36 Weeks - Prenatal Check Up

Today is my 36 weeks prenatal check up. I arrived Metro IVF, Puchong branch at 10:00 a.m. As usual, I registered myself then proceeded to do urine test. It tested negative result. Then I weighted myself 65 kgs. Dr. Siva was not around, so I will see Dr. Tee Swi Peng. I'm the no. 6th to see doctor. 

While waiting for doctor, I passed the letter regards to the echocardiogram test result to Ms. Chiang, so that she could attached the letter in my folder for doctor Tee to read. In the letter, the cardiologist Dr. Tiang Soon Wee from KPJ Damansara Hospital said my BP 110/64 mmHg, echo showed small VSD, good EF 62%, with normal chambers and normal valves, as such I should be able to deliver normally.

After 40 mins of waiting, it's my turn to see Dr. Tee. Dr. Tee read thru my folder (as the last two visits were done by Dr. Siva). Then he took my blood pressure, it's fine. 

Then Dr. Tee proceeded to do ultrasound to scan baby's head circumference, leg, tummy and heart beating. The amniotic fluid is enough. Everything is fine. At first Dr. Tee said baby weighted 2.4 kgs but after a few seconds he said 2.2 kgs. Dr. Tee didn't comment baby's weight is light. I was a bit surprised knowing it. Anyway, hope my baby can catch up his weight in the last few weeks.

Dr. Tee asked my preferred method of delivering baby. I answered Dr. Tee if I could and able to deliver naturally, then I wish to deliver naturally. My hubby asked Dr. Tee would it be too far (not enough time) for us to reach the hospital in Klang by time I'm going to labor. To ease our doubts, Dr. Tee explained to us the signs of giving birth as below;
1. Strong and regular contractions (3-5 mins apart)
2. Water breaks
3. Bloody vaginal discharge 

Dr. Tee also explained for the first time mother-to-be, it takes at least 6 hours for cervix to fully dilated (10cm). 

34 Weeks - Prenatal Check Up (11 Aug 2017)

Yesterday was my 34 weeks prenatal check up. Hubby and I arrived Metro IVF, Puchong branch at 9:30 a.m. I registered myself and heading to do an urine test. It's a negative result. My weight was 64 kg which I'd gained 1 kg in two weeks time. 

I waited around 5-10 mins to see Dr. Siva again this check up as Dr. Tee Swi Peng was not arrives yet and hubby didn't sleep yesterday night, so I wanted to make it quick. First, Dr. Siva would asked how was I feeling the past two weeks. She checked my legs and foots and commented it's better than the last check up. It didn't see any difference to me. Followed up on the last phone call, she said she'd confirmed with Dr. Tee Swi Peng, it's better for me to do an echocardiogram test as I'd a ventricular septal defect (VSD) since I was born. VSD is a hole in the wall (septum) separating the ventricles of the heart. According to my pediatric doctor, the VSD size is like a pen ball size, no treatment is required even though it doesn't close spontaneously. But I still need to do follow up check up and to let doctors know if I'm undergoing any surgery.

Then Dr. Siva did ultrasound screening to check baby's head circumference size, tummy size, leg size and heart beating. She also checked and measured my tummy by her hands. Then she checked my blood pressure, everything was fine. I asked Dr. Siva should I consume extra calcium as my fingers are pain. She claimed that it's quite normal to have it due to the extra fluid in my body. She suggested me to put my hands up on my pillow when I sleep. Besides, I also asked her can I consume red raspberry leaf tea, evening primrose oil (EPO) and do perineal massage after my 35 weeks pregnancy for easier labour, she said I can drink red raspberry leaf tea but no EPO and massage.

32 Weeks - Tetanus Toxoid (TT) Vaccine (2nd Injection) (28 July 2017)

Yesterday was my 32 weeks prenatal check up. As usual hubby and I were arrived at Metro IVF, Puchong branch at 10:20 a.m. I registered myself at the counter and been informed that there were 8 patients ahead me. The nurse was asking me whether do I mind to see Dr. Siva so that I don't have to wait long to see Dr. Tee Swi Peng. I answered her that I didn't mind to see Dr. Siva as it's just a routine check up and I didn't experience any uncomfortable during my pregnancy except tiredness and heartburn (sometimes). Then I proceeded to do urine tests. It's tested with a negative result. No suspected preeclampsia and diabetes. I felt relieved as I'm 63 kg which had gained 1 kg in two weeks time (which is normal)😅. Actually I targeted to gain 10 kg only in my whole pregnancy, it seems I'd failed. I wonder why I didn't eat double portion of foods but still gained weight. So far I already gained total of 11 kgs in my pregnancy, on the remaining time, I don't bother my weight anymore, just enjoying eating and to treasure the remaining time of my pregnancy. 

