Tuesday, July 05, 2005

labor process

wanna share my labor process here for those who havent had the labor experience.

my due date was 23-June-05. i was late a week than my due date.
how i felt so impatient to hold my little baby. i planned to get an injection to stimulate my constraction if it's over a week than due date.

4am 29-Jun-05
luckily, i found some blood (mucus) while i went to toilet, looks like some thick slippery brown discharge. but i still couldnt feel the constraction and my water (amniotic fluid) hadnt broken. my mom said, every woman could have different sign for labor. some women probably never experience mucus plug, for others, it may occur just before labor, or any time in the last month of pregnancy.

while some women will experience the leaking of amniotic fluid before labor. It can be difficult to tell the difference between leaking of urine and amniotic fluid. A good way to check is to recline in bed for an hour after emptying your bladder. If upon arising, fluid trickles out, it is most likely amniotic fluid. Regardless, it is always best to have this checked out.

09.30am 29-Jun-05
on 09.30, after taking a bath and getting ready, my mother-in-law accompanied me to the hospital, which was only 20 minutes by walking. however, it was hot summer day, so we took the bus, for 2 shelters.

when i checked in, there's a mom-to-be that had had her amniotic fluid leaking. i could see from her wet gown. i heard that her baby's head was not in the right position for normal labor. so she was advised to have the C-section.

i got a room for two. my roomate checked in one hour before me. she got the mucus a day before.

after checking in, i went thru some routine check, blood pressure check, USG, heart check, urine test, etc. etc. the result was ok and normal. i felt quite confident and ready for the labor. the supervisor of the labor division (Doctor Lu 吕主任) told me that my baby will be about 3.25kg.

11.30am 29-Jun-05
i felt the constraction after lunch. just before i thought if i still couldnt feel the constraction, i would ask for some stimulating injection. the nurse told me if i felt the constraction once every 5 minutes, i must inform any of them, which i would go into the labor room.

1 pm 29-Jun-05
my roomate began to feel the constraction every 5 minutes. seems that she couldnt manage the pain. so she went into the labor room. the doctor said that she got 2cm opening. while everytime i felt the constraction, which was around 25 minutes, it was not so hurting, so i just took a deep breath.

as info i got from my sister-in-law (Mery), in total the opening was 10 in scale (about 10cm). here was Mery's advice to me:
when you have early opening (1-8 cm), do not use any energy to push. just bear it, take a deep breath, to save your energy. you can begin to push while the opening was between 8-10. otherwise, you may loose energy before it's needed.

so during the 'waiting' time, we played poker, call "80 score". because there were only my roomate's mom-in-law, my mom-in-law, and my husband, need one more people to start the poker.

4.30pm 29-Jun-05
my constraction period was near to every 15 minutes. Lin accompanied me to climb up and down the stairs. hehehe... it's said that it could help to accelerate the labor process. is it true?

11pm 29-Jun-05
my constraction period intensified to every 5-7 minutes. i hadnt report to the nurse. i thought i still could manage the pain. for every constraction, i took a deep breath and humming "Hey Jude" and
Ming Yue Ji Shi You (明月几时有--- i didnt know the lyrics, so just humming...). the nite went by.

07am 30-Jun-05
i went to toilet for the "nature's call number one". it's advised that before the labor, it's better you could finish all your "poop", to avoid you might need to poop on the bed. it's very awful if you've got to!

8.30am 30-Jun-05
A nurse came for checking up. i told her i began to feel the constraction every 5 minutes, 'coz she asked me the period of constraction. then came a doctor, who put her hand into my vagina. she said, i got opening of 6. then they brought me to labor room.
though it's said to be the best maternity hospital in town, it doesnt supply any labor dress for you. i just wore my own dress. finally i asked for a blanket to cover my leg, 'coz it's cold inside (because of the AC).

the doctor didnt accompany fully. sometimes she went into the doctor room, which was viewable from my bed.

