I have two
uncomplicated full term spontaneous vaginal delivery (SVD) prior to this
pregnancy. My pregnancy usually carries till 39th week and after
show I will usually in my active phase of labour 6-7hrs before delivery. My
babies range from 3.0-3.15kg before. I was thinking of something more natural
with the pain killers part.During my first delivery I requested IM nubine, but
felt too exhausted and dizzy ..i took nubine when I was 5-6cm dilated and not
soon after that I delivered. The effect of nubine really troubled me and I felt
so horrible.
For my
second delivery I tried effective breathing technique taught by k.nor. Sadly
towards the end of labour, I felt exhausted sampai menggeletar seluruh kaki
tangan that I decided to take enthonox gas. Relieved but was somewhat bruised
with the painkiller, I needed something more natural to help with labour pain…
Hence I
decided to do waterbirth for this pregnancy not long after my senior MO dr
herlina’s presented on 9 soalan tv9. Fully inspired and overzealous, I browsed
thru the internet to find out more on waterbirthing. Eventho waterbirth is so
popular overseas, it is still new in msia. There are only 2 places in msia to
do waterbirth, one in Pantai Hospital Bangsar and the other one in Gleanegles
Penang.
I contacted
Pantai Hospital and made an appointment with Dr Idora. Semuanya bermula dari
situ… sembang2 dengan Dr Idora, I was actually the 3rd planned
waterbirth so far after dr herlina and the other one patient. Pantai usually
handles waterbirth with the other male Chinese dr, Dr Chung. From my first
visit, doctor also advised me to take some form of relaxation therapy to pair
my waterbirth with so that it can be more effective. She passed me Mdm Swai Han’s
no ( hypnobirthing therapist) and I headed back to Terengganu.
The next
week, I called up Mdm Swai Han and sembang panjang 2 about hypnobirthing. She
posted me the book on Hypnobirthing and 2 relaxation therapy cd’s in case I
have no time to attend the hypnobirthing class. As I live far far away in tganu, I just registered for
the class very near to my EDD.
I must
admit that the hypnobirthing is the best book about pregnancy and labour that
I’ve ever read before. X ingat the 4 basic techniques of hypnobirthing; but the
one yang really effective is the Breathing, Visualisation and Relaxation. Visualized
yourself in a red strawberry mist, let the mist surround your hand and arms and
now it feels numbs.. yadda yadda yadda…
The next
part is choosing a birth companion. Who else if not zaujiy habiby? Hehe yang
part ni agak payah sket sbb my hubby jenis yang tak bape nak sporting plus
malu2 kucing nak buat light touch massage..even ajak masuk skali dalam air dia
gelikan darah la plak..huhu.. but after so much pleading he turns out the best
birth companion EVA!
THE DAY!
The day
came when I had my show around 5am. Memang terasa sakit sangat pinggang sampai
kebas peha2 n perut mengeras irregularly. Strong enough sampai rasa nak
menggeletar. Betul dah kut ni.. jom bi pegi hospital. So kitorang relax
sembang2 ..take our own sweet time together.. bila sakit datang baca kuat2 Laa ilaaha illa anta..subhanaka inni kuntu minaz-zolimeen...
Sampai kat
emergency nurse A+E bawak naik ke labour room dengan wheel chair. Biasanya
mesti nak nangis sbb rasa really helpless tapi haritu tak plak. Rasa excited
nak try waterbirth, tapi dalam hati tak putus2 doa supaya CTG ok and boleh
deliver as planned.
They did
CTG and Alhamdulillah Nampak ok, heart beat maintain 135-140bpm, dengan
contraction sampai 70 pun still tak nampak Type 1 decelleration ke..
Alhamdulillah sangat .. sbb masa Syifa’ dulu mmg perasan ada decel rupanya masa
lahir ada cord round neck tight…
So sbb dah
sign consent for waterbirth, they put me in the waterbirth suite. Nice suit (tapi
better kat prince court. Kan best kalau
ada waterbirth kat Price court *sigh*) VE time tu os 4 cm, tapi still tubular n
posterior ( bishops score tak favourable sangat) repeat VE by Dr Idora adalah
dalam 4-5cm, but cervix dah anterior..alhamdulillah. Dr said “so Fatiha, if u
want to main2 dalam air boleh masuk dah k..if sakit boleh masuk ya… “
If ikut
perjanjian dengan Dr before, there are certain case yang takleh buat
waterbirth, Post date, CTG tak cantik, poor progress, baby kecik ie IUGR, air ketuban tak cukup
atau lebih ( Oligohydromnios @ polyhydromnios..) and the list goes on.. sbb tu
I really2 pray before this to avoid complications and make waterbirth happen..
