Jemputan Walimatul Urus

19 dan 20 Ogos 2006 bersamaan 25 dan 26 Rejab 1427 semakin dekat dan semakin meresahkan saya. Hari-hari tersebut saya dan suami akan melaksanakan satu tanggungjawab besar sebagai ibu dan bapa. Kami akan menikahkan putri sulung kami Mawaddah dengan tunangnya sekarang yang bernama Azizy. Majlis nikah akan diadakan di rumah kami di Bukit Keramat, sementara majlis walimah akan diadakan di Titiwangsa. Saya mengambil kesempatan ini untuk menjemput saudara mara kedua-dua belah pihak saya dan suami, sahabat handai kami sejak kami bersekolah rendah hinggalah semasa di UKM/ Adelaide Uni, juga rakan-rakan yang pernah bekerja bersama-sama, warga kerja di PPKSB dan di Fakulti Perubatan UKM serta kenalan jemaah yang pernah kami bersama dan masih bersama. Tidak lupa juga yang dihormati lagi dikasihi guru-guru dan pensyarah-pensyarah yang telah mendidik dan mengajar kami. Kami cuba membahagikan waktu kedatangan jemputan dengan saudara mara dan keluarga digalakkan hadir antara masa 12 tgh hingga 2.30 ptg dan sahabat serta kenalan di antara 2.30-4.30 ptg. Hubungi Dr Aminuddin 0123337764 dan saya sendiri 0192100066 (saya lebih cenderung untuk menerima dan respon kpd sms). Di dahului dengan jutaan terima kasih. Dr Lo'lo' HMG 17/7/06 21 Jamadil Akhir 1427

Breech Babies: What Can I Do if My Baby is Breech?

Saya search website ttg pregnancy dan dapati article ini sangat relevan dengan persoalan bayi songsang

What is a breech birth? Before birth, most babies are in a head-down position in the mother's uterus. That's why most babies are born headfirst. Sometimes the part of the baby that is head down is not the head, but the buttocks or the feet. When a baby is in that position before birth, it's called a breech birth or breech baby. Many babies are breech early in pregnancy, but most of them turn to the headfirst position near the end of the pregnancy. Babies that are born early are more likely to be breech. If more than one baby is in the uterus at a time, one or more of the babies may be breech. Abnormal levels of amniotic fluid around the baby may result in a breech birth. As you get closer to your due date, your doctor will be able to tell (by physical exam, ultrasound, or both) if your baby is breech. Can a breech baby be delivered without a cesarean? Some breech babies may be safely delivered from the vagina. However, more complications can occur if the baby is breech. A baby who is breech may be very small, or it may have birth defects. Breech babies may also have accidents during delivery that can damage the umbilical cord or cause asphyxia, or even cause death of the mother or baby. Although breech babies can be delivered vaginally, it's generally safer and easier to deliver babies head first from the vagina. So, many times doctors deliver breech babies by cesarean delivery (also called a C-section). Risks are involved with cesarean delivery, too, such as bleeding, infection and longer hospital stays for both the mother and her baby. Can I do anything to help if my baby is breech? It's very important to see your doctor regularly when you're pregnant. Your doctor can tell if your baby is breech and help plan what to do. Some doctors will plan to deliver the baby by cesarean section. Others may give their patients exercises to do at home that may help turn the baby to the head-first position. Some doctors try to turn the baby in the mother's uterus using a procedure called external cephalic version. If this procedure is successful and the baby stays head down, a normal vaginal delivery is more likely. What is external cephalic version? External cephalic version is a way to try to turn a baby from breech position to vertex (head-down) position while it's still in the mother's uterus. In other words, external cephalic version means turning the baby from outside of the abdomen so that it's in the head-down position. Your doctor will use his or her hands on the outside of your abdomen (tummy) to try to turn the baby.

When is external cephalic version done? External cephalic version is done at the end of pregnancy, after about 37 weeks of gestation.

