Thursday, 31 December 2009

It should not hurt

I dreaded breastfeeding with Fateh. It is so hurtful that I would cry every time I breastfeed him. The situation got worse when I got sore nipple (right) and cracked nipple (left). I should enjoy breastfeeding, but I was at my wit's end.

Kak Tini has been a lifesaver, I called her on Tuesday, I was so tearful, that I said I am going to stop breastfeeding. She contacted the lactation unit at Hospital Pantai, Bangsar and asked me to talk to Kak Rokiah yesterday.

So I ended up going to the hospital today, to meet kak Rokiah, a lactation assistant. Found out that Fateh incorrectly latch on my breasts.

Wrong latch-on.Baby's lower lip should not be pursed inward, but should be turned outward.
This is how Fateh has been breastfeeding all along. Padanlah sakit! At first sight, it looks normal. But when you notice the lower lip, you know the position is wrong.


Baby's top and bottom lip should be turned out (everted).
When baby takes the breast with mouth open wide, he'll have a "fish mouth" look as he nurses. If his bottom lip is pulled inward instead of outward, use the index finger of the hand that is supporting the breast to pull out that lower lip. (You may need a helper to take a peek under the breast and do this for you while baby is latched-on.) Martha Sears, who logged 18 years of breastfeeding 8 children dubs this technique the lower lip flip. This lower lip flip may be all that's needed to keep baby from tight-mouthing your nipple.

Images from AskDrSears.com. The article on proper latching on is here.

Anyhow, the session lasted nearly 2 hours. Kak Rokiah was patient to ensure a proper latch on with Fateh. She said it will not be easy at first since he learned to suck improperly from the first day he was born. Some of the tips given to ensure he learns to latch on properly:

  1. When baby is crying while the mom is trying to latch on, try to calm the baby first. Cradle him and positioned his head on your shoulder.
  2. Ensure the baby's mouth is wide open (like a yawn), and quickly put your areola inside his mouth.
  3. The latch on should look like a gold fish mouth (refer to the picture above).
  4. If the baby cries when you try to relatch again, hand express your milk in a feeding cup, and give it to him (I got one from kak Rokiah - Medela Feeding Cup). Then try to latch on back, the baby will be calmer since he already feeds from the cup.
  5. When trying to latch on, try to be not too stress. If the baby cries again, repeat Tips # 1.

After a lot of practices, Fateh managed to do it properly. And I try to teach him to relatch properly at home.

Cost for 1 lactation consultation = RM 50. Mine is free with the feeding cup! *wohoo* (kes kak Rokiah kesian kat aku, baby dah besar tapi tak pandai latch properly.. hehehe). Anyway, I would suggest that anyone who encountered breastfeed problem to consult a LC right away. Jangan tunggu lama-lama macam myself.

Anyway, it is never too late to learn back right?

Tuesday, 29 December 2009

When the offer is final

Finally, the revised offer letter arrived as Yayasan wanted. After months of waiting.

Tuesday, 22 December 2009

Untuk Fudhayl


Seperti semalam rasanya saya berborak dengannya di telefon 2 Sabtu lepas. Seperti semalam saya mendapat khabar dia melahirkan Fudhayl. Dan seperti semalam, bila dikhabarkan berita yang tidak disangka, dia dimasukkan ke ICU.

Sahabat, bukan mudah rupanya mempunyai kekuatan sepertimu!

Lalu, dititipkan hasrat kepada suami, untuk menjadi ibu susuan Fudhayl (sahabat saya pengsan 15 hari selepas melahirkan anaknya). Suami tidak membantah, lalu hasrat itu dinyatakan kepada rakan seusrah untuk disampaikan kepada suaminya.

Sabtu lepas, deringan telefon daripada sahabat menoktahkan keputusan. Saya dan 3 orang rakan usrah bakal menjadi ibu susuan Fudhayl Nashwan. Allahuakbar!

Usai malam semalam, saya menghantar 20 bungkus susu Fateh untuk bakal adiknya (yang hanya berbeza 3 minggu) di SJMC. Hadiah saya untuk Fudhayl. Moga menjadi amal jariah untuk diri saya. Hany tidak dibenarkan menyusukan anaknya kerana kesan ubat-ubatan. Dijangka, hanya selepas 2 minggu dia keluar dari hospital, dibenarkan menyusu semula Fudhayl.

Suaminya bertanya kesanggupan untuk memberikan susu barangkali untuk bekalan sehari dua Fudhayl. Ya, saya menyanggupi.

Untuk Fudhayl, moga susu ibu ini memberikan khasiat buatmu.