10am 30-Jun-05
i still tried to take deep breath and singing (humming). according to the doctor, my constraction speed was low. finally she gave me some infusion to stimulate my constraction. probably the doctor didnt want to wait for too long time.

when my opening was 8, the doctor (her family name is Zhou) said that i could now use my energy to push. she said use the energy to push as hard as i could when there was constraction. for me, it's better to push then to bear the constraction with deep breath. because at the end, it's already much easier to push if i could feel the constraction.

i could feel a lot of fluid flew out. i couldnt see what the fluid looked like. was it blood or amniotic fluid? i didnt know, i couldnt see it.

the doctor told me that my water hadnt broken. she told me that she would break it with a kind of injection needle. it hurt a little bit.
during some period of time, the doctor would check the baby heart beat. normally it's around 140.

but at the end, the heart beat dropped to 120. i worried. but the doctor said it was OK and still in safety limit. but i had to push harder to faster the process. since i worried so much about my baby heartbeat, i pushed harder and harder.

01pm 30-Jun-05
later on the doctor made some cut at my vagina. again, it's hurt of course. but still manageable for me; it's nothing compare to my eagerness to hold my baby safely.

01.08 30-Jun-05
then i heard some voice, "bruuug...sruuugg...sruuug..." my baby was pulled out and put on the bed. i could feel that my baby was moving on the bed. then i heard her crying out, not too loud. though Lin said, it was very loud =) few minutes later, i just knew my baby was a girl when the doctor carried up the baby and showed to me that it was a girl. then without my agreement, the doctor brought her away. oooh... she didnt let me hold my baby first!

in China, usually you would never know your baby's genital until she was born. to avoid early abortion. in china, some family still treasures boy more than girl. while every family normally only is allowed to have 1 child (one child policy). people with particular exceptions can have 2 kids.

really, the whole process was not as hurt as i imagined before. i had prepared for the worst, which i assumed very very much hurting!

later on, the doctor cleaned my womb, pressing it... some fluid (or blood) flew out. then i got 6 stitches, whole process was without anaesthetic. the doctor said that i shouldn't have pushed when she made some cut on my vagina. but when she instructed me, i didnt hear it at all, besides probably bcoz i didnt understand chinese language perfectly. so i got more stitches. but i heard my sis-in-law got 13 stitches, due to the big size head of my nephew.

only then, after the labor process, the doctor just knew i was not a local chinese, i was an indonesian chinese (or a chinese indonesian) =)

2pm 30-Jun-05
about an hour after labor process, my baby was put besides me on my left side for 30 minutes to get her first breast feeding (colostrum). i couldnt express it in any word for the feeling of holding her for the very first time. i just felt so touched and fully in love when holding this tiny creature in my arms. she was so cute and so lovely.

i didnt know whether she could drink something or not.
few months later, i just knew that colostrum is the best intake for a newborn. dont let her drink anything like water or formula milk at first.
while in hospital we didnt know. my mom-in-law gave her formula, worried that she might get hungry.

3pm 30-Jun-05
after i was done and ready to get out from the labor room, i saw my roomate was brought in. i said 'hi' to her. she hadnt had her baby. she was shocked to know that i had my baby already, ahead of herself, while she went into labor room first.

later on we knew that she had to switche to c-section, since her baby's head was very big and couldnt go thru normal labor. her baby was 4.15kg. while my baby was 3.25kg.
her baby's head got stucked during the way out. it took 3 doctors to pull the head out during C-section! how horrible! actually the baby was already in danger.

my husband was not in the labor room, with several reasons:
* i didnt want him to faint out to see the bloods
* it's not allowed from the hospital
* you should pay extra money if you insist to go into the labor room

funny thing was, my husband sent in a towel for me later on before the labor. he meant i could bite it if i couldnt manage the hurt. previously he ever said to me, "hhmmm... it seems that in the middle you would ask for c-section." hahahaha...! i didnt use the towel and i didnt ask for c-section.

