4am.bgn pump.
cerita last week.actually thursday register adik dan buat passport di frankfurt.lepas tu overnight di Metz.pagi esoknya gerak ke disneyland paris.nanti ada masa sambung tulis
Ingat malas tulis pasal minyak,tapi nak tulis jugak as I still tak paham why some ppl macam sgt menyokong minyak naik ni.After all this is my blog,hihi kalau tak setuju dok diam je lah kan.
Yg menyokong,ckp 20sen je,bukan main compare harga minyak dgn singapore lah,US lah.ckp standard lah harga barang satu dunia pon naik.tapi fikir2 lah:
1)20sen maybe nothing to you.tapi RM0.20X50L dah naik RM10 sekali isi full tank,dlm sebulan naik RM50.might be a lot to some.Dan selalunya,minyak naik benda lain akan naik.Ada ckp,dah tue pandai2 lah adjust berjimat.Habis tue kalau nasi lemak kan kantin sekolah dari RM1 jadi RM1.20 budak2 yg hanya mampu bawa bekal duit RM1 dah kene makan kuih je.Sementelah kamu mampu,jgn lupa ada yg kurang.Agama Islam sentiasa ingatkan kita fikirkan golongan yg bernasib yg kurang dari kita.
2)compare minyak dgn US,Singapore yg jauh lagi mahal.Saya rasa tak adil.Some negara yg dikata itu bukan pengeluar minyak.US mmg produce some oil tapi masih perlu import 2x dari apa yg diproduce.Kenapa tak compare harga minyak dgn negara pengeluar juga.Harga di kilang confirm tak sama harga di kedai.pandai ckp contoh syukur lah kalau kat german ni 1liter 1,60Euro=RM6,40.tapi jgn lupa diorang earn about the same dgn rakyat msia contohnya waitress around Euro1000,engineer Euro3000,bukannya Euro12000.Dan Germany ni bukan pengeluar minyak.
3)Katanya harga naik sebab ikut pasaran dunia.before this maybe boleh ckp minyak dunia naik,kita pon kena naikkan.This time alasan tu tak boleh pakai sebab harga minyak tgh turun,tak payah nak speculate tgh naik mentang2 Middle East tgh tak stable.Boleh baca report die Reuters. minyak dunia naik turun tapi ron95 kita naik aje
4)Janji PM.Memanglah, even PR menang pon tak tentu harga minyak boleh turun.Tapi itu kita tak tahu.Yg tahu BN menang dan PM janji harga minyak tak naik selepas GE.Sekarang janji dicapati.Nabi Muhammad SAW pon tak pernah berjanji apa2 yg tak pasti.Mungkir janji sudah Pak Najib,mana rakyat tak marah.Before GE janji minyak tak naik,dah habis GE terus naikkan so that 5 tahun nanti org dah lupa.Biasalah mudah lupa.Dah tue ada kalau dikira Ron95 katanya subsidi RM0.63 so harganya RM2.10+RM0.63=RM2.73 tapi RON97 tak ada subsidi harga RM2.70,apa pasal pulak RON97 lagi mahal huhu.Kantoi pulak so dgrnya RON97 pon akan naik soon.Maybe PM lupa nak announce awal2 kot hehe
Tau reducing the subsidy helps to narrow the deficit by RM1bil from what a total of RM50bil?Baik kurangkan pembaziran kerajaan,define subsidy window better ke(yg kaya raya tue tak payah bagi subsidy).increasing pumping price just akan naikkan byk harga benda keperluan yg lain lagi,patutnya jadi pilihan akhir.
Jgn ckp syukurlah negara masih aman.Masalahnya aman ke.Tak perang maksudnya aman lah kot even crime rate sgt teruk.Itu belum bace report Pakar Math ke org buat kira2 subsidi etc,kalau rajin baca lah.But my point here is,sebab kamu mampu dgn kenaikan 20sen tue,jgn lupa ada yg tak mampu dan fikir balik kenapa org marah marah ni.Oklah nak gi kisahkan anak2 bye!
Yg menyokong,ckp 20sen je,bukan main compare harga minyak dgn singapore lah,US lah.ckp standard lah harga barang satu dunia pon naik.tapi fikir2 lah:
1)20sen maybe nothing to you.tapi RM0.20X50L dah naik RM10 sekali isi full tank,dlm sebulan naik RM50.might be a lot to some.Dan selalunya,minyak naik benda lain akan naik.Ada ckp,dah tue pandai2 lah adjust berjimat.Habis tue kalau nasi lemak kan kantin sekolah dari RM1 jadi RM1.20 budak2 yg hanya mampu bawa bekal duit RM1 dah kene makan kuih je.Sementelah kamu mampu,jgn lupa ada yg kurang.Agama Islam sentiasa ingatkan kita fikirkan golongan yg bernasib yg kurang dari kita.
2)compare minyak dgn US,Singapore yg jauh lagi mahal.Saya rasa tak adil.Some negara yg dikata itu bukan pengeluar minyak.US mmg produce some oil tapi masih perlu import 2x dari apa yg diproduce.Kenapa tak compare harga minyak dgn negara pengeluar juga.Harga di kilang confirm tak sama harga di kedai.pandai ckp contoh syukur lah kalau kat german ni 1liter 1,60Euro=RM6,40.tapi jgn lupa diorang earn about the same dgn rakyat msia contohnya waitress around Euro1000,engineer Euro3000,bukannya Euro12000.Dan Germany ni bukan pengeluar minyak.
3)Katanya harga naik sebab ikut pasaran dunia.before this maybe boleh ckp minyak dunia naik,kita pon kena naikkan.This time alasan tu tak boleh pakai sebab harga minyak tgh turun,tak payah nak speculate tgh naik mentang2 Middle East tgh tak stable.Boleh baca report die Reuters. minyak dunia naik turun tapi ron95 kita naik aje
4)Janji PM.Memanglah, even PR menang pon tak tentu harga minyak boleh turun.Tapi itu kita tak tahu.Yg tahu BN menang dan PM janji harga minyak tak naik selepas GE.Sekarang janji dicapati.Nabi Muhammad SAW pon tak pernah berjanji apa2 yg tak pasti.Mungkir janji sudah Pak Najib,mana rakyat tak marah.Before GE janji minyak tak naik,dah habis GE terus naikkan so that 5 tahun nanti org dah lupa.Biasalah mudah lupa.Dah tue ada kalau dikira Ron95 katanya subsidi RM0.63 so harganya RM2.10+RM0.63=RM2.73 tapi RON97 tak ada subsidi harga RM2.70,apa pasal pulak RON97 lagi mahal huhu.Kantoi pulak so dgrnya RON97 pon akan naik soon.Maybe PM lupa nak announce awal2 kot hehe
Tau reducing the subsidy helps to narrow the deficit by RM1bil from what a total of RM50bil?Baik kurangkan pembaziran kerajaan,define subsidy window better ke(yg kaya raya tue tak payah bagi subsidy).increasing pumping price just akan naikkan byk harga benda keperluan yg lain lagi,patutnya jadi pilihan akhir.
Jgn ckp syukurlah negara masih aman.Masalahnya aman ke.Tak perang maksudnya aman lah kot even crime rate sgt teruk.Itu belum bace report Pakar Math ke org buat kira2 subsidi etc,kalau rajin baca lah.But my point here is,sebab kamu mampu dgn kenaikan 20sen tue,jgn lupa ada yg tak mampu dan fikir balik kenapa org marah marah ni.Oklah nak gi kisahkan anak2 bye!
Last 3 Sundays was our anniversary.Sunday in Germany ialah hari senyap hehehe.all shops except restaurants and those in train station/airports are closed.Boring kan?But good thing is kita akan dok rumah je lah.Selain ke park n playground,hubby prefers to stay home berguling dgn anak2 die.Saya x de masalah,mmg dok rumah sokmo pong =p
Halal food is not hard to find but almost all of them are kebab.Sayasuka kebab ni.Keluar every saturday confirm gi mkn kebab so anniversary tak mo lah makan kebab.I told hubby i wanted lobster.Kitorang masak yg paling simple hahaha tapi sedap probably sebab lobster pon dah sedap kan,tak payah nak masak complicated sgt.
Lunch:Broiled lobster with creamy spaghetti
Lobster tue hubby potong tgh dua,letak some butter,pepper and salt.masuk oven for 15mins
Spaghetti rebus till al dente.Tumis garlic and some onion(chopped),add some cappers(rasa masin2 goes very well with anything creamy),parmesan cheese and some grated cheese,2tblspoon of sour cream,some milk,salt and pepper.masuk spaghetti.dah siap.presentation fail tapi sedap.
for dinner bakar ayam je buat black pepper sauce then pair dgn mashed potatoes/gravy,steamed veggie and garlic bread.
pastu buat new york cheese cake.cheese cake ni mmg fav selalu buat pon sebab senang.
see,x yah masak susah2 pon.muhriz n muhsin kecik lagi,mkn kat rumah mmg lagi tenang sebenarnya huhu.
