This is a discussion on Stop seeing gynae at 36 weeks. within the Third Trimester forum, part of the Pregnancy Forum category; Dear lovely mummies and ladies, I have never posted before, but I am a very avid reader of this forum ...
Dear lovely mummies and ladies,
I have never posted before, but I am a very avid reader of this forum ever since I found out I was pregnant. I am with my first pregnancy, totally unplanned, and now already in my 37 weeks and 4 days, baby due this 29th July. Hope to get some advise and opinions or maybe just a listening ear. Thank you in advance.
I am currently a subsidized patient at Kandang Kerbau Hospital, so i see random doctors for every check up and have opted for the C class ward upon delivery. Hubby and I just got married last year September, and we weren't planning for a baby until about two years into our marriage because i'm still quite young (i'm 20) and not so financially stable. God's will however, I got pregnant two months into our marriage despite using protection and taking contraceptive.
The monthly check-up was alright, baby is growing well and I had no complications with the pregnancy so far. Until i was at my 34 weeks, i had to be hospitalized because of threatened preterm labour. Since then, i've had crazy pain in my groin/vagina area and every step i take hurts like hell. After I was discharged (my contractions stop), i began my maternity leave (close to two months in advance!) because there is no way i can go to work when the lower half of my body begs for mercy with each move i make. I am a childcare teacher, by the way.
My last check up at Kandang Kerbau Hospital was during at my 36th week and I waited around an hour to see the doctor, but only got consultation for ten minutes. He listened to the baby's heartbeat and that was it. He said from then on I will have to come weekly because I'm soon gonna be full term. I asked if the next check up will be like this too, and the doctor said yes. The consultation fee was about $60. Thus me and hubby made the decision to stop going for check up and just wait at home til i give birth.
I would like to ask if any of you had done this before? I was disappointed because they didn't scan to check how big the baby was (and everybody was telling me my stomach looks soooooooo big, i better ask doc to induce or else it'll be hard to push her out), how much amniotic fluid there is, whether i was dilated and whether my cervix has softened. To go weekly and only see the doctor for ten minutes - it's too much of a cost for us.
Is it okay that i stopped seeing the doc at 36 weeks? What are the signs to look for that I am in labour so I can down to the delivery suite and not worry about being send back home? I can't sleep, baby is hardly moving nowadays (very minimal movements) and my stomach is as hard as a rock. Everyone says my stomach is low, but i'm still feeling breathless and not sure if baby has engaged or not. I'm having yellow discharge, but it always leak out like fluid, instead of discharge (have asked this to doc before and was told it's not amniotic). I've got crazy crazy cramps which I'm not sure is contractions or not (since it's bearable, i'm guessing it's not the real thing) and my vagina hurts so bad.
I'm so ready to give birth but i dont know if Kandang Kerbau Hospital encouraged induction at 37 weeks. And i'm so sorry for the long story. I dont know who else to pour this out to, I'm so scared i fall into depression.
Last edited by raranana; 13-07-2011 at 12:37 PM.
Hi charlotte, thank you for taking your time to read. That was what i specifically asked the doc actually - i asked whether for the next check up they will be checking for dilation, cervix softening and all that. doc simply smile and said that unless my waterbag burst or i feel real contractions, then they'll check. that was why i decided i dont't want to go for the check up anymore until i'm really in labour. i agree with you, maybe i should have asked for a second opinion, prolly this doc wasn't experienced enough. he does look very very young though...
every visit without scanning is usually around $30-$50 dollars. that's the usual range for subsidized patient. on that last check up, the doc did some swab to check for vaginal infection, and thus i had to pay a little bit more. hubby and me were contemplating whether we should go back to check when i reached my 38th week this friday. i really want to because i feel like baby is so big and if she really is, i know i will have trouble pushing her out if i simply wait for my due date. i want to know if its okay to deliver early. if its not, i have no problem waiting.
is it normal that at my current stage of 37th week, i feel real bad contractions as night (sometimes i would cry and hubby would wake up in panic), really like i'm going into labour. however, i know its not because i can still bear until the next morning, and the pain will just be subtle cramping. if i go for scanning this 38th week, the bill will be close to $100...and i know i will be so disappointed if i was told to just go home again. why is it that i feel like my due date is off and i'm actually already at my 40th week? i feel like my baby is really really big too. my stomach was already bulging like i was five months, during the time when the doc says i'm at my third month. not sure why this instinct is so strong...
