产前课程 W.5 - Part II

好不容易打完前两篇的字 终于来到产前课程最后一堂课的最后一 Part ~
是助产士会带我们去看看不同级的产后病房和产房······

果然产后病房没有什么特别 就是和我们普通生病入院住的病房一模一样 ~
有分别的是你要选择自己一个人住的病房 还是两人一房 或是四五人一房而已！
当····· 当····· 当····· 当····· ······· 最期待的还是先要去看看产房是怎样的 ~

大惊小怪的噢 ~ 就是这样的？就是这样的简单！
为什么我还可以想像说是那种好像开刀手术室的那样的？这样的可以生孩子吗？
就这样和普通一个人住的病房一样 没有什么的分别喔？

助产士还特意和准爸爸们说 那张红色的椅子是给你们坐的 你们还可以休息 ~
还有要是你们有打 Epidural 的话 那么你们还可以享受窗外的风景呢！
哈哈！很废话！在那边 Push 到半死了 哪里还有心情去看窗外的风景？

当大家在忙着问 助产士这样生孩子要多少钱时······ 有没有 Package 时·······
小鹿忽然吐出这句 The TV can watch ah ? ESPN ?
噢 几十粒眼睛转来看着小鹿 我几不好意识 助产士答和问 Yes & Why ?
小鹿完完全全没有一丝不好意识的大大声说 ~
" Nothing ! I just want to confirm can watch World Cup or not ······· "

哈哈哈哈哈······ 他老婆要忙着生孩子 他还有时间看 World Cup FootBall ?
或许也对 当小鹿大喊 GO 的时候 他女儿就这样出来了 那么要是不 GO 呢？

很多人很喜欢问无聊的问题 又不事先先做一点功课 唉······
这是我们事前先问的 自然生的 Normal Package，价钱如下 ：
3 Days / 2 Nights & Type of Rooms
Single Room = RM 2650
Two Bedded Room = RM 1850
General Ward = RM 1650

小鹿因此命令我如果晚上痛的话 死都要忍到隔天早上喔 ~ 这样比较划算！
嗯······ 好像没有看到包括医生巡病房的价钱 这个加加起来也嘛是不便宜······

A comprehensive package inclusive of :
* Nursing Care for Mother & Baby
* Mother's Room & Nursery
* Labour Room
* Routine Medication
* Foetal Monitoring
* Care before and after delivery
* Delivery Charges
* Baby Care by Child Specialist
* Routine Blood Tests & Routine Injection for the baby ( Vit K, BCG & Hepatitis
* B - 1st dose )
* Maternity Diet
* Neonatal Hearing & Screening

This package does not include the following and will be charges accordingly :
* Breech
* Multiple Delivery
* Cesarean section
* Horoscope Baby
* Induction of Labour
* Photo Therapy
* Vacuum / Forceps delivery
* Circumcision of baby
* Manual removal of placenta
* Additional lab tests and investigations
* epidural anaesthesia
* Room & Board for extra day's stay
* Entonox
* Non-routine Medication eg. Antibiotic, Painkiller, Rubella Immunization,
* Anti-D for RH negative mothers
* Intensive nursing care for Premature or Ill Baby
* Minor Surgery and Blood Transfusion

** A full deposit is required during admission or the next day.
** All prices quoted are subject to change without prior notice.
** Charges are the same on Public Holidays and Weekends.

当然 开刀生孩子是没有 Package 的 价钱要问医生 好像还可以商量的 ~
也当然 如果你选择了自然生 到最后还是需要开刀的话 那么价钱是两边算的！
虽然我还没有做决定 我再等看看医生怎样说 如果我可以自然生的话 那么·····
我会告诉小虎 妈咪在大大力 Push 你的时候你就要硬闯很怕 KiaSu 的冲出来！

哇哈哈哈！哇哈哈哈哈！哇哈哈哈哈······ ········ 有时做人也要会什么叫 KiaSu！

终于 如期写完了我的产前课程······ RM 100 学费也飞了······
只剩下的是我从产前课程那边拿了什么免费的东西回来 这个需要点时间 *懒*

Finally，步入第 37 周 ~
Finally，这个星期四去产检时要和医生商量一些关于我还需不需要早生等问题
So，和小鹿说好 ：
我打的第 1 通电话你可以和平常一样按掉 有时他在开会他会直接按掉我的来电
第 2 通或许是我不小心 有时候会没有听到他按掉我的电话 然后我再多打一次
但······ 第 3 通 我不管你怎样死 你都要听我的来电！

现在天天睡醒第一件事就是要先洗头 再来慢慢的倒数着每一分每一秒····· ·······

产前课程 W.5 - Part I b

挤 阿 挤 阿 挤······ 挤 阿 挤 阿 挤····· ·········
不知道那天的准爸爸们 对这个 " 挤阿挤阿挤" 是不是特别的感兴趣呢？
还是特别的感到兴奋呢？或是很好奇为什么女人的 (.)(.) 就这样很特别的呢？

Manual Expression of BreastMilk ( Marmet Technique )
The Marmet Technique of Manual Expression and assisting the milk ejection reflex ( sometimes called the let-down reflex ) has works of hundreds mothers - in a way that nothing has before.
Even experience breastfeeding mothers who have been previously been able to express only a small amount, or none at all, get excellent results with the technique.

