Showing posts with label Breastfeeding. Show all posts
Showing posts with label Breastfeeding. Show all posts

Thursday, April 28, 2011

Triple joy: Helena and Kenz’s amazing birth story.

28 April 2011 at 11:28
Helena and Kenz’s first pregnancy joy tripled when they found out that they were going to have triplets. They share their amazing journey from pregnancy till the birth of their three boys Evanz, Enrique and Eytan Lee.

The best Chinese New Year gift


Helena:
It was around Chinese New Year (February 2011) and I was around 10 weeks pregnant when our excited doctor showed us three heartbeats on the computer during an ultrasound scan.

Our (or rather Kenz’s) initial reaction was one of disbelief. The triplets were conceived naturally and since there was no history of twins on both sides of our families, we were naturally surprised. We informed our families immediately - they shared our surprise, joy and excitement.


Finding the right hospital


Kenz:
Our first few antenatal checkups were at a private hospital in Selangor.

In the meantime, we were still looking at various options as to where Helena would deliver our babies. This was no ordinary pregnancy and we knew that apart from our need for quality medical care, we also had to take into account the cost factor as having triplets was going to be expensive. We not only had to account for the delivery cost but also for the neonatal care for prematurely-born babies, common in the cases of multiple births.

Government hospitals provide antenatal care and delivery services at minimal cost so we made trips to a few hospitals within Kuala Lumpur and Selangor such as the Universiti Malaya (UM) Hospital and their Specialist Centre (UMSC), the Universiti Kebangsaan Malaysia Medical Centre (UKM) and Selayang Hospital.

Finally, we decided on Selayang Hospital. We felt that this was the most baby-friendly hospital (for us) and it had an impressive NICU unit.

Although Selayang Hospital is a government hospital, we chose to with a ‘full paying patient scheme’for the antenatal care. We paid more for the medical services and got to choose our medical specialist (for birth and antenatal care). We also had shorter waiting-time during our visits and got ultrasound scans every month.

These medical checkups including the scan, blood tests, medications and supplements cost us around RM60 per visit.


Three-in-one delivery


Kenz:
Carrying our triplets was hard on Helena even as early as second trimester. On doctor’s advice, we had to be extra careful and I helped to ensure Helena had a lot of bed rest with limited walking and no other strenuous activities including cooking or washing.

We were advised to prepare ourselves for an early c-section delivery. The initial estimate for delivery was at 34 weeks. However, Helena’s water bag broke at 32 weeks and she had to have an emergency caesarean.

Helena:
Our three little ‘cubbies’ (they were born in the year of the tiger) Evanz, Enrique and Eytan arrived on August 11, 2010. They were healthy with birth weights of 1.8kg, 1.6kg and 1.1kg.


It was overall a very positive birth experience as we were comfortable with the doctors and well cared for by the rest of the medical team.


Postnatal care


Kenz:
After her delivery, Helena stayed for about a week in a private room at Selayang Hospital. The whole cost for both the c-section delivery and for her week-long stay at the hospital cost us less than RM1,000.

We went back to Selayang Hospital for Helena’s postnatal check-ups twice. We also registered at a government Mother and Child Health Clinic near Petaling Jaya, Klinik Ibu Dan Anak Kampong Dato Harun, that provided free infant checkups and routine immunisations for our babies.

Helena:
I was well cared for at Selayang Hospital with plenty of encouragement and guidance on breastfeeding my triplets. Although the hospital serves vegetarian food (I am a vegetarian), I opted for home-cooked meals. All my confinement food was prepared by my mother-in-law.

My babies stayed for almost a month in the NICU unit at Selayang Hospital. It was a confined area, strictly parents only with 24-hour care. They were breastfed throughout.


Feeling blessed (three times over)

Helena:
We are indeed very tired but also very happy parents. We are also proud and see our boys as triple blessings from God.

Also, I am extremely grateful that we chose Selayang Hospital for their optimum medical care and for the fact that we didn’t have to mortgage our house to get it!

Kenz:
Selayang Hospital felt like a private hospital; everything was clean and new with plenty of warm and caring doctors and nurses.

At times, looking at my three identical boys, it almost feels surreal. I am indeed thankful that we were blessed with triplets and for Helena’s overall healthy and smooth delivery.

I do occasionally think about having twins next – girls this time!

Published in www.babycenter.com.my

Monday, October 4, 2010

Feeding Preemie

4th Oct 2010 

Today is my pregnancy EDD, which means cubbies r officially 40 weeks.

