Entry: All about my labour and birth plans Wednesday, November 04, 2009



Saspen tak baca tajuk entry nih? LOL! No, I havent given birth yet, but I'd like to tell you about my dillemma about some labour and birth stuff in this entry. Kalau tidak berminat, sila tekan X at your top right page.

Anyways, yesterday I went to tour the hospital that I will be giving birth at. And for the first time I really understood the whole system of maternity care here in the UK. Before this I macam faham lite lite aja. Apparently, kat UK ni ada beberapa level maternity / labour care. You will be given routine check ups at your GP by local midwives and only need to go to hospy for ultrasound. Ultrasound will only be carried out 2 times only throughout pregnancy. This is provided that you have no complications whatsoever throughout your pregnancy.

If you have complications such as family history illness, diabetes, high blood pressure etc, you will be monitor intermittently at the nearest hospy and you will have alternate check-ups between your GP midviwes and consultants at the hospy. In my case, I had to be monitored because I had chicken pox at early pregnancy so they want to monitor the fetus growth every month.

Aside from health complications, you can also be categorised as high risk pregnancy if you have had a c-section in your previous pregnancies. Therefore you are advised to give birth at a hospy that has more complete facilities and consultants. In my case, I was referred to Heath hospy (which is different from the hospy that I do my regular check ups and ultrasound). So kesimpulannya, i have 3 places that I have my pregnancy check up.     

Complicated tak? It doesnt end there okay. I just found out from yesterday tour that kat Heath hospy ini ada 2 different labour care. One is called consultant-led unit and another one is called midwifery-led unit.

Currently I am booked in at the consultant-led unit (because I had previous c-sect). The thing is, I macam tak suka dekat consultant-led unit tu. The rooms are tiny, the atmostphere is very2 uninviting and I dont know why but it brings back bad memories of sakit contractions etc. Lepas tu the building is currently under construction so what you can see outside the window is tiang2 construction! Aiyo. mak tak suka..


Looking in the labour rooms!

The midwifery-led unit pula is 100 percent the opposite! The rooms are at least 4 times bigger than the ones in consultant-led unit, they have 3 huge birth pools. And husband can stay over night (if necessary and space ada). Kat consultant led unit hubby cuma boleh stay from 9am to 9pm ajor. Lepas tu atmostphere kat midwife-led unit adelah sangat2 soothing. Sesuwai dengan plan makk nak try for hypnobirthing. But the midwife-led unit is for the low-risk pregnancies and therfore cuma midwife aja yg ada kat situ. Hence, you can only opt for gas, pethidine or water pool for pain relief. Kalau nak epidural, kena pi naek consultant led unit and give birth there.


The midwifery-led unit labour room -
notice the huge birthpool, labour ball and space! 
Pastu the post-labour rooms plak ada double beds and ensuite bathroom! Best macam duduk hotel!

So anyways, my dilemma is, I want to give birth at the midwifery-led unit! I think I need to talk to the consultant and persuade her that I can be placed under midwife-led unit. Esok ada appointment and ultrasound so this myte be my best chance to convince them. I know that here in the UK, doctors are more supportive as to where you want to give birth. I know a couple mothers on babycentre that have opted for a homebirth after c-sect and their med caregivers are very supportive of their decision. So esok makk nak try my luck and pesuade them to change from consultant-led to midwifery -led unit.

Oleh itu, I've prepared some alasan for this:

1) I have been and remained to be healthy in this pregnancy.
2) All my ultrasounds have shown that my fetal growth development are normal
3) Baby is in good size and weight for vaginal birth
4) I'm planning for a natural hypnobirth VBAC so I need the atmostphere to be as calm and serene as it can get
5) Visiting the consultant-led unit has brought back traumatic memories of my previous labour. I am afraid that I will give in easily if surrounded by such atmostphere.
6) My previous labour was induced but had failed before I reach establish labour stage, so I have a higher chance of normal delivery.
7) Oh, did I mentioned that I am very2 keen on having a VBAC, so any support would be very much appreciated.
8) If there are any complications that arise during labor (Nauzzubillah), I can still be wheeled in the consultant-led unit, because they are in the same building.

Okei tak alasan2 ni? Ada yang boleh ditambah tak?

Oh, nak jugak cakap bahawa, I cannot be induced this time around because I have had a previous c-sect. This is the practice in the UK. So I will have to wait for nature to take its course and hope that I wont exceed 42 weeks of pregnancy. Full term babies are from categorised as 37-42 weeks gestation. So if I do go over my due date, the doctors would still wait till i'm 2 weeks overdue before deciding what to do.