Technique is Important
When watching manual expression the correct milking motion is difficult to see. In this case the hand is quicker than the eye.
Consequently, many mothers have found manual expressing difficult - even after watching a demonstration or reading a brief description.
Milk can be expressed when using less effective methods of hand expression.
When used, however, on a frequent and regular basis, these methods can easily lead to damaged breast tissue, bruised breasts, and even skin burns.

The Marmet technique of manual expression was developed by a mother who needed to express her milk over a extended period of time for medical reasons.
She found that her milk ejection reflex did not work as well as her baby breastfed, so she also developed a method of massage and stimulation to assist this reflex.

The key to the success of this technique is the combination of the method of expression and this massage.
This technique is effective and should not cause problems.
It can easily be learned by following this step by step guide. As with any manual skill, practice is important.

Advantages
The are many advantages to manual expression over mechanical methods of milking the breasts :
* Some mechanical pumps cause discomfort and are ineffective.
* Many mothers are more comfortable with manual expression of breast milk
* because it is more natural.
* Skin to skin contact is more stimulating than the feel of plastic shield.
* So manual expression usually allows for an easier milk ejection reflex.
* It's convenient.
* It's ecological superior.
* It's portable, how can a mother forget her hands ?
* Best of all it's Free !

How the Breast makes Milk ?
The milk is produced in milk producing cells ( Alveoli ).
A portion of the milk continuously comes down the ducts and collects in the milk reservoirs.
When the milk producing cells are stimulates, they expel additional milk into the ducts system ( Milk rejection reflex or let-down reflex )

Expressing the Milk
Draining the Milk Reservoirs
Use this measurement, which is not necessarily fingers outer edge of the areola, as a guide.
The areola varies in size from one woman to another.
* - Place the thumb above the nipple and the fingers below, in a 12 o'clock and
* - 6 o'clock position, as shown.
* - Note that the fingers are positioned so that the milk reservoirs lie beneath
* - them.
* - Avoid cupping the breast. The fingers should NOT be in 12 o'clock and 4
* - o'clock position.

* Position the thumb and first two fingers about 1" to 1 1/2" behind the nipple.

* Push straight into the chest wall. Avoid spreading the fingers the fingers
* apart. For large breast, first lift and then push into the chest wall.

* Roll thumb and fingers forward as if making thumb and fingers at the same
* time.

* Finish Roll - The rolling motion of the thumb and fingers compresses and
* empties the milk reservoirs without hurting sensitive breast tissue.

The arrows show the direction of the pressure the fingers apply.
See that the fingers under the breast start with the pressure on the back most finger in the " Push " and moves to the front most finger in the " Roll ".

Repeat Rhythmically to drain the reservoirs.
Position, Push, Roll, Position, Push, Roll ······ ········

* Rotate the thumb and finger position to milk the other reservoirs.
* Use both hands on each breast, the fingers will move from the 12 o'clock and
* 6 o'clock positions, to 11 and 5 o'clock, 2 and 8 o'clock, 3 and 9 o'clock.

Avoid These Motions
* Avoid Squeezing the breast. This can cause bruising.
* Avoid Pulling out the nipple and breast. this can cause tissue damage.
* Avoid Sliding on the breast. This can cause skin burns.

Assisting the Milk Ejection Reflex
This will help with relation and will help stimulate the milk ejection reflex.

Procedure
This procedure should be followed by mothers who are expressing in place of a full feeding and those who need to establish, increase or maintain their milk supply when the baby cannot breastfed.
* - Express each breast until the flow of milk slows down.
* - Assist the milk ejection reflex ( Massage, Stroke, Shake ) on the both breasts.
* - This can be done simultaneously.
* - Repeat the whole precess of expressing each breast and assisting the milk
* - ejection reflex once or twice more.
* - The flow of milk usually slows down sooner the second and third time as the
* - reservoirs are drained.

* Massage the milk producing cells and ducts. Start at the top of the breast.
* Press firmly into the chest wall.
* Move fingers in a circular motion on one spot on the skin.

* Stroke the breast area from the top of the breast to the nipple with a
* tickle-like stroke.

* Shake the breast while leaning forward so that gravity will help the milk eject.

Timing
The Entire Procedure should take approximately 20-30 minutes.
* Express each breast 5-7 minutes
* Massage, Stroke, Shake
* Express each breast 3-5 minutes
* Massage, Stroke, Shake
* Express each breast 2-3 minutes

Note : If the milk supply is established, use the times given only as a guide.
Note : Watch the flow of milk and change breasted when the flow gets small.
Note : If little of no milk is present yet, follow these suggested times closely.

