Showing posts with label Twins. Show all posts
Showing posts with label Twins. Show all posts

Tuesday, September 23, 2014

Breastfeeding Twins - First few days..

Delivery was at HUKM via C-Sect at about 9.10PM and 9.11PM -  http://buzzymummydiary.blogspot.com/2014/09/week-38-c-sect-delivery-at-hukm.html

Okay, my bundle of joy only popped out after 9PM at night and the nurses wheeled me back to the ward after all the 'cooling down' procedures. I only had a glance of my twin son right after the C-Sect. My twin girl was sent away for monitoring due to the drop in her body temperature.

Back at the ward, I asked my Hubby for pictures of the twins. The Nurses just would not let me see them. They only told me to rest and sleep through the night. They would only let me see the twins in the morning and they were definitely not joking about it. I did not really sleep well as I could hear babies crying from the nursery. First thing that popped into my mind was.. could that be my Lil Jas or Lil Jus? I even called for the Nurse and she simply told me that my twins were sleeping very soundly. I gave up asking for them and dozed off.

The next morning, I was asked to tidy up my place. I just had my C-Sect last night and by 9am, I was already expected to go to the toilet on my own, bathe (I did.. :p), tidy up my place and only after that, they allowed me to see my twins.

They wheeled me Lil Jas and Lil Jus.. I was alone at that time as it was not yet the Visiting Hours. Lil Jus was sleeping so peacefully and Lil Jas was looking a little more stressed up. In just a little while, she was already nursing at my breast. She was 2.62kg, so much smaller compared to her big brother, Jen who was 3.65kg at birth.

A little while after that, looked at Lil Jus. He did not wake up. And again, Lil Jas woke up for another round of nursing. And a while more, another round! But Lil Jus did not wake up at all from his 'beauty' sleep. I got worried.

Called for the Nurses. One came and started stroking his feet, even tried to slap him on his feet. He only flinched a little and went back to sleep. Back to Slumberland.. By about 1PM, I called for the Nurse again and they brought Lil Jus to the nursery. Believe they fed him with a little formula by force to prevent dehydration.

We stayed another night at HUKM. It was a government hospital and they sort of lacked manpower. We Mummies at the ward took care of our own babies, twins or not, they were ours right after they were 'released' from the Nursery. That included nursing, changing diapers and clothes and etc.. Lil Jas slept with me on the bed since she was nursing so frequently whereas, sleepy Lil Jus slept soundly in his own cot.

Next morning came and quickly, we 'checked' out of the hospital. I needed more pairs of hands to help take care of the twins. Nonetheless, they did not take anything other than 'Mummy's golden liquid' and it was quite a relief that I managed to pull through the night and day smoothly.

So, yes, first few days, it is definitely possible for twins to survive only by breastfeeding.

Friday, May 25, 2012

Week 33 - Pre-Natal Check Up at HUKM

Yippie! Hubby managed to take leave from work and he could accompany me for my check up this time! Easy, he just dropped me at the entrance and meet up with me after parking the car. We reached early with our McDonalds breakfast in hand.

Needed to pay RM40 again this time for the check up and ultrasound scan. As usual, got my waiting number, took my Blood Pressure, Weight, Urine Test and then waited for my turn to do the ultrasound scan.

The waiting took quite a while but it was okay since we took our breakfast while waiting for it. Read a bit of the newspaper and then it was my turn. A young man did the scan for me this time. Hubby was allowed into the room with me. Little boy was head down whereas Little Girl's head was at the top of my belly. They were both about 2.1kg each now.

After a short while, it was my turn for Doctor's consultation. This time, Doctor commented that the level of amniotic fluid for my little girl was okay whereas my little boy a little more, borderline. The shocking thing at this appointment was that, the Doctor asked if I would like to consider vaginal delivery. Never came across to me since my first appointment with my Gynae at the Pantai Cheras Hospital that I would consider vaginal delivery. He told me from the very first appointment that I would have to go for C-Section for my twins' delivery since my 1st Little Jen was delivered via C-Section and the fact that I was carrying twins made it riskier to consider vaginal delivery. However, of course, I was delighted at the thought of having a chance to deliver my twins vaginally.