Halal food is not hard to find but almost all of them are kebab.Sayasuka kebab ni.Keluar every saturday confirm gi mkn kebab so anniversary tak mo lah makan kebab.I told hubby i wanted lobster.Kitorang masak yg paling simple hahaha tapi sedap probably sebab lobster pon dah sedap kan,tak payah nak masak complicated sgt.
Lunch:Broiled lobster with creamy spaghetti
Lobster tue hubby potong tgh dua,letak some butter,pepper and salt.masuk oven for 15mins
Spaghetti rebus till al dente.Tumis garlic and some onion(chopped),add some cappers(rasa masin2 goes very well with anything creamy),parmesan cheese and some grated cheese,2tblspoon of sour cream,some milk,salt and pepper.masuk spaghetti.dah siap.presentation fail tapi sedap.
for dinner bakar ayam je buat black pepper sauce then pair dgn mashed potatoes/gravy,steamed veggie and garlic bread.
pastu buat new york cheese cake.cheese cake ni mmg fav selalu buat pon sebab senang.
see,x yah masak susah2 pon.muhriz n muhsin kecik lagi,mkn kat rumah mmg lagi tenang sebenarnya huhu.
It means a mis-shapen head shape.Boleh disebabkan oleh position baby dalam perut mama or during birth atau sekiranya the baby is constantly lies or being hold or carried on one side.Muhsin sebab yg last tue,according to his paed,maybe kat NICU diorang asik pusingkan die ke kanan.Mama pon tak perasan shape kepala die dah lari sikit sebab kat NICU mmg tak boleh pegang sgt.
So his paed advised us to get this special pillow,cost us 20Euro tak silap.This thursday ada appointment dgn Orthopaedist,we'll see how it goes tgk Muhsin kene buat treatment ke tak.Mintaknya he is just favoring one side from the other,bukan sebab muscle problem.Sebab die boleh je toleh kiri tapi most of the time die akan pandang kanan.Dr Behren selalu ingatkan any stimulation kene dtg dari kiri.I have a problem with this sebab tak tahu kiri kanan.Kene fikir huhu.Good news is kepala baby lembut lagi so insyaAllah boleh betulkan balik .and it well start to get better once die dah pandai duduk/tak asik baring je.And it doesnot effect the development of the brain cuma cosmetic je lah but I do hope it'll get better.
So his paed advised us to get this special pillow,cost us 20Euro tak silap.This thursday ada appointment dgn Orthopaedist,we'll see how it goes tgk Muhsin kene buat treatment ke tak.Mintaknya he is just favoring one side from the other,bukan sebab muscle problem.Sebab die boleh je toleh kiri tapi most of the time die akan pandang kanan.Dr Behren selalu ingatkan any stimulation kene dtg dari kiri.I have a problem with this sebab tak tahu kiri kanan.Kene fikir huhu.Good news is kepala baby lembut lagi so insyaAllah boleh betulkan balik .and it well start to get better once die dah pandai duduk/tak asik baring je.And it doesnot effect the development of the brain cuma cosmetic je lah but I do hope it'll get better.
Weather sekarang sgt unpredictable kan,be it here in Hannover atau kat Malaysia pon sama je rasanya.This year we had prolonged winter,in April pon masih snow.Dhn after half a year bersejuk2 ada la sun kejap for 2 weeks in July.Too hot pula sampai ke 35Celcius.Last week the temperature dropped back to 14C so we thought Fall was here,so belikan adik winter suit ni siap2.
My baby hippo
Tapi tgk2 weekend panas balik so apa lagi,pi pekena ice cream jap.Our current fav flavor is Sneakers,best bangattt.
Hehe yg org pantang tgk ibu baru 3bulan bersalin dah makan ice cream jgn ckp bentan2 yeah,I is no like.Lain org lain badan.This time kite pantang ikut mat saleh yo!huhu actually masa beranak kat muhriz pon gi checkup sebulan dah suruh hubby beli air sejuk muehehe.Org kata jgn makan benda2 sejuk kan tapi kat sini menu kat ward bersalin pon hari2 diorang bagi fresh milk sejuk,yougurt sejuk.Saya makan je.Yougurt buat saya tak sembelit langsung,pastu minum air mineral at least 2bottlex1.5L,urine mmg clear je tak concentrated yg org Melayu panggil kencing kotor.Pastu lagi satu kalau org tua2 lepas beranak tak kasi byk2 gerak kan.Tapi according to my gynae,the only way nak kurangkan angin dlm badan is to move a lot which I did dan kesannya saya tak dak angin2 pon this time.Owh lupa nak ckp anakanda Muhsin,at 3months old,kamu dah ada gigi!His tooth buds are coming out so semlm masa checkup his paed prescribed some fluoride.Babah ckp ni mama la telan bergalloon2 yougurt huhu.
Ok bye.
My baby hippo
Tapi tgk2 weekend panas balik so apa lagi,pi pekena ice cream jap.Our current fav flavor is Sneakers,best bangattt.
Hehe yg org pantang tgk ibu baru 3bulan bersalin dah makan ice cream jgn ckp bentan2 yeah,I is no like.Lain org lain badan.This time kite pantang ikut mat saleh yo!huhu actually masa beranak kat muhriz pon gi checkup sebulan dah suruh hubby beli air sejuk muehehe.Org kata jgn makan benda2 sejuk kan tapi kat sini menu kat ward bersalin pon hari2 diorang bagi fresh milk sejuk,yougurt sejuk.Saya makan je.Yougurt buat saya tak sembelit langsung,pastu minum air mineral at least 2bottlex1.5L,urine mmg clear je tak concentrated yg org Melayu panggil kencing kotor.Pastu lagi satu kalau org tua2 lepas beranak tak kasi byk2 gerak kan.Tapi according to my gynae,the only way nak kurangkan angin dlm badan is to move a lot which I did dan kesannya saya tak dak angin2 pon this time.Owh lupa nak ckp anakanda Muhsin,at 3months old,kamu dah ada gigi!His tooth buds are coming out so semlm masa checkup his paed prescribed some fluoride.Babah ckp ni mama la telan bergalloon2 yougurt huhu.
Ok bye.
A temporary EP mom i hope.
Minggu before raya tue bfeeding week kan so rasa nak share my own bfeeding story.
Muhriz was weaned off the breast at 31months,and he was fully directfed,budak tak kenal botol =p
With Muhsin,it's a totally different story.Muhsin sendiri saya pertama kali jumpa die on his 3rd day.After the operation,the esophagus needed to rest hence no mouth feeding until the contrast test was done and the doctor gave an OK.So he was fed through IV or gavage feeding with TPN(Total Parenting Nutrition) for 8days after the repair.
Saya mula pump hari ke 3.Di ICU I was too sick to even get up.First thing the nurse tanya bila masuk normal delivery suite was whether I intended to breastfeed my baby.Of course I said yes though I knew Muhsin tak akan minum susu tue.Every 4 hours saya diingatkan to pump.Susu diorang hantarkan ke Milch Kuche(Milk Kitchen) untuk disimpan.Saya ditahan di ward sampai hari ke 8.Tiap kali ke bilik pump saya perlu bawa selain urine bag,2 lagi drainage bags utk drain darah dari uterus.Besides the c sect cut,the dr buat 2 more holes next to it to drain the excessive blood dari placenta accreta.Di leher ada 3 wires utk ubat dan blood transfussion.The dr called it central line,nurse ckp itu my necklace.Sakit memang.Sebab byk sgt accessory nie dan saya seorang2 di ward,hubby dtg dgn Muhriz around noon to 7pm je,kadang2 nurse yg tolong pasangkan pump,hantarkan pump ke bilik.Tapi most of the times saya jalan sendiri ke pumping room,kene jeling dgn visitor2 sebab byk pakai wire tu biasalah.Susah sikit lah tapi I had decided so I must do it.First few sessions mmg dpt sikit je around 10ml,itu normal.I learned that dgn Muhriz dulu.Sebab it was impossible to direct feed,pumping helped me to establish the milk.Alhamdulillah Allah mada it easy,no sore nipples,engorgement pon tolerable lah lagi.
Started day 8,Muhsin mula diberi breastmilk through tube+TPN(IV).He was on tube feeding sampai day 28.Bila saya sudah boleh pulang ke rumah,rutin saya,setiap pagi sampai ke hospital akan hantar susu dahulu.From day to day dr akan cuba kurangkan TPN dan increased breatmilk intake.Day 15,doctor ckp boleh stop TPN sebab Muhsin accepted my milk very well and blood test pon showed cukup nutrition.So I was beyond happy.Tapi kemudian timbul pula problem dgn vessel leakage.To stop the leakage,vessel tersebut perlu "rehat".In other words,Muhsin tidak boleh diberi any fat melalui mulut.Fat perlu terus ke dlm salur darah tanpa melalui vessel tadi.Jadi no breastmilk.Hanya boleh diberi Basic F yg hanya ada karbo.Sedih saya.Tapi saya redha sebab itu yg paling baik untuk dia sembuh.