老实说 其实对这个我没有很大的兴趣 因为是大家围着一起看 Demo ~
哎哟 ~ 我就是站到很不耐烦 有脚酸 、背酸 就是那种站不稳的感觉啦······
我比较期待快快完成这个 Part 然后······ 去看看产房！

~ 文接下篇

产前课程 W.5 - Part I a

这几天小虎很乖 她让她妈妈我日夜不休的忙 Update 网店的货品 ~
尤其是 Classic Pooh 觉得对顾客很抱歉 每次都是看不到货物样本然后下订单
实在是太谢谢你们了 真的很爱死你们！

Huh····· 荒废了很久的网店 所以还有一罗厘这样多的货待我 Update 真的很累！
不管怎样的忙 我还是先要在这里 Update 我的其他大大小小的事 大喊好累 ~
忽然间才觉得 时间好像比水流得更快！

或许下几篇 我只能匆匆忙忙的打下这几个字 " 我生孩子去了！" 呵呵 ~

上个星期五 终于上了最后一堂产前课程 对于整个课程没有太大的失望·····
可是对于最后一堂课的食物 非常的失望 非常的不好吃 哈哈 看来我只顾着吃！

而这天的课程有点长 1st Part 讲的是关于 Advantages of BreastFeeding
哇······ 每个准妈妈几多问题啦 好像个个都准备给他们家的 Baby 喝人奶似的 ~
而我呢？好像还在三心两意 犹豫不决的······ 就顺其自然吧！

从医院拿回来的资料如下 ：
For Baby
* Due to the anti-infective properties of breastmilk, breastfed babies tend to
* have less incidence of or less pronounced symptoms or ear infections,
* respiratory illness, allergies, diarrhea and vomiting.
* Due to the digestibility of breastmilk, breastfed babies are rarely constipated.
* The stools of breastfed babies are mild-smelling.
* SIDS ( Sudden Infant Death Syndrome ) is less common in breastfed babies.
* Breastmilk is constantly changing in its composition to meet the changing
* needs of the baby. It has the exact combination of protein, fats, vitamins,
* minerals,enzymes, and sugars needed for the human infant at various staged
* of his growth.
* Breastfed babies are constantly exposed to a variety of tastes through their
* mother's milk.
* Breastfed children are at less likely to need orthodontic work such as braces
* due to the unique sucking action required with breastfeeding. They also seem
* to have better overall dental health than formula-fed children. Children who
* were breastfed need speech therapy less often than those who were bottle-fed.
* IQ levels are average of 8 points higher in children who were breastfed.
* Adult daughters who were breastfed are at less risk of breast cancer.
* The bond between mother and child seems to be enhanced with
* breastfeeding.

For Mother
* Nursing immediately following delivery causes the uterus to contract
* lessening the risk of postpartum hemorrhage.
* The uterus of a breastfeeding mother shrinks to its pre-pregnancy size more
* quickly.
* Calories are burned while breastfeeding. It takes approximately 20 calories
* to produce an ounce of milk.
* Women who nurse their babies for at least 6 months lessen their chances of
* pre-menopausal breast cancer.
* Osteoporosis and cervical cancer are less common in women who breastfed.
* The return of fertility is delayed with breastfeeding.
* Breastfeeding is more economical than formula feeding.
* Breastmilk is always available, clean and at the right temperature.
* Many mothers feel a special satisfaction in knowing that they alone are
* meeting the nutritional needs of theirs babies.
* Adults who were breastfed have a lower risk of high cholesterol and asthma.

啊好好笑的是 接下来那个助产士教我们怎样才算正确的挤奶还有包尿布等等······
当然用讲的是容易 所以他们给了我们一些 Note 和图片回家自己慢慢看着学！

哇塞！我最顶不顺的是 很多准妈妈会问助产士这样的问题；
请问哪里有得买这些 电动挤奶的 或是 手压挤奶的？
我知道我不应该笑人 可是这应该是每间大大小小的 SuperMarket 都有卖的喔！
难道这些准妈妈都是超级 100% Monday - Sunday 8am - 8pm 的 OL 吗？
这个很基本，好不好？

Ok 咯 ~ 我承认我嘛是在那天第一次看到什么是 Napkin Layer？
这个噢没有人告诉过我 可是我小小声告诉小鹿我们去 Super 找找看 ~
Napkin Layer = 是一块薄薄似的纱布用来放在布尿布上面的 较好吸水较清洁·····

那么到底怎样用手人工挤奶呢？
这个下篇才打字了 现在好像有点累 又好像有点爱睡 就等饭后吧！
自从辞职后 自从我上了产前课程后 我现在才算是打了很多的英文字·····

~ 文接下篇

产前课程 W.4

昨天第四堂课 很不值得咯 因为小鹿又做我迟到了！
迟了 30 分钟这样多 我很喜欢我的妇产科医生做导师 因为他讲得很好很精彩 ~
真的走宝！还好还有一半听 " 凸" 是有点生气的！

从医院拿回来的资料如下 ：
How do I know when to come into hospital ?
What happens in Labour ?
* The womb gets ready for labour in the few months of your pregnancy.
* You will have felt your womb have small contractions when it goes hard.
* These are call Braxton-Hicks contraction.

* " False Labour ". Sometimes it is difficult for you to tell when the
* contractions are Braxton-Hicks contractions of the start of your Labour.

* The Onset of Labour
* - More frequent and painful contractions
* - Water bag may burst ( if the water bag burst you must come into hospital
* - even if you have no pain )
* - " Show " – mucous with blood mixed in it. ( fresh blood is very abnormal.
* - Come into hospital immediately )

When should I come into hospital ?
If this is your first pregnancy and you live in Penang there is no need to rush and break the speed limit. Unless you have had problems during your pregnancy ( eg. A breech or twins ) there is no need to rush into hospital with the first few contractions.
* If you have a " show ", wait for other signs that you are in labour.
* Have a shower or a bath, trying watching the tv, get some company……
* when the contractions become together stronger it’s time to go in.