'coz i still believe that normal labor is the best, unless i have no choice but to go for a c-section. and i am totally ready for the most hurt or pain that i should bear.

really, it's better to have a normal labor, you would only 'suffer' for several hours. (of course if everything is normal). one day after the labor process, i could already get down from bed, and walked by myself. if you have a c-section, it's hurting after the labor. and you must totally lie in bed for at least 4 days. it hurts even when you laugh. that's what happened to my roomate and it's still hurting even you've already gone home. i could go home after the 4th day, while my roomate needed to stay in the hospital for 1 week.

during my stay in hospital for 4 days, we thought that i hadnt produce any milk, bcoz we didnt quite understand about it. my mo-in-law also didnt really understand too. luckily the doctor taught us and said actually i had had my breastmilk. she taught us how to massage since the milk wasnt totally sucked by the baby and got hard and hurting.

the babies were always put besides the moms during stay time in hospital, so they can get breast feeding when needed. during nursing time, i often talked to my baby, and she responded by humming, "mm...mmmm..."
my roomate said, "listen, listen ... how cute ... as if she knew her mom was talking to her."

we became famous in the hospital, because there are seldom foreigners having baby in the hospital. they doctors and nurses called my baby, "yenni junior" (xiao yenni 小燕妮).
my mom-in-law said, "no..she is not Yenni. Yenni is her mama's name." lol ...!

she was afraid of water during "swimming session." she cried out loud, compared to other baby. so her swimming session ended up quickly.

the mom that checked-in at the same time with me, finally having a c-section. firstly, her husband insisted to have a normal labor, where it's very obvious that the baby's head position was not normal, and must have a c-section. probably due to the fund problem, bcoz it will be more expensive if you have a c-section. so from 10am (29-Jun) until the next day afternoon, she still suffered for not being able to have her baby out. my roomate said that she heard her screaming all the time while in labor room.

after suffering for more than 24 hours, in the afternoon, probably 5pm (of 30-Jun), her husband agreed for her wife to have c-section. otherwise, not only the baby, the mom's life could also be in danger.

hopefully this sharing could be useful to any of you.

however, IMHO, it would be better to consider for c-section if:
* you are about 10-14 days late than your due date
* your baby size is too big
* your baby's position is not normal
* your baby's head is circling by the umbilical cord (more than 1 cycle)
* above all, consult with your doctors, they know best !

above all, if you decide to have a normal labor, for me.. it's really not as hurt as i imagine. dont worry so much about it. many moms could go thru it, so will you !
take deep breath during constraction, you will be OK !

written on 30-Nov-2005, in indonesian version.
english version on 5-Feb-07 (sorry for the limitation of my english vocab and writing ability).

Monday, July 04, 2005

Proses Melahirkan (CRYSTAL)

Pengen bagi2 cerita soal proses melahirkan kemaren. Biar ada gambaran sedikit banyak buat teman2 cewek.
Aku sebenarnya lewat 7 hari dari due date (23 Jun 05) pas melahirkan.
Rasanya udah gak sabaran banget pengen bertemu dengan si kecil =)
Planningnya kalo dah lewat seminggu, aku akan ke rumah sakit untuk injeksi perangsang kontraksi. Pas hari ke-enam lewat due date, 29 juni, subuh jam 4, aku mulai pendarahan (keluar lendir merah).
Tapi perut belom sakit, ketuban belom pecah.

Reaksi tiap perempuan kayaknya sih beda2. Ada yg sakit perut / mules2 dulu, atau pinggang /betis pegel2. Terus ada yg pecah ketuban duluan.

