8.30pm: Was talking to my MIL, when I felt a slight contraction, almost like a period cramp but didn't gave it much thought, presuming it was normal. Then the cramps persisted and gradually became constant that it made me felt uncomfortable, even in sitting position. I was eating jackfruit and was chatting with MIL (don't recall what we spoke about) and eventually decided that I needed to get upstairs to my room to rest. Still, it didn't appear to me as a contraction.
9.30pm: I was lying in bed, surfing the net when the cramps became more frequent and increasingly uncomfortable. It felt like a nagging menstrual cramp but a little bit more severe. The pain became a pattern and was mild (if it was a contraction, I was imagining it to be 10 times more severe but this pain was too mild to be considered a contraction or so I thought). Still, I wasn't alarmed.
10.30pm: By this time, I was getting highly uncomfortable as the cramps got frequent and I couldn't lie on my side for long. Hubby was still in the office, fixing the server problem.
11.30pm: I went to take a pee and usually after every pee, I'll dab the 'southern hemisphere' with tissue before pulling up my panties. Lo and behold, there was a light pinkish blood spot on the tissue. Then I remembered what Doc Siti told us this evening but decided against it because usually after the VE, I don't get blood stains and this was the only exception. So I decided to dabbed my 'southern hemisphere' again just to be certain and much to my surprise or rather shock; the blood was thicker and mucuosy. Unsure, I repeated the same and there was more blood. Called hubby and told him my 'discovery'. He was calm and asked me to not to worry as he'll be home soon but I was getting a little bit panicky, terrified of labour and the whole delivery thingy. My sis, Jocelynn, text to ask "when is ping pong coming out?" and I told her I might be in labour and from then on, she continued to text and call to find out about my progress.
11.45pm: Instinctively, I called my girlfriend who is a doctor in Malacca GH and asked her if it is a sign that I should get to the hospital soon. She said it could probably be a 'show'. She enquired if I have placenta praevia and I said no. To play it safe, she suggested that I should get to the hospital to get it check. Called hubby again to tell him what she said and he said he will come home asap but I told him to take his time as I don't see the urgency yet. Meanwhile, I changed into my maternity outfit, a sleeveless grey floral dress from Blook and paired it with a Zara's quarter sleeve cardigan. Waited for hubby downstairs and told MIL what happened. It was comforting talking to her.
12.30am: Hubby was home. He hasn't taken his dinner and was feeling unwell. Told him to eat first and shower before we leave for the hospital. I didn't have the appetite when the cramps came so I did not have my dinner. The baby's bag and mine as well was packed a month back, waiting for this impending moment of fear, anxiety and excitement.
12.50am: We left for SJMC and arrived at 1.10am. Hubby dropped me off at the entrance and I waited for him at the lobby while he looked for a parking lot. The concierge asked if we needed a wheel chair and I told him no as I'm still able to walk on my own. We took the lift to Level 4: Labour Room/Antenatal. At the spurr of the moment, I suddenly forgot which lift to take (learnt them in our antenatal classes) but hubby was more composed and remembered everything. He was far better than me in terms of memory.
1.30am: We arrived at Labour Room Suite 5 and I was asked to remove my bra and panties and changed into the hospital robe: a blue, maroon checkered gown with tie backs on the back. The attending nurse, a Chinese lady in specs (probably in her mid 20s), came in and got the stuff ready: contraction and baby's heart beat monitor called a cardiotography. After I've changed and got settled in my 'suite bed', a bottle diuretics was inserted into my anus to get me to empty my bowel. It feels strange and uncomfortable having something sharp going up your ass. The word 'uncomfortable' will be overly used by the time this post is completed. Now, where was I? Oh yeah, I was made to lie for 5 minutes so the medicine could work. Almost instantaneously after which the window period was up, I felt the urge to poop. I've been having bad constipation for the past weeks and being able to go poo poo so easily is a great relieve. I frequented the toilet 3 times before Doc Siti came in to check on me.