The explain and understand labour, doctors and nurses devide into 3 stages.
* 1st stage
* - is from the start labour until the cervix is fully open ( at 10cm )
* 2nd stage
* - is from when the cervix is fully open until the baby is born.
* 3rd stage
* - is from the time the baby is born till after the delivery of the after birth,
* - the placenta.

What should I expect when I am in Labour ?
What should I expect ?
* Given a private room
* Change into a gown
* Examined by a nurse
* Water bag ruptured if necessary
* Baby is checked by a CTG machine
* Move around
* Offered pain relief

Pain relief
Most mothers are worried about pain when they are in labour. Some of the way which you can try to help coup with the pain are :
* Massage by loving husband
* Breathing exercises
* Injections
* Breathing a gas called Entenox
* Epidural

What problem can happen ?
No one can guarantee very labour will be a normal labour. That is why you have doctors, nurses and monitors to look after you and your baby. Occasionally problems can happen in labour ?
* The cervix may stop opening up
* - A drip may be started to give pitocin to get the contractions stronger
* - A caesarean may be needed

* There might be fetal distress when the baby is not getting enough oxygen
* - A caesarean may be needed

* The mother needs some help to deliver
* - Forceps or Ventouse

Other problems…..
What is an episiotomy and why is it done ?
* A cut " down below "
* To prevent a bad tear
* Speed up labour if there has been no progress or if there is fetal distress
* In forceps deliveries
* It is not done routinely

What happens after the baby ?
Having a baby is only the beginning of many things. What happens after ? There are many things to consider.
* Your body begins to readjust itself
* - Get tone back onto your muscles
* - Pelvic floor exercises to reduce the risk of prolapsed and urinary
* - incontinence
* Breast feeding

Why should I breastfeed ?
* Protection against infections
* - Less diarroea and lung infections compared with the bottle feeding
* - because breast milk has antibodies

* Protection against allergies eg. Asthma
* - Even a single bottle of formula milk early on can risk of allergy

* Lower risk of cot death ( also know as SID, sudden infant death )

* An association with higher intelligence ! Because some of the nutrition that
* the baby’s needs during its early development cannot be imitated by
* powdered milk

* Emotional bonding with your child. Some mothers find it hard to love their
* babies. Breastfeeding helps mother and baby to start develop a loving
* relationship

* Makes night feeds and travelling more convenient

* No running out of supplies !

Breast milk is BEST !

Want another baby next year ?
Look around you at home or at the office.
* Condoms
* The " Coil " or IUCD
* The combine pill
* The mini-pill

Prevent Cervical Cancer
You will routinely be offered a cervical pap smear at your check-up after your delivery

After the baby…..
* Breast feeding
* Postnatal exercises
* Sex !
* Depression
* Hair loss
* Sleepless nights
* And many more…..
It is not easy to being a mother. Many mothers often say " I’m coming back as a man !"

这一堂课告诉我们 怎样生 / 生的过程 才是重点！
我还在想要自然生好还是开刀呢？虽然一直都觉得自然生会来得较好！
最重要的是不要给我在自然生的时候 忽然间在 Half Way 我的子宫门不能开·····
然后要我开刀······ 这可是两边的痛！

本来还在想是不怎么害怕的 可是照片看多了 难免的会起鸡皮疙瘩 怎样好呢？
难道就像老人家说的 Die Die must GO ~
眼睛关关 敢敢去 硬硬 Push 然后小虎 PU 一声这样就出来了！
真的有这样的简单吗？

不想这样的多跑去 Tea Break 又是很不错的一餐 尤其是那个不知道叫什么的糕 虽然软了可是很好吃呐 ~ 我又吃了很多块！
这次不觉得过分因为我还没有吃晚餐 我在车上只是吃了几片白面包而已 ~
本来我很想做一个从网上看来的面包似蛋糕 可是偏偏杰作失败！
就这样两人要挨饿 其实小鹿还要啃完那个失败的杰作 呵呵 ~
我现在才觉得自己很够力咯······ 哈哈！哈哈！

第二个 Session 呢?

是教我们做运动！这个嘛······ 我想 Skip 过就好 简直要人家的命！
虽然很简单容易而已 ~ 还教我们怎样呼吸 说是全都是要生的时候会用到的·······
我还在想 不是到时痛的时候 当然是也大力喘 不是也大力喘 不是吗？
好像喘到很紧张这样咯 呵呵 ~ 是我乱乱想太多吗？我是看戏看来的！

全场小鹿是最不专心的那个 因为人家他生日嘛······ 他一直吵想要去吃日本餐！
所以呢？一直都在不停的问······ 几点了做么还不下课呢？过了 9.30 pm 了······
哇······· 我真的很顶不顺他 真的很像三岁小孩一样！

好不容易熬到 10 + pm 终于放了······
结果下场大雨 我们只是在 Perak Road 吃鸭蛋炒馃条 + 豆水！
2 杯豆水 安哥收我们 RM 1 我们还给他 RM 2 以为 RM 1 一杯 哈哈 ~
什么世界了 还有 5 角钱一杯的豆水 还很大杯 Normal Size 咯 ~ 吓到！
小鹿的生日这餐只花了小鹿 RM 8 ！

