Showing posts with label cardinal medical center. Show all posts
Showing posts with label cardinal medical center. Show all posts

Monday, August 20, 2018

My Labor Experience

It has been 20 days since I gave birth, and I finally found time to write about my experience. Since I am a doctor, I know the signs of labor already and know when to go to the hospital and when to stay put in the house. Should know anyway.

On the friday before I gave birth, I thought I had an episode of leaking bag of water but my contractions weren't regular. But upon check up, everything was fine and I was sent home, my IE or internal exam showed my cervix to be 1 cm, high which means it's a long way to go yet.

So in the meantime, I tried eating dates, walking around a lot, doing acupuncture and electroacupuncture on myself, and even tried to get some massage (and eyelash perming but not related to inducing labor) but wasn't allowed because they don't want to risk me going into labor (which is what I wanted anyway). I also tried the evening primrose oil, which I inserted vaginally.

On July 31, I had an episode of bloody show and knew this is one of the signs but my contractions still weren't regular. So I went for an ultrasound, a non stress test with amniotic fluid index. There was no problem with the NST but my amniotic fluid showed decrease amounts, also known as oligohydramnios. Complications of that include mecomium stained birth and fetal demise. So I went to Cardinal Santos Medical Hospital to be admitted.

My internal exam showed me to be still at 1 cm, good results in fetal monitoring via NST.  Since I wasn't in active labor yet, they just put me in my room, had my vital signs and fetal heart beat monitored, and inserted 6 caps initially then 4 caps of evening primrose oil intravaginally every 4 hrs, with internal examination monitoring also done.

In the morning, my IE was still 1 cm but it was soft and doesn't hurt as much as the previous. I was brought to the labor room after breakfast at around 8 to 9 am where I could be monitored via NST continuously.
I was given oxytocin at 10 am when they saw that my contractions weren't regular. Eventually I could feel the contractions closer every 2-3 minutes. And I could feel myself bleeding and gushing out during and after contractions.

At 2 pm, IE was done, where I was at 5 cm but my cervix was paper thin already. My doctor said I could suddenly fully dilate anytime. At this point where my previous IE were just 1-2 or 4 cm, I was thinking if I may eventually end up with a cesarean section. But that gave me hope. Anesthesia was then given because I was officially in active labor... And that the labor would progress quickly so I better have the anesthesia already in.

At this time, contractions were getting intense with my hip pain eventually at 7/10. At first, I can describe the hip pain as numb, which doesn't really hurt at all. Then it became tingling or feeling of "nangangawit." Eventually, it felt like I was being grounded (as in a small electric current). So I was a bit glad that the anesthesia is being prepped already.

I was put in a fetal position for the spinal anesthesia. They might had a bit hard time putting the needle in because I felt several pricks before it was successful. Yes, imagine doing a fetal position to extend the back, but I have a huge uterus in front that is contracting and giving me electric shocks to my hips! It was sooo hard to kept still but I had to because I also know the consequences if the needle hit anything else.

Eventually, it was inserted successfully and, I can feel the pain going away. I was even able to take a nap. But the medicine only lasted for 2 hours. So I may have to be given more if needed.

At 4 pm, IE was repeated and showed I was fully dilated. Yes! But... My doctor wasn't around yet. I was given anesthesia again 2x before I gave birth.

At 6 pm, I was wheeled to the delivery room. My legs were a bit like jelly and numb from the anesthesia. My hips were also numb. I couldn't feel the contraction anymore. I was a bit scared but anxious thinking, "this is it!" my whole 9 months has been preparing me for this ultimate moment!

My husband was called in because he was going to cut the umbilical cord hehe I was  bit anxious for him because he's scared of blood but well atleast he didn't faint hehe I cannot feel my contractions so I was just coached when should I take a deep breath etc. The anesthesiologist also did a fundal push. I felt like I was either going to vomit or cough. And I did. My OB suggested vacuum assisted so it would also be easier also. After 4 tries, at 6:11 pm, Maple was out and crying even though I have yet to see her it my abdomen yet.

When Maple was put in my abdomen, she had her eyes open and was looking at me, but she didn't want to breastfeed or atleast suck. She was just staring at me.

Honestly, I didn't feel like a mother at that instant. But it did feel weird and kind of incredible still that a little baby came out of me. It was a surreal experience, that's for sure!

Tuesday, July 17, 2018

Where to give birth? Cardinal Medical Center VS St. Luke's QC

Yes, we are now officially term at 37 weeks AOG, and I can finally have my massage and whatnot! Hehe Anyway, just when the time is about to come, we realize that we better check out St. Luke's QC too as an option for giving birth, since our OB-Gyne is also affiliated here too. I will also post their recent packages and room price list if anyone is interested as of July 2018.

