semangat tak abang mkn.. hehe

i'm trying to figure out the best way to blog with the little dude on my lap...sleeping. Tuan Faheem. well, really i should say 'yes sir!' each time he demands anything huhu. mcm abang kata, faheem ni tido-makan-prottt-ngade haha. that's what he does everyday. prott tu maksudnya dia berak :p Lepas tu suka mengade2. nangis pun bunyi ngade2 jugak, but once he shows his true self, well at one point i thought i could turn deaf. badan kecik suara kuat!

so this is the continuation of the story..

oh i forgot i was given 2 doses of dexamethasone for fetal lung maturation. SAKIT GILE and the worst injection i have ever experienced in my life so far! after the tocolytic regime, i was put on maintenance dose of nifedipine (adalat). The contraction did reduce in intensity and frequency. I was a bit upset.. well i wanted to give birth after all! i did not sleep the whole night except for 1 hour. the place was ar conditioned and cosy, but i wanted to be with abang. obviously he was not allowed to be there with me, so he went home at around 1.30am

The next day, he came early. Alhamdulillah Hosp Sg Buloh (HSB) is just 15mins drive from my house, bringing along some breakfast which ummi had prepared. I still had a 2 in 10 contractions so during the morning round, the Dr decided to allow labour progress yeay! They stopped the nifedipine. I met abang occasionally. They wanted to transfer me to ward 6b, but it was full. so i had to be in the screening ward for the whole day, not given a bed anyway. i was so depressed and in pain and tired. lepak kat bilik tv je huu. abah and ummi told me to request for a 1st class ward but unfortunately they don't have any in HSB. I cried and cried, and planned for an AOR (discharged at own risk) and go to a private hosp. Just when abang was arranging things, they informed me that a bed was available in the ward, at around 6pm! So we cancelled the AOR plan.

Alhamdulillah the ward was cosy as well despite the 3rd class status. 4 patients shared a toilet, and hot shower was available. It was spacious, and I didn't have any difficulty to pray beside my bed. The only despicable thing was abang was not allowed to stay with me, and I survived the days alone. But he came during each visiting hours between 12pm-2pm and 4.30pm to 7.30pm.

During the round the next day, the Specialist decided to observe me further. Well they wanted to have a 24hours of free of contraction period before they would allow me to be discharged. I was so stressed. The last timed contraction was at 8pm the previous day. I did have few minor contractions but i didn't want to report. desperate nak balik rumah..

Specialist: Awak nak balik nak buat apa?
Me: saya nak balik kuantan
S: kenapa?
Me: kelas
S: Awak nak bersalin kat mana?
Me: depends waktu ada labour symptom, saya kat mana. Kuantan or Sg Buloh
S: Awak balik kuantan malam ni, awak akan beranak kat hosp bentong

He was a fine Dr, very understanding :) So he said, he wanted to do a doppler ultrasound first before dischaging me. After the round, few medical students came and clerked me, and presented my case to their lecturer and did a short case on me haha. I was then called for the ultrasound..

The US revealed an AFI of 4 (air ketuban sikit sgt) and the placenta was heavily calcified.
S: Awak tidak akan beranak di Kuantan mahupun di Bentong. Awak akan beranak disini. (he said with a smile) haha.
Me: OK!

They decided to induce me, in view of the long standing oligohydramnios, plus i was by then 36 weeks pregnant, on-the-dot. I called abang, telling him that the Dr planned to induce with max 3 doses of Prostin and if fail, i would end up being cut in C-sect. And because of the oligo, there was a high risk to get fetal distress and end up being operated on as well. Abang asked me how did i feel, i said i was fine with the plan. So I was transferred to 6c for induction..

At 3pm, they inserted the first dose of Prostin. Tengok jiran2 yg sama kena induce, sume macam relax je uhuu. The contractions become intense after 1 hour, but i still could sleep, so i slept. abang came at 4.30pm, the contractions slowly becoming less. Yang peliknya, sepanjang duduk ward, abang dtg visit, tp bila sampai ward, dia makan my food and slept on my bed! dia kata suasana tenang dia rasa ngantuk plak haisyyy!! I lost my appetite.

At 9pm, they planned for the second dose of prostin. But when they examined me, the os has dilated 2cm. they did S&S (try besarkan jalan manually, SAKIT GILE lagi, sama macam dexa, and i cried). They didn't insert the second prostin. At 10pm, the contraction has become morbidly severe. I couldn't sleep, I couldn't lie still. I went to the toilet every few minutes, berjalan2 dalam ward, kejap duduk, kejap baring. Tengok org lain, tido dgn lena lagi huuu. I called abang, suruh abang tido takut2 tgh2 malam kena dtg hospital. Rasa macam tak lama dah nak bersalin. I tried to eat the secret recipe cake that kakak brought (haha siap pesan kat kakak suruh bawak kek, kemaruk melampau), konon2 to gain energy to push out the baby.