吃完在回家睡觉的路途中 小鹿忽然杀出这句 我买小罐的 Haagen Dazs Ice-Cream 给你······ 不过是要收到你要生的那天才吃！你先收在冰箱里······
为什么要等到要生的那天才吃？
因为我要鼓励你！而且你一个月坐月嘛······
去死啦你！你不会等我们下个星期看好日子知道哪一天了你前一天带我去吃啊？现在收着？有得看没得吃 你不会叫我先去死！

妈的！死小鹿 亏他这样也想得出的死招！
我呢？才不想和这种人讲话 我可以拿他的钱后天天自己出去吃到够才回家！

很快····· 还有一堂课而已 我就要待产了·······

产前课程 W.3

哇哈哈哈 产前课程第三课 总算赶得上在这里 update 了 耶 ~
上个星期五由于身体上的不舒服大改变 所以我没有准备晚餐 两人挨面包过餐！
就这样在车上吃吃吃 没有迟到·····

这一天课程的编排比较的紧 有一点的累 小鹿差点睡着了 呵呵 ~
不过呢 有很多东西送我们 这个我想上完课后才一次过 update 在这里·····

这个星期的课程比较不一样 至少导师没有照着念 所以听的解释比较多
而且给我们手拿的 Note 也比较少所以很难记录在这里 其实我也忘得 7788 了！
手上拿回来的 Note 也只有以下这里而已·····

New Born Baby
Jaundice
* Physiological jaundice appears after 48 hours
* Usually does not require treatment
* May require photo therapy
* Can result in deafness / mental retardation

Sleeping Position
* Safest position is either on the side or on the back

Feeding
* Breast milk is the beat
* Minimum requirement is 5 oz milk per kilo per day
* Weaning diet can be started at 4 months

Vaccination
* As per the schedule attached herewith

Colic
* As a result of excessive in wind
* Burp the baby at least for 15 minutes
* Wind drops are helpful
* Take the bay on a jerky ride

Bowel Movement
* Breast fed babies have loose stools, about 6 times a day
* Bottle fed babies have soft to firm stools, about 3 times a day
* After 3 months, normal stools frequency is once in 3 days up to 3 times in one
* day, provided it is not hard
* Hard stools denotes constipation

Fever
* Hot inside, Cold outside
* Wear light clothing
* Sit child in lukewarm bath ( for children above 1 year )
* Tepid sponging, but do not let the child become cold / shiver

Febrile Fits
* Fits due to fever
* Not epilepsy
* As a result of sudden increase in temperature
* Usually last for less than 5 minutes
* Do not panic
* Do not push the child's tongue back
* Put the child on the flat surface on his chest
* Seek medical advise
* Usually does not recur

上完 Part I，Part II 只是听听听 没有 Note 带回家看看 ~
由于刚才的晚餐只是挨面包 所以又吃医院很多东西咯 呵呵 好像很贪小便宜·····
他家准备的 Mini Pizza 很不错一下 不过小鹿说 Jagung Creampuff 较好吃喔
当然还有水果四款 还有开水和 Orange 水 每个星期都不一样噢 哈哈 ~
我们还在想 接下来还有两个星期的课 食物方面会不会 Repeat 呢？

好不容易挨到 10 pm 看来好像补回上个星期的半小时 刚刚好没吃人的时间！
原本想上完课去买戏票看 " 初恋红豆冰" 小鹿酸笑我 很本地人 很支持本地戏
我以为人人说 Malaysia Boleh 嘛····· 不是想去支持一下咯 呵呵 ~
只可惜我的肚子又不听话 很显 很饿 ~
结果最后的决定跑去 P. Tikus 吃 Lok Lok 为什么每次吃 Lok Lok 都下雨呢？

回家睡觉 就这样的一个夜晚不见了····· ·······

产前课程 W.2 - Part II

Is My Baby OKAY ?
During you pregnancy, your baby is cocooned and nourished within the mother's body. We can get fair idea of the baby's condition by monitoring his growth and activity in the mother's womb. However, it is not until the baby actually arrives that we can know his or her condition for sure.

When parents ask their doctor : " Is my Baby OKAY ?", they usually are interested to know whether the baby is normal, and free from any problems.

In this respect, the first few minutes after the delivery are crucial. The baby's first hurdle is to establish breathing quickly, and some babies announce their arrival by screaming at the top of their lungs, thereafter, a quick measurement of weight, lenght and head circumference will tell if the baby's size is within normal limits.

In most instanced, by the time the parents get to see and hold their body, he or she would have been bathed and dressed up. Still, it is not uncommon ( and quite natural ) to find parents gently examining every inch of newborn's features and making sure that there are really 10 fingers and 10 toes.

Appearance
A newborn baby continues to assume a curled-up position ( Foetal Position ) that he or she has been used to inside the mother's womb, he may have a thin layer of fine hair ( Lanugo ) on his body, and many Asia babies also have bluish-gray patches over the side and buttocks ( Mongolian Sports ), which will fade with time.

