natural gentle birth video

Video-video kelahiran ini perlu dilihat (setiap hari 1 video) untuk keep mind for natural gentle birth.

- The classic french lady laughing like mad while birthing: http://www.youtube.com/watch?v=lG6o6DaNAmM&oref=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DlG6o6DaNAmM&has_verified=1
- Husband and kids malay: http://www.youtube.com/watch?v=kuxB6k6d3TI
- hug kiss with hubby: https://www.facebook.com/photo.php?v=10152877388075525
- with hubby n 2 kids: http://www.youtube.com/watch?v=acSnVic8qfg
- cute lady: http://www.youtube.com/watch?v=nnVuIwRX7V0
- chinese lady waterbirth: http://vimeo.com/44227035
- kyla waterbirth: http://obsessedmommasophie.weebly.com/1/post/2013/06/part-5-if-a-picture-is-worth-a-thousand-words-then-is-a-video-worth-a-million.html
- gentle birth at hospital: http://www.youtube.com/watch?v=3c7bMQgyndM
- home waterbirth: http://www.youtube.com/watch?v=SabJF7y9TWE
- one born: http://www.youtube.com/watch?v=TbtK5GNFaQE&feature=youtu.be
- birth near river: http://www.youtube.com/watch?v=EsNhCWsDVQI

Breath in and breath out semasa bersalin

Contraction (lebih sedap panggil surge ^^) setiap ibu adalah berlainan. Jika mahukan natural birthing, deep breathing and relaxation adalah amat perlu dan WAJIB diamalkan sebelum bersalin. Teknik pernafasan amat2 membantu semasa surge. Kalau kita bertenang inshaAllah baby akan dpt cukup oksigen.

Just breath and ride the surge. Tak perlu tgk jam atau asyik timing, nanti tension. Breathe , breathe and BREATHE!... deep and hard, mouth partially closed n smile :) DONT FIGHT THE PAIN nanti lg susah jln nk bukak. Kendurkan otot2 bahu dan rahang/ muka. jgn genggam tgn atau ketap gigi menahan sakit. Bila bdn kita loose and relax baru jln akan membuka, dan surge akan jadi lbh efektif dlm membuka jln.

Relax mouth and jaw = open cervix. sbb mulut atas dan bawah berkait rapat. Surge breathing membuatkan kita rasa khayal, tak berasa sangat sakitnya seperti kita berada di alam lain. That's the endorphins working  Beta endorphins are dubbed the 'feel good' hormone - anything that makes us feel good ---> relaxation , laughter , sex , exercise , dark chocolate ! and many more - when we are relaxed and calm we release these hormones that are said to be 200 x more powerful than morphine  -- in fact endorphin is a mixture of two words = 'endogenous' which means naturally occurring in our body ; and morphine.

Antara teknik pernafasan yang dikongsikan:

Cara 1: dikongsikan oleh kak Khadeejah Hasmad.
Amalkan surge breathing sekerap yg mungkin. Kalau nak mudah, practice masa bangun tidur dan selepas bangun tidur.
1. ambil nafas sampai kiraan sekurang- kurangnya 30
2. praktis ambil nafas kiraan 30, pada selang 5 saat
3. praktis ambil nafas kiraan 30, pada selang 5 saat, selama at least 1 jam

Bila start kiraan, saye visualise saye naik hot air balloon. Yg belon panas tu. Untuk sampai ke puncak langit, saye bayangkan saye kene lalu beberapa pit stop.
saye set kan ada 5 pit stop. Sambil ambil nafas, saya bayangkan, dan buat script dalam kepala:
"Ok, dah sampai pit stop #1, ok # 2. Ok sikit je lagi, dah sampai #3, naik sikit lagi. Ok dah #4. Ok sikit aje lagi tak jauh dah. Yeay, alhamdulillah dah sampai #5!! Jom2 makan minum jom, ni semua sedap ni "

Tapi yang tu dapat sampai kiraan 20 je. so untuk panjangkan lagi masa saya boleh ambil nafas,saye tambah visualisation

