NT Screening and what it stands for!

Hi peeps! Ok, with reference to my post here, i finally had the "kerajinan" untuk menggoogle what NT Screening is all about.

Ampun ye... nampak sgt malas nak buat research sbb bz benda lain.  Sebab tu la x leh jadi doctor. Hehe. Anyway, this is what NT Screening stands for!!

NT Screening = Nuchal Translucency screening

Ok, bukan new trimester screening or next trimester screening seperti yang di assumed kat in my previous post. hehehehe...

Here are the summarisation of the findings from various sites for my better understanding and knowledge.  Some sites use more layman terms than some sites. so i just take apa yg i faham.  too much medical terms, pening gue! Yelah, we are not all doctors here and nak kena paham all those medical terms kan.. huhu.

• The nuchal translucency screening test is among the newest of the many first-trimester screening tests now being offered to pregnant women. The nuchal translucency (NT) screening test — basically a specialized ultrasound — lets you know if you're at an increased risk for having a baby with a chromosomal problem such as Down syndrome. 

• The test focuses on a small, clear space in the tissue at the back of your growing baby's neck called the nuchal fold. Experts have found that this spot tends to accumulate fluid and, as a result, expand in size in babies who have genetic abnormalities like Down syndrome (caused by an extra copy of chromosome 21, one of the 23 pairs of chromosomes that contain our genetic code), trisomy 18 (an extra copy of chromosome 18), and trisomy 13 (an extra number 13 chromosome). 

• Nuchal translucency screening — which must be performed between 11 to 14 weeks of pregnancy (after that, the tissue gets so thick that it is no longer translucent, rendering the test inconclusive) — is done with a highly sensitive ultrasound machine (but like a regular sonogram, is considered safe). 

• A sonographer will first measure your baby from crown to rump, to confirm his or her gestational age, before zooming in on the nuchal fold and measuring its thickness on the screen. That value, plus the mother's age and the baby's gestational age, will be entered into a formula that calculates the probability of a chromosomal abnormality. 

• NT measurements are not conclusive, so the NT screening test can't tell you for sure whether your child has a chromosomal disorder, but it can be combined with other data (from blood tests and from population studies) to provide a statistic about the likelihood of such a disorder. 

• What is a normal measurement? An NT of less than 3.5mm is considered normal when your baby measures between 45mm and 84mm. The NT normally grows in proportion with your baby.

 This image shows a baby with a normal NT of 1.3mm. This baby will be low risk. However, an increased NT does not mean there is definitely a problem. Some babies without Down's have increased fluid too.

This image shows a baby with an NT of 2.9mm, which is within the limit of normal range. Nine out of 10 babies with a measurement between 2.5mm and 3.5mm will be completely normal.

As the NT increases, so does the risk of Down's and other chromosomal abnormalities. The baby in this imagehas an NT of 6mm and has a high risk of Down's, as well as other chromosomal abnormalities and heart problems. Fortunately, not many babies have as much fluid as this.

Ok peeps! Hope this is beneficial to all... it is definitely to me! buat je screening tapi dunno for what.. hihihi. so now bila tgk balik my report baru la 99% faham the terms and measurement. :))

Till then,

xoxo

NAZ

NT Screening

I am now into my 12th week, alhamdulillah.. :)

Dr Sofi scheduled me for a NT Screening.  Honestly i have no clue what does NT stands for.  haish.. all these medical terms/short forms.. x paham gue!  NT = new trimester? or next trimester? arghh.. wat ever it is, x kisah la.. i only hope that the little bouncy is healthy.

Anyway, kat report tu it says 1st Trimester Screening, so NT tu, maybe maksud dia new trimester kot. lol.  So here's the report and little bouncy's 12th week picture.

Alhamdulillah, all organs appear normal.

Little bouncy at GA 12w2d

Alhamdulillah, little bouncy is healthy.  Very active indeed.  Dr Sofi nak tgk counting heartbeat pun kena few times sbb baby asyik lompat2.  Happy ye sayang.  Semua appear normal.  Baby is now 5.71cm.  Placenta dah nampak masa scan tu. Dr Sofi ckp it is in the right place.  Tak tutup laluan.  Syukur alhamdulillah.  Harap2 as the baby grows, placenta x bergerak menutup laluan tu.

As mummy is concerned, at the moment, my sugar level is in control.  Dr Sofi pun happy. I lagi la happy.  Dr kata next appointment baru start new vitamins. as  of now still continue acid folic and aspirin.  Next appointment is in 4 weeks time.  Lamanya nak tunggu.  I dont mind kalau kena pergi every week or every 2 weeks like before as long dpt tgk this little bouncy.  Tapi Dr Sofi ckp, npk semua ok so not to worry.  InshaAllah.  I yakin Allah swt jaga baby kat dalam. InshaAllah xde apa2.

Sekarang I noticed that I my evening and night dah x brp nak mual and muntah.  the feeling is still there. tapi not as bad as before la. i still dont have a very good appetite to eat but am sure my appetite will come back soon.  masa tu nak kena jaga pulak sbb nk kena monitor my weight juga so that x increase too drastically.