The Doctor scheduled me for my next appointment 3 weeks later which would be the 36th week. Hmm.. carrying twins.. I thought appointments shold be closer now but he scheduled to see me only 3 weeks later and that week, he would look forward to an answer from me on my decision to either deliver vaginally or through C-Section.

Week 31 - Pre-Natal Check up at HUKM

This time's check up, I had to go on my own again. That meant driving to the hospital and go through the check up and then drive home on my own. Too bad Hubby could not accompany me since he had to work. Okay, I thought, I could do this, not a problem. I woke up early, sent my Little Jen to my mother in law's place and drived through McDonalds on the way to get a set of breakfast meal with an additional ala-carte egg mcmuffin. Planned to take my breakfast while waiting at HUKM.

Unfortunately, it took me A WHOLE HOUR to look for a parking spot! I finished the Hash Brown in the car since I was already too hungry to wait. I was basically stuck in a merry go round in the parking lot for the whole hour looking for parking spot and the whole area was jammed with cars!

My appointment was at 10am and i reached the parking lot at 8.45am. Usually, the patients will arrive half an hour to an hour earlier than their scheduled appointment to drop their appointment book and wait for their turn. I arrived on the dot this time.

Paid RM40 for the check up and ultrasound scan, got my waiting number, took my Blood Pressure, weighed myself and took the Urine Test. While waiting for my turn to do the Ultrasound scan, I took one of my McMuffins. This time, a young lady did the scan. She asked me to lie down and then, she went out to speak to her colleague on something. I had to sit up while waiting since I could not lie down for long, my belly was just too heavy and I could feel cold sweat on my forehead already. That was not too nice, by the way. Oh.. and no ultrasound pictures for mummy too..

Waiting for the check up after the scan took really long. Finished my other McMuffin while waiting since I was already hungry. It was already past noon and I was still waiting. The Doctor said that I had too much amniotic fluid and that might be a sign of diabetes. So, despite having a negative glucose test in the previous check up, I had to go through another round of glucose test. Both my twins are at about 1.7 and 1.8kg now. Very close to 2kg! Great.. just hang in there for few more weeks..

As they were worried about my high amniotic fluid level that they said might lead to premature labour, they scheduled my next appointment 2 weeks later.

Week 28+ - Detailed Scan at HUKM

Interesting day today. I shall be able to see my twins again.

UNFORTUNATELY, Hubby could not take leave from work and I had to go on my own to HUKM. I went early and reached slightly past 8am but by the time I reached, there was a heavy downpour at HUKM. I wanted to use the Valet Parking service but it was full. So, I had to go for the normal parking. Looking for parking slot took a little time and effort since I had to stop my little car at a spot and hope for a car to leave. Finally.. managed to get a good spot. BUT then, my umbrella was at the car boot! Oh, gosh. I had to push my driver's seat to the back and then climb out of my seat to the back passenger seats to reach for the umbrella. Imagine me with my big belly doing that!

Walked through the heavy rain slowly and went up the long flight of staircase at the parking area as carefully as I could. By the time I reached the building, I was feeling damp all over. My feets were soaking wet.

I waited for about an hour for my turn to scan. Luckily I brought the newspaper along.

When it was my turn, the Sonographer told me that he would have his trainee to scan me for about 15 minutes and then he would do the scan again for me to re-confirm. However, in less than 10 minutes, I was already feeling hot flushes in my cheeks and cold sweat appearing on my forehead! The Sonographer realised that I was too quiet and asked me to take a break. He said that normally for twins pregnancy, Detailed Scan would be done at week 21 and never later than week 24. He had a twin mummy passing out during the scan itself once and he understood very well the burden that I was carrying. It was just too heavy for me to bear while laying flat down.

After the short break, he did the scan himself - Thank God for that! And, he allowed me to lie sideways with raised back instead of flat. He first scanned my little twin boy. My boy was so cooperative, he managed to get all the required details at one go. He even gave me a 3D picture of my boy's face! He looked so much like his Daddy!


Then, he allowed me to go for another break since scanning each baby would take about 30 minutes. Throughout the scan, he kept asking me if I was feeling uncomfortable and needed a break. I was his last patient that morning and he told me that was why he could take his time to finish the scan.

