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Sunday, January 20, 2008

Something About Miscarriage

Below is the research I found from babycenter.com about miscarriage which I think most of us as a women should know...

What is a miscarriage?
Miscarriage is the loss of a pregnancy in the first 20 weeks. About 15 to 20 percent of known pregnancies end in miscarriage, and more than 80 percent of these losses happen before 12 weeks. This doesn't include situations in which you lose a fertilized egg before you get a positive pregnancy test. Studies have found that 30 to 50 percent of fertilized eggs are lost before a woman finds out she's pregnant, because they happen so early that she goes on to get her period about on time. If you lose a baby after 20 weeks of pregnancy, it's called a stillbirth.

What causes a miscarriage?
Between 50 and 70 percent of first trimester miscarriages are thought to be random events caused by chromosomal abnormalities in the fertilized egg. Most often, this means that the egg or sperm had the wrong number of chromosomes, and as a result, the fertilized egg can't develop normally.In other cases, a miscarriage is caused by problems that occur during the delicate process of early development — for example, when an egg doesn't implant properly in the uterus or an embryo has structural defects that don't allow it to continue developing. Since most healthcare practitioners won't do a full-scale workup after a single miscarriage, it's usually impossible to tell why the pregnancy was lost. And even when a detailed evaluation is performed — say after you've had two or three consecutive miscarriages — the cause still remains unknown in about half of cases.When the fertilized egg has chromosomal problems, you may end up with what's sometimes called a blighted ovum (now usually referred to in medical circles as an early pregnancy failure). In this case, the fertilized egg implants in the uterus and the placenta and gestational sac begin to develop, but the resulting embryo either stops developing very early or doesn't form at all. Because the placenta begins to secrete hormones, you'll get a positive pregnancy test and may have early pregnancy symptoms, but an ultrasound will show an empty gestational sac. In other cases, the embryo does develop for a little while but has abnormalities that make survival impossible, and development stops before the heart starts beating.
Once your baby has a heartbeat — usually visible on ultrasound at around 6 weeks — your odds of having a miscarriage drop significantly.

What kinds of things might put me at a higher risk for miscarriage?
Though any woman can miscarry, some are more likely to miscarry than others. Here are the most common risk factors:
Age: Older women are more likely to conceive babies with chromosomal abnormalities, and to miscarry them as a result. In fact, 40-year-olds are about twice as likely to miscarry as 20-year-olds.
A history of miscarriages: Women who have had two or more miscarriages in a row are more likely than other women to miscarry again.
Certain chronic diseases or disorders: Poorly controlled diabetes, certain inherited blood clotting disorders, certain autoimmune disorders (such as antiphosphilipid syndrome or lupus), and certain hormonal disorders (such as polycystic ovary syndrome).
Uterine or cervical problems: Having certain uterine abnormalities or a weak or abnormally short cervix (known as cervical insufficiency).
A history of birth defects or genetic problems: Having had a child with a birth defect, or a family history (or a partner with a family history) of genetic problems.
Certain infections: Research has shown a somewhat higher risk for miscarriage if you have listeria, mumps, rubella, measles, cytomegalovirus, parvovirus, gonorrhea, HIV, and certain other infections.
Smoking, drinking, and using drugs: Smoking a lot, drinking too much alcohol, and using drugs like cocaine and ecstasy during pregnancy can all increase your risk for miscarriage. And some studies show an association between drinking four or more cups of coffee a day and a higher risk of miscarriage.
Taking certain medications: Some medications have been linked to increased risk of miscarriage, so it's important to ask your caregiver about the safety of any medications you're taking even while you're trying to conceive. This goes for prescription and over-the-counter drugs, including nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and aspirin.
Exposure to environmental toxins: Environmental factors that might increase your risk include lead; arsenic; some chemicals, like formaldehyde, benzene, and ethylene oxide; and large doses of radiation or anesthetic gases.
Paternal factors: Little is known about how the father's condition may contribute to a couple's risk for miscarriage, though the risk increases with the father's age. Researchers are studying the extent to which sperm could be damaged by environmental toxins but still manage to fertilize an egg. Some studies have found a greater risk of miscarriage when the father has been exposed to mercury, lead, and some industrial chemicals and pesticides.Your risk of miscarriage also rises with each child you bear and if you get pregnant within three months after giving birth.

