Aug 2025 : Pushing a baby out Part 2 & Perineum care

 -Continue from Part 1 

Pardon my messy hair, but we were in the mood of bliss that our healthy  little one had arrived safely!

1.30am - sent from Level 3 labour room to Level 6 Postnatal ward. 

The nurse showered the baby and ward in the baby right next to me and asked question for verification of baby's identity. 

- I asked for the nurse to look after the baby for the night because I was to weak to wake up and feed him if he cried. The nurse was friendly and willing to help out. 

6.30am - Second day after labour

Opened my eyes and recalled what happen to me yesterday. Feeling joy and relieved that I had given birth to a healthy baby safely! 

- I had the urge to pee shortly after, lying on the bed...I was thinking... should Igo pee now , fearing that the pee would sting and strigger the pain. 

- But it is impossible for me to remain static until the visiting hour 12-2pm, so I just tried to come down from the bed. and walked slowly to the bathroom. 

- Surprisingly, the first experience of passing urine after the delivery wasn't bad. 5.5 hours after birth...first degree perineal tearing... I thought it would be very painful. 

Above:First degree perineal tear 

SOurce : Mayoclinic

How to ease the discomfort?

What can help my recovery after having a tear?

There are a few things you can do to help support the healing of your perineal area. Keep in mind that everyone is different and it is always best to follow the instructions of your healthcare team:

• 1.Try to rest as much as possible and lie on your side if you can. ✅✅
• 2.Avoid positions and activities that place pressure on the muscle or restrict blood flow to the area, like sit-ups, lifting and high impact exercise. ✅✅
• 3.Keep the tear clean and dry — shower daily and gently pat the area dry. ✅✅Yes, this is tips from my friend , Ika.  She said..just use a hair dryer to dry your perineum, keep it dry to speed up the healing proces. 

" If you wipe with tissue, it is only dry on the outside, the most important one is the wound/ the stitching area, so dryer helps to dry that part and it works for me" 

I placed hair dryer in the bathroom and dry it with  towel and with hair dryer every time after using toilet. It works better than airing out. 

• 
  
• 4. Change your pads frequently. ✅✅
• 5. Start gentle pelvic floor muscle exercises 2 to 3 days after your baby’s birth, or when it’s comfortable for you to do so.
• 6. Avoid becoming constipated, drink plenty of water and try to eat a diet rich in fibre (fruit, vegetables and wholegrains).

• 7. Take your time when emptying your bladder and bowel and avoid pushing or straining. ✅✅Yes, It is a like sponstaenous to do also. 
• 
  
• 8. Use a foot stool or lift your heels up so that your knees are above your hips when you’re sitting on the toilet.
• 9. Try to keep well hydrated so your urine is less concentrated. This can help reduce stinging. ✅✅I dont purposely stay hydrated, i drink plenty of water because I need to convert the water into milk 😂😂
• 
  
• 10. Try leaning forward on the toilet when you pass urine, this will keep the urine away from the tear and reduce stinging. ✅✅ Yes, I did this prior reading this. It was just a sponstaneous action, haha
• 
  

Source : Pregnancy birth & Baby

Remark :✅✅ are the ones that I practise 

How can I reduce my chance of a perineal tear?

During the later stages of pregnancy, regular pelvic floor exercises and perineal massage from 35 weeks, may help protect your perineum and prevent perineal injury.

Aug 2025 : Pushing a baby out.

First of all, thank you to my husband for donating his sperm. hahaah.

 No lah, he does more than that. I also want to thank my mom, my parents in law for taking care of me when labour is approaching. 

My husband is also the one tolerating with me when the contraction happens, and I took deep breaths and asked him to comfort me. 

2 days before giving birth 

5/8/2025 tues 

Day time go to PPUM Level 4 - Pre-assessment centre 

For cervical examination

Bloody show - mucus from cervix 

Fake contraction

No dilation 

mucus plug on 

taken on 7th Aug - morning time, after I checked into the hospital. 