At 3pm, the pain was too severe, that i thought it was continuous. They were actually strong contractions of 4 in 10. Waktu ni dah menangis2 tak tahan sgt, but i still remembered to practice the deep breathing technique. Called abang, suruh datang even though i knew he was actually not allowed to stay with me. Nurse bagi je abang masuk ward, alhamdulillah. Minta pethidine. The nurse agreed but she had to do the CTG first and check the os first. So A HO came and checked, it was 3cm tight. But the baby's head has descended to a very low position. Nurse nak buat CTG but she took nearly 1 hour to get a reading because the baby was sleeping. Haisyy time ni plak baby sibuk nak tido. Sambil menangis2 tu, bleh plak ulang2 cakap "Faheem cepatla bangun, mummy sakit ni".

Nurse: Awak minum air selusuh ke?
Me: tak (dalam hati: manalah nak dpt supply air selusuh ni huu)
Nurse: contraction kuat sgt ni. 4 in 10. Ada rasa nak teran?
Me: no

Abang's arrival was such a relief! I gripped his hand tight, abang kept reminding me to recite 'La hawla wala quwwata illa billah' and I obeyed. Rasa sangat lega bila abang ada, and sempat terfikir macamana la agaknya if bersalin abang tak sempat balik dari Jordan huu. Sungguh cantik segala yang Allah aturkan.. At nearly 4am, I was given a jab of pethidine. I waited for the medicine to work, but I didn't think the pain lessened. At 5am, suddenly I had this urge to expel the baby out and I became anxious because I was at level 6 and the labour room was on the ground floor. Terus jerit, "Nurse, saya nak teran!!" The nurses checked the os again, 5cm. The HO kelam kabut ambik darah. I couldn't lie still because the contractions were very painful. They pushed a wheelchair to my bedside and asked me to sit on it. I was like, what???? Nak keluar sangat dah ni! Tapi duduk jugak and dengan sangat lajunya, I was pushed to the labour room. What a journey huu siap turun lif lagi. The moment I was on the bed in labour room 8, another HO and few nurses came in. It was around 5.15am. I saw them acting very cool huu. I cried, 'saya nak teran sekarang'. Nampak delivery set tak buka lagi. One of them checked and said 'fully' (10cm). suddenly a nurse said, 'janganla nangis, awak nak teran, teran betul2' haha it reminded me of my O&G days in the labour room and listening to the same thing being told to the patients. I don't know why did i cry, and i didn't realize i was crying until she said that, probably because i was so nervous as opposed to painful sensation. When i started to push, the pain automatically disappeared. nurse cakap, "kalau sakit, teran panjang2, curi nafas dan sambung" how familiar that line sounded. But i just pushed continuously because i couldn't feel any pain. by then i started to feel drowsy, the pethidine started to take its effect on me. but i could still remember the things that i used to tell to patients: teran panjang-panjang, jangan teran kat muka, jangan angkat punggung etc. They cheered on me, i could hear and feel the episiotomy being done (it was painful by the way), and then i could feel the baby's head came out. All the while, abang helped to elevate my head, and i could hear him reporting, "ayang, sambung teran, kepala dah nampak 1/3" and then "ayang, kepala dah half keluar", and then "kepala dah tinggal 1/4 je lagi" hehe. 5.27am. Then the body came out. Abang kissed me and I fell asleep. I didn't even hear the baby crying. The nurse placed him on my chest, I cuddled him. Fell asleep again. One of them took him away. I fell asleep again. Woke up again and asked with a slurred speech (I was extremely sleepy), "Apgar score seminit berapa?"
Me: OK.
Fell asleep again.
HO: Saya nak jahit ni
Me: OK. guna LA ke?
HO: guna
Me: OK
Nurse: tapi utk skin tak guna.
Me: sakit..
Nurse: kita bagi entonox k.
Me: OK
The nurse passed the mask for entonox. They stitched the epi. When only the skin was left to be stitched, they informed me that it was going to be a bit painful. I quickly inhaled the entonox.. suddenly
HO & Nurse: Eh kenapa ni?? (i think they thought i collapsed)
Me: saya ngantuk sangat.. (terjatuhkan mask atas lantai huu)
Lepas siap jahit, they helped me to change into a set of fresh clothes. And I vomited few times.. kenapa entah...

to be continued..


iman j said...

Maryam, tahniah!
Semoga Faheem jadi anak yang soleh seperti papanya.. hehe. really happy that you have passed through it well.. alhamdulillah alhamdulillah =)btw kiss faheem for me, can't wait to see him

Ummu Iffah said...

Tahniah, kak..(^-^)

miki said...

congratz maryam..
so touched!
Alhamdulillah that everythg went well..

A.G.M.G said...

:) Cogratz to both of you. Best sgt baca this post. so real and lively. so many things i learnt from this post, nanti future nak praktik kan :) thanks again.