Confinement in Singapore

August 28, 2023 Cherish Motherhood 0 Comments

Confinement is a period for your body to recuperate and recover from childbirth. The idea of confinement originated from Asian culture in which it is the time for you to recover from delivery, restore your health and learn to take care of your baby. Common confinement practices include diet restriction, bathing limitation, and outdoor activities reduction. Whether you believe in confinement practices or not, that's entirely up to you.

There are plenty of choices on how you want to do your confinement:
1. Stay at confinement centre
2. Hire a confinement lady
3. Request your own mother or MIL to be your confinement lady
4. Hire a helper with childcare experience 
5. Subscribe confinement meal delivery 

I had my confinement last month and I realised the importance of having enough rest. I cannot emphasise enough the significance of having someone who can really provide assistance during your confinement.

After evaluating my confinement requirements, I have decided to hire a senior confinement lady from Confinement Angels. Not sure if it really matter to have someone senior or not but at least I'll have some peace of mind. Here are my evaluation criteria for my confinement decision:

1. Someone who can cook Chinese cuisines

Food is not the top priority for me. As long it is Chinese cuisines, I am good with it. However, I don't appreciate internal organs, pork knuckles and pig trotters (even before my pregnancy). My CL did make black vinegar pig trotter once though and I had a hard time picking out the meat part for consumption. 😅 I simply don't enjoy eating animal fats unless it is fried (eat in moderation). I wouldn't say my CL is a very good cook, in fact, she often repeat the same dishes but I'm ok with it because it taste good, healthy and homey.

2. Someone who can take care of baby especially at night

Being an exclusively pumping mom, I find it crucial to have someone take the night shift as my baby feed every 1.5 - 2.5 hours. On top of that, I am a c-sect mom, so I need plenty of rest. My duty during my confinement is just pump → rest → watching dramas → repeat. 😀 Taking care of baby is both physically and emotionally taxing. Having someone you can rely on when it comes to handling your baby will definitely make your 1st month of adjusting to new role much better.

3. Someone I can instruct without worry

I wanted someone I can communicate easily and able to instruct without any worry. Since this person would be living in my household, I would want things to be done according to my house rules. If you think your mom or MIL is able to live by your rules and not make their own rules in your household, then go ahead and get their help. Otherwise, you might want to skip the idea altogether in order to avoid any conflict. 😆

4. Someone who get things done without being asked

I have requested the confinement agency to assign someone who proactively take initiatives to get things done without being asked. I don't want to remind my CL all the time to clean her room, her toilet and the kitchen.

5. No last minute pull out

I dislike the idea of finding freelance confinement nanny even though it cost much lesser because there's no guarantee that she is good and won't pull out last minute. I believe that it is very much depends on each individual's standard to define if a CL is good or not, so it's very subjective. Since I engage CL from agency, I have 2 free replacements if I'm not satisfied with the CL's performance. 

6. Within my financial means

The cost of getting external help for my confinement is one of the aspects taken into consideration. After comparing prices, customer service and reviews from several confinement agencies, I have decided to get a 28 days senior confinement nanny from Confinement Angels which cost me $3850.

Before confinement: $1050 for the agency 
First day of confinement: $20 ang bao (red packet) for confinement nanny
After confinement: $2800 cash payment for nanny 
Last day of confinement: $80 ang bao (red packet) for confinement nanny
Total Damage: $3950

Given the luxury (getting enough rest and sleep) we had during confinement, both my spouse and I agreed that it absolutely worth every penny.

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Cesarean at Thomson Medical Centre

August 17, 2023 Cherish Motherhood 0 Comments

I underwent c-sect surgery at Thomson Medical Centre not long ago (in early July 2023 to be exact). You might be wondering why did I chose Thomson. Oh well, it was for a very simple reason: convenience. Thomson Women's Clinic (Serangoon) is within 5 mins walking distance from where I am staying. I don't want to travel far or take leaves for my regular prenatal visits. Besides that, I've read some good reviews about Dr. Claudine Tan too.

Review for Thomson Women's Clinic (Serangoon)

Pros

The receptionist/nurses are friendly and efficient. It took between 20 - 35mins for each of my visits (except the day I need to take the glucose test). The clinic is clean and well organised too.