Cubbies are born premature at 32 weeks. although they are not micro-preemie, they r still consider preemie with low birth weight of 1.8kg (Hung), 1.6kg (Syuen) and 1.1kg (Juin).
There are many new learning for parents of preemie. This time I'll share on Feeding!

Feeding a full-term baby is so much differ fr a preemie. I once took for granted (n i think most ppl hv this same thought too) that all babies r born wit d capabilities to eat/suck. 
What we found out during cubbies stay in NICU is tat we need to teach preemie to suckle!

1) TUBE FEEDING
During d 1st few days of stay in NICU, cubbies r fed using tube where d tube r inserted from his mouth into d stomach. D first sight of d tube make me tears as they r so tiny n yet needed to insert d tube. So, our first feeding lesson in NICU is to learn how to feed them using d tube.

2) SYRINGE FEEDING
We introduced syringe feeding to stimulate the baby's sucking action.  We had to control or fingers when pressing & releasing the breastmilk into bb's mouth while encouraging bb to lick & suckle. 

3) CUP FEEDING
When Hung is ready to learn sucking, he was first introduce sipping fr cup. Till now,i m still very raw to cup feeding,i'll end up pouring all out instead of feeding.

4) SUCKING
Hung did not know how to suckle fr breast. Hence, I was taught how to give him cheek massage, lips massage and tongue massage to stimulate his sucking movement. It seems that bb learns sucking movement in mummy's womb during week 33. But Hung was born at 32 weeks, hence there's a need to give him time to develop the ability to suck.

5) SWALLOW
Then we need to teach Hung how to swallow. Even during cup feeding, Hung will tends to keep all milk in his mouth without swallowing.

6) SUCK & SWALLOW & BREATHE
When Hung had mastered d sucking & swallowing skill, he needs to be stimulate to perform both d action n synchronize wit breathing. What a tough process for just a simple action of sucking milk.

I still remember there's once when i was BF Hung, suddenly his face turned blue. Since we're reminded on this, I quickly unlatch him fr d breast and gave him few slaps on his feet to wake him up. He was fine after that.

Preemie r known that they hv the tendency to forget breathing, regardless it's feeding, crying or even laughing. Even till now,we still need to b observant on d changes in bb face during feeding, to ensure bb remembers to breathe & swallow.

Thursday, September 2, 2010

BreastFeeding the Cubbies

2nd Sept 2010

Many ppl had asked me this question during pregnancy 'will u b breastfeeding?? Won't u consider formula?? Not everyone has milk supply, esp for 3, u need to hv other option'

My answers to all those questions was always 'YES, breastfeeding for all 3, believe in supply n demand...believe tat since god has given me three cubbies, he must also give me the ability to feed 3'.

Breastfeeding indeed u need lots of support from family n friends, esp your closest hubby. Hubby once asked do we need to buy some formula just 'in case', my response was 'if we had d thoughts of in case, then definitely we won't b persistence in BF'. Hence, i rejected d idea of getting formula in advance. Thanks my dear for understanding & respect my opinion.

Still remember during d first few days after delivery, i kept pumping n pumping, but only a few pathetic drops of colostrum appear. By the time it is deliver to NICU, d colostrum had all dried up (looking just like birdnest).

However, thanks for encouragements fr hubby and advice fr my sis & dear friend feei chyi. They kept encouraged me to continue n answering to all my BF questions.

Only on day 4 afternoon, the first droplet of milk appear. We were so happy with our persistent.


Now, i'm capable of producing sufficient milk for 3 cubbies ^.^

Tuesday, August 31, 2010

1st night with 2 boys (triplet 1 & triplet 2)

29th Aug 2010

2nd cubby was moved in to recovery room together wit 1st cubby.

In d afternoon, hubby n i tried feeding both babies. I BF one,then pass to him for burping while i BF d other, then pass it over again.hahaha..it was fun!

Nite time (as hospital NICU rules, all daddies must leave the recovery room by 1030pm), cubby2 repeated d cries like cubby1. It should b due to d new environment. He cried from 12-4am. After that, cubby1 cried from 4-530am. *yawn* cubbyDaddy should be arriving at 930am

Monday, August 30, 2010

1st 24hrs being a fulltime mother of Triplets

26 Aug 2010

cubby 1 had moved in to recovery room wit me. Have to start changing nappy and feeding him all on my own. 
Feeding:
He is on full breastfeeding, which means save time on heating up milk or feeding him wit cup/syringe. However, he is a super sleeper, he does not wake easily thou been kacau for more than an hr. Heard many ppl says BF must feed every 2hrs, each time feed 20mins from each breast. However, my case is totally different. My bb only sucks 10-20mins n fr one breast. After that he refuse any top-ups n will fall asleep. Was quite worried initially cos afraid he did not eat enough, moreover,he can stays on for more than 4hrs without food. 
consult and get assurance fr doctors n nurses that he is getting enough. But they still advice, not to wait more than 4hrs cos it may affect his blood glucose level. Hence, everyday,nurses will punch his feet to get a drop of blood to test it out. margin count: 2.8, cubby's result 4.5 n above. So, now will only feeds him when he cries.