is it true that if after induction i'm still not dilated, i will have to go for emergency c-sect? woahh...that is another one of my worries. i'm all up to go for induced birth, partly because i can't wait to meet baby and partly because i can't bear the throbbing pain in my vagina and the constipated-like cramps i'm having. but i'm also weighing the consequences since i have only two more weeks to go! is it true that if baby is too big, movements from her might make the cord string to accidentally be tied around her neck? i'm so scared of that too! !
may i know how do you time contractions? i have no idea how contractions feels like because i've never had menses cramps before. so when people tell me it's like menses cramps, i just go ???. lol. my stomach now is rock hard, but baby still moving (although not as active as she was a few weeks back, and they say its because she has limited space). the pain i feel do come in a regular interval of five minutes. but, they stopped for a few hours or so. that's the funny thing. and then they come again, regular intervals. then they stopped again. i dont't even know whether it's the real thing or braxton hicks.
sometimes i wished my waterbag would just burst! atleast it's the safest reason to go to the hospital and be allowed to give birth! sometimes before sleeping, my hubby will talk to my tummy and tell baby to burst my waterbag. he will go "you take needle and poke the balloon, so the water will come out and you can come out and mommy won't be painful anymore. okay okay?" hahahaha. every night he will say that to baby.
it is a normal that the doc ask you to go back every week from 36 weeks onwards as from now onwards, your cervix might dilate anytime. i dont feel that induction is good. not much doc will encourage induction if you're doing okay.
stomach big doesnt mean baby is too big. and the consultation is always short and expensive. even you go pte hospital, the consultation usually dont last more than 5-10 unless there is any complications and gynae need to explain to you further. if baby is too big and need induction, your doc will advise you accordingly. rmb, DONT listen to OTHERS, trust the doctors and nurses in the hospital. they are the ones who you should listen to. =)
charlottetan > i guess i am too anxious! i am praying everything will be fine cuz it's only two more weeks to go. i called up the hospital before and describe my discharge. was advised to go down quickly, cuz i may be leaking fluid. went down, turns out it was not. maybe having spent that 24 hours in the labour ward make me just so anxious to go in again and actually give birth. thank you darla. i guess if i'm really having real contractions, i would know because it would hurt enough for me not to be sitting here and typing all these. =)
apollo > yep, i have heard that once you get to the 36th week, it will be a weekly checkup...cuz you've only left that month to your due date. what disappoints me was that the doc actually says they won't check for dilation or my cervix unless i got contractions or my waterbag burst. i specifically ask whether all this will be checked at my next visit, and he told me no. either he cant be bothered to answer my question, or he's a bloody liar...i'm not so sure.
all my consultation have been short and expensive, despite being a subsidized patient. one of the things which made me decide not to go pte in the first place. already subsidized and i can't afford, what more pte. heheh. the reason why i stopped going after the 36th week is because of the doc says that they will not be checking for anything else except baby's heartbeat. i dont't want to come all the way to Kandang Kerbau Hospital every week and pay around $50 just for doc to check my baby's heartbeat. it will be different if they're checking for dilation or cervix - atleast that i will know how i'm progressing and whether i'm nearing labour.
i listen to that doc . that's why it leads me to this current confusion.
my check ups only involve testing for protein/sugar in pee, blood pressure level, pulse rate, doc measures tummy with tape and listen to heart beat. then the nurses asks "any thing you want to ask me? or any pains?"
then i'm off. LOL
i asked if they will do a scan during the last month to make sure baby is OK, cord not too dangerously around the neck - they said nope.
I'd still suggest continuing with the weekly checks, especially for a first pregnancy.
Not trying to scare anyone, but I read a mum who bloggesd about her baby's heartbeat stopping at 30+ weeks. It's rare but can happen.
Induction usually means the contraction pains become very painful in a short while, many end up with epidural.
Whereas natural contractions build up gradually and mum can build up resistance to the pain.
Real contractions continue in regular intervals, and keep building up, in intensity and frequency.
Upon reaching 10 contractions in one hour, can go to hospital.
Several days before real labour, may also experience bloody mucous discharge. If so, can go to hospital for a check, just to be safe.
Chances are, will be sent home, till the real contractions build up.