Saturday, January 19, 2008

7 Weeks Pregnancy - End

This morning meets up the gynae at 11am and results show that on 17/01, my hormone level was 1210 iu/l and on 19/01, hormone level was 1174 iu/l. So gynae confirm that my hormone did not double up in these 2 days instead has show sign of drops. Next advice, proceed with D&C procedure. Husband accompany me to meet up the gynae and managed to have a short chat with him.

I registered myself to the hospital registration counter at 11:30am and made RM500 as deposit. Then went to another room to change my clothes, lied on bed and wait for nurses to give me the pain killer and some jab for me to have deep sleep. While waiting, managed to send some smses to all my friends and family to inform them not to worry about me.

I blacked out quite fast but still in the middle of my sleep I felt that I was being transfer to another bed and I can even felt the 3 inserts during the operation. No pain and it was just like being too sleepy to border what's happening to me. By the time I woke up it's only a few minutes later. The whole process took less than half an hour only. Total bill was RM993.37.

I had a good sleep at home and wake up by my mum in law for dinner. Eat something like confinement mother had but not strictly fully confinement rules. I had ginger fried rice with egg and ginger chicken.

This is surely some experience I had in my life and there's always purpose from God for every moment I went through in life. If this is for the best for my baby and me, I will except with open heart and be glad in it. Thank you friends for all your prayer.

Friday, January 18, 2008

7 Weeks Pregnancy - pt3

Today went to see gynae to take my second blood test. It is been so nice of my sister to company me and in a way she shows her support and love to me.

During the consultation, the gynae explained to me on the 1st result took on Wednesday and it does shows that the hormone level is in pregnancy level. I ask him a few question which I need to clear my doubts too.

1st thing is with this kind of bleeding, shall I able to tahan. He check my eyes and say I am able to make through. Then the chance of the fetus to survive with such a heavy flow bleeding, well, his answer is "we never play with God..." and hard to say baby will survive until the result proven it is supporting the pregnancy. He did actually left me a choice that I can end up the pregnancy if I feel stressful and really wanted to do so, he will respect my decision. But some how for me since the final result will be out tomorrow why not I just wait for another day. So, I decided to continue with the second test. Yes, some people might think that the hormone level test is not a indicator but I trust that the gynae has his own expertise point of view to confirm what he needs to advice the patient. And me as a patient I need the Dr advice me to know what I should do next. But in another way, the Dr needs an evidence to tell the patient to end the pregnancy rather just judge from the scan alone. As for me, I don't want to be the one to tell the Dr to end a life like that just because I feel stress with bleeding and worries. So just leave it to the "evidence" and let the Dr tell me what's next. After all he is more expert than me....

Next, charges. Surprisingly and praise God he charge Rm1000 plus only. According to him, if I use anesthetic, the bill can easily goes up to RM2000 plus. If I take pain killer and put me in sleep mode, it will cost lesser. So, tomorrow will go there again and wait for the result than see what next we need to be done.

Pray God for tomorrow's result and what ever the outcome is I trust God has all in His hands. Thanks for all your prayer my friends and deeply I appreciated it...

Thursday, January 17, 2008

7 Weeks Pregnancy - pt2

Today is already the 3rd day I have bleed. Still no sign of stopping but lesser flow compare with yesterday. It's not good sign to me coz deep down inside me already alarming that I have already lost my baby.

So the next thing I need to prepare is for the D&C (Dilation & Curettege) procedure to clear the womb. This process cost roughly around RM2000 plus in KL but only cost RM1000 plus in Ipoh. So, tomorrow if the gynae advice me to proceed with D&C, got to check charges first. If the variance can be nearer to Ipoh's hospital, I will prefer to do it in KL.