Many babies' heads will be moulded in an ablonged fashion ( Caput ) which help them negotiate the birth canal. Others may develop a swelling on one or both sides of the scalp ( Cephalhaematoma ) but virtually, all will resume a normal shape with time and without any help.

Sometimes, parents may notice a flattened, diamond=shaped area on top of the baby's head ( Fontanelle ) which may appear to pulsate. This is just a normal gap between the scalp bones, and gradually closes as the bones grow and fuse together.

Over the face, one can often see pink birth marks ( Capillary Hemangiomas ) especially over the eyelids and sometimes at the back of the neck too. Folklore has attributed these marks to stork bites as they carry the baby down from heaven ( Which, incidentally, is where they all come from ! )

These are transient, as are fine yellowish dots on the nose ( Milia ) which represent collections of oily substances, and are, by the way, not to be squeezed please !

Up to 70% of normal babies will develop rashes over the body ( Erythema Toxicum ) which are harmless, and typically bother the parents more than it does the baby.

Interestingly, as a consequence of a sudden drop in the mother's female hormones after birth, a few babies experience secretion of breast milk 9 Galactorrhoea ) and even vaginal bleeding ( Withdraw Bleed ) during the first week. Parents should recognize these possibilities and not be unduly alarmed as the effect of these hormones will pass.

The baby's tummy normally appears prominent, especially after a feed. Unfortunately, this leads many caregivers to label the baby's tummy as being " distended with wind ". A general rule of thumb is : if the bay is happy and contented, the tummy is usually not the problem.

Many parents also worry if the cord clamp will hurt their baby - it does not. Within a week after birth, the cord actually dries up into a dark stump, which drops off by itself.

Behaviour / Activity
Babies need sleep to grow well, and in fact, they can sleep as much as 18 hours in a day, waking up only for absolutely pressing reasons like feeding.

When awake and quite, babies love to study their environment, However, their eyes can focus well only up to 20cm. So it is a good idea to get up close and personal to them, because their idea of a good time is to see faces, especially their parents' faces cooing and taking to them.

Babies do not possess the faculty of adult speech ( and they are still unable to help themselves to the fridge ! ), therefore, nature has provided them with the superb set of lungs, Some adults get extremely agitated or depressed when a baby cries. Yet crying does not mean that the parents are not doing a good job, It is the only way for the baby to let you know that they need something. Address those needs, and the crying will stop.

This begs the question : How does one read the language of a baby's cry ?

Most commonly, babies cry because it is feeding time and they are hungry. Or they have soiled themselves with urine, vomitus or stools. Or they are in some kind of discomfort from heat, rashes, insect bites, or colic. Or perhaps they just want a little cuddle ( remember, you can never cuddle little babies too much ! ) For a start, now parents should look for the above possibilities like a checklist, As you spend more time with the baby, you will become better and better at differentiating the cries.

Newborn babies are also preprogrammed with automatic movements ( Reflexes ) that help them protect themselves and cling on to their mothers. Stroke their palms and they will hold on to your finger tightly ( Grasp Reflex ); A sudden noise like a slamming door will cause them to startle, throw their arms up and possibly cry ( Moro's Reflex ).

Feeding
A common question that vexes parents : How much to feed my Baby ?

One good idea is to follow the baby's cues and feed on demand, The amount needed varies because every baby's stomach capacity, metabolic rate and genetic programme is different. And they grow at a terrific rate too !

Breastfed babies may want to feed every 1-2 hours especially in the beginning. Formula-fed babies seem able to last 3-4 hours between feeds, but only because formula is harder to digest !

Whatever it is, remember to give feeding regularly, and also through the night during the first month. ( If baby seems to have slept pass his feeding time, you must gently remind him or her ).

The baby is getting enough if he passes on adequate amount of urine and stools ( see next section ) and putting on weight at a good rate.

Water is not necessary because milk itself contain abundant water. Moreover, water by itself fills up the stomach but provide zero calories and nutrients. After feeding, many babies hiccup due to distention of the stomach and whether or not you do anything about it, hiccups will disappear once the feed is digested.

On the same note, spiting out feeds ( Regurgitation ) is extremely common due to laxity of the newborn's swallowing tube ( Oesophagus ).

While the problem usually resolves within next few months, we can help by periodically burping the baby during and after feeds, not moving him too suddenly , and putting him down on an incline where the head is always slightly higher than the stomach.

Elimination
In the good old days, a sure sign of a new baby was the sight of rows of rows of clothes diapers hanging out to dry. Tobe sure, babies can generate prodigious amounts of waste !

Most babies pass thick, sticky greenish stools ( Meconium ) within 24 hours. With increasing feeds, the stools change colour to yellow within a few days. Because breast milk is easy to digest, bowel movements are usually regular, sometimes occurring with every feed and the stools may appear slightly watery and golden. On the other hand, formula-fed babies may have firmer, bulkier stools, which is passed less often.

Newborn should also pass urine within first 24 hours, and thence, may wet their diapers about 6 to 12 times in a day.

Summary
Knowing what is normal can put a lot of parental anxieties to rest. The best way is to read about babies before delivery, consult family members and friends who have taken care of babies themselves, asking your paediatrician, and most importantly, to learn from observing and being with your baby a lot.

And in between the hard work and interrupted sleep, remember to enjoy and love the little miracle you hold in your arms !