My little twin girl was not as cooperative. The Sonographer tried and tried and even spoke to her but she just refused to turn over him to have a good look at her. After a total of about 45 minutes, he gave up. He said that she was just too active and shy at the same time.

Overall, they were both healthy and actively moving inside. Mummy had too much amniotic fluid which meants Mummy would have to suffer carrying the big belly with extra weight but they were both having fun inside due to the extra space. Hmm.. :)

Friday, March 30, 2012

Week 27 - 1st Prenatal Check Up at HUKM

On 1st of March, 2012, I went to HUKM Obs & Gyn Unit for registration and to make an appointment with the Referral letter from my Gynae. The Nurses seemed quite helpful and set my appointment on the 15th of March, 2012 at 10am. She gave a form for new registration, told me to fill it up and come back again on the 15th of March for my first appointment. She told to come 30 minutes earlier than the appointment time at 10am so that I would not have to wait for too long for my turn. Usual waiting time can be as long as 3-4 hours and if we are lucky, it can be as short as 1 hour only.

15 Mar 2012 - Went to HUKM for my first appointment with Hubby. After dropping my registration form and waiting for about 30 minutes, I was requested to make payment of RM50 for new registration and given a number. Immediately after that, I sat at the area where they measure the blood pressure and weight. Soon, it was my turn. Blood pressure good.. Weight.. Hmm.. 69.5kg. Then, went for urine check. Had to take our own container from a small window before the toilet, pee in it, bring it to the small window again to be tested. Glucose and protein okay. Washed the container and threw it into a bin for 'Hazardous Biological Waste'.

After that we waited for my turn to do the Ultrasound. Since this is my first time at HUKM, I was asked to do ultrasound. After about 30-45 minutes, finally it was our turn. Hubby entered the room with me. The sonographer kept asking me if I have 1 or 2 placenta and I kept telling her that I am having a boy and a girl. Should obviously be 2 placenta then. Till the end, she was still unsure and had to ask a colleague in to confirm. Laying down flat for the ultrasound was really difficult for me. I was already having cold sweats and gas was building up in my tummy. I just had to let go some gas in the worst manner possible immediately when I stood up. Hubby gave me a weird look (>.<).

Another long wait outside the Doctor's room. Since Hubby was allowed to go in for the ultrasound, we thought that he could also join me in the Doctor's room BUT NO. There were 2 Doctors in the room, each with their own patient. So, for privacy, Hubbies were not allowed into the room. The Doctor seemed pretty young. She asked me a few questions and then examined my belly. Then, requested that I take the Glucose Test and do Detailed Scan. These are so-called standard procedures for twins pregnancy. Glucose Test was scheduled on the 26th of March and Detailed Scan on the 27th of March. I am to see her or her team's Doctor on the 12th of April, 2012.

Overall experience? Not too bad, all staffs are friendly and helpful so far. They are also willing to explain patiently whenever I ask any questions. Just too crowded but.. no reason not to be crowded, it is a government hospital. Why not?...

Look What I've Found - Breastfeeding Twins!

From Bump To Breastfeeding Extra: Breastfeeding Twins or More from Best Beginnings on Vimeo.

Wednesday, March 21, 2012

Week 24 - Check Up at Pantai Cheras

This month, Mummy weighed 67kg at the clinic (but at home, the scale was only showing 65). Got a comment from the Nurse, "Wah.. Manyak gemuk.." What a comment but I could not blame her. I put on 7kg this time based on their records. This round I could not blame the festive season for the extra weight since it was history.

Ultrasound scan showed that my girl was about 735g whereas my boy was about 635g. Doctor mentioned that the weight difference was okay. However, I only got the ultrasound picture for my boy. Was not able to get my girls' because of her position.


I got a referral letter from Doctor so that I could go to HUKM for my subsequent check ups. Doctor was very neutral on our decision to consider delivering at HUKM. He even advised to go for the fully government and not the private UKM since we stated cost of delivery as a reason for the consideration. I fully agreed since the private wing of UKM's cost could easily matched my own Doctor's. If so, no reason for me to change my Doctor.

Wednesday, February 22, 2012

Government or Private Hospital..

Have chatted with a few Mummies on an online forum regarding their C-Sect experience with HUKM. Glad to hear some good comments as in the stitches were great and they had fully support and guidance to breastfeed their newborns after deliveries.

