Wednesday, July 25, 2012

Oh! My Coccyx!

When I gave birth to Jaden 3 months ago, my coccyx (tailbone) was injured, caused by the pressure generated when the baby passed through the birth canal. This type of injury always happens when the baby is bigger in size or the mother has a narrow pelvis, but for your information my baby was only 2.61 kg and I have big butt. 

I have severe pain on my pelvic area whenever I change my position while sitting or rise from a sitting position. I was referred to a orthopedic surgeon a day after my delivery.  The surgeon came to my ward for examination and told me that what I was experiencing was common for those who went through vaginal delivery and the condition would recover by itself after 3-4 weeks. The most he can do at that moment was to prescribe some pain killer if I want ( I did not opt for this as I wanted to breastfeed). The consultation took about 5 minutes and I was charged RM180.

After my confinement, the pain had subsided but not entirely. I am still in pain, especially now when I have gone back to work and couldn't avoid from sitting long hour in the office. I have read a lot of similar cases in the Internet but most people are still in pain despite having through many types of different treatments like physiotherapy, laser treatment and steroid injection. These treatments, to an extent reduce the pain, but not to cure the condition. Consistent follow-up treatments are required too. There were some extreme cases where people decided to get their tailbones removed, after bearing enough pain for more than 10 years.

Definitely, I am reluctant to live with the pain for the rest of my life. Does anyone of you having the similar problem? Can you share with me what have you done? Thank you!

Monday, July 16, 2012

Angel Baby Evil Eczema

Jaden is 3 months old now. He is healthy and kicking except for his eczema condition that comes and goes. Well, this is the typical stubbornness of Eczema, isn't it?

He was first prescribed with a non-medicated cream, Ceradan.

However, after applying it generously 4 times a day for a week, there was no improvement on his skin condition. The dry patches on his feet, wrists and navel area in fact became more red.  Luckily, Jaden seemed to be not irritated by his skin condition, however I started to become very worried. Questions without absolute answers began to linger in my mind.

"What if his skin cracks and he is in pain?"
"Did I eat anything wrong that trigger his eczema through my breastmilk?"
"What moisturizer should I use next?"
"What if he has to use steroid-base medication to control his condition, what are the side effects?"

And then...came one night when Bernard had to attend the wedding of one of his very important client.  He was hesitating, whether he should attend the wedding and leave his wife and son at home on a Sunday night or just make an excuse not to attend the wedding.  I told him to go as I have no problem taking care of Jaden on my own. Ultimately, he went but decided to come back before the dinner ended.
His attendance led us to the discovery of MooGoo Irritable Skin Balm (ISB), a non-steroid cream that was recommended by a guest that Bernard met at the wedding dinner. (Apparently, other than mothers, fathers also couldn't stop talking about their children to others!) According to the lady, this cream works wonders for her eczema and best of all, this Australian made cream is 100% herbal base with no steroid content, thus is safe to be used even on infant.

The next day, I went to Caring Pharmacy to get a tube of Moogoo ISB. The price was RM58.60, after a 15% discount.




After applying the cream for 2 days, Jaden's dry skin area became flaky white. I got a shocked and thought his condition had worsen. However, luckily I was wrong. The flaky skin condition was actually the sign of recovery.  On the 3rd day of application, Jaden's skin was 80% recovered, redness and dryness had disappeared, leaving only some rough surface when you touch the affected area. This was a great improvement and we were very happy, thus instantly fell in love with MooGoo! Nevertheless, we continue to apply ISB on daily basis to prevent any reoccurrence.

The good days lasted only for a week, before the dry red patches developed again, this time with another additional area, his stomach. Since it was due for his 3rd month's vaccination, we decided to consult Dr. Chai to see what else we can do.

While advised to continue applying MooGoo ISB to maintain the moisture level of Jaden's skin, Elomet lotion was prescribed, and I knew this drug contains steroid. Before I managed to clarify the side effect of steroid on baby, Dr. Chai proactively explained that this medication although contains steroid, but the amount used was very minimal and if used correctly will not bring any harm.



( I have applied Elomet on Jaden once after coming back from the hospital, but have decided to stop after finding out that FDA America does not encourage children below 2 to use Elomet lotion/cream. One man's meat is another man's poison. I just love my son too much. Hence, choosing not to take the risk to expose him to steroid, even though at a very low dose, at his young age.)