Untuk Fudhayl

P/S: Saya sudah ada 6 orang anak rupanya :)

Monday, 21 December 2009

21.12.2002

Happy anniversary yang!
4 kids, what an achievement!


And happy belated birthday to my 2 oldest.. heheh

Friday, 18 December 2009

Inilah kerja tengah pantang..

Acik sekarang rajin tau.. dok perah memerah sebelum naik kerja. Hari ni hari terakhir pantang, tapi aktiviti di bawah ni mesti diteruskan (walaupun mungkin korang rasa macam membazir buat stok EBM, tah camna nak hangkut naik flight gi UK pun tatau lagi.. wahaha). Part ni nanti acik kena belajar ngan Puan Dali, mama Zafyra yang comel lote tuuu.

Ni acik spare 2 botol dalam peti ais bawah. Sebabnya Fateh ditakdirkan kena breastmilk jaundice, doktor suruh bagi additional susu botol dalam 2 feedings kat dia. Acik pun dok bagi susu perahan acik kat Fateh. Berat Fateh tak naik sangat, doktor prescribe Appeton. Acik pun confuse gak, sebab Fateh melekat 24 jam, tapi doktor dok cakap tak cukup susu. Acik sekali perah 2-4 oz la biasanya. Doakan yer korang, berat Fateh naik.. kurisau sangat sebab doktor cakap possibility kena bagi FM tu ada. Padahal stok susu berkoyan tu!

Ha, botol kosong belah kanan tu siap ada corong kecil tu.. Acik perah pakai tangan, you all! Teknik Mermet dah terror, wawawa.. Sebabnya? Nips acik dua-dua crack, huhu (dan pam susu akan menyebabkan keadaan itu lagi teruk, kena pulih dulu baru boleh pakai pam susu balik). Semalam meroyan ngan Nieja sebab dah teruk sangat luka. Nieja, semalam kita borak 43 minit 3 saat koo.. Botak kepala suamimu nak bayar bil karang. Tapi Nieja nih memang best kalau telefon acik, habis segala petua dia bagitau pasal cracked nips, sambil-sambil dia dok borak pasal penyusuan ibu. "Wei, tak panas telinga ke Aida?". Panas gak telinga ko, naik lenguh tangan aku pegang handphone. Tapi sebab tau, kalau borak ngan member ni.. paling koman pun 30 minit.. layann baik punya!

Ni stok acik setakat hari ni, hasil bebelan dan tunjuk ajar Puan Nieza dan Puan Amiizaa. Kalau diaorang tak bising, memang acik buat malas-malasan kot. Tapi acik tau, diaorang ni nasihat baik punya. Walaupun acik ada experience menyusu Fahri sampai 2 tahun, selalu acik mesti tanya 2 orang ni kalau ada kemusykilan. Walaupun susu diaorang banyak, diaorang tak pernah take for granted, dan sentiasa mengepam ikut jadual untuk maintainkan supply susu tu..

Bak kata Nieza semalam, "Senang2 ginilah, bayangkan susu takde kat dunia ni. Susu ko jer yang ada nak bagi kat anak.."

Huhu, TQ Nieza, TQ Kak Miejaa.. ku takkan berada di sini tanpa kamu berdua! And of course, Forum CARI breastfeeding geng.. yang lama dan baru *wah, cam ucapan dapat award pulak*

Friday, 11 December 2009

Yummeehh


A slice of cheesecake. Thanks dear :) *muackss*

TQ sisters!

Alyaa came by with the kids (my kids had been lodging at mom's house during my confinement period. Thanks Ummi ^_^) to look at Fateh. Fiqah + her gave me a present.

Oh ya, BTW, I know Etude House is a branded name (ala-ala Skin Food)


What a nice box! Cute card :)


Tadaa.. apple body wash and body lotion.. Harus lepas ni mandi bau epal hijau, yummylicious!

To Aini, thanks for the Sophie Kinsella's Twenties Girls (even though I did warn you I am sick of books.. hehehe), but this book was fun!

Wednesday, 9 December 2009

How to increase your milk?

Before I am back to work during my time with Fahri,here is my EBM. Ciput, kan?

When Fahri was 3-month old, I have to top up with formula milk.
I even have to throw away my EBMs, due to my carelessness on the freezer door part. Tehee..

I managed to exclusive breastfeed, because I add my pumping session. Siap buat buku hutang tu! Kak Tini, I bangun mengepam jam 12 tengahmalam dengan 3 pagi nak dapatkan balik stok susu tau.

Some revision, on how to increase milk production (my method):

[1] Do not get too stress when you are pumping.
Do not even think about your MPI (milk production index) at all. Do not even stare at your milk bottle. You just have to distract yourself from thinking about it. I read when I pump (in case you are wondering, I use an auto pump). I know it's hard, but it is a learned art. You will get the hang of it :).