A Medical student that graduated from UKM commented that only Doctors were allowed to handle C-Sect whereas Medical students were only allowed to assist in normal deliveries. If this is true, hmm.. there should not be any harm in trying out for a C-Sect at HUKM.

Anyway, having twins is a good enough reason to be classified as a high risk case, I guess.

This Saturday shall get a referral letter from my Gynae. Then, next week, shall go to HUKM to register and make an appointment. They do not accept walk-in cases, according to the nurse on the other line. >.<

Tuesday, February 21, 2012

Twins via C-Sect - Where to deliver?

Headache.. Now that I am a month away from my 3rd trimester, I am really taking into consideration the cost for delivery of the twins. My Doc at Pantai Cheras is great and has been taking good care of me and my precious twins. However, the total cost for delivery via C-Sect is really a mind-boggling issue.

We paid about RM7000 for my C-Sect including a 3 days, 2 nights stay, medicine, baby care and lab testings when I delivered Little Jen in 2010. It was a planned C-Sect and all went smoothly. This time with twins, we are just afraid that the bill may be really high. At least we know that the cost will not be double unless if any of us need any special care/treatment.

Checked with HUKM today and the cost of delivery via C-Sect for twins will be RM1855 all-in. From my tele-conversation with the nurse on the other line, the drawbacks of delivering there to my opinion are (1) You will get a team of Doctors to attend to you instead of one personal Doctor and (2) Visitors including Hubby are only allowed to visit during visiting hours. The good thing is that Hubby can be with me during C-Sect. Forgot to ask about trainees being present during delivery..

The private wing of UKM, UKM Specialist Center on the other hand allow visitors at all time and patients are allowed to choose their Doctor depending on availability. No trainees will attend to Mummies and Mummies will only be attended by Doc and nurses. The cost for C-Sect to deliver twins - RM6000-7000, provided it is a normal C-Sect without any complications. In case of any need to admit the babies to the NICU, they will be sent to HUKM. UKM Specialist Centre does not have their own NICU facilities.

Hmm.. I shall have to discuss with my Doc on the estimated cost when I see him next.. this Saturday!



Breastpumps.. What to Choose?

With all the emphasis on the importance and benefits of breastfeeding, many new mummies are opting to breastfeed rather than feeding their precious ones with formula milk. Same goes to me.. I breastfed my Little Jen exclusively for 6 months and then continued until 8 months after which I started him on formula milk during the day. Being a working Mummy, my pump was my best friend especially during the first 8 months. I survived with a single electronic Avent UNO pump.

Now that i am expecting twins, I am not too sure if I can cope with only a single electric pump. I had to pump both sides every 4-5 hours and each side would take up to 10-15 minutes to reach the 5 oz mark. Each pumping session would take about 20-30 mins. On good days, I could complete the pumping within maybe 15 mins. For twins, I shall have to double the time and effort but I am not too sure if I can stand spending so much time 'milking' myself. It sounds almost impossible with a single pump. 

With a dual pump, I can pump both sides simultaneously and may just have 20 oz within a good 20-30 mins. This means I can focus more on my work or just reward myself with more rest time. 

To know whether a single or dual pump is better is easy and here comes the difficult part...

The single Avent pump costed me RM899 when I bought in 2010. A dual pump now can easily cost me more than RM2000. It may be worth the price if you compare the price tag with the total cost for formula milk 6 months to a year down the road, for twins. BUT, I still think it is really pricey. 

To buy a new unit from US sounds like a good option, since the price is less than half the local price of Avent Duo. BUT.. my Avent Uno broke down once right after 1.5 months of heavy pumping. I had to send it to the service center in Damansara and lived with the manual pump for a whole month. I have to think twice about buying an imported unit without any local warranty. 

A friend I knew from an online social network suggested me to try Ardo Calypso. She commented that it was better than Ameda and quieter than Medela. From online search, it seems like the service center is the same as Ameda's and no bad comments on the service. This is a closed system, so, less likely the milk will get into the pump system and get contaminated or cause contamination. 

The price? Less than RM1000 for the dual pump. 

Looking forward to seeing the real thing during the coming Motherhood 2012 expo at KLCC this 24-26 Feb. Hopefully I can see the display set.. :-) 

Monday, February 20, 2012

Week 20 - Twins.. A Boy and who?