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refreshing the techniques.. |
Hence
makan2 dulu, no hook to the CTG machine, jalan sikit2, buang air etc.. bila
rasa dah mula nak sakit lelebih sket, I nak masuk air la. Rupanya once kita
masuk air, staffnurse akan tunggu n observe kita.
Alangkah
gembiranya bila masuk air, tergolek terlentang main2 air.. I did all the
maneuvers – all 4’s, supine, frog like, but the best suits me to relieve pain
is the left lateral and supine. Ada stool dalam pool so that bila nak buat all
4’s I’ll go to the stool sangkut dagu kat brim pool and start hypnobirthing..
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filling in the pool with warm water..there's inflated stool at the base.. |
Sangat
perlu untuk buat endorphine releasing technique. That’s the main idea of
relaxation. To release endorphine and to avoid cathecolamines. If u are in
fear, cathecholamines akan banyak dalam badan thus inhibiting uterus to relax,
body jadi spasm and the baby cannot naturally get into the pelvic bone.
Antara
technique utk release endorphine adalah Light Touch Massage. Here our birth
companion kena buat very light touch at our back, from sacral ( tulang ekor @
tailbone) buat bentuk V ke atas sampai shoulders. Buat sampai naik goosebumps..
tu yang release endorphine n u will feel relax..
The other
one is distraction. My husband did light touch n cakap je’’ imagine baby nak
masuk dah tu.. bagi baby keluar.. relax.. jangan cramp kan kaki.. You know it’s
a very simple phrase.. but really really helpful…
Ada duckie
pakai sunglasses yang akan maintain water dalam pool 37-37.5 degrees..so u know
when the water getting cold, the nurse will cedok air pakai pail besar n
masukkan warm water baru..
The other
thing is you need to get out from the pool to urinate. Geli jugakla if ter PU
dalam air. Hence bergerak adalah nak dekat 6-7x gak kuar masuk pool untuk PU.
Help with the mobilization part.
The time
comes when I SROM ( spontaneous rupture of membrane) in the pool. I was in All
4’s position and the urge comes so strong and pushhh..membrane pun rupture..
time tu contraction mmg sangat strong.. they did VE I was fully.. Dr came into
the scene.. waiting for me to BREATHE my baby..
Now this is
the part I like most. Hypnobirthing lets you breathe your baby not PUSH your baby.
Gentle breathing to BREATHE your baby towards its canal. I can feel my baby encroaching thru the pelvis and
sooner after I felt the ring of fire. Teringat sangat dengan kak kama punya
pesan..” if dah fully pun jangan teran lagi, tunggu sampai dah rasa tak leh nak
tahan sangat baru berakkan..baru la tak koyak..
Huhu..
really kak kama, I breathe slowly and steadily.. dekat depan dah ada my
staffnurse, dr andn 1 hypnobirthing nurse waiting for me to breathe my baby..
When the ring of fire ( really berapi rasa kat perineum tu) I takbir and
ALLAHUAKBAR! My baby was born!
Rasa cam
dalam mimpi when dr angkat baby n put her onto my chest. Yang ni pun cord round
neck jugak. But we release the cord dari baby’s neck and with cord still
attached, I was directed to go out from the pool onto the bed.
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my pool of blood.. |
Dari atas
bed, my husband got to cut the cord and after that placenta was out. NO
syntometrin given at all,. I was repaired for 1st degree tear.
Really ini first time bersalin without episotomy. I was so relieved. Sket je
tear.
I was to
hug my baby long enough..enough to initiate breastfeeding, do bonding and skin
contact. My baby looks like syifa’ …sayang anak ummi!
Alhamdulillah,
a VERY EXCITING n adventurous journey
with my baby. Introducing our first water baby-
AMNAA
SAFIYYAH BT MOHD NASRUL MUHAIMIN,
WATERBIRTHED
@ 20/12/2012 4.13PM, PANTAI HOSPITAL BANGSAR
BURIKA LAKI BIL MAUHUB, WA SYAKARTIL WAHIB, WA RAZAQTI BIRRAHU, WA BALAGHA ASYUDDAH..
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thanks abg hakim n kak nurul for visiting..:) |
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my family..opah mi n ntuk waled now has 3 grandchildren..along next month insyaALLAH.. |
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jemur amnaa yang nampak clinically jaundice..bang ngah sibuk nak pegang muka amnaa..:) |