Jam 9.30 pagi aku ke rumah sakit, berhubung rumah sakitnya deket banget, aku naik bus umum, ditemeni makmertu, cuman 2 halte, paling 5 menit dah sampe. Sebenarnya aku malah pengen jalan kaki, supaya ntar pas melahirkan lebih mudah kali yaaaa….
Tapi berhubung summer, panas banget, malas juga. Hehehehe!
makmertu juga suruh naik bus.
Yah.. belom punya mobil pribadi nih !!! masih melarat =)

Pas aku tiba, barengan aku daftar ada cewek yg dah pecah ketuban, dan posisi kepala janin agak miring dari vagina. Jadi mestinya dia caesar.
Terus aku daftar kamar yg berdua. Barengan aku ada cewek yg juga baru masuk.
Dia dah pendarahan sejak kemarennya, maren ke rumah sakit, tapi baru hari ini mulai inap.

Setelah mendaftar, aku dicek tekanan darah, USG, cek jantung, urin, darah, dsbnya.
Rada siang (sekitar jam 12-an) perutku mulai mules… tadinya udah mikir kalo gak mules2 juga, bakal suntik pemacu kontraksi.
Kata suster, kalo dah mulai 5 menit sekali mules, aku mesti lapor, akan masuk kamar bersalin.
Roommate-ku saat sore (29 Jun), mulai sakit 5 menit sekali. Dan dia mulai masuk kamar bersalin, kata dokter dia pembukaan 2.
Dia udah merintih2 menahan sakit.
Pembukaan itu sampai 10. Pada pembukaan2 awal, jangan pakai tenaga dulu, ntar keburu lemas pada saat-saat terakhir.
Saat pembukan 8-10 kita dah mulai boleh pakai tenaga buat ‘push’.

Berhubung gak ada kerjaan, sambil nunggu, akhirnya aku maen kartu remi (80 score). Soalnya nyokap roommate-ku, mertuaku dan suami nganggur juga. Butuh satu orang lagi baru bisa maen.

Menjelang sore jam 5, waktu mulesku mulai makin pendek, mungkin 15 menit sekali.
Lin menemaniku naik turun tangga rumah sakit, katanya sih biar ntar proses bersalin lebih lancar.
Terus jam 11 malam, waktu mules kayaknya makin deket 5-7 menit. Aku sih belom lapor.
Mulai rada sakit juga sih, tapi gak sakit2 banget.
Tiap kali mulai mules, aku tahan aja sambil nyanyi dan tarik napas dalam2 (tapi nyanyinya pelan2), jadi rasa sakitnya rada mendingan dan masih bisa ditahan.
Lagu “Hey Jude”-nya beatles dan Ming Yue Ji Shi You (明月几时有--- gak hafal, jadi berlala-lala aja...)

Pagi sekitar jam 8.30 ada suster check up datang nanya kondisi aku. Aku bilang mulai sakit kira2 5 menit sekali.
Terus datang dokter, masukin tangan ke dalam terus dia bilang aku dah pembukaan 6!!!
Aku langsung dibawa ke kamar bersalin.
Untungnya pagi aku dah pup duluan…. Soalnya kadang lagi ”push” … bisa aja kita pipis + pup di atas tempat tidur.

Di kamar bersalin, aku cuman mengenakan pakaian atas (pakaian dari rumah) dan kakiku kedinginan karena ruangannya ber-AC. Terus aku minta selimut ke dokternya.
Dokter gak fully nemani aku, kadang dia ke ruang dokter (tapi bisa keliatan ama aku)
Jadi aku masih mules2, masih usaha nyanyi dan tarik napas dalam2.
Menurut dokter, kontraksi rahim aku agak lambat, akhirnya aku diinfus juga dg cairan pemacu kontraksi.
Si dokternya mungkin males nungguin aku sampe pembukaan 10.
Konon sih para dokter lebih senang caesar, cepat dan duitnya lebih banyak.

Yah, walaupun katanya ini rumah sakit bersalin terbaik di kota Hefei ini, tapi menurutku pelayanannya biasa2 aja.
Untuk pasien aja gak ada pakaian khusus, gak seperti yang aku lihat di Jakarta.
Seprei tempat tidur juga gak pernah diganti selama aku tinggal 4 hari di situ.
Makanannya juga gak ada enak-enaknya deh!