New environment:
Tis room is a new environment to him, new temperature. Once after giving him 10pm meal, he started crying non-stop. He is fed, nappy changed. Carry him in arms, he stop for a short while,once put him down,he starts the crying again. He cried & scream almost throughout the nite n the day after.

Thursday, August 26, 2010

Hooray!

25 Aug 2010

Cubby 1: got promoted from 'intermediate room' to 'recovery room', meaning from today onwards, he will sleep by my bedside. And i'll have to fully 'jaga' him without much assistance fr d nurses...he'll be on breastfeeding on-demand program!!!

Cubby 2: in 'intermediate room', he still needs to learn how to suck. Soon he will b joining cubby1. He is on EBM (Expressed Breast Milk) program!

Cubby 3: strong tiny little fellow. Was slightly unwell yesterday, but with his determination & strong will, he is working hard to gain sufficient weight in order to leave d incubator. 300-400grams to go. He is on EBM (Expressed Breast Milk) program! EBM will help him to grow stronger

Monday, August 23, 2010

Great News!

23 Aug 2010

Cubbies r 13th days old today!

They r showing great improvements!

Cub 1: From yesterday's few mild sucking to today's vigorous sucking. He really surprised us with his great improvement. Doc allows to remove the O/G tube. Nurse says must ensure his blood glucose level maintain at least 3.0 to ensure he is feeding sufficiently. So far,he had fed twice with full BF. I'm sure he will show more improvement later.

Cub 2: Last nite was promoted from incubator to normal cot. Today he is move to Intermediate room, sleeping next to Cub1. They both look alike. Tested that they both don't cry at the same time. That's great!

Cub 3: Still in incubator, but he is growing well. Always actively dancing with arms & legs in the incubator.

Sunday, August 22, 2010

NICU...my home for the time being

22 Aug 2010

Tis is my 4th day staying in NICU. Within this short stay, I'd already broke down in tears 4nites. It's not because of d babies, but it's d physical & mental exhaustion that causes the emotional breakdown.

Here, we do hv very busy schedule. Breastfeeding(BF) every 3hrs. Lets say BF@1130am, we need to b thr slightly early, latest 1115am, then get d baby wakeup & ready 4 feeding. Try/teach/BF baby for at least 20-30mins. Since baby still learning to suck, so we need to top up baby's feeding with tube. After feeding baby with tube, I'll usually stay for awhile to ensure baby is alright after the feeding. This whole process actually takes up an hour. By the time i leave d room, it's almost 1pm.

Get back to my bed, get ready d breastpump, need to express breastmilk for feeding. During of pumping takes 30-40mins. After that, clean up the utensils & sterilize it with hot water. Take the expressed breastmilk to keep in the fridge which is quite a distance away. by the time tis finishes, the time is 2pm.

Quickly get back to grab some food cos the next feeding starts at 230pm... N this goes on d whole day.

It's quite tiring especially for new mothers -- new as in the sense just gave birth. Cos physically we have yet to recover from d operation, now we need to do lots of standing & walking. My back & incision area actually aches every nite. And not forgetting my both wrist which had carpal tunnel syndrome due to pregnancy had not reduce. 
Other than that, for chinese, this is the crucial month to 调养身体。Food wise, not suitable for confinement. Even malay also does not take those food during their 'pantang' period. So, hubby had to send my meals which r cooked by mother in law in d morning.
Emotionally, when physically tired & can't enjoy every meal nicely will definately affect d emotion. At times, I feel like requesting to go home to rest. 

However.....

Although there r many unpleasant things, once I saw d improvement in each on d babies...all these pain will be forgotten.

Today is the '12day' for the babies!

Eldest son: improves in sucking, at least he is more initiative to opens up his mouth & able to suck for more times. He is also more awake, rolling his eyes left & right.

2nd son: weight increase, came out of incubator today! Bravo. Should b learning to BF soon.

3rd son: had increase from 1.1kg (birth weight) to 1.3kg. He is still in incubators, but soon when his weight is 1.6, then he should be out from incubator too.

So, when i think of all of their improvements & achiements... I'm happily continuing my stay here in the NICU.
Related Posts Plugin for WordPress, Blogger...

Advertlets