Saya masih juga pump.Mesti pump so tak kacau production.Muhsin was on Basic F for 10 days.Hari ke 25 bila tiada lagi fluid keluar dari drainage,baru dr benarkan breastmilk semula.Day 29,sehari sebelum die dipindahkan ke surgical unit,they fed him with bottle for the first time.Alhamdulillah,he took his first bottle very well,tak ada problem.Saya pon try juga direct feed die but failed.I tried every time I went to visit him.Kadang die nak tapi most of the times die reject.
But I didnot give up.Giving up what's best for your baby is a waste.Sampai sekarang saya masih an exclusively pumping mama.Muhsin still rejects my breast tapi kami mmg plan tanak kasi die too attached with breast.Nanti kene admitted for next operation susah pula kan.So i pump every 3 hours.Selalunya dpt around 5oz.Malam pump once before tido dlm kul 10 lepas tue bgn dlm pukul 2.yg ni dpt byk sikit maybe before tido bantai minum air banyak2,susu banyak,badan pon rehat.So dpt lah around 8oz,paling byk dpt 10oz.Tgh mlm ni pump lama sikit sebab tak busy huhu.Siang before hubby comes back from office,bersilat jugak la nak handle both kiddo dan pump lagi.Tapi so far I manage it.Kadang tgh pump adik nangis,abg nak wee wee lah huhu.Morning session yg paling sibuk,nak pump,nak dukung baby,nak prepare bfast/bekal babah.Banyakk kali kene pump sambil dukung adik.Saya tak pernah miss pump so far,terlambat dlm half an hour biasa buat.Some said ada freestyle tak jamin susu byk.For me itu betul lah tapi ada freestyle adalah sgt handy,buat semuanya senang.Sambil pump sambil masak sambil pakaikan baju si sulong or bagi susu kat adik.Kalau kene pakai manual mau stress saya hihi.And I am lucky my hubby supports bfeeding as much as I do.Balik kerja tolong jaga anak while saya pump.Malam2 saya bgn pump die bgn bagi EBM kat Muhsin hehe
We are facing another challenge.Muhsin,though he drinks a lot 100mlx8-7times a day,he doesnot gain much.And the surgeon ckp he needs to be 5-6kg for the next operation.Patut operate end of this month tapi dipostpone sebab Muhsin baru 4kg.He didnot gain weight during the 38days hospital stay.Balik rumah baru naik berat.And we have a time constraint here,tak boleh afford to postpone operation beyond Oct.Syukur both his paed and surgeon are pro breastfeeding,so diorang ckp to continue bfeeding but they also prescribe an energy enhancer to be added to the EBM.The enhancer should help him to gain weight faster as it has added calory.Sebabnya the only way to add more calory in breastmilk is to express frequently dan saya tak pernah miss pump so there's nothing else I can do.So in his EBMe sekarang kene tambah Duocol,sikit je tapi dr ckp hujung2 pisau je sukatan dia.Dan saya juga buat macam ni,for each feeding,saya akan ambil 2 bottles EBM from fridge,EBM kan bila sejuk boleh clearly see fore/hind milk,part pekat/hind yg contains all the fat selalunya kat atas.So saya akan amik part yg pekat dari bottle first campur to 2nd bottle,letak dlm warmer and add a bit of Duocol.
These are my EBM.Told ya tak byk pon at one time ada 12bottles je.Dari muhriz saya sudah tahu saya ni bukanlah jenis kilang susu yg meriah tapi I believe in demand n supply concept;susu ibu mmg cukup utk anak.Saya tak simpan frozen EBM sebab kat rumah ni ada satu je fridge and I donot like the idea of storing EBM satu freezer dgn lauk2 mentah.So I just keep the EBM in the chiller,yg lebih dari 4 days akan dibuang.So far semuanya cukup for Muhsin.formula milk mmg tak ada pon kat rumah ni,insyaAllah akan cukup milk mama ni untuk kamu ok adik.Some people tak suka the idea of sharing gambar stock EBM,especially kalau yg stock banyak sampai penuh peti.Some ckp diorang riak susu meriah.For me,they are not.They deserve to be proud of the EBM they have collected sebab apa,they work for it.Bukan senang2 nak dpt penuh peti.Just ada niat tapi tak usaha tak akan dpt.Bukannya sehari nak penuhkan peti tue.Saya walaupon tak byk EBM dlm peti tapi everytime nak letak new ones saya akan kira berapa botol semuanya.psycho tak?hahaha
Saya selalu ingatkan diri each bfeeding journey is different and this time I have to fight extra hard for it.A successful bfeeding journey doesnot depends on how much you make but it's how much you want and work for it.Sebab itu org kata bfeeding is 90% determination and only 10% milk supply.
Ok penat dah type,I hope this arrangement(being an EP mom) is just temporary,tak sabar nak directfeed budak Muhsin ni.Tapi selagi saya boleh usaha,saya akan usahakan breastmilk for him.It might not be the best for every mom,but it's undeniably the best for your baby.
Minggu before raya tue bfeeding week kan so rasa nak share my own bfeeding story.
Muhriz was weaned off the breast at 31months,and he was fully directfed,budak tak kenal botol =p
With Muhsin,it's a totally different story.Muhsin sendiri saya pertama kali jumpa die on his 3rd day.After the operation,the esophagus needed to rest hence no mouth feeding until the contrast test was done and the doctor gave an OK.So he was fed through IV or gavage feeding with TPN(Total Parenting Nutrition) for 8days after the repair.
Saya mula pump hari ke 3.Di ICU I was too sick to even get up.First thing the nurse tanya bila masuk normal delivery suite was whether I intended to breastfeed my baby.Of course I said yes though I knew Muhsin tak akan minum susu tue.Every 4 hours saya diingatkan to pump.Susu diorang hantarkan ke Milch Kuche(Milk Kitchen) untuk disimpan.Saya ditahan di ward sampai hari ke 8.Tiap kali ke bilik pump saya perlu bawa selain urine bag,2 lagi drainage bags utk drain darah dari uterus.Besides the c sect cut,the dr buat 2 more holes next to it to drain the excessive blood dari placenta accreta.Di leher ada 3 wires utk ubat dan blood transfussion.The dr called it central line,nurse ckp itu my necklace.Sakit memang.Sebab byk sgt accessory nie dan saya seorang2 di ward,hubby dtg dgn Muhriz around noon to 7pm je,kadang2 nurse yg tolong pasangkan pump,hantarkan pump ke bilik.Tapi most of the times saya jalan sendiri ke pumping room,kene jeling dgn visitor2 sebab byk pakai wire tu biasalah.Susah sikit lah tapi I had decided so I must do it.First few sessions mmg dpt sikit je around 10ml,itu normal.I learned that dgn Muhriz dulu.Sebab it was impossible to direct feed,pumping helped me to establish the milk.Alhamdulillah Allah mada it easy,no sore nipples,engorgement pon tolerable lah lagi.
Started day 8,Muhsin mula diberi breastmilk through tube+TPN(IV).He was on tube feeding sampai day 28.Bila saya sudah boleh pulang ke rumah,rutin saya,setiap pagi sampai ke hospital akan hantar susu dahulu.From day to day dr akan cuba kurangkan TPN dan increased breatmilk intake.Day 15,doctor ckp boleh stop TPN sebab Muhsin accepted my milk very well and blood test pon showed cukup nutrition.So I was beyond happy.Tapi kemudian timbul pula problem dgn vessel leakage.To stop the leakage,vessel tersebut perlu "rehat".In other words,Muhsin tidak boleh diberi any fat melalui mulut.Fat perlu terus ke dlm salur darah tanpa melalui vessel tadi.Jadi no breastmilk.Hanya boleh diberi Basic F yg hanya ada karbo.Sedih saya.Tapi saya redha sebab itu yg paling baik untuk dia sembuh.
Saya masih juga pump.Mesti pump so tak kacau production.Muhsin was on Basic F for 10 days.Hari ke 25 bila tiada lagi fluid keluar dari drainage,baru dr benarkan breastmilk semula.Day 29,sehari sebelum die dipindahkan ke surgical unit,they fed him with bottle for the first time.Alhamdulillah,he took his first bottle very well,tak ada problem.Saya pon try juga direct feed die but failed.I tried every time I went to visit him.Kadang die nak tapi most of the times die reject.
