When we first found out that I was pregnant, we were still debating whether I shall be delivering the baby at South Africa or Malaysia. Scrutinising the pros and cons and convenience of both options, we finally agreed to deliver the baby at South Africa. Chen checked up the reviews for all the hospitals around Johannesburg area. Amongst the many, we settled on Life Fourways Hospital for our monthly check up and to have our baby there. Life Fourways Hospital has one of the most highly recommended gynaecologists in town. However, the consultation fees and the delivery fees were also one of the top in town. When we called up for inquiries prior to our first visit, they emailed us the consultation fees quotations for the different stages till delivery. In the quotation, we were warned in advanced that their price could be as high as three folds of the normal price. This is something to be noted as not all Insurance company will pay up for this. Fortunately, this did not bother us too much as Chen’s insurance policy paid for 100% of the cost. Thus, our selection criteria were the travel distance from our house and the quality of the service provided.
There were several gynaecologists located in the Life Fourways Hospital. Dr. Córne Brink was our gynaecologist and her services did not disappoint us. It was slightly different compared to the Malaysia maternity system. Here, they would also provide the midwife services if one opted for vaginal natural birth. Hence, my monthly check-ups were not all conducted by the gynaecologist. It was only during the 2nd month, the 3rd month, the 5th month and the 9th month that I was checked by the gynaecologist. Otherwise, the monthly check-ups were done with the midwife. My midwife, Louette MacCallum was good, experienced and professional. Except that she would need to refer back any medical consultation to the gynaecologist; otherwise she was very patient to answer all the questions. She did not skip a step on the check-ups and was very proficient. The routine check-up included the urine test, the ultrasound scan, the blood pressure readings and any other enquiries.
At the 2nd month of pregnancy, the gynaecologist checked for the viability of pregnancy and whether it was a single or multiple pregnancies (twins or triplets) – Mine was a single pregnancy. In addition, blood tests were requested during this time. The blood tests were necessary to investigate if there were any deficiency and risk of Down syndrome. Upon receiving my blood tests result, everything was fine except for the hypothyroid syndrome. My thyroid hormone level was falling outside the low end of the range. As a result, I would have to be on the Iodine supplement medication. At the 5th month check-up, a detailed ultrasound scan, which encompassed the Nuchal Translucency Fold test, the Fetal Nasal Bone, the blood flood in the heart, the femur length and etc., was conducted to check for anomaly. The combined blood tests and the detailed ultrasound scan had ensured us that everything was looking fine and healthy. Hence, we did not proceed with any invasive test. Following that, every other check-up was to ensure mummy and baby conditions were fine.
Visiting the gynaecology and the physiology had been my routines for the past few months. It made me realised how important it is to have a good insurance plan in South Africa. The public medical services at South Africa had always been a second choice for anyone who can afford to pay for the private hospital. I was not being paranoid but according to the survey, the risk of a woman dying due to complication of pregnancy in South Africa is 1:110. In these circumstances, the risks in the public health service account for 90% of all deaths. Yet, the sky-high charges from the private practices were also daunting. I counted my blessings for Chen having a good insurance plan with the company. At the 32 weeks, I joined the maternity unit tour for the mummy-to-be, registered myself with the maternity unit and made my bed booking. So, these were the anticipated procedures in South Africa – you take charges of yourselves.
Well, nine months cruised by in a blink of eyes. I am trying to recollect back all my physical and emotional feelings evolving through these nine months periods. First, it started off with uncertainties. The first trimester was the critical periods with risks of miscarriage. Emotionally, it was a feeling of secretive excitement while trying to hold back the joy of sharing the news with others. Physically, I was experiencing lethargy, exhaustion and nausea which could be due to the unfamiliar cold weather and the early symptoms of pregnancy. I shamelessly plunged myself into the bed days and nights. That was the exceptional luxury of being a homemaker. Then, as times passed by, we started to share the news with bigger crowds and friends as things became more prominent. Occupied with a lot of running and traveling on the second trimesters, we moved swiftly into the third trimesters. Later stage, on some days during the 3rd trimester, the lower back pain strike me so hard that I need to rest myself.
At last, it is now the final count down and there are only exactly three days left to the Estimated Delivery Date, which is projected to be the 24th March 2013. It even reached the point where people were constantly asking “Is she here already?” I started to question myself why is it taking her so long even though I feel I would never ever be ready for parenthood. It is a mixture of intense feelings. At one hand, I am anxious and excited over meeting her face to face. On the other hand, I am nervous for the labour. During the previous check-up, we were informed about the option of induced labour. Reading through various articles on induced labour, the risks of complication arise significantly with introduction of induced labour. It leads to increased chance of epidural and possibility of emergency caesarean. I prayed hard that I would not end up at this stage.
At this point in time, I thought it would be appropriate to digitize the ultrasound scans for safe keeping before the labour starts.
She is still a tiny embryo at this point.1st ultrasound scans at 2nd month –
3rd month ultrasound scans –
5th month ultrasound scans –
The 6th, 7th and 8th month ultrasound scans –
Prior to the 5th month, the fetus development was mainly measured by the length from crown to rump. After the 5th month, the fetus progress was measured by the estimated weight. The last check up at around 39 week, the baby was weighing approximately 3.2 kg. Meanwhile, I had also put on a nice +/- 10 kg.