完！
9 pm 就完！小鹿还酸笑医院有点偷吃我们的钱噢 ~ 应该 9.30 pm 才完的！
小鹿之后又带我去 Chulia Street 买 10 片 APong 吃····· 这样一天又过了······

产前课程 W.2 - Part I

第二堂课 由于下雨又塞车 我们迟到 25 分钟！
小鹿已经很赶了 可是还是迟到 也还好坐最后一排 因为导师会叫人问的 怕 ~

1st Session : Dietitian
这个环节 正确来说我没有什么听到 去到时导师已经念到 7788 了·····
我还很过份忙着看医院那天给我什么东西 马虎的略过看一看医院给的资料纸
所以，以下的资料全都是从医院给的 Flyer 抄来的·······

Weight gain recommendation is based on Body Mass Index ( BMI ) by using pre-pregnancy body weight ;
BMI = Weight ( kg ) / [ Height ( m ) x Height ( m ) ]

Recommendation weight gain :
Underweight = BMI Less than 18.5 kg/m2
Normal = BMI 18.5 - 24.9 kg/m2
Overweight = BMI 25.0 - 29.9 kg/m2
Obese = BMI 30 and above kg/m2

Rice and Alternatives
* Recommendation : 5 or more servings per day
* 1 serving = 1 cup of Cooked Noodles / Rice
* 1 serving = 1 cup Cooked Cereal
* 1 serving = 2 slides of Bread
* 1 serving = 1 Potato

Fruits
* Recommendation : 2 - 3 servings per day
* 1 serving = 1 slide of Papaya / Watermelon / Honeydew
* 1 serving = 1 medium Orange / Pear / Apple
* 1 serving = 8 seeds of Grapes
* 1 serving = 1/2 cup of Cut Fruits
* 1 serving = 3/4 cup of Fruit Juice

Vegetables
* Recommendation : 3 -4 servings per day
* 1 serving = 1 cup of Raw Vegetables
* 1 serving = 1/2 cup of Cooked Vegetables

Meat and Alternatives
* Recommendation : 4 servings per day
* 1 serving = 60g of cooked Fish / Skinless Poultry / Lean Meat
* 1 serving = 1/2 cup Cooked Beans
* 1 serving = 2 whole Eggs

Milk and Daily Products
* Recommendation : 3 servings per day
* 1 serving = 1 cup of 250 ml Milk
* 1 serving = 1 cup of 200 g Yoghurt
* 1 serving = 2 slides of 45 g Cheese
* 1 serving = 3 tbsp of Milk Powder

Important Nutrients
* Iron
* - Aid in making Haemoglobin, which carried oxygen to the baby for optimal
* - development.
* - Sources : Lean Red Meat, Fortified Cereals, Baked Beans, Dark Green
* - Sources : Vegetables, Wholemeal Bread

* Magnesium
* - Reduces the incidence of pre-eclampsia, pre-term labour
* - Sources : Tofu, Green Vegetables, Dairy Products, Nuts

* Fibre
* - Prevent Constipation
* - Sources : Potatoes, Bean, Wholegrain, Fresh Fruits, Vegetables

* Zinc
* - Normal foetal development
* - Beneficial effect on infant's neurobehavioural development and immune
* - function
* - Sources : Meats, Fish, Egg, Milk, Nuts

* Folic Acid
* - Prevent neural tube defects : Spina bifida which can lead to incontinence,
* - paralysis, and even mental retardation.
* - Sources : Meats, Fruits, Green Leafy Vegetables, Fortified Breakfast Cereals

就这样匆匆忙上完了第一环节 又是 Break Time 呵呵 ~
医院还是一样准备了四样食物包括 水、水果、千层糕 还有忘了一样是什么·····
我很过份 那个千层糕 Layer Cake 好吃到不得了 我吃了三个！

本来我叫小鹿偷偷怕照的 可是小鹿问可以不可以不要每次都叫他偷偷拍照呢？

嗯····· ok 咯 谁叫我打死都不可能告诉人家说我要放上部落格做记录的！

第二个环节不知道和哪下个环节对调了 因为好像是医生没有空吧？
2nd Session : Is My Baby OKAY ?

~ 文接下篇

产前课程 W.1

9 April 第一堂课特别的紧张 要小鹿特别的准时到医院 呵呵 ~
看到很多对的准爸爸和妈妈 再看看自己 原来自己的肚子是最大的 *显*

第一堂课的 1st Session 讲的是以下的资料；
资料提供全都是从医院给的 Flyer 抄来的······ 还有很多东西拿·······

When to see the doctor ?
* Missed period
* Once pregnancy is confirmed by UPT
* Before pregnant if associated with medical disorder

What happens to my body ?
When you are pregnant, many things change in your body to adapt to your baby growing inside you.
These changes often cause some problems for the mother.
However they often do not harm the mother or the baby.
* Morning Sickness
* Constipation
* Heartburn
* Piles
* Cramps
* Vaginal Thrush
* Varicose Veins
* Incontinence

What does the doctor check for when i come to the clinics ?
When the doctor sees you for the first time in the clinic, he often does not know anything about you. He / She needs to talk to you and examine you before the understands you and your pregnancy.
* Weight
* Blood Pressure
* Urine
* Examination
* Ultrasound Scan

Blood Pressure in pregnancy ?
* The normal blood pressure is less than 140/90
* If the blood pressure is raised, usually after 20 weeks, it may mean you have
* pre-eclampsia.
* It is a serious condition which can lead to problems with both the mother
* and baby.