Who can have external cephalic version? Many women with normal pregnancies may have external cephalic version. Women who can't have it are women with one of the following: - Vaginal bleeding - A placenta that is near or covering the opening of the uterus - A nonreactive nonstress test - An abnormally small baby - A low level of fluid in the sac that surrounds and protects the baby - An abnormal fetal heart rate - Premature rupture of the membranes - Twins or other multiple pregnancy What are the risks of external cephalic version? External cephalic version has some risks, including the following: - Premature labor - Premature rupture of the membranes - A small blood loss for either the baby or the mother - Fetal distress leading to an emergency cesarean delivery - The baby might turn back to the breech position after the external cephalic version is done - Although the risk of having these complications is small, some doctors prefer not to try an external cephalic version. What can I expect if my doctor and I decide to try external cephalic version? External cephalic version is usually done in the hospital. Before the procedure, you will have an ultrasound to confirm that the baby is breech. Your doctor will also do a nonstress test to make sure that the baby's heart rate is normal. A tube of blood will be drawn, and an anesthesiologist will be notified, just in case you need to have an emergency cesarean delivery. You'll be given medicine through a vein in your arm to relax your uterus. This medicine is very safe, with no risk to your baby. While you're lying down, the doctor will place his or her hands on the outside of your abdomen. After locating the baby's head, the doctor will gently try to turn the baby to the vertex position.

What happens after the procedure? When the procedure is completed, your doctor will perform another nonstress test. If everything is normal, you won't have to stay in the hospital. If the procedure isn't successful, your doctor will talk to you about the possibility of having a vaginal delivery or a cesarean section. Your doctor may also suggest repeating the external cephalic version. What is the success rate of external cephalic version? The success rate of external cephalic version depends on several factors, including the following: - How close you are to your due date - How much fluid is around the baby - How many pregnancies you've had - How much your baby weighs - How the placenta is positioned - How your baby is positioned

The average success rate is about 65%. Even if the procedure works at first, there's still a chance that the baby will turn back around to the breech position. This also depends on the factors listed above.

Kandungan Songsang?

Saya kongsikan di sini beberapa pandangan Dr2 dalam egroup KISAS berkenaan dengan kandungan songsang. Moga memberi munafaat (nama2 & pengirim email telah saya padamkan kerana mungkin mereka tidak selesa disiarkan di Blog saya ni)

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Salam Lama sungguh saya tak berkesempatan utk membaca email2 dlm group KISAS ni. Terbaca pula email yg mmg interest dan berkaitan dgn profesyen saya skrg ie sbg Dr yg mengendalikan klinik dan wad bersalin. Saya ingin menasihatkan ibu2 yg mengandung songsang agar mengambil tindakan yang lebih bijak dan cermat seperti yg diperkatakan. ECV boleh menyebabkan APH atau perdarahan waktu mengandung kerana pelbagai sbb antaranya abruptio placenta atau uri tertanggal samada sepenuhnya atau sebhg yg merupakan insiden yg bahaya dan patut dielakkan. Bayi juga mungkin terbelit dgn tali pusatnya sendiri dll, sbb tu Dr akan buat ECV dgn close monitoring & scan. Timing juga kena betul ie 36/minggu atau sembilan bulan supaya jika sesuatu berlaku bayi tersebut boleh dilahirkan segera dan tidak timbul masalah tidak cukup bulan. Please la, tanpa menafikan peranan bidan kg, saya sekali mengingatkan supaya keputusan yang realistik dan bijak harus diambil disini utk memastikan keselamatan ibu lebih2 lagi bayi. Oh ya terlupa saya utk menyarankan supaya ibu2 yg mengandung songsang melakukan banyak exercise seperti kedudukan kita sujud dalam solat, senaman ini insyaAllah sudah banyak membantu. Saya juga antara Dr yang mengamalkan ECV atau pusing bayi songsang tetapi dgn penuh hati2. Silalah ke klinik saya ie

PUSAT PERUBATAN KOHILAL,

225 JLN NEGARA 2,

TMN MELAWATI

03 41068466/7/8.

03 41054519.

0192100066 (SMS SHJ).