St. Luke's QC

Room Rates and Packages


Room Rates in SLMC QC



SLMC OB Packages
In case that the above picture is too small or can't be read, we just want to emphasize on the following rooms (price is per day):
Private Rooms
Executive private - 6,400
Deluxe private - 4,400
Regular private - 3,700
Small private - 2,800

Two-Bed Private rooms
Two-bed private with TV & Ref - 2,400
Two-bed private w/o TV & Ref - 2,000
Ward - 1,200

Birthing Room - 13,100
Birthing Room Rooming in charges (single baby) - 14,100
High Risk Pregnancy Unit (HRPU) - 5,400 (for 24 hrs)
Labor Room - 1000+

Rooming-in charges:
Suite Room/HRPU - 1000
Executive Private - 700
Deluxe/Regular/Small Private - 600
Two-Bed Private - 500
Ward - 400

I have highlighted our possible room choices.

Pros:

Location is nearer (about 1 km from our home)
I can call my acupuncture friends to do that technique with me, right? Because they aside from acupuncture, they also practice as Pedia, OB, and a medical acupuncturist in St. Luke's (though there might be a conflict because I haven't really told my OB-Gyne about this part)
More HRPU units as compared to 1 Lamaze room in Cardinal (where the husband can stay during labor)
Admissions staff was very friendly and even offered us an admission papers already

Cons:

Rooms are way smaller as compared to Cardinal
More expensive than Cardinal (?)

Others:

Admitting kit is already provided in the room, containing toothbrush, toothpaste, medicinal cup, kidney basin, etc
Newborn kit contains EVERYTHING daw according to the nurse, including 2 swaddles, 1 set of clothes and bonnet/socks/mittens, 2 pcs baby diaper, alcohol, etc



Cardinal Medical Center

Room Rates and Packages



Room Rates in Cardinal




OB Package in Cardinal

In case that the above picture is too small or can't be read, we just want to emphasize on the following rooms (price is per day):
Big private - 3,690
Regular private - 3,480
Small private - 3,160
Semi-Private - 1,930

Lamaze room - est. 2,200 (first 2 hours) + 229/every 30 min
Labor Room - free for first 8 hrs + 250/hr

Pros:

Rooms are bigger as compared to SLMC
May be cheaper than Cardinal (?)
My friend Karen gets to be my Pedia
NICU nurse, DR nurse, and admitting section were very prompt in replying to my email

Cons:

Only 1 Lamaze room (and they will give priority daw for those with certificates)
Location is farther... especially if school resumes for Xavier and ICA
Admission papers weren't given yet (a relative will come down for me to be admitted)

Others:

Admitting kit contains toothbrush, toothpaste, face towel, soap, spoon and fork, medicine cup and glass, 1 roll of bathroom tissue, 1 500 mL water, 1 pillow.
Newborn kit contains EVERYTHING I will need like white basin for bathing, kidney basic, cotton buds, cotton applicator, alcohol 70%, J&J top to to wash, diapers, digital thermometer, cotton, and 1 box of gloves. I will provide the swaddle and clothes when the baby is roomed in.
(Since I already have the swaddle, I am leaning towards Cardinal instead.)

*Not sure if all medications and supplies are required to be from the hospital, but from Mariel's inquiry with her chemo drugs, Cardinal is not as strict as SLMC.

Though I have posted their OB packages, a lot of nurses and staff don't think that they are economical because a lot of doctors prescribed medications and supplies that is not included in the package, so this would be a waste, and you have to pay extra for the excess. So one still has to consult with their OB-Gyne.

Conclusion

Our preference would still be for Cardinal Santos Medical Center mostly because of the bigger rooms... But if I feel that I can't make it because of traffic, etc.... Well, I guess St Luke's would still do because it's nearer. Or I was thinking, I should just have my IE in St. Luke's first and decide from there if I could still transfer to Cardinal Santos.

We weren't also sure about the Lamaze room. Though I did told myself, maybe depending on the IE? If I was dilated already, like more than 8cm dilated, perhaps I will just choose the Lamaze room. But if the contractions aren't closed enough yet, or I am less than 8 cm dilated, I know that it will take several hours of labor so I would just have to do with the labor room.

Regarding my anesthesia, I was wondering if I could have an epidural without having sedation? Or if I could only be administered once my VAS is more than 7 or 8?

Tuesday, June 19, 2018

Hospital List

Hooray, we are in the 8th month already! 6 more weeks to go before I popped out! Hehe
So now, it's time to prepare our hospital bag :) The goal is to have them ready and waiting in the car by 36 weeks AOG (or for some, 34 weeks).

I have read a lot of blogs and forums on what to prepare, but of course it really depends on the patient, right? Actually, I also think it depends on the hospital because their rules and package inclusions also vary.