5th Aug - The first bloody show

(Then Iwent to hospital lo, as the doctor asked to come when there is either of these 

3 signals : 

blood, 

contraction or 

water break.)

 The nurses called it "bloody show" .  When I chatGPT, it says it has been between few hours to few days before labour is happening. 

The real birth day. 

7/8/2025 Thurs 

Wed night already have regular contractions about one hour once. It’s the night…that I experience so much contraction and can’t sleep well. 

But I was happy because i know labour is approaching, and I manage the pain by taking deep breath. 

Woke up around 6am to get ready since my contraction also quite painful. ...and we also have been secretly waited for 7am to get up and go to hospital to prepare for the labour. 

The timeline 

7am - depart to PPUM

7.45am - Go to basement car park together. Walked from car park to Level 2, getting ready for admission. I told the staff nurse that I already have regular contractions.   

8am ish - Check in at Level 6 Prenatal ward. - still have have phone. 

I slept coz too tired already. A doctor performed cervical examination on me. 

10am - Dilation 3cm already. 

12-2pm :  Husband visited me at visiting hour. 

1.30pm - the contraction is progressing, more frequently contraction I can’t bear it anymore. The nurse gave me a painkiller (not epidural) at my butt there. 

The nurse also explained, the painkiller wont stop the pain completely. After injection, I can feel the contraction, because the contraction is progressing. but very sleepy.

Checked in to Level 6 before contraction opens at 4cm. 

In case i need any drip. 

5pm - Dilation 4cm already. Called my husband , because I can go to labour ward with my husband! I am so happy that I get to be with my husband! 

(My husband was already at labour ward when i was sent to labour ward)

5.30pm - Epidural then break my water . WS saw my reflection of breaking water sac. Doctor said ready for fully dilated 10cm then can push. 

THis is not me kissing to the camera. It is me trying to manage the pain from the regular contraction by taking deep breath IN and OUT. 

With CTG and Blood pressure always on the check. 

6pm - Nurse called my husband , can prepare for final push. Buy clear juice for me. Coz I have to fasting and yet need to have energy to push. 

6pm - I was given an injection… not sure if it is oxytocin , estimated will dilate 1cm per hour. 

In between - doctor and mid-wife enter to teach me how to push during the active labour stage. 

7.20pm - Dilate 9cm already, maybe can push at 8.20pm 

8.20pm - come in and check. Practise pushing for the first time. 

9.30pm - already 10cm, ask me to try to push. But I don’t feel the sensation. Wait for one hour, wait until the baby is moving further down since mother doesn’t know how to push. 

While waiting, some doctors also come in to empty my bladder. They simply inserted the tube into my vagina, then use fingers to press on …I guess is bladder. While they were pressing on my bladder, actually I barely feel anything, I mean I don’t feel the urge to pee at all. They said this is normal because I was on epidural, so it’s normal that I don’t feel anything pee urging. That’s why they manually discharge my urine, wow. 

CLIMAX 

10.30pm - Party time.  Dr Khairul, the main doctor entered and I  start to push. 

(As she enters, the whole labour room was then filled with a party of doctors and mid-wife. About 7-10 of them...including one male doctor. )

I ask one of the Chinese female young doctor to put her finger at my vaginal so that I know how to push out the finger. 😂😂😂 

Then I  keep coughing as I don’t have energy to push. 

When contraction comes, then I had to take a long breath

…hold for min 10second, but I hold for 6/7 seconds like that only… then continue for the next round of push.

During the most final push , I push until cough and the saliva all spit to the Chinese female doctor.  Omg. so sorry doctor , in case if you are reading this, I dont do it on purpose. At the time, I only manage to focus on pushing...without seeing the progress of baby....  

Then the main doctor said: baby is pushed downward whenever I cough.  

At this time, Daddy can already see the baby’s head from the outside. 

Then continue push 

Head is fully out.  Rest and waited for the next wave of  contraction

Final push : Shoulder and the rest of baby’s body is out. 