Klinik saya pd setiap hari Isnin, Rabu dan Jumaat dari 9pg hingga 4 ptg. Tk Dr Lo'lo' HMG www.ppksb.enetmyne.com docpearl.blogspot.com ----------------------

Assalamualaikum WR The best advice is to be given by the attending obstetrician at the point of time of the decision to be made. Every pregnant mother is different, every baby is different and every case is different. Every doctor is also different but the bottom line is to achieve whatever is the best for the mother and baby. There are many factors to be considered in order to make the best plan, including expertise and facilities available at the point of time of delivery. Caesarian section is not necessarily the last option but can be the first option when it is indicated. When the natural route is too risky, a safer short cut should be referred. Caesarian section can be done as a planned procedure in advance but can also be done as an emergency when the baby (fetus) is in danger. A few minutes of delay can result in catastrophic consequence to the newborn brain. Memusing kedudukan baby dalam kandungan (External Cephalic Version / ECV) was popular, then became less popular and now reported to regain popularity with a success rate of about 60%. Ada khilaf di kalangan obstetrician dalam hal ECV ini. When I was a medical student, during O&G exam, we have to be careful what to say about ECV because some examiners were totally against it, while some others promote it. My opinion, if the doctor is confident and good at doing it, go ahead. If not, go for caesarian section as it is safer for the baby. Dr. B -----------------

Aslm..my opinion Saya nak mencelah sikit..kalau mengenai urut-mengurut semasa mengandung terutamanya untuk menemui bidan, elok dielakkan. By experience, ada ibu-ibu mengandung yang mengalami pendarahan apabila di tanya dia ada menggunakan rawatan bidan utk urutan, the worst is pendarahan di antara rahim dan uri i.e abruptio placenta. Actually, senior O&G specialist boleh buat manual 'pusing baby' ni tetapi dengan monitor menggunakan ECG (boleh check kalau baby dalam keadaan distress) dan with term and conditionnya juga lah dan kalau berlaku pendarahan atau baby memang dalam keadaan distress, boleh operate terus. And at 32-34 week ada kemungkinan utk berlaku pemusingan ini dengan sendirinya. Sekian Siti

------------ Asslkm, Saya aware akan possibility Ceaser, tp itu adalah last option, Insya Allah. Recently kakak ipar saya seorg doktor kat HKT(juga Ex-KIK SPM88) juga mengalami pengalaman yg sama dan terpaksa Ceaser.Juga anak ke4. Anyway hujung minggu ni kami nak cuba bidan, try tengok kot boleh back to normal.Tak mahu tunggu sampai last minute.InsyaAllah. Wasallam -------- Salam.

Berdasarkan pengalaman saya bersalin anak ke 4 baru2 ni, sama la kes dgn wife anta. minggu 33 dr bg tau dia songsang. dr kat fetus still blh pusing sampai week 37. check semula week 37 masih dlm keadaan yg sama so dr advice suruh ceaser sebab anak ketiga dulu pun dah ceaser. tapi kalau sblm ni blm pernah ceaser dr kata blh try bersalin cara normal tapi berisiko. wallahu a'lam. SS

------ Asslkm, Nak tanya/minta nasihat kpd Dr. dan pakar2...My wife pergi scan last week, Dr kata fetus songsang, Now week 33,anak ke 4. Soalan? Adakah normal @ bolehke fetus tu back to normal position within next period of time. Wassalam. AM