It's good to manage contractions at home till they're more regular because home is more comfortable and you can distract yourself with activities.
I'd more than 24 hours of contractions the hospital and was very bored...
Water bag bursting early (before contractions start) may also not be too good cos it increases chances of infection.
After bursting and baby is still not out after 18 hours (I think), then might have to go for c-section.
Hope this helps. Relax and all the very best!
Join Mummy's Reviews Parents Club: FREE "Baby's Head Start Guide for Parents"
We have a Facebook group for July 2011 mummies, if you're keen I could check if we can invite you in.... =) I'm due 20th July, but i have not't had any painful contractions till date. All i had was just tightening and nothing else and i'm more than ready to give birth too but unfortunately baby doesn't seem ready because when my doc checked today, baby is still not engaged.
Let me know ya?
I am also a Kandang Kerbau Hospital Private Suite patient. I have been to the subsidized clinic once during my early trimester when I was spotting and feeling very weak. My cousin is also a subsidized patient.
1) I think you need to continue to see the doctor weekly cos they need to check your cervix and if you are dilating.
2) From what I heard from my cousin, if everything is normal and good, they usually dont scan you unnecessarily so that you dont incur more $$. But I would suspect they scan you more often now cos you are nearing your EDD.
3) While scanning, you can ask the person who scans you the weight of the baby and etc you want to know about your baby. I always ask my gynae what's my baby's weight, etc...it becoems a habit that my gynae now tells me everything w/o me asking (but then I am a private patient so I see the same gynae). But if you ask, they will tell you per my cousin.
4) I dont think Kandang Kerbau Hospital subsidised wing is lousy in service cos my cousin's baby is breeched and she only see the doc once a month (according to my cousin) and then nearing EDD, once every fortnight. When she went for check up @ wk 37, she was held back at Kandang Kerbau Hospital cos baby is breeched and they need to perform immed. C-section. In fact, she was held back by Kandang Kerbau Hospital for around 3-4x thru out the whole pregnancy due to various probs. (ie: spotting, high sugar, breeched baby)
Continue to see your gynae weekly and you will get to see your precious soon. Have faith!
Dear ladies, thank you for all your precious replies! Really appreciate it!
charlottetan > i will start monitoring my contractions! but it's pretty hard because my stomach is hard rock all the time; so i'm not sure if its tightening contractions or not! and i'm having trouble differentiating the bad cramps i'm having compared to contractions. there's just a whole lot of pain and aching and sharp sudden pain and tightening, as well! it's so confusing. =(
jessmummy > sounds a lot like my check up! lol. i dont't expect much because i know i myself didn't choose a specialist in the first place, so shouldn't complain much. but nearing the end of the pregnancy, i was expecting the docs to advise me more than what they usually do. i ask so many questions, but the answers i got were less than satisfactory. they always kept going "oh that's normal."
Mummy to Baby > if my financial allows it, i would very much like to continue my weekly check ups. =( i know hubby has tried his best, but it's not probable for us to continue the weekly check ups for now. that's why i keep worrying this and that; whilst i know if i continue my checks i won't be having this worries. really in a dilemma right now.
worrywort > hi dear! i would love to join the facebook group. just pm me if it's confirmed okay. i'm due on 29th july and yes like you i wished i could give birth within this week or next. been waiting for so long! i started my maternity leave at 34 weeks - kinda regretting it now, because i would have to return to work early and not get to spend much time with my lil precious. but i'm a childcare teacher and it's hardly possible for me to continue work if i have to chase around 2 year olds. furthermore, it's my first pregnancy, and as usual, so kanchiong. the pelvic pains i'm having at 34 weeks was so bad, i need to sit all the time and the kids turn the whole classroom upside down seeing me not so mobile! thus i decided i have to take my leave.
pipilili > hi dear, like i mentioned before, i would so love to continue my weekly check-ups. but financial is stopping me from doing so. furthermore my edd is end of this month, and i'm only waiting for end of this month for my pay and hubby to come in! i am embarassed to admit, but we really do not have the cash to go for any check-ups anymore this month. hubby and me was discussing earlier, and he want me to go to the delivery suite to get a check this sunday (i will be 38 weeks 2 days), because i am experiencing really bad pelvic pains and cramps, and irregular contractions that are really painful. our hopes is for me to get admitted and hopefully able to give birth. but if everything is fine, i'm not contracting and all, and i get send home, i dont know how hubby is gonna pay for the consultation fee! that's what i am so worried about! it's gonna be two weeks that we have not't known the progress of the baby and i am so paranoid. mother in law kept saying that's she's moving, so she should be fine, and i should just wait until it's really time to give birth then go back hospital so we dont have to worry bout fees since it's covered by medisave. but my main concern is to know whether she'll be too big for me to deliver (if not i might have to be induced early) and whether i'm dilating and all.