But I didnot give up.Giving up what's best for your baby is a waste.Sampai sekarang saya masih an exclusively pumping mama.Muhsin still rejects my breast tapi kami mmg plan tanak kasi die too attached with breast.Nanti kene admitted for next operation susah pula kan.So i pump every 3 hours.Selalunya dpt around 5oz.Malam pump once before tido dlm kul 10 lepas tue bgn dlm pukul 2.yg ni dpt byk sikit maybe before tido bantai minum air banyak2,susu banyak,badan pon rehat.So dpt lah around 8oz,paling byk dpt 10oz.Tgh mlm ni pump lama sikit sebab tak busy huhu.Siang before hubby comes back from office,bersilat jugak la nak handle both kiddo dan pump lagi.Tapi so far I manage it.Kadang tgh pump adik nangis,abg nak wee wee lah huhu.Morning session yg paling sibuk,nak pump,nak dukung baby,nak prepare bfast/bekal babah.Banyakk kali kene pump sambil dukung adik.Saya tak pernah miss pump so far,terlambat dlm half an hour biasa buat.Some said ada freestyle tak jamin susu byk.For me itu betul lah tapi ada freestyle adalah sgt handy,buat semuanya senang.Sambil pump sambil masak sambil pakaikan baju si sulong or bagi susu kat adik.Kalau kene pakai manual mau stress saya hihi.And I am lucky my hubby supports bfeeding as much as I do.Balik kerja tolong jaga anak while saya pump.Malam2 saya bgn pump die bgn bagi EBM kat Muhsin hehe
We are facing another challenge.Muhsin,though he drinks a lot 100mlx8-7times a day,he doesnot gain much.And the surgeon ckp he needs to be 5-6kg for the next operation.Patut operate end of this month tapi dipostpone sebab Muhsin baru 4kg.He didnot gain weight during the 38days hospital stay.Balik rumah baru naik berat.And we have a time constraint here,tak boleh afford to postpone operation beyond Oct.Syukur both his paed and surgeon are pro breastfeeding,so diorang ckp to continue bfeeding but they also prescribe an energy enhancer to be added to the EBM.The enhancer should help him to gain weight faster as it has added calory.Sebabnya the only way to add more calory in breastmilk is to express frequently dan saya tak pernah miss pump so there's nothing else I can do.So in his EBMe sekarang kene tambah Duocol,sikit je tapi dr ckp hujung2 pisau je sukatan dia.Dan saya juga buat macam ni,for each feeding,saya akan ambil 2 bottles EBM from fridge,EBM kan bila sejuk boleh clearly see fore/hind milk,part pekat/hind yg contains all the fat selalunya kat atas.So saya akan amik part yg pekat dari bottle first campur to 2nd bottle,letak dlm warmer and add a bit of Duocol.
These are my EBM.Told ya tak byk pon at one time ada 12bottles je.Dari muhriz saya sudah tahu saya ni bukanlah jenis kilang susu yg meriah tapi I believe in demand n supply concept;susu ibu mmg cukup utk anak.Saya tak simpan frozen EBM sebab kat rumah ni ada satu je fridge and I donot like the idea of storing EBM satu freezer dgn lauk2 mentah.So I just keep the EBM in the chiller,yg lebih dari 4 days akan dibuang.So far semuanya cukup for Muhsin.formula milk mmg tak ada pon kat rumah ni,insyaAllah akan cukup milk mama ni untuk kamu ok adik.Some people tak suka the idea of sharing gambar stock EBM,especially kalau yg stock banyak sampai penuh peti.Some ckp diorang riak susu meriah.For me,they are not.They deserve to be proud of the EBM they have collected sebab apa,they work for it.Bukan senang2 nak dpt penuh peti.Just ada niat tapi tak usaha tak akan dpt.Bukannya sehari nak penuhkan peti tue.Saya walaupon tak byk EBM dlm peti tapi everytime nak letak new ones saya akan kira berapa botol semuanya.psycho tak?hahaha
Saya selalu ingatkan diri each bfeeding journey is different and this time I have to fight extra hard for it.A successful bfeeding journey doesnot depends on how much you make but it's how much you want and work for it.Sebab itu org kata bfeeding is 90% determination and only 10% milk supply.
Ok penat dah type,I hope this arrangement(being an EP mom) is just temporary,tak sabar nak directfeed budak Muhsin ni.Tapi selagi saya boleh usaha,saya akan usahakan breastmilk for him.It might not be the best for every mom,but it's undeniably the best for your baby.
Assalamualaikum
Hubby has been asking bila mau update blog.Since we have just few more months here,rasa nak merajinkan diri sikit lah update.Kang balik msia lagi lah malasnya internet tak berapa besh hihihi.Plus tatau lagi bila akan dtg balik ke Hannover nie,dtg pon kalau just ikut hubby dtg meeting kejap2 tue feelingnya mesti lain.
Hari ni I want to share pasal Muhsin,our little miracle.Muhsin turned 3months on 16 of August.Alhamdulillah balik dari hospital tak ada major issue except slow sikit to gain weight.Ini mmg of special concern because he needs to be 5-6kg before the next operation.
Muhsin was born unable to swallow.Part of his esophagus was not connected.So no connection to the stomach.A condition called Esopagheal Atresia with Trachea Fistula and can only be corrected with surgery.The upper part ended blindly like a pouch.And the lower part was wrongly connected to the windpipe/trachea.Statistic shows this condition is rare and happens only 1 in 4000 birth.It is more common in Europe/USA,kat Asia jarang.First I couldnot help but blame myself for his condition but his surgeons reassured me that nobody knows what cause this condition.
Remember my post on pregnancy complication?I had an excessive amnitioc fluid sampai kene drain out the fluid 2 times(each time the dr keluarkan 2L).That was because Muhsin was unable to swallow the fluid,sebab tue my fluid byk.Alhamdulillah didiagnos awal,so on the delivery day mmg surgeon Muhsin dah ready.They took him to NICU to do test and prepare for the operation.He was repaired on the 2nd day.I wasnot there as I was still in ICU after severe blood loss because of placenta previa and placenta accreta.
Muhsin spent 30 days in NICU and another 8 days in surgical units.Masa di NICU die experienced post operation issues like GERD(gastro reflux),pneumonia and on day 15,a dr approached my while I was waiting for visiting hours to start outside of the NICU and told me they needed to make a hole between his lung and thorax because there was liquid accumulating,this is called chylothorax.The liquid came from a leakage from a vessel that was probably injured during the operation.And the liquid caused problem in his breathing sebab tue kene intubated(dipasang breathing wire all the way to trachea) sampai 2 weeks.Kes biasa seminggu je.Sebab lama kene intubated ni,he lost his voice and we could only hear his little cry on day 28.
Looking at him now,we could not believe he got to go through all those in his early life.But he made it.He's a strong baby and we're so very proud of him.I hope this blog akan exist sampai Muhsin and Muhriz besar so they can read it and know how much hubby and I love them both.This phase is not over.2 more operations coming.Besides that,since this Esophageal Atresia(EA) falls under an association called VACTERL,muhsin was also sent for echocardiogramm to check his heart and we went to a cardiologist again last week to follow up.Alhamdulillah his heart is healthy and has no issue but the dr said it's good if we can come again to check before going back to Malaysia.And maybe check lagi sekali masa Muhsin umur 3 thn dan before going to school.Muhsin is on medication until now and maybe for the next few years.The challenge has not ended,we need to monitor kalau2 die ada problem later as common issues for a EA kid are stricture(narrowing),leakage and reflux.Narrowing causes food stuck.And acidic/gassy food/drink can initiate a reflux.Kami doakan none of this will ever happen to him.Bila rasa sedih saya selalu ingatkan diri yg Allah tak akan uji diluar kemampuan saya.Dan kalau saya rasa susah,saya akan ingatkan diri ada ibu2 yg lebih susah dari ini.Jgn merungut.Minta Allah bantu instead.Merungut dan bersedih is normal but not helping.
Semoga Allah memberikan kami kekuatan dan kemudahan didalam setiap urusan.A friend with also a special kid once wrote on her fb "Allah kurniakan anak2 istimewa utk ibu2 istimewa yg terpilih yg sabar dan tabah" Muhsin dan Muhriz are my life,lebih berharga dari everything else di dunia ini.Dan semoga Muhriz dan Muhsin membesar menyayangi satu sama lain,taat dan faham pada agama dan keluarga.Mama dan Babah love you both sgt kuasa berapa juta pon tak tahu :)
Esok mama tulis lagi sementara tgh mood rajin ni(Actually babah suruh hihi)
Oops if any reader is reading,selamat hari raya ye.Kami tak beraya mana pon kat sini :)
Hubby has been asking bila mau update blog.Since we have just few more months here,rasa nak merajinkan diri sikit lah update.Kang balik msia lagi lah malasnya internet tak berapa besh hihihi.Plus tatau lagi bila akan dtg balik ke Hannover nie,dtg pon kalau just ikut hubby dtg meeting kejap2 tue feelingnya mesti lain.