Saye bayangkan dan baca dalam hati birth affirmation yg dalam youtube video tu. Sambil bayang gambar2 yg cantik2 tu. Sambil ayat 'time is irrelevant in birthing' berkumandang kat telinga. ayat ni selalu diulang2 oleh member group HUBM, jadi dah melekat dlm kepala. youtube video yg sy guna kali ni: https://www.youtube.com/watch?v=XSXc-a_AH2k&list=PLp66MaTgKP3n4CofxhGNbZvhaboOVCkmc&index=3&feature=plpp_video

tp ni cara saya. cara org lain mungkin berbeza. bila sy buat sambil bygkan video dan imagine lagu (sy tak pasang background lagu masa ambil nafas sbb saye jenis kena senyap utk focus)-- sy perasan, tubuh saya mula bergoyang2 nak buat ala2 tarian gelek  dan bila sy follow cue tubuh saya.., saya boleh ambil nafas dgn lebih panjang. subhanallah.. cari cara yg serasi, dan kemudian just follow your body

lagi satu paling penting, dont think too much of counting & mechanism. So, mase saye praktis kali ni, saye tak kira. TAPI minta tolong hubby kira. saye cubit hubby  sebagai tanda start. nanti dh nak stop sign nya adalah cubit skali lagi.

ok, saye cubit hubby sikit. then, saye start imagine. ni imagination sy. works for me, tak sure utk org lain. mase saye imagine, saye tak kira langsung i was in my own fantasy world. sy bayangkan saye naik hot air balloon, langit yg cantik. dan kat pit stop #1, ada kawan tgh tunggu. diorang lambai kat sy. then sy imagine, tanpa kira, ok, dah pit stop #1. dan sama juga utk pit stop nombor lain. sy tak kira langsung. sy dlm alam lain  bila singgah kat pit stop, sy imagine tgh happy2, makan2 sikit, then go on to other pit stop. saya buat imagination sendiri utk keep myself going. perkataan yg berguna utk sy 'sikit je lagi'. kawan kat pit stop #1 akan ckp, 'sikit je lagi nak sampai #2' that works for me, but i believe, lain org, berbeza.

utk dpt effect yg lebih baik mase visualise hot air balloon, sy search video hot air balloon, jumpa sini https://www.youtube.com/watch?v=MQIszo4A74s&list=PLp66MaTgKP3n4CofxhGNbZvhaboOVCkmc&index=8&feature=plpp_video

masa imagine singgah kat pit stop, sy x pause ambil nafas, i just keep on breathing in. when you breathe in, you fill your tummy with air. So to know if you are doing right, see if your tummy is getting bigger or not when you breathe in. boleh refer video ini: http://www.youtube.com/watch?v=5TRnHcdQE6E

For practicing surge breathing: (personally i need lots of practice)

1. find a PARTNER. let the partner do the counting. please dont count by yourselves. for me, i want to sink in my own world. if i do the counting while breathing in, i cant go further...

later, when the real surge come, you will be intuitive to just follow the surges' cue. but for practice, i would really need a partner

2. practice in RELAX environment. for me, its best to practice before we go to sleep. for me, I would focus best in quiet environment, without any need to cook lunch, do laundry, etc. but its fine if my toddler make a little noise. 

because for labor itself, i personally need privacy and relaxing environment, at least from what i experienced from my first childbirth. stress/ hassle/ urgency make no good to me during labor 

during practice, i close my eyes, pinch my hubby so that he's aware to start counting, then breath in & start visualising- just relax and fly in my own world

some people, they would need slow background music, or adang2 perlukan org lain utk assist in visualisation, i.e, instruct loudly the script "ok, sekarang awk dah naik, now, imagine...." but i am the type who need to stay quiet, and visualise, and just sink in my imagination

3. I make sure before I practice, I WATCH/LISTEN to the positive birth affirmation youtube video, at least 3 times. so that all the sound and words are blended into my subconcsious mind. so that, when i start to practice, thats all that come into my mind.

10-20-30 is mental counting. not minutes  

it is normal if at first practice, you got 10 or below counts. keep on practicing 

Cara 2: Hypnobirth breathing dikongsikan oleh http://raisingdarlings.blogspot.com/2012/08/during-labor-hypnobirth-breathing.html?m=1
1- the relaxation breathing. This is used, well, as the name recommends, to relax. Aside from when contraction hits, or delivering the baby, this type of breathing is to be used at all times.And best of all, this can be used well after labor. In your everyday life, when you are tensed, feel that temper raising, horrible bowel movement while waiting for your loo turn (heheheheh), use this technique
Technique : breathe in through the nose while quietly counting from one to seven (macam kira satu saat, dua saat tiga saat), then breathe out through the nose again, while quietly counting from one to seven. the key here is to focus on the counting. This helps distract you from the pain.