First, Dr. Siva read thru my file and was asking did I feel breathless. I told her yes when I went shopping, I felt tiredness and breathless. Then she was asking and checking whether do I have swollen feet and legs. I told her yes I did, it's a bit. After that, she checked my blood pressure, it's fine, no high blood pressure. She also listened to my heart beating. I assume it's fine as she didn't says anything. She proceeded to do an ultrasound scan to check how is baby doing. Before the scanning, she used her hands to measure my tummy. She told me that the baby's head was going down but not fully down into my pelvic. Then she proceeded to scanning, first, she checked baby's position then the head circumference, tummy, leg and heart beating. She showed me the baby's sex organ, it's a boy. I requested Dr. Siva to scan baby's face as I wanted to see him. I'm feeling satisfied and happy even though I can't see him clearly.😂😂 Dr. Siva concluded baby's growing on track and weighted around 1.9 kg. Last but not least, Dr. Siva didn't forget to inject me the 2nd dose of Tetanus Toxoid (TT) vaccine.

30 Weeks - Prenatal Check Up (14 July 2017)

Last Friday was my 30 weeks prenatal check up. As usual, I arrived the Metro IVF, Puchong branch clinic at 10:20 a.m. I registered myself and been informed I have to wait today because I'm the no. 5 to see doctor. Then I proceeded to do urine test. It's tested fine, no high glucose and protein contains in the urine. The most scary part every prenatal check up is to weight because I don't weight at home, worrying my weight will gain a lot. My weight was 62 kg which I'd gained 10 kgs in total in 30 weeks of pregnancy.  

I noticed that the clinic keeps expanding because they added new chairs again (2nd time) and patients are becoming more.    I'd waited for 1 hour only my turn to see doctor Tee Swi Peng. First, doctor Tee took my blood pressure. It's fine. Then I proceeded to do ultrasound. Baby's head circumference and tummy was growing on track. His heart beating still there. I started to feel baby is moving a lot recently. I noticed that baby is moving strongly especially during morning 5-6 a.m., evening 3-5 p.m. and night 11 p.m.-12 a.m. It's really amazing!    

Tomorrow is the launching of 2nd laboratory in Metro IVF, Puchong branch. It means patients can choose to do IUI, eggs retrieval and embryos transfer in Puchong instead going to Klang. It's a great news and bring convenience to patients. Once again congratulations to Metro IVF, Dr. Tee Swi Peng & all staffs.

28 Weeks - Tetanus Toxoid (TT) Vaccine (1st Injection)

Today is my 28 weeks prenatal check up (I'm entering the third trimester pregnancy). Hubby and I arrived at Metro IVF, Puchong branch at 10:45 a.m. As usual, I proceeded to do an urine test to test for protein and glucose. It's tested ok. Then, my weight is 61 kg which I've put on 1 kg in two week.    

After waiting for half an hour, it's my turn to see doctor Tee Swi Peng. Doctor Tee measured blood pressure for me, it's fine too. Then Dr. Tee proceeded to do an ultrasound scan for me. I were glad knowing that my baby's position is still head down feet up. Baby's head circumference, heart beating, leg size and tummy are all growing on track. His weight is 1.1 kg now😊(big boy already). 

After that, doctor Tee told us he was going to inject Tetanus vaccine for me. Another vaccination will be given in four weeks later. He was trying to explained to us that this vaccination is to give an early protection to mummy and baby (thru placenta) to prevent the risk of tetanus. Not all private hospitals are giving this vaccine to mummies and the government hospitals are still practicing this. I felt muscle pain after the injection.

According to the babycentre website, "Tetanus is a life-threatening bacterial disease that is caused by the toxin of a bacterium called Clostridium tetani. 