Hello raranana, yup we can get you in! Let me know what's your facebook email address, i'll need to add you as a friend before I can invite you in to the group. There's about 20+ of us in there, most of whom have given birth (I'm one of the last few), i'm sure you'll find the support and advise from there useful =)
hi dear i have sent you my email address in pm! wow, i think i'll join in to be the last few too! and since my edd is 29th july, i might just be the last! =)
babe.. im fully subsidised so i guess cant complain? but i do occasionally go to private to check and make sure baby is OK if i feel insecure.. i monitor baby's movement daily to make sure shes OK.. but now at the last lap the movement will be really minimal.. keep positive alright babe? dont worry too much else will come out with a frowny baby! lol
i bet you cant wait to see baby soon in these 2 weeks! all packed up?
trying my best to be positive! it's really good to be on this forum, because there are so many wonderful people like you and the rest to help me stay positive. hubby is doing a wonderful job, but sometimes i need someone who is in my situation to really understand. =)
i've packed since 34 weeks! hahaha. my everyday keep unpacking and packing again. keep reading up the lists on hospital bags and seeing that there are things still missing!
Since you are no longer seeing the gynae due to financial constraint, just listent o your mum/mom-in law...monitor baby's movement. I believe everything will turn out well for you.
Continue to have faith and you are almost there - 2 weeks more. Who knows, you may pop earlier...
hey pipilili, we are going to Kandang Kerbau Hospital delivery suite tonight to get me and baby checked. lols. hubby decided this morning that he wanna make sure his daughter is okay. he says will find that little bit cash to pay for the consultation if i were to be send home. anyway, having back contractions now and though i've cleaned my bowels almost thrice today, still having constipation-like cramps. so we are going in and hopefully all is fine!
thank you for your kind advises!
All the best hope the checkup yesterday went well.....
Hi, raranana, have you given birth already? Hope you n baby r well
Hi, i was with Kandang Kerbau Hospital subsidized patient when I had both my kids.. I had stopped seeing gynae after 36weeks too for my #1,waited for signs of labor appear then go delivery suite.. But till edd still no sign,went back for check n they did all the checking(dilation,scan n heartbeat).. Almost the same for #2,I went back for check at 35weeks n skipped the 37weeks appointment.. I asked a few gynaes there,they told me I could skip last 4weeks appointments if it's too tiring(have to go back every 2weeks).. They said during the last 2 appointments,they will check for dilation,heartbeat n a last scan to see baby's ok before labor.. They told me I could come back when reach edd or signs of labor appear direct go delivery suite..but ended up both were edd reach then go back for check n induction.. I wonder if raranana had delivered her baby?all the best..
This is weird. I'm having the exact same situation as you. With all the unbearable pelvic pains that caused me to be unable to walk, I had to take my maternity leave 1 half months earlier than my due date. Sigh! I'm having a big baby girl as well, weighing 3.2kg at her scan at 34 weeks last week. Considering to be induced too, hopefully at 37 weeks. Though of cos I'd consult and get advice from the doctor first.
I'm under subsidized at Kandang Kerbau Hospital as well. Every consultation is a 1-2 hours wait just to go in for less than 5 mins. Checking of baby's heartbeat and doctor asking standard questions like "any bleedings?" "any pains?". Told them about my pelvic pains which caused me to be unable to walk, only response I got was that baby is pressing against the pelvic, it's part of pregnancy, nth they can do about it. Sigh!
Only thing is that i was able to get the doctor to schedule me for a scan on my next appt after voicing out my worries that baby is too big, as I want to go for natural birth. So she told me they will scan me to monitor baby's weight on next visit before consulting me. As if baby is too big, might have to opt for c-sect.
Thanks for posting this up. I'm reading this 1 year later and it's really very helpful for me. And I'm serious, it's practically exactly the same situation!