2.00am: A continuous cardiotography was straped to my waist to monitor the contraction and fetal heart rate. Doc Siti came in to see how I was doing. Told her I bled and she did a VE to determine if I was in labour. She lubricated my vagina with a white cream (don't remember the name of the cream but it's not KY jell) and the verdict was: my cervix had dilated to 2 cm and confirmed that I'm in "early labour". After the VE, my vagina itched pretty bad and it was very uncomfortable. I was feeling irritable by then and told the nurse. She said I was probably allergic to it and told me to remind them to use KY jell on the next VE.
3.00am: The contraction got stronger and constant. I was feeling the pain now but it is still manageable. The attending nurse came in and check on the tracings. The duration, strength and interval are recorded every 30 minutes in the early first stage, every 15 minutes in the late first stage and every 10 minutes in the second stage. Every 30 minutes she will ask me to lie on my back while she strap the CTG on and measure the baby's heart rate and contractions. My contractions were inconsistent, like 2-3 minutes once or 4 minutes once and gets very painful with time. Lying on the side helps to minimize pain and I hate it whenever the nurse comes in to fix the CTG. Each time she comes in, she'll asked if I needed the injection to elevetae the pain and I said NO. She said that the injection will reduce the pain and hasten the dilation. I've always hated injection so I was adamant to go without it.
4.00am: This time the pain grew stronger and longer. I squirmed, squeal and held hubby's hand tightly every time the contraction wave hits me. It was unbearable now. I could hardly take the pain and I've only dilated to 2.5cm or 3cm only. It was too slow and the pain was so bad that I curled up like a prawn and grabed the bedside railing as if it could numb the pain. It is at this point of time that I could understand what labour pain is like. Your uterus contracts and you can feel your stomach harden whenever the contraction comes. The pain can last for a minute and then go away for like 2 minutes and repeats itself over and over again until you are fully dilated. Every passing moment is hell. Hubby encouraged me to excercise the breathing techniques learnt from our prenatal classes. I've tried doing the "breath in and exhale in 3 stages;fooh, foooh, fooooh" but it didn't really work when the pain got worse. This was when I had enough of the pain and decided to go with pethidine. The nurse had this look of "See, I told you to use the injection but you don't want" on her face. Anyway, the Malay nurse was sweet and she told me that with pethidine, the dilation will be quicker. When she injected pethidine into my right buttock, I could almost feel a stream of 'fire' flowing into my skin. It was very painful but would rather have this than the contraction pain. Baby's heart beat was 180 - 198 but nurse said it is normal.
5.00am: With a dose of pethidine, the pain was slightly reduced albeit not much of a relief though. I went through with the pain and manage to catch a brief nap every now and then. I was equally worried about hubby cos he wasn't feeling well, now coupled with the lack of sleep he must be feeling exhausted. Caught glimpses of him when he napped just to see if he was ok. I, on the other hand, was not bothered with was aired over on ASTRO's Star World channel as the contraction got stronger and even longer and shorter intervals, probably at a frequency of one in every 1 1/2 / 2 minutes. The cervix is only 3 cm dilated, still a long way to go.
8.30am: Doc Siti came to visit. Checked and discovered that I was only 3 1/2 cm dilated. It was then she decided to burst my water bag. Just the thought of it frightened me. She had this stainless steel scissors in her hands and I was eyeing it to see where it was headed. At the same time I asked her how did she plan to break the bag and rememberedt. her demonstrating how the scissors was twitched. The next thing was I could feel was warm water flowing out into a recyclable container placed under my bottom and the nurse hurridly removed it when everthing was out.
8.45am: The pain was excruciating. Contractions was stronger, longer and came at shorter intervals. I was holding back tears and felt like kicking or punching anything within reach. It was far worse than I had anticipated. Nothing beats the pain of labour and strangely, I couldn't find the exact words to describe this pain. All I can say is that the pain radiates from the front of the stomach to the back and lying on my back doesn't help. Hubby felt helpless as there was nothing he could do to minimize the pain.
12 noon: My cervix had only dilated to a mere 4 cm wide. Much too slow. I'm getting very exhausted and the pain is almost unbearable. The contraction came every 1 to 2 minutes and each lasted for a minute. An Indian nurse came in to inquired if I wanted an epidural. To which I immediately said yes and hubby encouraged me to take the epidural. The hell with needles, all I want is a pain relief. I couldn't take it any longer.
