hehehe..by the way..it is important to do baby massage as it can help baby brain to develop, to help baby to sleep well, as well to increase the bonding between the parents and the baby. So bapak2 pon bleh buat baby massage ye..sekali sehari pon dah cukup. Caranya bleh tgk kat youtube, and just pakai babyoil. To start, gosok tangan kite tu dgn baby oil untuk panaskan tapak tgn before commencing the massage. Boleh start bila kite dah balik rumah, cume bhgn perut tu, massage bile tali pusat dah jatuh.

Untuk jaundice plak, the best medicine is susu ibu. =)

Newborn baby akan kerap minum susu, sbb perut nya still kecil, so dia akan minum sikit, but kerap. So you have to feed you baby every 2-3 hours (eventhough tido pon bleh kejutkan). So jgn terkejut klu baby asik lapar and dunt say susu ibu tidak mengenyangkan or tidak cukup. Set in our mind, newborn mmg kerap minum susu =)

Errr dah panjang plak I tulis..ni baru morning session, nanti I sambung next entry utk afternoon session ek. Ayat2 yang lintang pukang di atas tu adalah hasil nurkilan nota2 yg saye amik dalam kelas..kadang2 kusyuk sgt mendengar sampai lupe nak tulis..hehehhe

Anyhow, hope this info helps u guys.