Finally the morning sickness episode is out of the way and the increase in the weight department is really making progress here. Mummy gained a whopping 5kg in the past month! Dr. Chow made a remark by saying, "Wah, gained so much weight this month!" I casually put the blame on Chinese New Year non-stop dining and snacking.. and of course, I could not tell him that I was having at least 2 slices of barbequed pork every day with avocado and bread! Yummy recipe for mid-morning, mid-evening and sometimes, supper as well!

This time, again, Doc scanned thoroughly to give us the answer we had been waiting for whole month-long. He scanned and scanned and finally after what we described as a long wait, he announced, "The other twin is a GIRL!" Oh.. goodie, we are having a boy and girl twins! Hubby put on a wide smile on his face and I sighed with relief. I finally had the license to buy PINK!

Our boy...
Our girl...
They were about 370g each and were both growing well. Praying for their good health with each and every passing day!

Week 16 - Twins.. Boys, Girls or Both?

In the 4th month visit to Dr. Chow, Doc was trying hard to see the gender of both twins. One was easily identified since the legs were kept wide open for some time. Twin A is a BOY for obvious reasons. By now, we are still not sure if we are having fraternal or identical twins. So, we have to wait for Twin B to show us who he/she is.

During this visit, I was still having my morning sickness.

When I conceived Little Jen, my morning sickness went off by the time I was about 4 1/2 mths and I put on 5kg in my 4th month of pregnancy. I could still remember the nurse asking me, "Selera makan ek?" with a wide grin on her face. The morning sickness made me lost about 2kg and regaining 5kg was good news.

This time with twins, I lost a little weight and maintained my pre-pregnancy weight until the 3rd month, after which I gained 2kg.  Probably cause the twins were not being too choosy on their choice of food or cause I already roughly knew what type of food I could manage down my throat. All I knew was that I was always hungry! And oh, I was also craving for sweets all the time, lots of them.

Doc was already asking me to slow down on my sugar intake due to suspected gestational diabetes in previous pregnancy.. :p

Week 12 - Discovery of the Twins

On the day that marked the 3rd month of my second pregnancy, Hubby and I decided to visit the same specialist that delivered our Little Jen on the 7th of July, 2010. He was able to give us the confidence that everything was well inside and that I would be in good hands when it was time to meet my newborn.

The Gynae was not chosen based on online research or recommendations but simply a walk in case after a sad episode of my life just 2 months before I conceived Little Jen. He is Dr Chow at Pantai Cheras, KL. Not a man of words but he seems sure of what he does and believes.. by the way, he has already passed the standard retirement age.

Prior to the consultation, the nurses were asking me to drink lots of water, "No, that one small bottle will not be enough, my dear. Drink more.." Ops, I could not take anymore or else, I would vomit. So, she said, "Then okay, just don't vomit and don't pee just yet." Morning sickness was bad at that time, even water seemed too difficult for me to swallow.

Actually, before we visited the Doc, I was a little afraid that Doc might just be unhappy that I got pregnant after a C-Sect when my son just passed his first birthday. Surprisingly, they looked happy, the nurses and my Doc.

Before the scan, Doc asked if I had drank enough water. I showed him the small bottle of water and he looked pessimistic that he would be able to scan anything. After a short while with the ultrasound scanner, he showed me and Hubby that there were 2 little sacs. We could not understand what he was trying to show us and the nurse just smiled. He then asked my Hubby, "Can you see 2 inside?" My Hubby turned to me as if saying, how the heck should I know if there is one or two.. What was what?

Then the Dr. Chow announced that we were having TWINS! I was so shocked I started trembling a little. Hubby seemed to have turned white. I asked Doc if he was sure and then still could not believe my eyes, I asked the nurse. Hmm.. yes, TWINS! And, their hearts were fluttering in the scan.

Dr. Chow said that there would be a lot of complications to expect during twins pregnancy. First, starting with morning sickness which would be doubly worse since I would have double the hormones. Then, twins are bound to be delivered early, probably 2-3 weeks earlier.

He was not kidding. I ended up in bed most of the time due to morning sickness which got worse by evening and night. I vomited more than I did during my first pregnancy.

That was the beginning of a 6 1/2 months wait...