Diabetes in pregnancy ?
* More common in those with family history of diabetes or similar history in
* previous pregnancies.
* May result in preterm deliveries, big baby, too much water around the baby,
* etc.
* Usually blood sugar returns to normal after delivery.

What is the doctor feeling for when he / she examines me ?
* To make sure the baby is growing healthily
* What is the position of the baby ?
* How many babies are there ?
* Has the baby's head got engaged by 36 weeks ?
* Is a vaginal delivery possible ?

How can I prepare myself for labour ?
* Go to Antenatal Class
* Get familiarized with the people and the surroundings
* Get your partner's support
* Exercise regularly
* Take a good diet. Take supplements if necessary

The dos and dos'ts in pregnancy
* Take folic acid during the first trimester. It is even better if you can take it
* before you are pregnant.
* Avoid taking medicine unless it is safe for the baby.
* Exercise
* Wear loose, comfortable clothing, good supportive brassieres and avoid
* high heels.
* Good time to travel will be during the second trimester. Different airlines
* have different rules about how late you can travel by air.
* Try to avoid long distance travelling during the last trimester.
* Sexual intimacy is allowed through the pregnancy unless advised not to by
* the doctor.

听医生跟着白版上的字念和解释完了一遍后就有一个小 Break ~
医院在这方面还好贴心 没有亏待我们 呵呵 还真替我们准备了不少的食物·····
虽然只有三文治、水果、蛋挞和水简简单单的四样 可是分量却足以多出几倍！

来到 2nd Session 是教准妈妈做一些基本的健身操······

9 个花式 不是学到我累 而是做到我累 -- 还要小鹿偷偷的拍照 我不好意识吗！
在这里可以看得出有些准爸爸很细心 很疼老婆的 有些就比较没有耐性似的 ~
而我们家小鹿也没有什么好好的参与！

显 这 9 招要我挺这一粒大西瓜来做 对我来说简直就是买人命！
我喘 导师笑 我说我是全场最大的西瓜 不是吗？导师还猛点头····· ·······

9.30 pm 完 其实这个上课的时间不是很美 很多人放工赶着来 完了又不三不四
Friday Night 想看戏 但是时间又顶着中间 想宵夜又不是很想 想回家又太早 ~
最后小鹿带我去 Chulia Street 买 10 片 APong 吃！我不是说好···· ······
要减肥的吗？

哪里是我要吃？是小虎要吃的！

产前课程

我没有想过想要上产前课程 我觉得自然的就好 可是小鹿想要去学习看看······
就这样我们在医院报名了 5 Sessions RM 100 - 每个星期五 7.30 - 9.30 pm ~

也好 或许多一点了解会对我们都有好处呢？可是却牺牲了我的 Friday Night！
产前课程包括了如下；

Week 1 - 9 Apr 2010
1st Session ( Obstetrician 产科医生 )
Before Labour
* Video : " A Healthy Pregnancy "
* What happens to my body ?
* What does the doctor check for when i come to the clinic ?
* How can i prepare myself for labour ?

2nd Session ( Physiotherapist 物理治疗师 )
* Pratical Session

Week 2 - 16 Apr 2010
1st Session ( Midwife & Dietitian 助产士 & 营养师 )
* Video : " Bathing A Baby "
* Arrival of baby - preparation for hospitalisation
* Good nutrition during Pregnancy and Preparation for Breastfeeding

2nd Session ( Midwife 助产士 )
* Brain Development Stimulation 脑发育的刺激
* Baby Massage
* Video

Week 3 - 23 Apr 2010
1st Session ( Obstetrician 产科医生 )
* Video : " Breastfeeding "

During Labour
* How do i know when to come into hospital ?
* What should i expect when i am in labour ?
* What problems can happen ?
* What happens after the baby ?

2nd Session ( Paediatrician & Audiologist 儿科医生 & 听力学家)
* Is my Newborn Baby Okay ?
* New Born Hearing Screening

Week 4 - 30 Apr 2010
1st Session ( Midwife 助产士 )
* Some common concerns after birth
* Nappy Folding

2nd Session ( Paediatrician 儿科 )
* First week of Life and Immunisation Programme 生命和免疫接种计划

3rd Sessioin ( Physiotherapist 物理治疗师 )
* Practical Session

Week 5 - 7 May 2010
1st Session ( Paediatrician 儿科 )
* Breastfeeding
* Video : " Baby's Choice "
* Tour of 5th Floor & Nursury, Deluxe Ward & Delivery Suite

2nd Session ( Midwife 助产士 )
* Massage techniques by partners
* Breastfeeding in hospital
* Expressing your breast milk
* Breastfeeding Aids


报读参与的课程大致上就是这样 间中还会有 Refreshment & Group Interaction
下个星期五就开始了 上完这课程我就刚刚好要准备生了 会不会太迟啊？
我还在怀疑自己有没有能力完成这连续五个星期的课程呢？

嗯······ 现在才发觉其中一个星期五还是小鹿的生日呐 ~