At the same time, we were recommended to change his formula milk from NAN 1 Pro to NAN HA 1, just in case his eczema is caused by allergy to milk protein. So, the hypothesis here is if his eczema is caused by the protein in normal formula milk, changing to HA milk will eliminate the root cause. But we have to do a little experiment here to find out the truth.  If his condition improved with no recurrence after consuming NAN HA 1 for the next two week, then the hypothesis is proven to be true.

Hmmm....for your information, the price of NAN 1 Pro, which Jaden was consuming, just went up about RM5 per box (from RM51.00 to RM 55.8, crazy, right?). Prior to this I have gone to a few baby shops and Chinese medical halls to bulk purchase the old stock. More than RM 500 was spent to stock up 2 months supply of milk. Now, what should I do with all the milk powder?

Well, this was what Dr.Chai and Bernard said almost in unison after I told them about the bulk purchase: " What is RM500, if HA version can reduce or eliminate the cause of eczema on Jaden?" So, it is obvious that if I insisted to let Jaden finish up NAN 1 Pro before we switch to NAN HA 1, I will be crowned with the label of ' a mother that put money before the health of her own child'. Of course I can choose not to think it that way, but no matter how, Jaden has begun to consume NAN HA 1 immediately after we got back from the hospital.

NAN H.A 1


These are the NAN 1 Pros that have yet to define their future!

At the time of this writing, Jaden has consumed H.A milk for 2 days. I will update the findings after 2-3 weeks. If the above mentioned hypothesis is true, can anyone suggest me what should I do with the 10 boxes of NAN 1 Pro?

Meanwhile, I have requested the baby sitter to add a cap of QV bath oil in the bath water every time she bathes Jaden. We will also continue to apply MooGoo ISB 4 times a day. Hope that his situation will be under control.

QV bath oil to moisture the skin during bath

Despite his skin condition, Jaden is a healthy and happy baby. He starts smiling since 2.5 months old. This is indeed very emotional rewarding to me and Bernard. And again....he did not cry when he was jabbed this time!






Expenses of doctor's visit on 3rd month
Medical and surgical supplies     RM      5.25
Admin Fee                                RM      4.00
Medication                                RM 429.00
-Vaccination
- NAN HA 1 x 2 cans
-Elomet lotion
Consultation (Dr. Chai)             RM    80.00

TOTAL                                    RM  518.25



Saturday, June 16, 2012

Milk, milk, milk, where are you?

We have finally found NAN 1 Pro as the formula milk that suit Jaden the most.  He had tried Enfalac A+ (which made him very hyper and restless -grunting and snorting non-stop) and Similac (caused diarrhea) before this. 

From our experience, you can never say which formula milk is the best, instead you can only say which brand is most suitable for your baby, and you probably have to keep trying different formulas before you find the right one. Usually, getting samples from your doctor would be best, however we did not have that luxury as we had chosen a "baby-friendly" hospital where breast feeding is encouraged, thus doctors are not allowed to give away samples.

All the while, I had truly wished to fully breast feed Jaden. However, sometimes things do not turn out the way we want. Despite consistent latching on and pumping, my milk did not really come. I have also tried almost all the possible remedies:

1) Drink double boiled young papaya soup, fish soup, red bean soup, chinese herbal 'chuan tong cao' (川通 )soup
2) Drink RM99 per pack “guarantee to get milk” Sacred Tea
3) Take GNC Fenugreek supplement pill
4) Take rasberry leaf tea
5) Drink Enfamama lactating milk
6) Get postnatal masseur to 'unblock the milk ducts'
7) Visit a lactation consultant - was asked to eat a lot of fattening food like cheese cake and chocolate cake
*I did not try remedy #7, as I think my baby needs a healthy mom to take care of him, and not one who is stuffed with unhealthy trans fat.

After all the effort, my best yield was only 40ml after pumping both sides for 45 minutes. This made me quite depressed, especially the first 2 weeks. I also had crack and bleeding nipples due to over pumping. The pain was unbearable.

I did not know what is the reason of me not having enough milk. And then, out of curiosity, I googled ' PCOS and breast feeding', I sort of got an answer to justify my situation. Research shows that 1/3 of PCOS patients have very low volume of breast milk. Tada.....I was the 'lucky' 1/3! Although I am not very sure that if PCOS is the reason of me having low volume of breast milk, at least this finding has lifted a heavy emotional burden off me. A chat with Dr. Paul also made me believe that being a good mother and mother-child bonding is not solely depends on breastfeeding your child. His comforting advice has encouraged me to face my situation honestly and accept who I am.