When the baby is completely out...i not sure if I heard his cry or not. But he is full of blood. and then head elongated for stuck at the birth canal for 20 mins?  

With the umbilical cord attached to his belly, the nurse (I think) put the baby on my breast. then the baby naked... cried out loud. I was suddenly so energerized for awhile and so surprised that i give birh to a real human. Someone whom I have been looking forward to for 9 months...

Hello baby, welcome to the world! 

WOw , the feeling is so surreal and so unbelievable. 

Thank you for the party of the dedicated doctos, mid-wife and para doctors who teach me and guide me how to push! Thank you for bring him alive to me safety to this world. 

After someone clean the blood and wrapped him ady. She put the baby onmy breast again. 

Immediately or instinctively, my baby ....even with eyes closed ... gave my nipple a loud and hard sucks... even with eye closed, it was so damn accurate he maanged to suck it on the nipple, but aerola, but upper breast or any other area. 

(Even now at confinement center, most of times, he needs to find for the nipple to suck). 

That first time of sucking 

The very nature instinct.... I still remember the loud and hard sucking until now...

 

========= ======= ============ 

PART 2 

And after Stage 2 of labour. (After baby is fully out, while baby was still lying on me…and both WS and I were still in the joy of our new born)

The doctors went ahead with the delivery. At this point, I hardly feel any pain, and contraction already. I couldnt remember was it me that I push out the placenta , or they just wait for the contraction, and push out the placenta by pulling the attached umbilical cord. (Since I couldn’t see what was going on down there. )

I guess what is happened after active labour is 

- Delivery of placenta 

- Cutting of the umbilical cord (Actually I wish that my husband is the one who cut it, but i forgot to tell them already)

- Checking my perineal area. Stitching.

 I heard the word like “豆腐花(Tou fu fa)” means my wound/tearing is very fragile, and easily tear out like tou fu fa. and swelling... at that point i was a little worried yet relieve because I gave birth to my baby safely.  

 

First degree perineal tear

-It was just a sensation of urine passing through the usual urinary tract.. and then sting a little.. (lesser painful than a needle blood test) then done. 

=========== ========= ======

Immediately after the sucking and the excitement, I felt lethargic and sleepy. 

My husband waited until 1am ish with me. I could see him grinning from ear to ear. Holding baby like his hand is not tired at all. (Maybe I was just too tired after pushing)

and that's the end of my SVD story 

 (SVD : Spontaneous Vaginal Delivery )

I am so proud of myself for delivery it through normal delivery, not through ceasarean delivery. 

If there's one thing I wish I can do to improve, I would have LEARNING HOW TO PUSH Properly. 

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You can watch this video to know how to push when it is fully dilated. The video is in Mandarin medium btw. 

The first photo with elder sister 💗💗💗

 -1.30am - sent from Level 3 labour room to Level 6 Postnatal ward. 

The nurse showered the baby and ward in the baby right next to me and asked question for verification of baby's identity. 

- I asked for the nurse to look after the baby for the night because I was to weak to wake up and feed him if he cried. The nurse was friendly and willing to help out. 

6.30am - Second day after labour

Opened my eyes and recalled what happen to me yesterday. Feeling joy and relieved that I had given birth to a healthy baby safely! 

- I had the urge to pee shortly after, lying on the bed...I was thinking... should I go pee now , fearing that the pee would sting and strigger the pain. 

- But it is impossible for me to remain static on the bed until the visiting hour 12-2pm, so I just tried to come down from the bed. and walked slowly to the bathroom. I walked carefully and slowly, the walking was actually fine also.. like smooth and unburdened, perhaps because Ihad just unloaded at least 3.5kg of weight away from me?  

- Surprisingly, the first experience of passing urine after the delivery wasn't bad. 5.5 hours after birth...first degree perineal tearing... I thought it would be very painful. 