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Saya juga menerima email yang sangat kelakar dan tidak kisah jika dikongsikan Kisah Ayam Utk forwardkan.... Maaf pada yg tersinggung Kisah ayam Samy Vellu & Pak Lah melintas jalan... Dilulus terbit oleh LinuxPro pada Sunday, July 02 @ 10:44:34 MYT Kiriman : Taranama REVISED VERSION : Why Did the Chicken Cross The Road? What they have to say. Kindergarten teacher: Because it wanted to look for food on the other side. Sammy Vellu: Kita sude bikin banyak jembatan, itu ayam musti guna jembatan untuk lintas itu jalan lagi pun kalu itu ayam mau pigi jalan-jalan, beritau sama saya juga, saya bolley buat lebbey banyak toll....itu jambatan mesti ada tahan 100 tahun. Lain kali bole kasi tutup..kita bole survey mana ada rosak. Karam Singh Walia(TV3): Seperti yang saudara dapat lihat, kelihatan ayam-ayam itu sedang melintas jalan. Mereka bukan sahaja melintas jalan, malah membuang najis di atas jalan dan ini adalah pencemaran yang paling hebat di maya ini. Bapa-bapa dan ibu-ibu ayam haruslah mengambil inisiatif untuk melatih ayam-ayam agar menahan najis sewaktu melintas jalan, sekian saya sudahi dengan.........Ayam di jalan di lintaskan; Ayam di reban mati tak makan. Wan Kamarudin (Edisi Siasat NTV7): Ape kejadahnyer ini semua, KL dah jadik reban ayam, mak bapak ayam asyik menganga saje.Ayam semua dah besar kepala,..dan dah tak nak duduk reban...dan bertambah biadap dan buat perkara yg tak masuk dek akal! Zainal Ariffin Ismail (TV3 Kisah Misteri): Ada saksi menyatakan yang mereka dapat melihat ayam-ayam ini melintasi jalan-jalan di kampung ini pada waktu malam. Ada yang menyatakan ayam-ayam ini merupakan penyamaran jin. Dan ada juga mengaitkan ia berkaitan dengan peristiwa silam di kampung ini. Apakah sebenarnya maksud tersirat ayam-ayam ini melintas jalan? Oleh itu saya akhiri, "Jangan biarkan hidup anda diselubungi misteri........." Zainal Alam Kadir (Wayang Kita Astro): "Ayam siapa kalau bukan ayam kita..." Sisters in Islam: We abhor the thoughts of the rooster enslaving the hen, that is why female chicken must be brave and know their rights before they cross the road,....and some cross to escape the master/slave marriage....but this Taliban minded syaria court is no help to the grieving hens...all chicken hens should not vote for IFL! Abdul Fatah Haron (PAS Rantau Panjang): Ayam-ayam yg melintas ini semua adalah kerana mereka ayam-ayam yang GATAL...... Md. Said Yusof (BN Jasin): Apa salah nya...biarkan mereka lintas...tutup sebelah mata ajelah...ayam-ayam terlebih besar sikit shj.Lagi pun semua nya itu ayam saya. Shahrir Abdul Samad (ex Pengerusi BBC): Ini adalah prinsip saya. Ayam-ayam tak boleh dibenarkan melintas jalan. Kalau beginilah, maka ia nya bertentangan dgn prinsip saya, maka saya RESIGN. Dan Brown (Da Vinci's code author): The chicken used to a member of a secret society Poultry of Sion. The Opus Dei chickens are on its back because of the missing parshments of Les Dossiers Secrets. And they(Opus Dei)are known for their 'corporal mortification' practice. Richard M. Nixon: The chicken did not cross the road. I repeat, the chicken did NOT cross the road. Ronald Reagan: I forget. But of course this is for their SDI (Strategic Defense Initiative) program if I'm not mistaken. Bill Clinton : I've had met so many chicks that like to blow, I can't remember them all...but I like White House intern chicks, like Monica Lewinsky....Ooops I'm sorry Hillary. George Bush: These chicken inspector must be allowed to do their job....Let me stress now...their plutonium enrichment program must be stop, and make no mistake, we are not going to tolerate another WMD producing rouge chicken state, they are axis of evil state....and put all our options on the table.. Arthur Andersen (consultant): Deregulation of the chicken's side of the road was threatening its dominant market position. The chicken was faced with significant challenges to create and develop the competences required for the newly competitive market. Andersen, in a partnering relationship with the client, helped the chicken by rethinking its physical distribution strategy and implementation processes. Using the Poultry Integration Model (PIM), Andersen helped the chicken use its skills, methodologies, knowledge, capital and experiences to align the chicken people, processes and technology in support of its overall strategy within a Program Management framework. Computer Programmer: In order for the chicken to cross the road safely they would need more than one driver to access the server farm, if not they will hang in the middle of the road. Jerry Seinfeld: Why does anyone cross a road? I mean, why doesn't anyone ever think to ask "What the heck was this chicken doing walking around all over the place anyway?" Bill Gates: I have just released the new Chicken Office 2000, which will not only cross roads, but will lay eggs, file your important documents, and balance your checkbook. Microsoft will pledge a billion for research on chicken AIDS. Dr M: You know, I am tired of all this...'apa-nama' chicken-chicken bisnes...you know that it is our right to build the bridge on our side of the straits....so why are we chicken out? Pak Lah: Ini semua adalah khabar angin sahaja...jangan percaya khabar - khabar angin ini semua... biasalah ini adalah taktik pembangkang untuk memecah belahkan perpaduan ayam-ayam semua... jangan percaya... we've decided to scrap the scenic bridge for the best interest of the people...nothing to do with chicken. And of course others have the right to express their opinion....ini biasalah. *sila dapatkan vcd2 terkini di http://vcd2buy.tblog.com