Nevertheless, I will still continue to pump and let Jaden latch on, just to maintain my supply, no matter how low the volume is. I will let Jaden have whatever I can produce, hopefully until he is 6 months old.

If you happen to fall into the same category as me, and had been told by many breast feeding fanatics (a.k.a. certain unconsiderate lactation consultants and mothers who look down on mothers that are unable to breastfeed) that the reason of you not having milk/ enough milk is because you did not try hard enough, I want you to lift up your head, look into their eyes and tell them to respect your difference. After all, you are still a good mother!

Week-9 Updates

It has been 2 months since the arrival of Jaden to our family.  I have gone back to work and reluctantly, have to put Jaden in a babysitter's hand, who stays about 3 minutes drive away from our house.

Overall, Jaden is growing well, progressing from 2.6kg during birth to 5.5kg in week-9. Taking care of a child is a life long lesson, which both Bernard and I are still learning how to become better parents each day.  Waking up twice at night to feed the baby is not an easy task, but the word 'motherhood' made me do it again and again without any grievances every night.

Today, I visited Dr.Paul for my postnatal check-up, and at the same time, we brought Jaden for his 2-month vaccination at Dr. Chai Pei Fan's clinic.  It was very convenient for us as the two doctors' clinics are just opposite each other.  Coincidentally, these two doctors somehow share some similar qualities, they are both polite, down to earth, caring and friendly.

Dr. Paul Ng and Jaden Tan. With this photo taken, Jaden will be able to know
the doctor who received him into the world in the future.
I was told that my stitches have healed completely and Dr. Paul jokingly told us that we can begin to make our 2nd baby as soon as after 6 months. We definitely wish for more children, but we also think that we should give our bodies and mind some break :) At least, let me shrink back to my pre-pregnancy weight first! After putting on 20kg (scarry, huh?!) during my pregnancy, I still have 7 kg to shed!

Jaden's has developed mild eczema on his feet, palms and navel area since about a week ago. He did  not seem to be irritated by the skin condition (yet), we have to diligently apply prescribed cream on him to prevent the condition from getting worse.

Contrary from the 1st time when he was vaccinated, Jaden did not cry at all today when Dr. Chai poked the needle into his thigh. It was a real relief to me as I still remember how heart broken his cry was last month. Probably, my tactic of telling him about the jab while on the way to the hospital has paid off. I will certainly do the same for his following jab next month :)

Expenses:
Dr. Paul - No Charge

Dr. Chai Pei Fan
Medical & surgical supplies     RM     5.25
Admin Fee                              RM     4.00
Medication                              RM 351.90
Consultation & Assessment     RM    80.00

TOTAL                                  RM 441.15

Wednesday, May 23, 2012

The Labour of Love-April 10, 2012

My baby is 6-week old today. I am stealing some time here, though seriously deprive of sleep, to share the birth experience that happened on April 10, 2012.

April 9 (Mon), 7:45am.
Woke up and experienced a warm and wet feeling down there. Decided to check it out in the washroom. Upon stepping down from the bed, I felt a flow of lukewarm sensation dripping down. Well, there was some bloody show on my underwear, and obviously the amniotic sack had just broken. I calmly stopped my hubby, who was then just about to step out from the house for work. "Darling, I think today is the day." I could feel that he instantly became panic because my EDD was actually another 15 days away, and we had just celebrated his birthday yesterday. Honestly, this was a bit out of our expectation, but the date for natural birth, unlike C-section, is never certain.

April 9 (Mon), 8:00am.
I quickly took a shower and washed my hair while hubby was busy sterilizing my breast pump and milk storage bottles in the kitchen (Well, he always wanted to do this, but keep procrastinating, haha....finally he has no more excuse to delay it).

April 9 (Mon), 8:20am.
I called up Dr. Paul and told him my situation. Confidently, he told me the baby would arrive either today evening or tomorrow morning, he asked me to take a shower and packed my bag, then report myself to the labour ward within the next 2 hours.

April 9 (Mon), 10am.
After making a few phone calls and last minute emailing to hand over my work stuffs, we made our way to Pantai Medical Centre KL.