So this is our hospital list. We are going to give birth on Cardinal Medical Santos, under the service of Dr. Angela Aguilar, and so far, NSD is still the plan. We have a prenatal check up scheduled on Monday, and we're going to try to go to the nursery, and ask if they have a list of things to buy or prepare for giving birth... or whatever is included if we're going to take the package? Like, for certain hospitals, they will charge you for the diapers, maternity pads, cotton, thermometer, wound cleaning solution, abdominal binder, etc. I am going to ask if we can prepare them in advance so they don't have to charge us.


Labor Bag

o   Paperwork:

o   Birth Plan

o   Admitting Order

o   Maternal Information Sheet

o   Philhealth contributions, MDR

o   Marriage contract

o   Government IDs

o   Medical Records/Lab Work-up

o   Apparel:

o   Socks

o   Slippers

o   Things to do:

o   Cellphone

o   Charger

o   Labor:*

o   Massage oil or lotion?

o   Heat pad

o   Gym ball?

o   TENS machine

o   Toiletries:

o   Eye glasses

o   Petroleum Jelly

o   Hair tie

o   Betadine vaginal wash

o   Cordlife Kit


*I know that Cardinal offers a Lamaze room for a really expensive price (more expensive than a suite) for those who plan to give birth naturally (meaning without epidural). I myself thought about it and wanted to try natural birth... but I also want to have the reassurance of an anesthesiologist because they say giving birth REALLY hurts. Second, we didn't really officially go to  Lamaze class and don't have a certificate (because I'm already a doctor, and my OB told me it's not necessary for me because I have already seen and birth other mothers).


So I am thinking if their Labor room would allow this stuff? And would allow me to attempt for natural pain relief? I myself know acupuncture, so I am planning to use the TENS machine when the time comes (actually, I am planning to induce myself with acupuncture haha)... Though I wonder if I could do it myself if I am in soooo much pain. I did wonder if I could give birth in St. Luke's QC (because my current OB also have visiting rights there), because I know another OB who also practices acupuncture, and I could call on him when I am in labor, right? He did help me with my morning sickness and my constipation back on my first trimester...


Recovery Bag

o   Postpartum recovery:

o   Adult diapers or maternity pads

o   Abdominal binder

o   Cutasept would cleaning solution? (I read in another blog from someone who gave birth on St. Lukes... I also know this was given to my sister in UST post-surgery)

o   Apparel:

o   Going-home outfit

o   Front-opening pajamas

o   Bathrobe

o   Bath towel

o   Disposable undies

o   Nursing:

o   Nursing bras

o   Nursing pads

o   Nursing cover? Or use the bathrobe?

o   Nipple cream?

o   Nursing pillow?

o   Breast pump

o   Toiletries – toothbrush, deodorant, contact lens


Partner’s Bag

o   Change of clothes

o   Toiletries - include tissue

o   Pillow and blanket

o   Things to do

o   Cash, credit card

Babies Bag

o   Health

o   Thermometer?

o   Cotton/Baby wipes

o   Alcohol?

o   Powder?

o   Toiletries

o   Hooded towel

o   Small cetaphil?

o   Diapers

o   Receiving blanket

o   Lampin

o   Clothes

o   Tie-sides

o   Swaddle

o   Going-home outfit

o   Bonnet, mittens, booties/socks

o   Baby book

o   Feeding bottle?


 So there... but I will update this list especially after our prenatal check up on Monday.

Update (7/7/18):

I sent an email to Cardinal Medical Center. The admitting section replied promptly, indicating the following in their admission kit (so i don't have to bring) :


1. Toothpaste (small)


2. Toothbrush


3. Face towel


4. Soap


5. Spoon and fork


6. Medicine cup and glass


7. 1 roll of bathroom tissue (one time charge only)


8. 1 500ml of bottled water (one time charge only)


9. 1 pillow 



For the nursery, they will provide everything in the kit such as: white basin for bathing, kidney basin where we place the cotton mix  with soft in there, cotton buds, cotton applicator, alcohol 70%, J & J top to toe wash, diaper, digital thermometer, cotton and 1 box of gloves. Other inclusions are Bcg, hepa b, vit.k, erythromycin, bld typing, newborn kit, newborn hearing, and baby diploma. They will just ask for the clothes and swaddle when the baby is roomed in.

When I asked about the DR rules, they told me that I cannot bring supplies or machines including cellphones in the Labor room and delivery room complex.

So I guess, I can remove a lot of the things I have on the list... Though the basis of this list is actually based on US websites. Though I am wondering how am I going to manage labor in the labor room without my ball, warm compress, cellphone to monitor my contractions. Will they let me do labor in my room? Haha

I remember the Labor room as a boring place to wait for the contractions and for the labor to progress.

I know that they have a Lamaze room but I find it expensive. It's like a birthing suite. And for practical reasons, I don't want to have to get that. Maybe i should just monitor my contractions at home then when they're like 3 to 4 minutes apart, I will go to the hospital then haha I don't know yet... A part of me wants an unmedicated chilbirth but I know that it's not a popular thought in the Philippines. And I am a doctor haha