2- while having contraction. Once you feel a contraction coming,use this breathing. It's a very slow breathing, and requires practise. It is best to practise 4 weeks before your EDD.
Technique : breathe in through your nose, while quietly counting from one to eight, the VERY, VERY SLOWLY release (breathe out) while quietly counting from one to TWENTY. When I first started, by the fourteen count dah habis dah breathe out semua udara. hahaha that's why one must practise this technique earlier. But, do not cheat and hold your breath semata2 nak sampaikan kiraan 20 tu. you must slowly release the air. This technique makes your body totally relax n lembut, so you will not clench or keraskan your body when contraction comes. Bila badan keras contraction becomes even more painful. So dont grab that bed railing (or your husband's arm ahahha), instead lembutkan badan and relax, slowly breathe sampai contraction passed.
Birth partner/husband's role : husband's can play their part in this technique. Discuss with your husband what signal to use to show you're having contraction. Cuit tgn ke, tepuk tilam ke.so he will know what you are experiencing at the moment. try not to talk, because this takes your energy and distract your concentration. Husbands can then help by counting 1-8, then 1-20, to help you to stay focus and back on track. Having assistance like this help prevent you from 'losing it'

Cara 3: Do deep breathing - tarik nafas dalam2, see your tummy menaik, bygkan u hantar oksigen tu kpd baby and then hembuskan perlahan2 keluar dr bibir yg sedikit terbuka. Sambil tu tenangkn fikiran, bygkan yg indah2 when u will finally meet ur baby.

Cara 4: Info dari kelas yoga utk antenatal; amik nafas dalam kiraan 3-4 dan lepaskan dalam kiraan lima (atau lebih)...so masa surge tu lepaskan nafas perlahan2

Cara 5: bila kita tarik nafas lbh pendek drpd kita hembus nafas..pastikan hembus nafas tu lebih pjg..kiranya masa tarik nafas tu guna perkataan 're'..dan apabila hembuskan nafas guna perkataan 'lakksssss'

Cara 6: ambil nafas melalui hidung, keluarkan HAH melalui mulut perlahan2. 

BREATH OUT
Sebagai ganti amalan push atau meneran baby keluar. Manfaatnya supaya tak berlaku koyakan pada perinium. Tak koyak maka tak perlu jahit. Kalau koyak pun sikit je dan cepat baik. Berbanding episotomy yang sah2 perlu dijahit.. kan?

Cara 1: Breath in kejap, then breath out reaaallllly hard! Bukan teran ya. Let loose your jaw, let your body loose. Even tangan pun tak boleh genggam. Kalau kita dok ketap bibir, genggam tangan, nanti muscle yang bekerja untuk keluarkan baby pun akan jd keras dan proses baby lahir akan jd lambat.

Cara 2: J Breathing. Work with your body. cari tempat yg selesa dan praktis.
Take a nice deep breath melalui hidung dan lepaskan panjang dan perlahan-lahan yg boleh melalui mulut. bayangkan nafas dan baby keluar ke bawah dan ke atas seperti huruf J. Juga bayangkan vagina seperti kelopak bunga yang indah terbuka perlahan-lahan, dan baby keluar melalui tengah kelopak bunga tersebut. Pastikan rahang mulut dan bahu dlm keadaan relax.
http://www.youtube.com/watch?v=Yl6dcMtquhc

Cara 3: In hypnobirth, you are recommended to breathe out the baby, and not use your might to push out. But, best follow your doctor since I am not a liscenced hypnobirth trainer. Still, I shall share the method anyway.
Technique : breathe in while quietly (dalam hati) counting from one to seven. Then breathe out quickly as if you are breathing the baby out. This also requires practise, and best part is, the only almost real situation when you can practise is when pooping. hehehhe infact, when you are done delivering the baby, this technique can still be used everytime you poop! hahahah! When you are on the toilet seat feeling an urge to pass motion, breathe in counts of eight, then breathe down! this way, your body is relaxed and not stiff/clenched, so passing is easier. http://raisingdarlings.blogspot.com/2012/08/during-labor-hypnobirth-breathing.html?m=1

Good luck!

Tanda-tanda Scar rupture/ uterine rupture

Dalam kata lain, rahim pecah/ koyakan pada parut czer/ dinding rahim. Sharing dari kak Mazneera Zainal:

Rahim pecah which could happen especially on the scar, could be on other spot on the womb. Dont worry, the risk of rupture is less than 1% in vbac moms. You have 99% chances of NOT RUPTURING.

• is the contraction painful, mcm kena pisau?
• do you feel pain in between contraction (not only during)?
• is the blood keep coming out and looks like fresh blood?
• is your tummy feels cold?