April 9 (Mon), 10:30am.
Arrived at the hospital, went directly to the labour ward at Level 2. I was admitted to the labour room and the nurse checked my contraction level and baby's heart beat. I did not feel any contraction yet, but the nurse told me my cervix's was already opened about 3-4 cm. With the normal rate of 1cm per hour (10cm for active labour), my baby was estimated to arrive in the evening. I was not comfortable to be stripped on the bed all the time ( to allow the machine to constantly monitor the baby's heart beat and my contraction level).


The red reading indicates the baby's heart beat, the green indicates the contraction level.

I was also not used to not wearing any underwear, while having to use my thighs to hold the maxi sanitary pad between my legs to absorb the leaking amniotic water. The nurse also gave me some medicine to clear my bowel.

Another thing that bothered me was the paper-like low quality blue robe that I was asked to put on. The strings that tied the robe together were so fragile, where all of them broke just after 1-2 hour of wearing it. I tried to ignore all the discomfort and told myself to focus on the joy of receiving my baby soon. Well, as you can tell, I totally under estimated the pain of labour.


April 9 (Mon), 1pm.
Dr. Paul paid me a visit in the labour room to check my condition. The cervix’s opening maintained at 3-4cm.  The contraction was still mild. Dr. Paul suggested to induce the labour process as the risk of infection would increase, the longer the water bag had burst. However, he decided not to do it as he noticed that there was quite a great amount of water sipping out, so I should be able to feel the contraction soon and the active labour would soon come along. What a relief to me, as I have heard stories about how painful induced labour can be.  I was then injected with antibiotic to prevent any infection.

April 9 (Mon), 7pm.
The past 6 hours, hubby and I was enjoying ourselves, joking and taking photographs of me posing in my almost disintegrating paper robe, while the nurse performed a few times of cervix check, every 2 hours to be exact ( I hate the feeling of fingers poking deeply into my vagina!), but there was no improvement on the opening.  However, the contraction started to kick in soon enough. Initially, the pain was just like period pain, totally bearable.


April 9 (Mon), 9pm.
Dr. Paul, who had changed into a green Polo-T came again to check on me. The contraction started to get more serious. The smile on my face had gone. I couldn’t believe that my cervix only opened for another centimeter after so many hours. It was only 4-5 cm, I still have 5 cm to go! Dr. Paul asked me to catch some sleep (how? I am having serious menstrual-like pain!) and he would come back at 6am to receive my baby. Huh? 6am, I doubted I could bear the pain until 6am! But, I have no choice. The word ‘ Epidural’ flashes across my mind, but the stubbornness in me said I could bear the pain. Minzy, you are strong and brave! huh? huh! huh?

April 10 (Tue), 12am.
Pain, pain, pain….am I going to pass motion or what? There was a strong force pushing my bowel, something felt like about to burst out. Hubby called the nurse to check on me. As I am not sure whether it was still safe for the baby to inject epidural by then (because the labour felt so near! Yet, so far?) I was certain I would not take any anesthetic that would harm the baby. The nurse suggested another type of sedation injection (forgot the name) that was safe, which also said to be able to cut down the pain by 50%. After being persuaded by my hubby, I decided to take the injection. Well, the injection made me feel very drowsy and weak ( and I can tell you now, the sedation injection doesn’t work to cut down the pain at all!), I felt like I was sinking, into another dimension of the world. I have no word to describe the feeling……I prayed and prayed, I didn’t want to ‘sink’ anymore!

April 10 (Tue), 2:30am.
The contraction that happened every 90 seconds was so tremendous, it felt like there was a kind of massive force, trying to push something out from my ass! With one hand holding onto my hubby’s arm and one more grabbing on the steel bar at the side of the bed, I felt like my body was about to be torn into pieces. I couldn’t bear it anymore. A senior Indian midwife came in to check my condition and told me I was doing great as my cervix has opened 8cm, all the sudden! She immediately contacted Dr. Paul and another nurse quickly set up all the necessary equipment for the delivery process.

April 10 (Tue), 2:50am.
Dr. Paul stepped into the labour room in an orange Polo-T. (I have always wondered how these doctors managed to look so fresh and well-groomed this early in the morning?) By monitoring my contraction interval on the machine, the midwife and the nurse guided me to push. The Indian midwife keep ‘scolding’ me that I wasn’t doing it correctly! Come on! This was my first child, how on earth would I know how to push before hand? Can you be more considerate or at least be more patient? Both Dr. Paul and the other Malay nurse were ‘kinder’ as they use a lot of words of encouragement throughout the process.