Hari ni I want to share pasal Muhsin,our little miracle.Muhsin turned 3months on 16 of August.Alhamdulillah balik dari hospital tak ada major issue except slow sikit to gain weight.Ini mmg of special concern because he needs to be 5-6kg before the next operation.
Muhsin was born unable to swallow.Part of his esophagus was not connected.So no connection to the stomach.A condition called Esopagheal Atresia with Trachea Fistula and can only be corrected with surgery.The upper part ended blindly like a pouch.And the lower part was wrongly connected to the windpipe/trachea.Statistic shows this condition is rare and happens only 1 in 4000 birth.It is more common in Europe/USA,kat Asia jarang.First I couldnot help but blame myself for his condition but his surgeons reassured me that nobody knows what cause this condition.
Remember my post on pregnancy complication?I had an excessive amnitioc fluid sampai kene drain out the fluid 2 times(each time the dr keluarkan 2L).That was because Muhsin was unable to swallow the fluid,sebab tue my fluid byk.Alhamdulillah didiagnos awal,so on the delivery day mmg surgeon Muhsin dah ready.They took him to NICU to do test and prepare for the operation.He was repaired on the 2nd day.I wasnot there as I was still in ICU after severe blood loss because of placenta previa and placenta accreta.
Muhsin spent 30 days in NICU and another 8 days in surgical units.Masa di NICU die experienced post operation issues like GERD(gastro reflux),pneumonia and on day 15,a dr approached my while I was waiting for visiting hours to start outside of the NICU and told me they needed to make a hole between his lung and thorax because there was liquid accumulating,this is called chylothorax.The liquid came from a leakage from a vessel that was probably injured during the operation.And the liquid caused problem in his breathing sebab tue kene intubated(dipasang breathing wire all the way to trachea) sampai 2 weeks.Kes biasa seminggu je.Sebab lama kene intubated ni,he lost his voice and we could only hear his little cry on day 28.
Looking at him now,we could not believe he got to go through all those in his early life.But he made it.He's a strong baby and we're so very proud of him.I hope this blog akan exist sampai Muhsin and Muhriz besar so they can read it and know how much hubby and I love them both.This phase is not over.2 more operations coming.Besides that,since this Esophageal Atresia(EA) falls under an association called VACTERL,muhsin was also sent for echocardiogramm to check his heart and we went to a cardiologist again last week to follow up.Alhamdulillah his heart is healthy and has no issue but the dr said it's good if we can come again to check before going back to Malaysia.And maybe check lagi sekali masa Muhsin umur 3 thn dan before going to school.Muhsin is on medication until now and maybe for the next few years.The challenge has not ended,we need to monitor kalau2 die ada problem later as common issues for a EA kid are stricture(narrowing),leakage and reflux.Narrowing causes food stuck.And acidic/gassy food/drink can initiate a reflux.Kami doakan none of this will ever happen to him.Bila rasa sedih saya selalu ingatkan diri yg Allah tak akan uji diluar kemampuan saya.Dan kalau saya rasa susah,saya akan ingatkan diri ada ibu2 yg lebih susah dari ini.Jgn merungut.Minta Allah bantu instead.Merungut dan bersedih is normal but not helping.
Semoga Allah memberikan kami kekuatan dan kemudahan didalam setiap urusan.A friend with also a special kid once wrote on her fb "Allah kurniakan anak2 istimewa utk ibu2 istimewa yg terpilih yg sabar dan tabah" Muhsin dan Muhriz are my life,lebih berharga dari everything else di dunia ini.Dan semoga Muhriz dan Muhsin membesar menyayangi satu sama lain,taat dan faham pada agama dan keluarga.Mama dan Babah love you both sgt kuasa berapa juta pon tak tahu :)
Esok mama tulis lagi sementara tgh mood rajin ni(Actually babah suruh hihi)
Oops if any reader is reading,selamat hari raya ye.Kami tak beraya mana pon kat sini :)
Assalamualaikum,selamat berpuasa semua
Muhsin came home on day 38,Saturday 22 June 2013.Ingat nak tulis our experience berulang alik ke hospital for more than a month tu tapi maybe later.Sekarang nak update pon tak sempat,kene berebut laptop dgn abg Muhriz satu hehe.Muhriz has been a wonderful big bro.Sayang kat adik,suka kiss adik.Bila Muhsin menangis,depending on his mood,dia akan dtg to his adik,pegang tangan adik or usap kepala dan ckp "Do not cry" :) Tapi ada time tak boleh tinggal die berdua sebab die still curious,habis mata hidung telinga adik kene picit =p.So dah almost a month.Sometimes bgn tido macam tak percaya my baby is home :) I remember,3 days before he was discharged from the surgical unit,the moment his surgeon told me Muhsin was ready to go home,I cried in disbelief.I'd been longing to take him home but was not too sure if I could look after him macam nurse2 and doctors there did.Too anxious and overwhelmed,I asked him "Do you think I can keep my baby safe and well at home?Should I watch his breathing?Over here they have this detector to monitor his oxygen intake,heartbeat but I have none at home,so what if he's struggling?What should I do??"berpuluh2 soalan keluar instantly.But he told me to relax,go home,talk to my husband,prepare and plan Muhsin's stuff,write down all the question and most importantly do not worry too much as I would manage it.Muhsin was sick,but that was before.Then he's fit and healthy so just treat him like Muhriz,like a normal baby.We walked away from the hospital nursery with a mixture of joy and insecure.But the surgeon was true.Muhsin has been an angel.Though his little cough can sometimes be frightening,but we manage and settle it.Just look at him now,budak gembira tapi suka sgt berdukung,jgn harap nak letak hehe.Thank you Allah for granting our doa and keeping him healthy
Muhsin came home on day 38,Saturday 22 June 2013.Ingat nak tulis our experience berulang alik ke hospital for more than a month tu tapi maybe later.Sekarang nak update pon tak sempat,kene berebut laptop dgn abg Muhriz satu hehe.Muhriz has been a wonderful big bro.Sayang kat adik,suka kiss adik.Bila Muhsin menangis,depending on his mood,dia akan dtg to his adik,pegang tangan adik or usap kepala dan ckp "Do not cry" :) Tapi ada time tak boleh tinggal die berdua sebab die still curious,habis mata hidung telinga adik kene picit =p.So dah almost a month.Sometimes bgn tido macam tak percaya my baby is home :) I remember,3 days before he was discharged from the surgical unit,the moment his surgeon told me Muhsin was ready to go home,I cried in disbelief.I'd been longing to take him home but was not too sure if I could look after him macam nurse2 and doctors there did.Too anxious and overwhelmed,I asked him "Do you think I can keep my baby safe and well at home?Should I watch his breathing?Over here they have this detector to monitor his oxygen intake,heartbeat but I have none at home,so what if he's struggling?What should I do??"berpuluh2 soalan keluar instantly.But he told me to relax,go home,talk to my husband,prepare and plan Muhsin's stuff,write down all the question and most importantly do not worry too much as I would manage it.Muhsin was sick,but that was before.Then he's fit and healthy so just treat him like Muhriz,like a normal baby.We walked away from the hospital nursery with a mixture of joy and insecure.But the surgeon was true.Muhsin has been an angel.Though his little cough can sometimes be frightening,but we manage and settle it.Just look at him now,budak gembira tapi suka sgt berdukung,jgn harap nak letak hehe.Thank you Allah for granting our doa and keeping him healthy
My baby angel
So very distant yet still before my soul
Watching through the glass wall
I seem to lost control
Ten tiny fingers ten even smaller toes
20 more reasons for me to see you grow
My baby hero
Be stronger,hold on
A world awaits for you,beyond this wall
I know in time you’ll see it all
You have a family, you’re not alone
We’ll be here with you
To love and care for you
Together we will see this through
My baby hero,we will help you come home
Day 35: I don't have the heart to put his photos dgn wires berselirat awal2 operate hari tue,with breathing tubes and stuff,yg itu we will keep for ourselves,hanya kami yg tahu betapa kuat budak mata bolat mama ni.My baby boy had a tough start of life but he made it.We're so very proud of you sayang!Now mama,babah and abang are counting days to take you home!
So very distant yet still before my soul
Watching through the glass wall
I seem to lost control
Ten tiny fingers ten even smaller toes
20 more reasons for me to see you grow
My baby hero
Be stronger,hold on
A world awaits for you,beyond this wall
I know in time you’ll see it all
You have a family, you’re not alone
We’ll be here with you
To love and care for you
Together we will see this through
My baby hero,we will help you come home
Day 35: I don't have the heart to put his photos dgn wires berselirat awal2 operate hari tue,with breathing tubes and stuff,yg itu we will keep for ourselves,hanya kami yg tahu betapa kuat budak mata bolat mama ni.My baby boy had a tough start of life but he made it.We're so very proud of you sayang!Now mama,babah and abang are counting days to take you home!