Cons

My appointments are usually in the morning and sometimes it can get pretty packed. There are limited seats while waiting too, so your companion(s) may need to stand while waiting. Apart from that, there isn't enough privacy in the clinic due to small area and lack of soundproof elements. For instance, enquiring about financial matter over the counter can be easily heard by other patients at the waiting area and don't be surprised that your conversation with doctor can be heard right outside the consultation room (waiting area). 

Review for Dr. Claudine Tan

Dr. Claudine does not spend a lot of time engaging in small talks and therefore, consultation sessions are usually very quick. It is best that you have questions prepared as she shares information only when asked. In terms of her stitching skills, I would say it's good. The stitches were done on the inside, so there's only 1 fine line visible on the outside.

Pre-Admission

In your 3rd trimester, you should already sorted your birthing plan and hospital room type that you wanted to stay.

From day 1, I wanted an elective c-sect. I don't think I can withstand the labor pain before epidural or any form of anaesthesia can be given. I am someone who needs to take those cute pink Panadol when it is time of the month and I'm pretty sure labor pain is even worse than that. 😅 Moreover, I prefer a planned delivery experience as I personally don't appreciate "surprises" when it comes to such life-changing procedure. It would be extremely traumatising if I've tried natural delivery but ended up needing an emergency c-sect. I just wouldn't want to take that risk.

For elective c-sect surgery, there are 3 anaesthesia options: general anaesthesia, epidural and spinal block. I have informed Dr. Claudine that I wanted spinal block and she mentioned that she wouldn't recommend otherwise unless there's special circumstances.

I was hesitating between premier room and 1-bedded-room initially but in the end, I've chosen 1-bedded-room before my husband and I even attended the TMC Hospital Tour. After attending the hospital tour, I am more convinced that 1-bedded-room is sufficient for us.

Admission

FYI, admission after 11pm will be considered as next day admission in TMC. My husband and I went to the hospital at around 11.30pm. The registration process was a bit long because there were only 2 counters and they were occupied.

During hospital admission registration, the receptionist will ask if you wanted to utilise your own or your spouse's Medisave to claim for maternity expenses, so discuss with your spouse beforehand.

Source: CPFB

Furthermore, the receptionist will ask if you're claiming maternity expenses under your insurance provider. If you have initially decided not to claim under your insurance provider during the registration and change your mind later on, then you will need to pay for the processing fee incurred.

Do remember to increase your credit card limit to ensure smooth payment process. We have opted for express checkout option in which we need to fill up a form with our credit card information during registration. Upon discharge, we can just leave the premise without the need to make payment over the counter. They will then send an interim bill within a week and you may contact them if there's any dispute. A finalised bill will be sent to you within a month from your discharge date. 

We were told that there's no vacant 1-bedded-room at the time. Lucky for us, we've gotten free upgrade to a premier room at the end. 🍀

C-Section Delivery at TMC

My c-sect delivery is scheduled at 8am and I am required to fast 8 hours before the surgery. No food and drinks including plain water while fasting.

A nurse came into my room 2 hours prior to my surgery and did bowel prep by inserting some liquid into my anus. I have diarrhoea in less than 2 mins after the procedure.

I remember I couldn't sleep at all that night. 🐼 In contrary, my husband is able to sleep soundly and snoring out loud throughout the night. 😆

This waiting game is a torture

Nurse came into my room at around 8.15am and I was wheeled to multiple waiting areas before the operating theatre. My heart racing a lil more intense at each waiting area. When I am finally in the operating theatre, I was told to sit and curl up while hugging a pillow on my tummy. After that, the anaesthetist injected the spinal block anaesthesia at my lower back to which I can feel a cold sensation down my spine. Within a min or two, I could no longer feel any sensation from waist down.

I remember vividly that I was extremely nervous when the surgery had begun. It is a completely different experience from another major surgery I had under general anaesthesia. 😨 I laid on the operating table and all I could do is looking at the operating lights while Dr. Claudine chatting casually with the anaesthetist about bringing their kids to the zoo. 