[2] Learn how to do letdowns.
Different techniques works with different people. My letdown occurs when I pumped really fast in the first phase, and when letdown starts, I pump slowly to maximise the milk output. Thus, using Medela Swing really helps. But I know lots of people who even can do it with their manual pump. I even make do with Medela Harmony (manual pump with 2-phase expression) before.

[3] Switch from one breast to another.
To ensure maximum output, try to pump 7 minutes and switch, 5 minutes and switch, and 3 minutes and switch. In total, 15 minutes for each breast.

[4] Add more pumping session.
To ensure your stock is not fastly depleting, ensure that you achieved the baby's milk consumption for the day. Let say, if your baby drinks 20 oz of milk while you are working, please pump till you get 20 oz per day.

If you want to make stock, add more pumping session to achieve more than that.It is really tiring, but I managed to pump more than 20 oz per day when Fahri is less than 6 months. I woke up 1-2 times at night and ensure that I should pump at least 5 times per day to achieve my 20 oz target.

[5] Do tandem pumping.
While your baby drinks from one breast, try to pump from the other breast. I find this works and yield more MPI results.

[6] Feed from one breast ONLY at night.
Your other breast, you will save it for morning pumping session. You will have more MPI in the wee hours in the morning.

Other techniques, that some of my friends shared on increasing your milk output:

[1] Power pumping.
Allocate 1 hour for 3 straight days.

If you use single pump, pump 20 mins (10 mins for each side), and rest for 10 minutes. Then, continue to pump for 20 mins, and rest for 10 minutes.
Total = 1 hour

If you use double pump, pump 10 mins for both breasts, and rest for 10 minutes. Then pump again for 10 minutes, and rest (10 minutes). Pump for the 3rd time (10 minutes), and rest for 10 minutes.
Total = 1 hour

[2] Pump every 2 hours.
For 3 straight days.

And that means you have to wake up at night to pump. Total pumping session should be 12 times, with breastfeeding in between.

Pump for 10 minutes if you are using double pump, and 20 minutes if you are using single pump.

All the best!

Paling penting, kalau nak susu banyak, maknya kena rajin. Apa yang kita buat ni untuk anak juga kan??

Friday, 4 December 2009

I am pumping like crazee

Dah masuk pumping phase ni, gila mengepam balik jadinya. Selalunya hari-hari biasa mengepam 3 / 4 kali sehari.. target tiap-tiap 3 jam.

Kisahnya, hari kedua bersalin, elok-elok hantar SMS kat kengkawan penyusuan ibu. Sekali my sifoo, Kak Mieja tercinta telefon, dan soalan pertama keluar dari mulut dia, "Aida, dah mula pam susu?". Huhu, trust kak Mieja to give a direct question like that (jangan malas-malas mengepam hokay). Second day of delivery, I already started pumping to stimulate, walaupun pam keluar angin saja. Hari pertama - hari ketiga, memang susu matang tak keluar lagi, jadi B akan rasa kempis, tapi yakin boleh.. sebab kolostrum tu ada, walaupun tak nampak dek mata kasar dan risau baby ni sedut angin ke apa.

Balik rumah pula, awal-awal dah telefon geng, Nieza, tanya jadual mengepam. Masa ni dah start pam sekali sehari, tambah-tambah bila dah masuk hari ke-4 tu, time susu matang keluar, start mengepam 3 kali sehari.

Alhamdulillah, masa tu Allah dah bukakan hati nak start pumping, lepas dah kena advise macam-macam dari kak Mieja dan Nieza (ya, support group sangat penting!). Ditakdirkan, Fateh pula kena jaundice, dan admitted kat hospital, lagilah macam nak gila mengepam. Tiap-tiap 2 jam mengepam. Malam jangan cakaplah, dah tertidur time mengepam tu. Tapi sebab anak punya pasal, I keep on pumping and pumping. Mujur juga buat stok seawal hari ke-4, sebab dengan stok yang sedia ada dibekalkan untuk Fateh di hospital.



Antara output terawal, 1 - 1.5 oz untuk 1 sesi mengepam

Dan sekarang, I keep on schedule of 3 hours pumping. Malam tak buatlah, mata dah macam panda ni haa, I need my beauty sleep also (mampus kena sound ngan kak Mieja kalau dia tau tak mengepam jam 12 tghmalam & 3 pagi.. :P)

Jadual pengepaman hari-hari:

6 pagi
9 pagi
12 tengahhari
3 petang
6 petang
9 malam


P/S: Hai bilalah nak dapat 10 oz sekali mengepam macam sifoo aku tuuu...