Tetanus bacteria enter the body through an open wound. Although the tetanus infection is more common when there is a deep puncture wound such as a bite, cut, burn or an ulcer, it may well be caused by a tiny prick or scratch on the skin. 

Tetanus affects a person's nervous system and can be fatal if left untreated. It is preventable through immunisation. Antibodies formed in your body, after the vaccination, are passed on to your baby and protect her as well for a few months after birth".

26 Weeks - 3D/4D Ultrasound Scan

Today I awoke at 5:30 a.m. by baby's strong movements and feeling so hungry. So I decided to wake up to have an early breakfast (1 glass of milk and 2 chicken bao). I were enjoying my breakfast while playing iPad game till 7:10 a.m. Then I freshened up by having a shower after 1 hour nap.

We arrived at Metro IVF, Puchong branch at 9:10 a.m. Then I proceeded to do an urine test. It's tested fine and my weights were 60 kg! What a big surprise, 2.5 kg I put on weight. I reflashed back, I had a good appetite on the last two weeks and I were craving for sugary foods like banana cake, marble cake, tau fu fa and sweet drinks. Then the Sonographer, Ms. Chiang told me to discuss this with doctor Tee Swi Peng. 

Five minutes later, we started the 3D/4D ultrasound scanning  with the Sonographer, Ms. Chiang. First of all, she checked baby's head position, it remained head down legs up. Then she checked my placenta size, amniotic fluid, baby's sex organ, weights, size, heart beating, heart blood flow and the estimated delivery date. Everything was fine and baby's growing accordingly as per his age. Then Ms. Chiang started to scan baby's face from different angles. He's so so cute and I were in love at that time. I kept laughing to see baby's every cute facial and body movements. It took about 30 mins to complete the scanning.

While waiting for Dr. Tee to come in, I checked the pricing of the normal delivery and c-sec with the nurse at the counter. For a normal delivery without additional charges, it costs around rm 3k and for a c-sec without additional charges, it costs around rm 8k. 

Dr. Tee arrived at the clinic around 10:35 a.m. I were the first patient on the day. I informed Dr. Tee about my weight gained 2.5 kg then Dr. Tee scanned and checked for baby's size, tummy and leg. Dr. Tee informed baby's size was in order and advised me to cut down sugary foods.

24 Weeks - Glucose Tolerance Test (2 June 2017)

I been informed by a nurse on last 2 weeks to fast at 12 midnight for the 24 weeks glucose test. No drinks and no foods after 12 a.m. I woke up in the morning feeling very hungry. Hubby and I arrived at Metro IVF, Puchong branch at 9 a.m. Again we met with the Sonographer who was waiting for nurse to open the clinic. 5 mins later, a nurse came and opened the clinic. 

The first thing to do when arrived the clinic is to do urine test. It's tested mild condition where the tester of the green colour no change of colour but the surrounding of the yellow colour change to green colour. I asked the nurse was it because I didn't drink water in the morning, she said it's ok. Then I weighted myself, 57.5 kg which had gained weight 0.5 kg in 2 weeks time.

After that, a nurse took my blood to test my glucose, it's 3.4 mmol/L fasting (before glucose load). Then she asked me to drink the sugary water on the table. It tasted not so sweet as I expected, I told the nurse the Starbucks coffee is sweeter than this drink. After drinking it, I didn't feel hungry anymore. The nurse informed me that she will tests my glucose again after 2 hour (at 11:20 a.m.). I asked for the nurse's permission to go out to walk around at Setiawalk, she    allowed and reminded me that I cannot go to eat and drink. 

I accompanied my hubby to enjoy his breakfast at the "mamak" shop. We spent 1 hour in the shop reading newspaper and enjoying "roti telur" and coffee-o. After that, we walked around at the Setiawalk then went back to the clinic at 11:00 a.m.

There were patients comings in and out on that day. At 11:20 a.m., the nurse tested my glucose again, it's 3.0 mmol/L 2 hour (after glucose load). Then it's my turn to see doctor Tee Swi Peng. He did ultrasound to check baby's heartbeating, head circumference, tummy, hands and legs. I'm a bit disappointed because not able to see the baby's face. Then Dr. Tee read the glucose report and commented glucose test was fine and baby's doing fine too. Total bill for the day is RM  245.00 (Consultation fee+Ultrasound+Glucose test).