12.15pm: They called in the pain relief surg. Dr Zuraina Zain to perform the spine-epidural injection on me and before she begin, she informed me of the consequences and side effects of the procedure. For goodness sake, I'm in pain!! How could I possibly be in a proper state of mind to reject pain relief? It took me a while to decide when she said "affect certain nerves in one in 20,000 women" but what the heck, I need it NOW. The pain kept coming and I hastily said yes and signed the consent form. In the midst of a contraction, I was told to keep still so she can administer the needle on my back. Can you imagine trying to hold still when you're in pain? I had to tell them to be fast cos the next contraction is about to hit if they took their own sweet time. I wouldn't be able to hold still when another wave hits. Realising this was impossible, two nurses had to hold me down while the doc inserted the needle into my spine.
1pm: The epidural has already kicked in and I could feel both my legs numb. The left leg was so numb I could barely lift them and I was feeling very woozy, sleepy and most of all, PAIN FREE. Hubby checked on the CTG and informed when each wave of contraction came. It was very frequent and I was glad I had epidural. Hubby told me that my parents and his mom was waiting outside the labour ward but I was too tired and slept through the pain.
2pm: My cervix dilated to 7cm and the nurse said it could be anytime soon. This was faster than I thought. Hubby was outside with our parents and I was getting anxious as I wanted him to stay with me throughout the delivery process.
2pm to 4pm: The nurse inserted a catheter to drain urine from my bladder. I was on epidural but yet I kept asking the nurse if it was going to hurt each time she affixed the catheter. And no, I did not feel pain at all, except a sensation of the tube going into my down south.
4pm: The Indian nurse came in again to do a VE on me and informed that I've dilated to 10 cm. Hubby was elated. I was scared and heavily sedated. The nurse said she will alert Doc Siti while we waited for the moment to arrive. There was a certain commotion going on when all the other nurses were alerted about my impending delivery. All the nurses were busy preparing the equipments needed for the delivery. They were like busy bee. I was terrified when I was made to spread my legs and seeing the bucket being placed right below my legs. I remembered being shaved down south but not sure when it was done.
4.15pm: Doc Siti came in and asked if the nurses if they have stopped the epidural. I heard one of them giving her the affirmative. She then put on a yellow pair of plastic boots (it resembles that of Phua Chu Kang's) and draped herself with a sheath of plastic butcher-like appron. No more epidural? Crazy ar? I was petrified now. The nurses assured me that I won't feel the pain cos the epidural will still work. By now, Doc Siti was seated directly in front of me with my legs wide spread. I couldn't make out what she was doing but she was busy with some apparatus and doing something to my down south. The same Indian nurse who checked my cervix (and of whom I don't reckon qualify as a midwife) has been encouraging me to push (during contraction) even before the doc arrived and recalled hearing her tell another Indian nurse that there is "No Maternal Effort" and she told the same to the doc. That made me unhappy and I was thinking, what do you mean "No Maternal Effort"? Here I was pushing with all my might and the nurse had the cheek to say I was not pushing. The nurse said that she will get me to push until baby's head is visible (about the size of a 50 cents coin), then only will she get the doc to come in.
All the techniques I've learnt in the pre-natal class was carefully adopted but I was beginning to feel like it doesn't really apply here. In between pushes, the nurses were saying: "Very good, can see the head already. Push harder, another time" ..."Push some more, come on, come on", ..."Don't stop, you're sucking the baby's head back".."Push harder, feel the contraction and push harder"..."Now, stop pushing. Wait for the contraction. Now, push."
I was pushing all I can (like want to go pang sai) and at the same time I was afraid I poop there. Still, baby's head is not showing. Seeing little progress, the nurse asked if I'd like the vacuum and I told her YES. So, when the doc was seated, the Indian nurse told doc that there was no maternal effort and that I would like to have my baby vacuumed out. I think this was the time the doc did the episiotomy but I didn't feel her cut so that was one good sign. The doc stressed that I continue pushing and when she realized it was getting no where, she said "Joanne, if you're not pushing hard enough, we'll have to do a c-sect". C-SECT?? I was scared at the thought of having my stomach cut open. After all the trouble I've been through for the past 19 hours and she's going to cut me open? No way!
