Topik ATE Minggu Ini: Teknik Pengurusan Kesakitan Semasa Bersalin
Anda boleh mengajukan soalan dalam Bahasa Melayu atau Bahasa Inggeris. You can submit your questions in Bahasa Melayu or English. Pakar yang akan berkongsi ilmu dan tips minggu ini adalah Dr. Vicky Ho, Consultant Obstetrician and Gynaecologist and Maternal Fetal Medicine Specialist, Sunway Medical Centre, Sunway City. Our expert this week is Dr. Vicky Ho, Consultant Obstetrician and Gynaecologist and Maternal Fetal Medicine Specialist, Sunway Medical Centre, Sunway City. Jika anda ada sebarang pertanyaan berkaitan dengan topik ini, jangan malu-malu untuk kemukakan soalan anda. Pakar kami akan sedia membantu! If you have any questions related to this topic, don’t hesitate to ask. Our expert will be ready to help! ⛔ NOTA: Sebarang persoalan luar daripada topik dan tarikh yang ditetapkan mungkin tidak akan dijawab atau dipadam terus. ⛔ NOTE: Any questions outside the topic and date specified may not be answered or could be deleted.
Hi, saya ada amik epidural semasa melahirkan anak saya yg pertama. Tapi malangnya, it doesn’t work on my right side. Jadi, semasa deliver baby tu, saya rasa sakit yg contraction yg teramat sgt. Sampai tidak ada tenaga/muntah/gigit bantal/hampir give up. Tapi dengan izin-NYA, kepala baby keluar dan doc pun guna teknik vacuum. Soalan saya adalah, macam mana nak hadapi situasi sakit ketika meneran dan tidak menjerit semasa sakit contraction itu. Terima kasih
Baca lagiHi doctor. Can you kindly share what are the risks of epidural? If it can stop the pain, why don't all women take it before delivery? Is a weak back following delivery with epidural is more likely due to delivery itself or epidural? Does epidural need to be requested before one reaches a certain dilation size? Is there a point where it is too late to take epidural? Thank you doctor.
Baca lagiMenjawab bagi pihak Sunway Medical Centre: It is best to ask your anaesthetist regarding epidural anaesthesia. In an established medical centre, epidural is usually available round the clock and can be arranged quite quickly (also depends on the availability of your anaesthetist). There is no limit to when one can request for an epidural. However, it may be very challenging to site an epidural when mommy is in intense pain and is unable to sit still. No, studies have proven that epidural does not increase risk of postpartum back pain. The symptom is largely due to pregnancy itself.
My friend had a really bad tear during her first birth, and she’s so traumatized to go through it again. Ada tak cara untuk kurangkan risiko koyakan masa bersalin? I am currently in my 35 week, and I dah mula rasa nervous....
Menjawab bagi pihak Sunway Medical Centre: Perineal massage from 2nd trimester has been proven to marginally reduce perineal trauma during vaginal births. Being able to remain calm during the birthing process may help as well. Sometimes, perineal tear may not be preventable, hence, to reduce a severe tear, your obstetrician may opt to perform an episiotomy.
Saya ada scoliosis dan worried kalau tulang belakang saya akan buat sakit bersalin jadi lebih teruk. Doc ada pengalaman tak dengan ibu yang ada scoliosis dan macam mana cara terbaik untuk manage pain masa bersalin?
Menjawab bagi pihak Sunway Medical Centre: The most important point in managing a patient with scoliosis lies in the extent of her scoliosis – whether any surgery was advised or performed when you were younger, any complications involving the lungs or heart due to scoliosis? This should be checked prior to or during your pregnancy. It can sometimes be challenging for the anaesthetist to site epidural for patients with scoliosis. However, for many patients with mild scoliosis, their birthing experience did not differ much from others.
Doc, masa first pregnancy dulu saya tak sempat ambil epidural sebab bukaan dah laju sangat! The pain was crazy! Kalau second baby nanti, macam mana nak pastikan I have the option for epidural kalau perlu?
Menjawab bagi pihak Sunway Medical Centre: In an established medical centre, epidural is usually available round the clock and can be arranged quite quickly (also depends on the availability of your anaesthetist). There is no limit to when one can request for an epidural. However, it may be very challenging to site an epidural when mommy is in intense pain and is unable to sit still. Given your past experience, I would advise that you attend to the hosp earlier, even if your labour symptom is just mild.
Doc, I’ve heard that walking a lot during pregnancy helps in an easier labor. But how much is too much? I don’t want to tire myself out before delivery.
Menjawab bagi pihak SUnway Medical Centre: Exercise during pregnancy, up to 150min per week helps to reduce risk of high blood pressure, gestational diabetes, and maternal weight gain, as well as large for gestational age babies.
Doc, saya ada masalah takut jarum 😭 tapi kawan-kawan semua recommend ambil epidural. Ada ke cara nak manage sakit bersalin tanpa perlu ambil epidural?
Menjawab bagi pihak Sunway Medical Centre: Correct breathing technique and the use of birthing balls may help to marginally reduce birthing pain.
Doc, betul ke kalau kita terlalu takut atau stress masa bersalin, pain tu boleh jadi lebih kuat? How to stay calm even when the pain is unbearable? 😅
Menjawab bagi pihak Sunway Medical Centre: Correct breathing technique, attending antenatal classes to have a brief idea about birthing process, reading about birth process from reliable resources, and good pain control during labour.
Saya dengar kalau guna teknik pernafasan yang betul, sakit contraction boleh kurang. Macam mana cara yang paling efektif dan bila kena mula practice?
Menjawab bagi pihak Sunway Medical Centre: Correct breathing techniques helps with birthing process and reduce panic, hence smoother birthing process. You may start breathing exercise anytime during your pregnancy.
I’ve read about hypnobirthing and natural pain management techniques. Do they actually work, or is it just a placebo effect?
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