Kalau Fateh dah menyusu masa pumping time, I will skip my pumping session (sebab dia biasanya menyusu lebih 30 minit), atau akan mengepam 1- 1.5 jam kemudian.

Ini pula sesi sekali mengepam. Kalau dapat 3 - 4 oz tu, syukur alhamdulillah.. Biasanya output 1-3 oz untuk satu sesi

Pam susu, awal-awal dah letak sebelah katil. Katil di tingkat bawah, pantang 40 hari mana boleh naik tangga woo.. hehehe (ni memang disiplin sendiri, pantang-pantang sendiri pun, ada benda kita tak boleh mengelat, untuk kesihatan badan juga kan?). Jadi seawal jam 6 pagi, pam tu dah bekerja - biasanya masa ni tandem pumping (Fateh minum sebelah, sebelah lagi pumping).

Alhamdulillah, setakat ni dah berketul stok EBM (tak boleh tunjuk gambar, nanti member peer pressure, hehehe).

How I love breastfeeding!

Wednesday, 2 December 2009

Movie review: Sicko


This movie was screened yesterday at Star Movie. I did try to watch it in numerous occasions, but usually within the first 30 minutes, I would switch to other channels. I had the advantage of watching it after it was halfway screened yesterday, and boy, it was INTERESTING when the director (Michael Moore) started comparing the US medical system (which is similar like Malaysia) with other countries' medical system.

In US, you got to have the money/ medical insurance to be admitted to private hospitals, to cover for the high medical costs. Thus the first segment of the movie, Moore interviewed US citizens who were denied of basic health care, because they don't have the money/ the medical insurance. Hmm, this sounds more and more like Malaysia, right?

And when he went to the UK, he was shocked to know that UK provide FREE medical care under NHS (National Health Service). It started in 1948, right after the World War 2. He interviewed one of the ex-congressman, and the congressman said that, the idea behind the free health service is "If the country could spend money on war, why couldn't the country spend the money on health care for its people?". Even the ex-congressman noted, that if UK pull back the NHS, there would be riots.

Moore further interviewed the medical team at the UK hospital when the radiologist laughed (Moore asked him the medical bill of one patient) since he said, this is the first time he was asked that question. Interestingly, as a patient, we can even get money from the cashier counter, to cover for transportation cost after we were discharged from the hospital! One doctor that Moore interviewed said, they would get a raise when their patients had a healthy wellbeing, and this was measured by the numbers of patients under their care, for example: recovered from cancer, or stop smoking, or lead a healthy lifestyle.

Next, Moore went to France, and interviewed a bunch of Americans living there, and discovered:
  1. You can get free medical care in France (just like UK).
  2. If you worked more than 35 hours a week, you are entitled to get day off the next day. This is applicable for contract / part time workers also!
  3. You are entitled for minimum 5 weeks paid leave, usually big corporations give 8-10 weeks paid leave in a year.
  4. You are entitled for one week honeymoon leave, when you get married (interesting), on top of your annual paid leave.
  5. France had a 24-hour medical line, which was called "SOS Medicins", a French 24-hour medical service, that provides house call by physicians.
  6. The nursery cost is 1 EU dollar per hour!
  7. Free education till university level!
  8. And get this, this really boggles me: if you give birth, the government sent you a nanny to do your household chores and take care of your baby after your delivery for a month FREE OF CHARGE! Gila ke hapa? And even you can request the nanny to take care of your kid, after your postnatal confinement for 4 hours per day, 2 times a week, FREE OF CHARGE.

Seriously, I am considering moving to France after watching and hearing all the perks! It is a very family oriented country.

And the best part, is when Moore went to Cuba, and found out Cuba also provides free medical service to its people. Even the country had a regulation that for every housing area, the area should have a pharmacy and a hospital nearby.

Even one American had to contain herself and cried outside one Cuba's pharmacy, when she found out, the cost of her medicine in Cuba is ony 5 cents (the cost in US is 120 dollars). She tells Moore, that it is like a joke on her medical bills.

Moore brings some Americans (particularly the Sept 11th rescue workers who suffered medical conditions, eg: breathing problems) to a Cuba hospital, and they were admitted there, free of charge, no questions asked at the admission counter about their money to pay the bills.

Even one American said, the cost charged by the dentist in America is USD 15,000 to change his teeth, and in Cuba, it is free of charge!

This is a powerful film, and an eye opener for me, since Malaysia's health system is seriously profit oriented like the USA.

And as one man said in the film;
"If the country could spend money on war, why couldn't the country spend the money on health care for its people?"

I wish one day, Malaysia could provide free health care for its people.