MY BABY HAS ARRIVED!
So, with that thought in me, I gave it all I have even if it meant pooping there. The next thing I know, the baby's head was out and next came the body. He was very pale, white and lifeless. The doc placed my baby over my stomach and asked if I'd like to hold him. I told her no, not yet cos I was feeling really exhausted. Then, she proceeded to ask hubby if he wanted to cut his umbilical cord but he said no.
RESUCITATION ROOM
When the umbilical cord was cut, they immediately took the baby out. Doc said that the room is too crowded for them to do their work so they had to take my boy out to another room to do the necessary. Everyone including the doc, my hubby and other attending nurses followed the nurse who was carrying my baby, into the "Resucitation Room". Hubby sensed something was not right and knew that when the doc said "take the baby out", it was a cue for emergency action. I, on the other hand, was too tired to realize what was going on and waited, with my legs still wide spread.
TAGGING OF BABY AND MOMMY
The baby was brought back to the labour room and was shown to me. They performed the tagging of the baby in front of us. We have to ascertain that the number on the tag for baby and mommy were identical before they tag it on us. Two tags were tagged on the baby's ankle and one was tagged to my wrist.
EPISIOTOMY
The doc returned after a while and asked the nurses "What time did you give her the pethidine?" but I did not hear the reply. The next thing I remembered is I was given the gas mask and was told to use it when I feel pain. And this was when the doc began her 'tailoring work' on my down south. I could practically feel her poke through my flesh and tightening every stitch as she went along and I was using the gas profusely, not even sure if I was using it correctly because the mask don't work at all. I repeat "The mask don't work and so is the epi!" I was lifting my butt at every tightening and the doc kept saying "Don't lift your bottom. Hold it down" and she continued to sew and tighten. It was the second most painful experience after labour. I was mortified and wondering when it's ever going to end. And you know what? Needles don't scare me any more, at least for now.
ALL STITCHED UP
By the time the doc is done with the suturing, it was already 5.30pm. The nurse cleaned my bottom and put on the sanitary pad for me. They gave me a net-like disposable underwear to wear and it was so uncomfortable. I was so tired and in pain. Hubby followed the baby to the nursery and our parents saw him. After the baby has been placed in the nursery, hubby came back to accompany me while we waited for the room to be ready. I was told they do not have a single executive room because it's all taken up and we're no. 6 on the waiting list. At 7.30pm, I was taken to a two-bedded room on the 3rd floor (room 373), of which my bed is located directly near the toilet and entrance. Not very private but no choice. My neigbhour snores at night and I couldn't really sleep. Hubby could not stay the night because it was a women's ward. He left for home at 10.30pm. My parents and MIL went home at 9.30pm. Apparently mum cooked me some ginger chicken dish and red dates drink this morning but did not anticipate my labour to be so long. Such a waste!
After hubby left, our baby's paedetrician Dr Khoo Phaik Choo paid me a visit to inform me of baby's condition. She said that baby is doing fine but will be under observation and would have to stay an extra day. Last month, a friend's 2 month-old baby was admitted for a heart surgery to correct an anomalous pulmonary venus; a heart condition in newborn. This condition, if not detected early, could cause Sudden Infant Death Syndrome (SIDS).Their paed. did not do a thorough check on our friend's son when he was born so his condition was only detected much later. Out of sheer concern and paranoia, I asked the paed if she checked his heart and lungs and she gave me the affirmative. For the time being baby will be at the nursery until he is given the clearance by his paed. to be sent to mommy for breastfeeding. I did not sleep well during the night as I could hear my neighbour snorring away and the constant visit by the nurses did not help either.
Day 2: 11 December 2008
It's a public holiday today, the birthday of Sultan of Selangor. Hubby came at 8 am, with 2 half boiled eggs (with the soya sauce & pepper), essence of chicken and all my essential items. So nice of him.