If YES, then do go to hospital immediately. This could be the sign uterine rupture.

Sharing dari kak Sofia Azyze:
Tanda-tanda scar/ uterine rupture (koyakan pada parut cser/dinding rahim):

1. Sakit yang amat macam kena hiris dgn pisau IN BETWEEN contractions.
2. Some people alami bleeding, tapi some people takde bleeding sebab baby dah block rupture site tu, so bleeding kat dalam je.
3. Contraction slow down, jarak antara 2 contractions makin jauh dan semakin lemah.
4. Bila rahim terkoyak dan baby dah terkeluar dari rahim, kita boleh tengok juga bentuk perut berubah, dah tak membulat, lonjong ke kanan atau kiri, sebab posisi baby dah berubah.

Scar rupture boleh menyebabkan kematian bayi dalam kandungan, sebab bila koyakan berlaku, baby mungkin terkeluar dari rahim, dan placenta juga boleh tertanggal dari rahim menyebabkan bekalan oksigen kepada bayi terputus. Dalam sesetengah kes, uterine rupture juga menyebabkan kematian ibu akibat dari pelbagai komplikasi.

That's why when you are attempting vbac, it is important to observe in between contractions. Listen to your body. Kalau ada something not right, you will know. If you are staying at home during labour, watch out for the signs. Kalau ada sakit2 macam kat atas, cepat-cepat pergi hospital.

Apa beza sakit scar dengan contraction? 

- Sakit scar lain rasanya. Sakitnya tajam memanjang berterusan, tak henti2.

- Kalau contraction, sakit setiap beberapa minit, tak berterusan. 

Bersalin kat mana2 pun boleh, just remember; the risk of rupture is less than 1% in vbac moms. You have 99% chances of NOT RUPTURING and please observe in between contractions.

Our beautiful birth plan. Jadi kenyataan tak?

Husband bercadang untuk saya bersalin di SALAM Medical Centre kali ini.. lagi 2 minggu appointmentnya insyaAllah. Setelah menggoogle, doktor yang menyambut kelahiran adalah doktor perempuan. Doktor pengganti pun perempuan, alhamdulillah.

Tapi rasanya doktor tu tak akan terima birth plan saya yang teramat demand ni. Hasil menggugel, beberapa ibu menceritakan pengalaman bersalin di situ dengan kaki diangkat a.k.a digantung? Oh tidak.. Tak boleh terima cara bersalin macam tu huhu.

Whatever pun, saya tetap akan bincangkan birth plan ni dengan doktor tu. Dan berdoa semoga Allah lembutkan hati doktor yang baik hati tu untuk membantu saya bersalin dengan mudah dan tanpa rasa sakit. Amiiiinnn..

BIRTH PLAN

Name:

We have chosen the natural childbirth without unnecessary interventions/ the use of drugs. We understand that these choices presume a normal pregnancy and birth. Should there be a medical emergency, we will give our full cooperation after we have had an opportunity for clear and adequate explanation. We would appreciate it if….. 