Balik lagi soal mules2 ... saat mules2, jangan dilawan dg tenaga, tapi kita mesti tarik napas dalam2. soalnya tenaga mesti disimpan untuk nge-push saat mulai pembukaan 8-10. kalo di awal2 udah pake tenaga, ntar di pembukaan 8-10 udah lemas duluan, malah akan repot.

Waktu aku dah pembukaan 8 mungkin ya…. si dokter (her family name is Zhou) bilang aku dah boleh pakai tenaga buat push. Gitu deh, kata dokternya tenaga dipake saat kontraksi. Kalo lagi gak kontraksi, jangan ngejen.
Saat udah ngejen gitu… rasa sakitnya udah gak terlalu lagi (menurutku pribadi yah….), cuman yah gitu….mesti pake tenaga ekstra utk push. Soalnya lebih sulit menahan untuk tidak ngejen selama belom pembukaan 8 daripada ngejen itu sendiri.
Dan aku bisa rasain banyak cairan keluar (ntah darah ntah apa…).

Selama proses nge-push, ketubanku gak pecah, akhirnya dipecahin oleh si dokter.
Selama proses ngejen, si dokter ngecek detak jantung si bayi secara rutin.
Normally babyku detak jantungnya sekitar 140-an.
Terus pada saat dia udah mau keluar, detak jantungnya sempat melambat sampai 120.
Namanya juga gak ngerti, aku kan cemas, kata dokter masih dalam batas aman.
Tapi aku disuruh push lebih kuat aja spy lebih cepat.
Mungkin karena kepala si bayi pada posisi di lubang vagina kali ya…takut keganggu pernapasannya atau apa… aku juga gak ngerti.

Terus terakhir, si dokter ‘nge-gunting’ bagian luar vagina, tak lama kemudian, sret…sret….sret ... kerasa di bayi keluar dan terdengar dia bergerak2 di tempat tidur. Terus kedengaran dia nangis, gak kencang-kencang amat sih nangisnya. Terus ama si dokter diangkat dilihatin jenis kelaminnya ke aku. It’s a baby girl. Tapi aku gak dikasih lihat mukanya. Cuman tampak samping aja.

Pas ngegunting itu, lumayan sakit juga.
Tapi beneran… the whole process bener2 gak sesakit yg aku bayangkan sebelumnya. Aku dah siap2 untuk menahan rasa yang lebih sakit dari ini.
Sesudah itu, si dokter ngebersihin rahimku (ngorek2 gitu deh) dan menekan2 perutku … ngeluarin sisa2 darah.
Terus sesudah itu, aku dijahit, 6 jahitan. Semua proses tanpa obat bius.
Kata si dokter, waktu dia mau gunting, aku seharusnya gak ‘push’ …. Pas dia suruh aku jangan push itu, aku gak denger.
Jadi robeknya rada ‘dahsyat’ dikit. Tapi masih mendingan daripada istri abang aku yg katanya 13 jahitan (soalnya kepala ponakanku rada gede)
Belakangan baru dia tau aku dari Indonesia.

Pas aku dah selesai melahirkan, ternyata roommate aku baru masuk kamar bersalin dan ditempatkan persis sebelah aku.
Sehingga aku sempat ‘say hi‘ ama dia !
Dia sampai kaget, kok aku lebih cepat dari dia.
Soalnya dia dah dibawa ke kamar transisi waktu pembukaan 2.

Di tengah2 proses, akhirnya roommate aku switch jadi operasi Caesar.
Dokter salah juga, rada maksa dia untuk normal.
Akhirnya dia minta Caesar di tengah2.
Ternyata babynya gede. 4.15 kg (baby aku 3.25 kg).
Dan kepala babynya lebih gede dari tulang panggulnya. Sehingga gak bisa lahir normal.
Kepala babynya kejepit di tulang panggul, gak bisa keluar.
Akhirnya waktu di Caesar, ada 3 dokter yang usaha buat ngelepasi kepala si baby yg kejepit itu.
Kalo telat, kemungkinan besar nyawa si baby bisa terancam.