No more tubes =)
a kum
seriously i just donot know dari mana dtg this courage to write.Maybe after 13days,rasa i have to let it out.Hubby dah start keje and he's the only one yg i am comfortable talking to besides Muhsin's doctors and nurses.Alhamdulillah selamat melahirkan a beautiful baby boy on 16th of May,and we named him Muhsin.Nak sgt nama anak dekat2 sampai kadang2 tersasul jugak panggil Muhsin Muhriz.Muhsin is still hospitalized,he needs special care right now dan kami sgt berterima kasih for all the supports,doa and wishes from family and friends even ones yg tak pernah jumpa.
Semuanya sgt cepat.3 weeks ago i can still remember we had this appointment with my gynae to select the c-zer date.My actual EDD is 1st of June but according to her,it's no longer productive to wait closer to the EDD as my amniotic fluid started to build up again instead of going down.So she gave us 2 dates to deliver the baby,either on the 16th or 21st of May.We chose the first one sebab my bro was here,so adalah tukang jaga Muhriz.
Wednesday tue mmg busy kat rumah,masih ada baju Muhsin kene basuh,masak lauk siap2 utk 3 hari so diorang kat rumah nie tak kelaparan.Ingatkan semua akan smooth je macam beranakkan si Muhriz,3rd day dah boleh balik.Thursday tue kami bgn awal,5am dah bgn sebab dr suruh ada kat hospital around 7am,she said I was the first in line for the operation.Kissed Muhriz goodbye dan ckp nanti muhriz dtg tgk mama dan adik ye.Dlm kereta both hubby and I tak byk ckp,nervous dan rasa pelik.for the first time sepanjang beranakkan Muhriz ni,die tak ada dgn kami,sunyi pulak rasa even it was just 15mins drive.Arrived the frauenklinik 5mins to 7am,passed the Mutterpass to a midwife and she assisted us to a room;kene buat CTG seround dulu,then cucuk needle.Dah berpuluh kali rasa buat 2 bende ni,cucuk pon tak rasa apa dah.730am she came back to the room and told us that we needed to wait,tak jadi operate first sebab there's no bed dlm kinderklinik for adik nanti.Actually the day before my gynae dah call ckp pasal nie,but she said she will arrange sth so I boleh beranak on the 16th tue jugak.Then came my gynae ckp the same thing,kene tunggu kejap,sambil tue buat ultrasound.She was not happy with the amount of fluid I had so die kata akan arrange jugak caeserean for me hari tue,the other option was to have the operation over there,but since the NICU was full,my baby and I would to be transferred to another hospital yg actually closer to our home.Tapi Allah kan Maha Kuasa,in less than 5 mins,somebody called her ckp they're going to transfer another elder baby to that hospital,Alhamdulillah boleh proceed dgn operation tapi dah kene potong queue sekarang jadi no 3.Sambil tunggu hubby pasang surah Maryam dan recited Al Quran,sit next to me and hold my hands,kami tunggu je.Not much talking.
10:20am,came the dr.She said my turn was next.She just wanted to do another ultrasound again,nak tgk location placenta.Bad news was the placenta lied exactly underneath the old incision(yg beranakkan Muhriz).So she must make a cut through the placenta.Kacau placenta means heavy bleeding,but we had no other choice.Pastu die ckp see you in 10mins.Dah nervous,berdoa sgt2 dipermudahkan dan selamat semuanya.Hubby dah tukar to hospital cloth,he looked happy tapi boleh nampak die pon sama nervous dgn I. Then they pushed me to the operation room.Ramainya staff and they were all busy doing this and that.Midwife usap2 ckp everything was gonna be okay.The anaes came and introduced herself in English.Explained to me yg die akan inject 2 needles on my back,first one was the local anaes,the 2nd one was the spinal anaes but i wouldn't feel the 2nd one sebab masa tue yg 1st dah in effect.Masa inject ni hubby was told to wait outside.Seriously tak rasa sakit macam cucuk time muhriz dulu,rasa cam kene gigit semut api je.Then they assisted me to lie down,on the operation table.Kaki started to feel numb,tangan kene spread out and all sort of wires being passed by.And they gave me some oxygen,this time pon tak ada rasa nak muntah macam Muhriz jugak.Pastu they lifted up my gown buat macam tabir dan hubby pon dtg dok sebelah.The doctors consistently tanya I okay ke tak,did i feel anything strange?Saya ckp boleh rasa lagi kaki nie tapi makin numb rasanya.They said it's ok as long as I tak rasa pain kat tummy kan sebab they already started the operation.What?patut la rasa kene tenyeh2 perut.It wasnot painful but a bit uncomfortable,senak2 je.In less than 10mins,dgr macam bunyi air tumpah,so I asked them did my water break?Sure it did sebab lepas tue dgr suara baby.Tanya hubby "boy ke" hubby ckp "aah".Muhsin was delivered at 11:40am alhamdulillah.As been told before,sebab Muhsin might need special care after birth,they would straight away rush him to NICU,so I pon mmg tak sempat tgk dan pegang.
Hubby went to see Muhsin kejap then came back to sit next to me.But I started to rasa penat nak tutup mata.Tgk jam kat tangan doctor yg jaga my oxygen dah 11:55am.Rasa tadi die ckp patut boleh settle in 1 hour but now dah 55mins macam boleh rasa diorang still working on my tummy,macam tgh suck sth je.Tiba2 macam kecoh,hubby was told to wait outside because I was experiencing some bleeding and I knew something was wrong sebab the dr started to inject needles on weird places and marked them Arteries.The aneas came to me with a mask and told me everything was going to be okay,i just need to sleep.Lepas letak mask tue mmg blank,no dream,tak rasa apa2.I woke up with a greet from a nurse,tanya how was I doing?I didnot answer but asked her back where was I.In ICU she said and she would call hubby to see me.Nampak jam kat dinding,it was 630pm,maknanya sudah pengsan for 6.5 hours.
Hubby came in and I asked him what happened?He told me there's a bleeding but everything was under control and I was okay.And what about Muhsin?Hubby ckp they examined him and he might need an operation tomorrow.So it was really happening.The esophageal atresia the dr diagnosed antenally was really hitting him.I wanted to cry but too sick to do so.One minute I was so glad to deliver him "safely" but the next I was so sorry for what he needs to go through later.I asked for his photo,if hubby had taken any.He's perfect,looks exactly like abang Muhriz masa kecik2,muka bulat,rambut hitam,pipi gemok.Ada wires hooked to him but he didnot look like he's in pain,tido je.
Sebab ICU sorang visitor je boleh masuk at one time,hubby took turn with my brother.Muhriz was not allowed to come in.I heard my brother,who is also medical staff ,asking the dr how much blood being transfussed to which the dr said 7 units and instantly i saw his eyes got teary.7pm and they were told the visiting hour was over and to come again tomorrow afternoon.So saya keseorangan terbaring di situ dgn bunyi machine.Far from my expectation.Far from what I was ready for.Unlike the 1st delivery,everything was so smooth,keluar je operation terus dpt pegang baby.Lying alone helplessly to even lift up my legs,I wanted to cry so much tapi suara macam hilang dan wires sgt byk,kat leher ada 3 needles dan 3more on each arms,dan ada di chest jugak,not needles tapi yg detect heart beat tue,dunno what is it called.Besides the urine bag,they hook 2more bags to drain blood from the operation,so ada 2 lubang dr buat on my tummy close to the incision.Letih sgt i slept straight dari hubby balik sampai the next morning.
Paginya baru I discovered what had really happened to me,sebab dr yg operate tue dtg visit then cerita.Yes cutting through the placenta caused the bleeding,but the other thing was the placenta stucked to the uterus so the dr had a hard time removing it and I bled so much that they have to leave a small part of it in there,it's called placenta accreta or sth.They even told hubby that they were going to remov my uterus if the bleeding didnot stop.
Then the dr ckp "I was so scared".I got what she meant,I almost lost my life.I lost almost 3liters of blood but the tranfusion saved my life.A normal person with weight 70kg has around 5liters of blood and I was only 50kg pregnant lady.So 3liters was more than a lot for me.Alhamdulillah Allah bagi lagi peluang untuk bernafas.Of course I still cannot understand how serious the whole situation was tapi sampai sekarang hubby doesnot want to talk much about it.Cuma asyik ckp betullah ibu nie gadai nyawa just to deliver a baby.Sebelum ni I asik tanya why does one need a blood transfusion.Sekarang sgt2 berterima kasih kepada penderma darah.