April 10 (Tue), 3am.
After a few pushes, Dr. Paul seriously told my hubby that the baby’s head could already be seen but his heart rate was dropping with every interval of my contraction. Hence, he would perform vacuum delivery if the baby was still not out after another 2 rounds of push. Eventually, vacuum aid came in to ‘suck’ out the baby, reason being his shoulder was strapped by the umbilical cord. The cord formed a ‘safety belt’ to prevent the baby from being pushed out, no matter how hard I tried. At 3:06 am, I heard loud cries, yes the baby was out and the tremendous pain that I had experienced for many hours suddenly subsided! Our angel had finally arrived!

P/S: I totally under estimated the pain of natural birth. I have very high tolerance for pain, thus was too innocent to actually believe many people who told me that delivering a baby is as easy as laying an egg! No, it is not true at all, unless you are delivering your 10th baby! Anyway, it was a great experience and I am proud that I survive it. I will still opt for natural birth if I ever get pregnant again due to its speedy recovery after birth, but definitely ‘epidural’ would be an option.


Jaden's favourite activity: Sleeping



Again, sleeping.



Wrapped in the towel, after bath.



Sunday, April 15, 2012

The Arrival of Angel

Dear readers,

We are delighted to announce the arrival of our angel in the early morning of April 10, 2012. Co-incidentally, 410 is also our house number. Welcome angel, you have knocked at the right door!

At 7:45 am of April 9, I experienced bloody show and my water bag broke, 15 minutes later. The pre-labour signs were clear, though my EDD was still 16 days away. I first informed hubby, who was just about to step out from the house for work. Then, took a shower before calling up Dr.Paul's mobile at 8:15am. He instructed me to stay calm, pack my bag and admit myself to the labour ward within the next 2 hours.

I will write more on the details of the labour pocess after my confinement. The experience was intense for a first time mother like me. Overall, with a birth weight of 2.61kg,  baby Jaden was delivered via natural birth without epidural. My supportive hubby was with me throughout the labour process.

Despite extreme exhaustion, our lives are filled with happiness and gratitude ever since the arrival of Jaden. May he stay healthy, and grow up well.

P/S:  The belief of 'drinking of young coconut water in the third trimester of pregnancy can prevent jaundice in new born baby' did not work for me.  Baby Jaden's jaundice level increased to level 236 on the 3rd day, and is currently under-going phototherapy with a rented UV lamp at home. We will visit Dr. Chai Pei Fan again tomorrow, hopefully Jaden's condition is under control.  


The first moment of life

Jaden Tan, the miracle of my life

The nurses called him 'celik mata' as Jaden's eyes
were already widely open in just a first few minutes after birth.
Phototherapy at home.  Rental charges, RM445 for 3D2N. Additional day, RM 60/day


Expenses:
Mother and delivery charges (3D2N)  RM 3,616
Baby charges                                      RM 1,005
Total                                                 RM 4,621

Wednesday, April 4, 2012

Week 37 - Maternity Check-up

Date:  4 Apr 2012 (Wed) Appointment Time: 9:30 am
Waiting Time: 20 mins

Blood pressure: 70/110
Weight Gain: 0 kg
Urine: normal

Baby heart beat: 154 bps
Baby weigh: will measure next week
Amniotic fluid level: decreased, but still at the safe zone.
Position: engaged, head turned side way (not facing my back bone), hopefully his head will be facing posterior soon, that will be the most optimum position for natural birth.

After the ultrasound session, Dr Paul spent some time to explain to me and hubby how the baby will  move through the birth canal during a natural birth. He was also very kind to tell me that I can call him anytime, even in the middle of the night if I suspect (1st time mother!) I am experiencing contraction, spotting, leaking of amniotic fluid or any other sign of labour. Anyway, he did not see any clear sign of labour yet, so most likely I will see him again for another 1 or 2 weekly check-up before the labour.

Baby, mummy's tummy is still the safest shelter for you in the whole wide universe.  If you think you need more time to prepare yourself, go ahead, take your time. Mum and dad just want you to be healthy and comfortable. Do not rush. By the way, if can, please avoid coming out on 11 Apr, it will be a national public holiday, which means charges will be doubled for any form of delivery! Hahah....please be a co-operative good baby!

Expenses:
Diagnostic/monitoring   RM 0.60
Admin fees                   RM  4.00
Consultation                 RM 50.00
Ultrasound                   RM 50.40
TOTAL                    RM 105.00