I can feel all the tugging and pushing on my tummy throughout the ordeal. It wasn't painful, it's more of a discomfort. It's getting more and more nerve-wracking as I am listening to the accelerated beeping sound from the heart rate monitor. Furthermore, I was shivering like crazy from the anaesthesia's side effect.

My husband entered the operating theatre right before baby is out. To be honest, my mind went blank and seeing my husband doesn't make me feel any better. The anaesthetist gave a few hard pushes on my upper abdomen and "NGEH~ NGEH~ NGEH~" my little girl has arrived. 💗 It took around 20 mins up to this point. 

Frankly speaking, it wasn't a love at the first sight. I thought I would be in love with my baby the moment I held her in my arms. Unfortunately, that was not the case. I was too pre-occupied with nervousness and I just wanted to get out of the operating theatre soonest possible.

After a few photos being taken with baby, both my baby and husband were brought out of the operating theatre and doctor begin to stitch me up soon after that. All in all it took around an hour for the whole surgery.

Post-Surgery Recovery

Following the completion of the surgery, I was told no solid food for me for the next few hours. I was also bed-bound for a day. Regardless of how strong the oral painkillers I am taking, I could still feel a sharp pain when certain movement stretches skin near my wound. Nevertheless, I was able to get up and start walking in day 2. Now that I look back, I wish I had asked my husband's help to get up all the time though. I was too stubborn for my own good but it did help with my recovery. 😅 In general, I would describe the c-sect wound as great discomfort with tolerable pain level (with the help of painkillers of course!).

Breastfeeding

I genuinely thought that I am out of the woods now since the surgery is over. Little did I know a tough road ahead is awaiting me.

I have started collecting colostrum a week before hospital admission. It wasn't a lot but enough to boost my confidence when it comes to breastfeeding. So I actually thought that breastfeeding would be easy.

My daughter was brought in to my room from time to time for feeding. My breastmilk was not established until day 3 after my daughter was born. During the first few days, the nurses kept encouraging me to have my baby direct latch on me. I believe it was to trigger breastmilk production. Unfortunately, my baby couldn't latch well and none of the nurses were able to help me with it. At this point, I started feeling frustrated and stressful because my daughter would cry murder during each feeding. 

It wasn't helpful since my MIL kept telling me while I was pregnant that women are designed by nature to be able to breastfeed their babies. She described breastfeeding as an effortless chore which isn't true for all women. As a result, I have instilled a mindset whereby I must breastfeed my daughter. I have gradually putting more pressure on myself and my daughter would continue to cry hysterically when she's hunger.

Even when my breastmilk has finally come, it wasn't enough to meet my baby's demand. On one fine morning, I've tried direct latching and failed terribly as my baby would shrill cry as usual. I asked the nurse how much my baby should be drinking and to my surprise it is way more than what I could supply. I couldn't hold my tears and broke down right after the nurse left with my baby to feed her formula milk.

That was the very first time I felt so helpless in my life. I was feeling useless for being unable to provide enough (breastmilk) for my baby. I was also traumatised by my baby's cry. I became very disoriented and fearful every time she cries. I felt disconnected from my baby and I can't seem to seek emotional solace from anyone including my spouse.

I personally find breastfeeding the most challenging part of my early motherhood. If I could turn back the clock, I wish I had called the nurses right away when my baby started crying to feed her formula milk. I wouldn't persist with breastfeeding which resulted in tremendous pressure I had to shoulder. Subsequently, I wouldn't be so traumatised by the whole breastfeeding experience and my baby's cry. Mind you, it took me some time to finally get over the depressive episode.

Discharge

I was given green light to discharge from hospital 3 days after the arrival of my little princess. Since we have opted for express checkout, we were able to just leave after filling up the discharge forms. By the way, express checkout is not that "express" after all as we can only leave hospital at 2pm (waited since 11am). There were many patients being discharged on that day, hence, the discharge process took longer.

We booked a ComfortDelGro taxi and I held my newborn in my arms all the way back to our home. FYI, under Singapore law since the 70s, taxis are exempted from car seats law.

Source: ComfortDelGro



However, if you are planning to take private hire car such as from Grab or Gojek, then you need a baby/infant car seat.

Source: LTA


Plan your transportation method beforehand and always check the latest law and regulations on car seats.

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