Now after 14 days alhamdulillah dah almost fully recovered,tinggal lubang drainage je belum tertutup betul.Terima kasih ya Allah.I got discharged after 8 days.Spent 3 days lying in the ICU and the rest in the normal unit.But that's not important anymore.My Muhsin masih di hospital,to whoever reads this blog,please makes doa for him,semoga cepat sembuh ye.Tenkiu
seriously i just donot know dari mana dtg this courage to write.Maybe after 13days,rasa i have to let it out.Hubby dah start keje and he's the only one yg i am comfortable talking to besides Muhsin's doctors and nurses.Alhamdulillah selamat melahirkan a beautiful baby boy on 16th of May,and we named him Muhsin.Nak sgt nama anak dekat2 sampai kadang2 tersasul jugak panggil Muhsin Muhriz.Muhsin is still hospitalized,he needs special care right now dan kami sgt berterima kasih for all the supports,doa and wishes from family and friends even ones yg tak pernah jumpa.
Semuanya sgt cepat.3 weeks ago i can still remember we had this appointment with my gynae to select the c-zer date.My actual EDD is 1st of June but according to her,it's no longer productive to wait closer to the EDD as my amniotic fluid started to build up again instead of going down.So she gave us 2 dates to deliver the baby,either on the 16th or 21st of May.We chose the first one sebab my bro was here,so adalah tukang jaga Muhriz.
Wednesday tue mmg busy kat rumah,masih ada baju Muhsin kene basuh,masak lauk siap2 utk 3 hari so diorang kat rumah nie tak kelaparan.Ingatkan semua akan smooth je macam beranakkan si Muhriz,3rd day dah boleh balik.Thursday tue kami bgn awal,5am dah bgn sebab dr suruh ada kat hospital around 7am,she said I was the first in line for the operation.Kissed Muhriz goodbye dan ckp nanti muhriz dtg tgk mama dan adik ye.Dlm kereta both hubby and I tak byk ckp,nervous dan rasa pelik.for the first time sepanjang beranakkan Muhriz ni,die tak ada dgn kami,sunyi pulak rasa even it was just 15mins drive.Arrived the frauenklinik 5mins to 7am,passed the Mutterpass to a midwife and she assisted us to a room;kene buat CTG seround dulu,then cucuk needle.Dah berpuluh kali rasa buat 2 bende ni,cucuk pon tak rasa apa dah.730am she came back to the room and told us that we needed to wait,tak jadi operate first sebab there's no bed dlm kinderklinik for adik nanti.Actually the day before my gynae dah call ckp pasal nie,but she said she will arrange sth so I boleh beranak on the 16th tue jugak.Then came my gynae ckp the same thing,kene tunggu kejap,sambil tue buat ultrasound.She was not happy with the amount of fluid I had so die kata akan arrange jugak caeserean for me hari tue,the other option was to have the operation over there,but since the NICU was full,my baby and I would to be transferred to another hospital yg actually closer to our home.Tapi Allah kan Maha Kuasa,in less than 5 mins,somebody called her ckp they're going to transfer another elder baby to that hospital,Alhamdulillah boleh proceed dgn operation tapi dah kene potong queue sekarang jadi no 3.Sambil tunggu hubby pasang surah Maryam dan recited Al Quran,sit next to me and hold my hands,kami tunggu je.Not much talking.
10:20am,came the dr.She said my turn was next.She just wanted to do another ultrasound again,nak tgk location placenta.Bad news was the placenta lied exactly underneath the old incision(yg beranakkan Muhriz).So she must make a cut through the placenta.Kacau placenta means heavy bleeding,but we had no other choice.Pastu die ckp see you in 10mins.Dah nervous,berdoa sgt2 dipermudahkan dan selamat semuanya.Hubby dah tukar to hospital cloth,he looked happy tapi boleh nampak die pon sama nervous dgn I. Then they pushed me to the operation room.Ramainya staff and they were all busy doing this and that.Midwife usap2 ckp everything was gonna be okay.The anaes came and introduced herself in English.Explained to me yg die akan inject 2 needles on my back,first one was the local anaes,the 2nd one was the spinal anaes but i wouldn't feel the 2nd one sebab masa tue yg 1st dah in effect.Masa inject ni hubby was told to wait outside.Seriously tak rasa sakit macam cucuk time muhriz dulu,rasa cam kene gigit semut api je.Then they assisted me to lie down,on the operation table.Kaki started to feel numb,tangan kene spread out and all sort of wires being passed by.And they gave me some oxygen,this time pon tak ada rasa nak muntah macam Muhriz jugak.Pastu they lifted up my gown buat macam tabir dan hubby pon dtg dok sebelah.The doctors consistently tanya I okay ke tak,did i feel anything strange?Saya ckp boleh rasa lagi kaki nie tapi makin numb rasanya.They said it's ok as long as I tak rasa pain kat tummy kan sebab they already started the operation.What?patut la rasa kene tenyeh2 perut.It wasnot painful but a bit uncomfortable,senak2 je.In less than 10mins,dgr macam bunyi air tumpah,so I asked them did my water break?Sure it did sebab lepas tue dgr suara baby.Tanya hubby "boy ke" hubby ckp "aah".Muhsin was delivered at 11:40am alhamdulillah.As been told before,sebab Muhsin might need special care after birth,they would straight away rush him to NICU,so I pon mmg tak sempat tgk dan pegang.
Hubby went to see Muhsin kejap then came back to sit next to me.But I started to rasa penat nak tutup mata.Tgk jam kat tangan doctor yg jaga my oxygen dah 11:55am.Rasa tadi die ckp patut boleh settle in 1 hour but now dah 55mins macam boleh rasa diorang still working on my tummy,macam tgh suck sth je.Tiba2 macam kecoh,hubby was told to wait outside because I was experiencing some bleeding and I knew something was wrong sebab the dr started to inject needles on weird places and marked them Arteries.The aneas came to me with a mask and told me everything was going to be okay,i just need to sleep.Lepas letak mask tue mmg blank,no dream,tak rasa apa2.I woke up with a greet from a nurse,tanya how was I doing?I didnot answer but asked her back where was I.In ICU she said and she would call hubby to see me.Nampak jam kat dinding,it was 630pm,maknanya sudah pengsan for 6.5 hours.
Hubby came in and I asked him what happened?He told me there's a bleeding but everything was under control and I was okay.And what about Muhsin?Hubby ckp they examined him and he might need an operation tomorrow.So it was really happening.The esophageal atresia the dr diagnosed antenally was really hitting him.I wanted to cry but too sick to do so.One minute I was so glad to deliver him "safely" but the next I was so sorry for what he needs to go through later.I asked for his photo,if hubby had taken any.He's perfect,looks exactly like abang Muhriz masa kecik2,muka bulat,rambut hitam,pipi gemok.Ada wires hooked to him but he didnot look like he's in pain,tido je.
Sebab ICU sorang visitor je boleh masuk at one time,hubby took turn with my brother.Muhriz was not allowed to come in.I heard my brother,who is also medical staff ,asking the dr how much blood being transfussed to which the dr said 7 units and instantly i saw his eyes got teary.7pm and they were told the visiting hour was over and to come again tomorrow afternoon.So saya keseorangan terbaring di situ dgn bunyi machine.Far from my expectation.Far from what I was ready for.Unlike the 1st delivery,everything was so smooth,keluar je operation terus dpt pegang baby.Lying alone helplessly to even lift up my legs,I wanted to cry so much tapi suara macam hilang dan wires sgt byk,kat leher ada 3 needles dan 3more on each arms,dan ada di chest jugak,not needles tapi yg detect heart beat tue,dunno what is it called.Besides the urine bag,they hook 2more bags to drain blood from the operation,so ada 2 lubang dr buat on my tummy close to the incision.Letih sgt i slept straight dari hubby balik sampai the next morning.
Paginya baru I discovered what had really happened to me,sebab dr yg operate tue dtg visit then cerita.Yes cutting through the placenta caused the bleeding,but the other thing was the placenta stucked to the uterus so the dr had a hard time removing it and I bled so much that they have to leave a small part of it in there,it's called placenta accreta or sth.They even told hubby that they were going to remov my uterus if the bleeding didnot stop.
Then the dr ckp "I was so scared".I got what she meant,I almost lost my life.I lost almost 3liters of blood but the tranfusion saved my life.A normal person with weight 70kg has around 5liters of blood and I was only 50kg pregnant lady.So 3liters was more than a lot for me.Alhamdulillah Allah bagi lagi peluang untuk bernafas.Of course I still cannot understand how serious the whole situation was tapi sampai sekarang hubby doesnot want to talk much about it.Cuma asyik ckp betullah ibu nie gadai nyawa just to deliver a baby.Sebelum ni I asik tanya why does one need a blood transfusion.Sekarang sgt2 berterima kasih kepada penderma darah.