During 1st Stage Labor
ENVIRONMENT ·         Quiet & private room, dimmed lights ·         Drawn drapes/ closed door at all times ·         Min. staff (1 or 2) are present at any one time ·         Staff knock before entering ·         Play own music tapes	PAIN RELIEF OPTIONS ·         No suggestion of anesthetic/ analgesics unless requested FETAL MONITORING ·       No continuous EFM unless medically necessary. If it needs to be done – prefer to use a Fetal Doppler
MOBILITY ·         Freedom to change positions for comfort & progress in labor ·         Freedom to walk & move or use birthing ball ·         Allowed to maintain energy level by eating and drinking and relaxing VAGINAL EXAMINATION (VE) ·   Not to have ANY VE unless absolutely necessary – with permission – to avoid premature release of membranes	INDUCTION/ AUGMENTATION ·         If baby and mother are well, lets baby decide his/ her own due date- pregnancy reach the end of term at 42 weeks ·         Natural oxytocin stimulation – nipple/ clitoral stimulation – and to be accorded the uninterrupted privacy to do so ·         No Pitocin/ amniotomy without discussion ·  To be fully apprised & consulted before introduction of any medical procedure
During 2nd Stage Labor	During 3rd Stage Labor
PUSHING TECHNIQUES ·         Allow to birth in ANY position mother feel comfortable that will least likely require an episiotomy– all fours/ upright/ leaning etc ·         Gentle encouragement during final pushing stage without loud “pushing” ·       Give mother time to breath out baby naturally - no pushing to prevent tear	PLACENTA DELIVERY ·         Spontaneous or encouraged with breast stimulation and nursing baby (breastfeeding) ·         No routine Syntocinon injection, cord traction, Pitocin or manual removal of placenta unless there is evidence of excessive postpartum bleeding
PERINEUM ·         Not to have an episiotomy. Pressure episiotomy only if necessary with permission ·  Local anesthesia for repair of tears/ episiotomy	FOR BABY (PAEDS) ·         Air-cond temporarily turn down/ switch off ·         Allow vernix to be absorbed into baby’s skin; delay cleaning/ rubbing ·         Baby to remain with mother & father for the 1st hour after birth (bath, weighing, measuring etc can be done after this) ·         Breastfeeding only. Strictly no bottle, formula or pacifier ·         The father will follow wherever the baby goes to after birth
BIRTH ·         Allow father to ‘catch’ baby and to hold baby immediately after the birth ·         Use of suction device rather than forceps if medically necessary ·         Delay Cord clamping – wait until cord stops pulsating to allow baby to receive the valuable blood and iron stores. Father will cut the cord. ·         Immediate skin-to-skin contact with baby on mother’s stomach/ chest. No wrapping of baby. ·         Privacy for father, baby and mother immediately after the birth for at least an hour	IF CAESAREAN BECOME NECESSARY ·         For discussion to be respectful and minimal - only what is required medically and to inform us of what is happening ·         Unless prevented by medical emergency, baby have to be placed on mother’s chest while you complete the procedure ·         To be sure that a double layer suture is used and not a single layer in order to improve mother’s chances for a future VBA2C ·         For the cord to stop pulsating before clamping for reasons mentioned ·         Allow vernix to be absorbed into baby’s skin; delay cleaning/ rubbing ·         The opportunity to breastfeed baby in recovery

Thank you in advance for your patience and understanding to support our choices in anticipation of a beautiful and natural birth. Please sign our birth plan in good faith that it has been read, will be treated respectfully and that we have your support in all of the above.

........................................                                                                        .........................................
(Doctor chop & sign)                                                                           (Parents)
Date:

Proses kelahiran secara Semulajadi

Menurut Rezagunawan dalam Talkshow Gentle Birth bahagian 1 dan 2:

• Proses Kelahiran tak boleh dipaksa, seperti kencing dan berak. Kita akan kencing dan berak apabila tiba waktunya. Kencing dan berak tak boleh ditetapkan berapa kali sehari, bila sepatutnya keluar dan tak boleh diberi ubat untuk mempercepatkannya keluar kerana merupakan proses semulajadi yang jika diberi ubat, akan berlaku komplikasi. Melainkan mereka yang tidak normal atau mempunyai masalah kesihatan. Begitu juga halnya dengan proses kelahiran.
• Watak utama dalam proses kelahiran ialah bayi. Bayi akan keluar dengan caranya tersendiri. Ibu hanya boleh membantu bayi dengan mendapat sokongan bapa, seterusnya sokongan bidan atau doktor.
• Hypnobrthing dapat membantu kelahiran dengan :

1. Membawa fikiran bawah sedar ke arah situasi yang rileks.
2. Mengurangkan atau menghilangkan sakit bersalin.
3. Menghubungkan ikatan ibu dan janin sehingga janin yang memberi petunjuk mahu makan apa, bila mahu dilahirkan, bagaimana mahu keluar (tak perlu meneran, bayi akan keluar sendiri), cara kelahiran, bantuan yang diperlukan dll. Di sini pentingnya komunikasi ibu dengan janin semasa hamil.
4. tiada...... point no 4 saya tak jumpa hihi

• Water birth merupakan salah satu idea untuk mengurangkan kesakitan.
• Antara kelebihan homebirth:

1. Ibu amat pakar atau familiar dengan suasana rumah seperti susun atur barang.
2. Badan ibu sudah imun dengan kuman yang ada di rumah berbanding di tempat lain seperti hospital.
3. Mengelakkan hormon oxytoxin yang diperlukan dalam membantu proses kelahiran berdepan dengan 4 musuh utama iaitu suasana terang, dingin, takut dan merasa sering dilihat oleh orang lain. 

• Antara kebaikan hypnobirthing:

1. Tiada koyakan pada perinium.
2. Tiada episotomy.
3. Bayi tidak mengalami kuning iaitu jaundis

Nak dengar atau lihat sendiri Talkshow Gentle Birth bahagian 1 dan 2 ini? Boleh cari di youtube ye hihi..