Sebenarnya lebih enak melahirkan normal, mungkin kata orang2 sakit.
Tapi sebenarnya Caesar lebih ‘menderita’.
Aku habis melahirkan, besoknya dah bisa berdiri dan jalan.
Sementara roommateku mesti terbaring 3-4 hari, gak boleh banyak gerak.
Pipis juga dibikinkan saluran di tempat tidur.
Pemulihan operasi Caesar juga lebih lama.

Satu jam setelah melahirkan, babyku ditidurkan di lengan kiriku untuk diberi ASI pertama (colostrum).
Rasa sulit dilukiskan dengan kata-kata, saat di kecil ditaroh di sampingku dan di-breasfeed. Aku sendiri gak tau, apa dia berhasil ’meminum’ sesuatu apa enggak.
Seharusnya yang bener, memang setelah lahir, baby jangan diberi susu formula ataupun air putih, tapi diberi ASI pertama, itu yang paling bagus.
Tapi karena gak tau, mertua langsung memberi FORMULA, katanya takut si baby kelaparan.
Aku juga gak ngerti. (baru tahu hal ini beberapa bulan kemudian).
Dan selama di RS, karena gak tau, kita berasumsi ASI-ku belom keluar, mertua juga gak ngerti.
Untungnya kemudian ada dokter yang berkunjung rutin dan memberitau kalo ASI-ku ada, mengajarkan cara memijat karena payudara sudah mengeras akibat ASI yang tidak keluar. Selama di rumah sakit juga bayi diletakkan berdampingan dengan tempat tidur ibunya tujuannya biar setiap saat bisa diberi ASI. Gak seperti kalo di Jakarta, bayi dipisahkan dari si ibu.
Oh ya, selama breasfeed, aku sering mengajak bicara si kecil, dan dia sering menggumam seolah menjawab. Kata roomateku, kayaknya dia seolah ngerti diajak bicara. Hihihi.. lucu !

Selama di RS, aku jadi 'ngetop' karena jarang-jarang ada orang asing melahirkan di sana.
Bayiku disebut ”Yenni Junior”. Hihihi…mertuaku bilang, namanya bukan Yenni, Yenni itu mamanya. Hahahaa… !
Pas dibawa berenang, si kecil menangis dengan kencang karena ketakutan.

Jahitanku bisa dibuka pada hari keempat setelah melahirkan.
Dan setelah dibuka jahitan, aku dah bisa pulang ke rumah.
Kalo yg operasi biasanya setelah seminggu baru boleh pulang.

Oh ya, orang yg bareng daftar dg aku, posisi bayi gak normal.
Tapi suaminya ngotot suruh lahir normal.
Sehingga seharian dari jam 10 siang, sampai besok paginya dia menderita banget, bayinya gak bisa keluar.
Dia berteriak2 kesakitan selama di kamar bersalin.
Akhirnya baru deh, si suami setuju untuk sesar, kalo nggak nyawa si bayi dan mungkin si ibu bisa terancam.
Seharusnya dari awal udah disesar, karena jelas2 posisi kepala si bayi tidak normal, tidak berada di ‘pintu keluar’.
Gimana kuat dia ngepush, tetap aja di bayi susah keluar.

Segitu dulu ceritanya ntar nyambung lagi. Mudah2an gak ngeboseni dan bermanfaat buat kelak.
Tapi beneran kok, gak sesakit yg aku bayangkan dan gak seserem yg dibilang orang2.
Tentunya dg catatan ukuran bayinya normal.
Kalo bayinya 4 kg atau lebih, sebaiknya konsultasi dg dokter.
Rata2 sih kalo dah 4 kg lebih, orang cenderung milih untuk Caesar.

(ditulis dan diedit ulang 30 Nov 2005)

read also: proses melahirkan Angie