Now after 14 days alhamdulillah dah almost fully recovered,tinggal lubang drainage je belum tertutup betul.Terima kasih ya Allah.I got discharged after 8 days.Spent 3 days lying in the ICU and the rest in the normal unit.But that's not important anymore.My Muhsin masih di hospital,to whoever reads this blog,please makes doa for him,semoga cepat sembuh ye.Tenkiu
Assalamualaikum
ok sambung sebab terajin plus si muhriz masih di lalaland(dah 9am!).So masa buat detail ultrasound,the specialist found out that my amniotic fluid(AF) was more than the normal range,my biggest pool around 9cm kot.normal range is between 6-8cm.Since saya nie tak diabetic,they investigated further itu yg check sampai ke umbirical cord etc.So reason air byk still unconfirmed,kene tunggu adik baby keluar but hopefully it has got nothing to do with his digestion insyaAllah.
Sebab placenta mmg covers cervix,too much AF is not desirable as it can put excessive pressure on the placenta,boleh buat heavy bleeding and early delivery.Plus byk sgt air boleh kacau baby punya development.So since 9cm is considered early stage of polyhydramios,my gynae ckp kene prepare lah,kalau reading naik sampai around 12cm,die akan buat AF reduction,i.e take out some fluid from my tummy using needle!cuakk mak.tapi i've done this before untuk buat amniocentesis utk buat chromosome test,which turned out clear dari any chromosomal abnormalities Alhamdulillah syukur.Tapi yg tue amik just 20ml,ini the dr said she's going to take out around 2L.sebotol lebih air mineral,mana mama tak takot.
After 2 weeks we came back.Betul lah,reading dah naik to 11.8cm,so I was admitted for the procedure.Side effect nya,reducing the fluid boleh sebabkan contraction,imagine our uterus is like a balloon,bila keluarkan angin die,sure akan ada some activity pada balloon tue.tapi the dr akan inject a few drugs to ease it.I was 31weeks masa tue,of course la kalau boleh tamau terberanak awal kan.Risau jugak kalau the dr drained too much but she said normally akan ada around 6L of amniotic fluid,but i have around 8L!No wonder perut macam watermellon,nak jalan mmg susah,paling teruk heartburn,kalau tido mmg asik terjaga nak menangis sebab sakit.Once die injected the needle on my big belly(at the same time drip 2 drugs to increase my/baby's heartbeat,lg satu lupa utk apa),dr akan monitor the progress through ultrasound.It took around 40mins,to take out 2L of AF and sepanjang 40mins tu boleh nampak adik baby dok pegang2 jarum huuu scary I was so afraid he would injured his finger!Everytime baby main with the needle akan rasa senak perut,masa nie nak termuntah pon ada(dr ckp sebab the medication akan naikkan my blood pressure),so tak ada lah nak bergambar apa.Once it was done,nurse tunjuk my AF 3 bottle huhu,still rasa nak muntah.They pushed me to the labor room utk buat CTG dan diorang akan monitor for contraction or kalau2 heart rate baby turun.Buat CTG straight for 4 hours okay,sakit bontot sampai.Dah la dari pagi kene puasa.Muhriz and hubby were next to me all the time,kat labor room muhriz punya la tak dok diam busy main dgn benda2 org nak beranak,the big ball,ape ntah lagi,risau je mak.Alhamdulillah no contraction detected,so I was released,boleh balik rumah tapi kene bedrest lah kejap.
Since week 28 lagi mmg pegi weekly checkup,so every week mmg dr akan monitor the AF level and the position of the placenta.so last week(week 35),again AF reading naik to 12cm,so kene buat another drainage.Yg lainnya this time 1)I moved a bit during the drainage sebab nak muntah,and it caused some bleeding,instead of keluar air,dari wire tue nampak keluar blood sebab needle terkena uterus.so dlm 1st bottle tu air jadi color merah(contained blood),nasib baik tak byk sgt and it didnot hurt adik 2)I had some contraction afterward,ini mmg mencuakkan.So what they did was to keep on increasing the drug intake to the point yg buatkan tangan saya shook like crazy,but it worked Alhamdulillah.After 8 hours on drip,the contraction stopped and I was allowed to go home.Hubby dgn muhriz balik dulu sebab little one was restless,around 10pm the dr released me so they came back utk amik mama.
Next week ada appointment,dah boleh decide on the delivery date(c-sect) insyaAllah,doa mama semoga adik baby sihat2 je,mama dgn babah tak kisah bersusah susah dan bersakit sakit for you :) since dah 3 kali kene warded in less than 3 months nie,penah jugak ckp kat hubby no.3 kene tunggu lagi 4 tahun la,kene tunggu mama hilang takot dulu hehe.
ok sambung sebab terajin plus si muhriz masih di lalaland(dah 9am!).So masa buat detail ultrasound,the specialist found out that my amniotic fluid(AF) was more than the normal range,my biggest pool around 9cm kot.normal range is between 6-8cm.Since saya nie tak diabetic,they investigated further itu yg check sampai ke umbirical cord etc.So reason air byk still unconfirmed,kene tunggu adik baby keluar but hopefully it has got nothing to do with his digestion insyaAllah.
Sebab placenta mmg covers cervix,too much AF is not desirable as it can put excessive pressure on the placenta,boleh buat heavy bleeding and early delivery.Plus byk sgt air boleh kacau baby punya development.So since 9cm is considered early stage of polyhydramios,my gynae ckp kene prepare lah,kalau reading naik sampai around 12cm,die akan buat AF reduction,i.e take out some fluid from my tummy using needle!cuakk mak.tapi i've done this before untuk buat amniocentesis utk buat chromosome test,which turned out clear dari any chromosomal abnormalities Alhamdulillah syukur.Tapi yg tue amik just 20ml,ini the dr said she's going to take out around 2L.sebotol lebih air mineral,mana mama tak takot.
After 2 weeks we came back.Betul lah,reading dah naik to 11.8cm,so I was admitted for the procedure.Side effect nya,reducing the fluid boleh sebabkan contraction,imagine our uterus is like a balloon,bila keluarkan angin die,sure akan ada some activity pada balloon tue.tapi the dr akan inject a few drugs to ease it.I was 31weeks masa tue,of course la kalau boleh tamau terberanak awal kan.Risau jugak kalau the dr drained too much but she said normally akan ada around 6L of amniotic fluid,but i have around 8L!No wonder perut macam watermellon,nak jalan mmg susah,paling teruk heartburn,kalau tido mmg asik terjaga nak menangis sebab sakit.Once die injected the needle on my big belly(at the same time drip 2 drugs to increase my/baby's heartbeat,lg satu lupa utk apa),dr akan monitor the progress through ultrasound.It took around 40mins,to take out 2L of AF and sepanjang 40mins tu boleh nampak adik baby dok pegang2 jarum huuu scary I was so afraid he would injured his finger!Everytime baby main with the needle akan rasa senak perut,masa nie nak termuntah pon ada(dr ckp sebab the medication akan naikkan my blood pressure),so tak ada lah nak bergambar apa.Once it was done,nurse tunjuk my AF 3 bottle huhu,still rasa nak muntah.They pushed me to the labor room utk buat CTG dan diorang akan monitor for contraction or kalau2 heart rate baby turun.Buat CTG straight for 4 hours okay,sakit bontot sampai.Dah la dari pagi kene puasa.Muhriz and hubby were next to me all the time,kat labor room muhriz punya la tak dok diam busy main dgn benda2 org nak beranak,the big ball,ape ntah lagi,risau je mak.Alhamdulillah no contraction detected,so I was released,boleh balik rumah tapi kene bedrest lah kejap.
Since week 28 lagi mmg pegi weekly checkup,so every week mmg dr akan monitor the AF level and the position of the placenta.so last week(week 35),again AF reading naik to 12cm,so kene buat another drainage.Yg lainnya this time 1)I moved a bit during the drainage sebab nak muntah,and it caused some bleeding,instead of keluar air,dari wire tue nampak keluar blood sebab needle terkena uterus.so dlm 1st bottle tu air jadi color merah(contained blood),nasib baik tak byk sgt and it didnot hurt adik 2)I had some contraction afterward,ini mmg mencuakkan.So what they did was to keep on increasing the drug intake to the point yg buatkan tangan saya shook like crazy,but it worked Alhamdulillah.After 8 hours on drip,the contraction stopped and I was allowed to go home.Hubby dgn muhriz balik dulu sebab little one was restless,around 10pm the dr released me so they came back utk amik mama.
Next week ada appointment,dah boleh decide on the delivery date(c-sect) insyaAllah,doa mama semoga adik baby sihat2 je,mama dgn babah tak kisah bersusah susah dan bersakit sakit for you :) since dah 3 kali kene warded in less than 3 months nie,penah jugak ckp kat hubby no.3 kene tunggu lagi 4 tahun la,kene tunggu mama hilang takot dulu hehe.


