So leceh to travel back to Ipoh and travel back here again the next day(got to know also that after the D&C, can go back straight for rest, hope my husband won't ask me to travel back on the same day). I missed my boys and I don't think my mum in law can handle 3 boys over night. Some more father in law also not feeling well these few days. Sure she will be busy like no body else. But husband still prefer in Ipoh coz charges difference about RM1000!!!

Now, need to pray hard that GOD will provide and able to get a reasonable charges in KL so that we do not need to travel to Ipoh and no need to put the burden onto my mum in law's shoulder.

Wednesday, January 16, 2008

7 Weeks Pregnancy

I wanted to record this moment as I might loss this "baby" anytime from now.

I bleed since yesterday after lunch and discover the bleeding when I went wee wee. Immediately went to see my gynea and gynae did a virginal scan. The little fetal is still there but no sign of heartbeat. So he just advice me to take more rest and incase bleeding gets heavier and cramps happen, I need to come back to him. So, just went back and took some rest and on and off need to attend to my boys at home. But there's still no sign of bleeding stops and decided to call out to some friends whom are ex-midwives. Their advice almost the same, just rest in bed and inserts some cushions under my knees in bended position or legs raised up position.

This morning when I woke up to morning call Samuel, I went to the toilet and noticed I really like having heavy flow period and with minor cramps. So, after dropping Samson to his kinddy I went to see my gynae again. Again he did a virginal scan but this time he prepared me with some advice. According to his experience, the little fetal might not make it thru the pregnancy. No heartbeat is a symptoms but he will not advice to do the D&C coz heartbeat sometimes might be vary from different people or even different pregnancy. So he suggested me to go for a blood test to check on my hormone level just to make sure his judgement is correct. According to him when a women gets pregnant, the hormone level will goes up double in 48 hrs. Today he took my first blood test and will compare it on the next blood test which will be on Friday. If my hormone level confirm drop than it is confirm my little fetus can not make thru the pregnancy and most properly I need to do the D&C by then. I also worried that the pregnancy might not make it till Friday coz till now my bleeding still consider heavy.

All my friends and even myself praying hard for this little fetus, but I really hope that God's hand laid in this situation and I trusted that God is doing what is best for me. Yes, at the end of the day I might lost this "baby" but I believe that God is still my strength and my future is still in His powerful hand.

Look at this scan took yesterday during the virginal scan. I want to keep this moment in this blog and remember that this is my 4th baby that been comes into my life even though it's only 7 weeks.

Monday, January 14, 2008

Just Love This Beautiful Smile...


Look at this cute and yet cheeky smile Shawn had.

Whenever you called his name he will return the same cute, cute smile to you and that does really make me wanna pinch his little cheek. (Mummy so geram.. must cubit...)

Every Sunday we will attend church and Shawn now can follow the worshiping section. Like clapping his hands when we sing and worship, raise his little hand when I raise up my hand to GOD..

I think he is enjoy himself so much coz this is the only day he escape from home and the rest of the day in the week is only at HOME!!! Haha, mummy and daddy busy with works and grandma prefer to be at home to do her cooking, so no choice but have to stay at home with grandma loh!!!

Wednesday, January 9, 2008

New Year New Hope

Have been busy past few weeks and really got no time to update this blog. Busy with Holidays!! Busy with Samuel school open day etc...

Year 2008 sure a new year to me and definitely with new hope and looking forward with more blessing to comes. God is always great!!

First good news in year 2008 is I am pregnant for 5 weeks now and expecting no 4 baby in September. Wow!! 4 kids!! That's the 1st thing came into my mind!! How to manage oh?? Well, God always have His plan for me and I totally rely on him to provide.

Samuel in standard 2 now, Samson is in his K1 in kindy and Shawn enjoy his childhood, happily go around the house, manja, manja with everyone. Our marriage surely blessed by God and we appreciate each other even more but we do quarrel a bit sometimes.

All my friends out there, wishes from me to all of you and may you be blessed with great joy in year 2008!!