Week 36-38 : Things i plan to do to get ready for natural birth

 1.  Pubic hair removal - for natural birth hygience 

2. Perineal message - to soften the cervix neck 

3. More sex  - for easier dilation 

4. Final check on my hospital bag & confinement bag

5. Learn how to use the right breathing technique to push - so that i can push the baby out easily 

Earlier 

1. cut my hair short 

========================

 1.  Pubic hair removal 

and guess you know where I went for PUbic hair removal.  

It is called the Brazilian Wax treatment (BIkini area). 

First time trial price : Rm 49 

If you refer a friend to come. Both you and your friend to get enjoy the treatment for 50% of the regular price. (I forgot the regular price for Brazilian Wax...somewhere around RM 110-120. can confirm with them.  )

The feeling when I done with it.... 

This is my first time during Brazilian Wax on the pubic area.  Surprisingly, it was not as pain as I expected. It gets pain for a short few seconds the moment when the lady tear the tape. I was having cold sweat despite the aircond was a 22c.   but it was fine after few second. So if you wanna try brazilian wax before labour, It is safe and not as pain as what you expected. 

Week 37 -38 & Interesting Pre-labour story

Week 38 Part 2 

4th Aug 2025 

Usually i only have one time of defecation in a day.  

Weirdly only week 38 + 2, I have 2 times of defecation. 

And the 2nd time if right before sleeping. 

5th Aug 2025 

5 th Aug 

8.05 am 

slippery blood spotting with clear mucus 

Pardon me if it is too raw to see, but I am too curious and also I never experience this before. Would like to archive this before I forget any of the details, hahahaha 

8.13am  
Got farting sound from my belly. Doesnt sound like from my own digestive system. 

- last for a good 4 seconds.

10am : Inform my husband about the blood spotting. Husband ask me to stay calm and observe first. But I was a bit worry looking at the blood. 

11am: Husband came home , send our daughter to my in-laws . Then go to PPUM together. 

11.30am : After CTG (cardiotocography) scan, baby is active and normal as usual.  No dilation. Doctor Teoh from PPUM give  me a choice….

A. Admit and have induction . 

B. Go home first, wait for the sign of labour (natural contraction, water breaking or lesser foetal movement)

==================== 😆😆😆😆😆====================

Interesting anecdote during cervical examination. 

A male doctor insert his finger into my vagina. That is fine, i already know it would happen during whenever iopt for vaginal birth. 

What i didnt really prepare is...it can actually be quite painful (or maybe because I am fear)

Then they paused for awhile to get me mentally prepared. 

"If you feel pain because of this. THe labour would be even for painful. " 

Me: the vaginal birth would be painful than this? 

Nurse  and doctor: Yea, but through vaginal birth, your body feel faster. and it is only pain during the labour moment. if you go for C-sec...then could be pain for 2 weeks. 

So Dont lift your butt and move away. 

Me: (inside thinking)

Yea, i think i would go for Natural birth. My baby and I plan for this too. It could be painful...but at least i experience it! and the milk will come faster also ! 

Doctor inserted his finger into my vagina again... 

Me: (inside thinking)

It is painful, uncomfortable...but okay ler. bearable . This time I didn dodge away and lift my butt. It is actually less than than I  expected. 

Nurse: relax... and take a deep breath 

Me: (inside thinking)

Deep breath really helps ler . 

=======  👶👶 Cervical effacement and dilation 👶👶==========

source: https://www.mayoclinic.org/healthy-lifestyle/labor-and-delivery/multimedia/cervical-effacement-and-dilation/img-20006991

=================== 😆😆😆😆😆====================

They suggest me to go for the natural contraction. The reason being is because, when the body has natural contraction, then perhaps i can straight delivery without any invasive induction method. 

A. Inserting the balloon 

B. Inserting a tablet in my vagina. 

So I opt for the latter one, because i feel like that it would take longer time for me also...It is less invasive..  if i got for induction immediately instead of 2 days later, Thurs. 

Urine test (FEmme? ) : shows that I have GBS (a type of bacteria commonly found in urinary tract during pregnancy. As a result, doctor advises me to come to hospital at once when there’s water leaking. 