I am very2 hopeful that baby #2 will arrive before my due date. Not just because I cant wait to have her in my arms but also so that we would have a better chance of having a VBAC. Kat sini, if you have had 2 c-sect or more, you will be advised to have c-sect again. :(

Oh.. I'm gonna be 37 weeks this coming Sunday (yeay!!) so baby #2, you can come out any day after this weekends okei.. Mom is ready for you. :)

ps: During the tour, the nurse told us to bring our own stuff - like enough babygros, nappies, cotton wool etc. They do not provide apa2 okei. Aiyo..

  

 

   6 comments

Tun
November 10, 2009   04:53 PM PST
 
julia: sama lah macam kat UK pon. diorg very pro normal birth and VBAC, cuma tempat deliver tu berbeza. And they will wait till you reach 42 weeks before deciding what to do next. Actually deliver mana2 pown takpe tapi i nak gak gatal try for MLU. hihi
julia
November 10, 2009   12:43 PM PST
 
lain tmpt lain ragamnya.

kalau kat Moscow mrk memang lebih suka tggu kita beranak normal/secara semulajadi eventhough y 1st C sect. kalau dah overdue pon dia suh tggu juga normal x de nak bg induce or C sect unless dah lebih dr 2 mngu teroverdue.
Tun
November 5, 2009   05:48 PM PST
 
Oyis: Tulah kan, i really hope to have a big family sbb tu nak really2 strive for vbac. Kalau kena c-sect sampai 5 kali tak pecah ke kawasan yg dia potong tu? hihi.. O well, like fab said, I'm keeping my mind open to any possibilities. After all if there is anything that you can expect with labour is expect the unexpected!

fab:thanks beb. tulah, ramai gak cakap kalau u stay calm, your body responds better kan? At the momment I tak pikir pun sakit nak beranak tu. but trying to concentrate on staying calm.

sabb: height menyumbang ke nyah? aiyo.. aku pon sama tinggi je ngan ko hihi.. BTW thanks for channeling ustazah mode and cikgu biologi mode. That put a smile on my face. :)
Name
November 5, 2009   03:03 PM PST
 
the mid-wifery unit looks cosy. kat sini pon mak check up ala2 u ols jugak...but instead of 3 places, i only go to 2.

i hope u get to switch units...cos alasan2 yg ko list tu sangat valid (to me at least).doa byk2 babe.smayang hajat...insyaAllah u'll get your VBAC (matilaaaa aku ceramah ugama plak kt sini).mcm aku, doc said my height was also one of the reason which contributes to the fact bb x nk engage.

pastu i feel lucky tht the govt provide everythg here....so u ols make sure pack enough stuff speshly diapers cos they tend to poo a lot.

p/s:the practice of not inducing for ppl tht have gone through c sect is , i believe, the same worldwide. sebab if induce, can rapture ur uterus *mode cikgu biologi*
fabulous
November 5, 2009   04:12 AM PST
 
yeah midwifery unit tu looks cosy tho. well it is better chose something u comfortable with kan..

apa2 pon just keep positive mind...dont think too much about how u going to do it :) because it will give ur mind more space to feel calmer that way. the calmer u be the easier things go
oyis08
November 4, 2009   09:38 PM PST
 
wow sounds complicated!!!

tp bunyi mcm midwife-led unit lg selesa ek? if i were to get pregnant here, i know where i belong dah. konfem consultant-led unit, sbb pregnancy sblm ni dgn placenta previa nya, bleeding nya, failed induction nya, c-sect nya... hmmmmphhh...

but if i'm not mistaken, kat msia, kalo give birth dgn govt hosp, after 2 kali berturut bersalin c-sec, the third delivery will also automatically be c-sec, tiada option VBAC lg. i interviewed satu kakak ni masa i was hospitalized psl bleeding tu la kan (kat hosp serdang), and she told me that that was her third pregnancy, and konfem c-sec, AND get this -- lps ni terus Dr decide utk 'ikat'.

extreme eh? but govt je la. Private i think u can go up to 5 times c-sec, or so i heard.

all the more reasons utk VBAC eh?

so i guess here u have more of a choice, even if it's not the most ideal ones.

apa pon, praying for a safe delivery! (now it's a race between u and yzma eh? they say baby girl suka kluar lambat than baby boy, wallahu a'lam hehehe)

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