Because it is possible that GBS can cause early water leaking even before the real labour. 

from 10am onwards : 

Contraction like once every 1-3 hours.  Iknow if every time during contraction... coz it's a bearable pain, but i would sweat for awhile one. And I am feeling extra vulnerable during contraction. So taking deep breath again... 

Sending our daughter to my in-laws before going to PPUM

Day time checking :  Go to Level 4 instead of Level 2 . It is also my first time going to Level 4. 

Things to do before labour

1. Practise breathing technique

2. Watch normal birth video

Til then, maybe my next update would be after  delivery already. Wish me luck and no tear and smooth delivery. Thank you ! 

Week 38 

The first day of week 38 starts with urine leakage when coughing. This doesnt happen all the time. It only happens when I reluctant to go toilet even when i feel the urge to pee. 

Week 38 kicked off with a bit of pee leaking when I sneeze. It doesn’t happen all the time—just when I hold it in even though I feel to urge to pee. 

at week 38 day 2 

I feel so strange to see how enourmous is my belly size from the side. 

My cute daughter with her 2 favourite 'friends" the copper and the little bunny 

This is the week which i feel vulnerable. Btw, I also took some photos of my belly. These few days..i am so obssessed with my belly (my baby)

WHen i am at rest...at home... I would just remove clothes to check on my belly. 

I would be observe 

the size

the little motion of my belly. 

It feels so surreal. 

Oh Yea, not forgetting that the kicking and punching from my belly is getting from intense. 

Sometimes, some fetal movement also putting on stress on my pelvic bone. so I actually feel that pain during foetal movement even when I am sitting upright.  

=========================== ============= ==========

Week 37 

I am so excited. everyday, I am counting....

Mon

Tues

Wed

THurs

Fri  - 1st Aug. 

and i wish i can give birth naturally on 1st Aug! 

Yesterday 28th July, Mon. I had a sweet dream. 

I forgot what i dream about. but the feeling is very incredible. 

Basically i have 3 pregnancy (which is supposed to take place concurrently)...

The first pregnancy is ... i forgot...(basically i forgot the whole dream once I opened my eyes)

The second pregnancy is the one i am having now. 

The third pregnancy is..i have a new house?  

then...i Not sure what happen. but due to having all 3 pregnancy together, baby is bound to come out smoothly via vaginal birth. This keeps me excited! 

Night time routine.  Looking and playing and talking to my belly (to our second baby)

a lot of people said that I looks perfectly fine given that I almost give birth already. but actually it's quite painful whenever I have to bend down to pick up something from the floor given my increasing weight belly. 

Monday -  sending my dear daughter to school. She was sitting obeqiently at the backseat. 

THen this little cutie came forward when she realised that I was taking cute photos of her! 

Don't like to dine out/ go out

Nowadays. basically during the last 2 weeks before delivery...I really don like to go out. 

Doesn like the feeling of bumpy car ride 

Doesnt like to walk around with heavy belly 

Constantly searching for bathroom in a new environment... 

All in all, i feel that I am so ready. So ready to have contraction..but wait...i want to wait until the date turn August first.  See you baby in Aug! 

You will be showered with so much L.O.V.E 💘💘💘💘

This is the first time i feel that I ams o ready for something. So right now...i want to 

1. practise breathing technique

2. perineal message

3. squat

4. Eat healthily -to avoidputting on too much weight.

WOuld this be my last time updating my dear blog before giving birth?  

29th July 2025 - Week 37 +4 

I hate those people who is irresponsible. 

We have appointmen made earlier , if cannot make it, then reply la in the whatsapp, why lar always postpone only when I call. This is so irresponsible. LIke other people's time is not a time, is it?  

1. the so - called respected VIP 

2. the tenant who never pay for 4 months, and called, reply one msg and dissapear again. 

Ilearn how to be careful when scanning for tenant. but when i scan for the right tenant, i still cant guarantee that Igot the right tenant. because it's hard to say. the problem mostly arise after 4-6 months on punctual payment.