Okie dokie folks. till then.

xoxo,
Naz

Very Itchy Tummy

I was looking at my tummy and saw the obvious lines of Stretch Marks.  Then bagitau la hubby.  Pastu dia gelak dia cakap, "eh yang tu bukan belum pregnant pun mmg dah ada ke?" cisssss!  yelah, mmg la dulu pun ada tapi yang ni mmg obvious.  And yang buat lagi obvious tu sbb this Stretch Mark sgt gatal ok!

wahh.. memang sedap menggaru la.. asyik je. pastu tgk dah start merah2. opppss!! hubby ckp jangan garu tapi time dia x npk, garu gak. hihi. sedap giler!  

then i started to google.  mak aiii! mmg x digalakkan menggaru sbb nanti jadi teruk.  nak share pic kat sini pun cam seriau.  So i looked for alternatives.. besides cutting my nails short! well, kuku mmg kena cut short gak sbb kadang2 tido x sedar dok menggaru!

Memang banyak la cream and lotion for Stretch Mark.  Among all, i chose this... no specify reasons. Ni nampak lagi tempting i supposed.

I bought this in Caring Pharmacy for RM31.  Suka sgt sbb texture dia sangat pekat sebab it's a cream.  kalau lotion cam cair and too watery.  Nonetheless, I got the lotion as a free gift so pakai juga la. hihi.

the free gift.

So now mmg suka sgt sapu kat perut utk hilang kan gatal. mmg elok sgt and hilang gatal. yay! 

mission accomplished!  No more garu2. :))

xoxo,

Naz

Daddy listening to mummy's tummy ;p

Credit : Google Image

Ok, obviously at 11+ weeks, my tummy belum besar cam kat atas tu ye.  And obviously that is not my husband either.  Hubby ku lagi macho kot dr gambar yg kat atas tu. hik hik.  Tapi nak guna gambar sendiri, malu la pulak sbb sexy mexy. so kita pinjam gambar google je la ye.

Out of no where hubby tiba2 cakap, nak dengar heartbeat baby! Erk, boleh dengar ke? baby kecik lagi la yang! So dia terus selak t-shirt and tanya baby kat mana.  I pointed him using my hand sambil usap2 kat my lower abdomen.  Dia pun terus letak telinga kat situ.  Time i ni pulak dok tergelak2 sbb geli.  Pastu dia pun gelakk! 

Dia cakap bunyi perut adalah.. bunyi angin.  Memang pun! i mmg dok rasa byk angin je ni. tatau camna nak buang angin ni.  Nak minum air halia, takut panas pulak.  Dengan constipation nya lagi.. aduh..

Pastu hubby usap2 bawah perut tu and cakap2 ngan baby.  Best gak kena usap, hilang rasa loya.  Timbul rasa disayangi pulak.. bluwekk!!

xoxo, 

Naz

11 weeks

Credit: Baby center

Alhamdulillah, syukur ke hadrat yang Maha Kuasa.  I am now in my 11th week.  Last scan masa 10+ weeks baby is doing great. Baby is already 3cm at that time.  Masa scan tu baby lompat2 and angkat tangan kanan kat mummy dia. Happy to see mummy right baby? I am happy to see u too dearie.  Be good inside ok.

I still have my morning sickness in the evening and at night.  So mmg akan jadi "tofu" la during this time of the day.  Nak2 nya skrg ni the endocrine added another medicine for my sugar control to help the insulin works better.  Nama ubat tu Metformin.  And from my readings, and even the Doc pun cakap yang my nausea will get worst caused by the Merformin.  So instead of taking one pill in the morning and 1 pill in the evening, I was asked to take only half pill pagi and half pill petang.  Not so bad la.

Alhamdulillah, my sugar level looks pretty good these days.  Though I don't really have to check 7 times daily like before, I am still very cautious about that so kadang2 buat juga 7 kali to make sure I am within my range.  

I also lost my appetite recently. And due to frequent vomitting and tak lalu makan, my weight drops abit.  But gynae said it's normal to lose weight or not gaining any in the 1st trimester.  Plus for an obese like me, I am not supposed to be gaining weight very much during pregnancy sbb nanti complication later on.  So even now am entering the 2nd trim, mmg kena betul2 monitor what i eat etc. 

My next scan is next week at 12th week.  Dr Sofi said that this would be more accurate to determine the EDD.  I hope everything will turn out good, inshaAllah..

xoxo, 

Naz

PPUM : 1st visit

Subahanallah.. what a beauty!

Right after my appointment at KJMC, I straight away called the gynae at PPUM and made an appointment.  Alhamdulillah Dr Sofi said I could come on that Friday itself.

It was not that bad that Friday, patients were not so many as any other days.  And my turn to see Dr Sofi was actually quite fast.  I was in there for about an hour juga la. lama kan. Totally satisfied!  We went through all the details about my experiences.  U know, about the ttc journey, bout previous miscarriage and eventually the current pregnancy.  Dr Sofi is very detailed.  She jotted down all the dates and events in a chronological order. Told her every single thing that she needed to know.. and of cos my worries too!

After that, we went for a scanning.  Told her that I would prefer to do the transvaginal scanning (tvs) instead of abdominal scanning.  She said ok, but nevertheless, we would try the abdominal scanning 1st.  Ok doc!

As expected, abdominal scanning mmg x nampak la. Probably my bladder was not that full or that the fats at my belly is so thick that the scan could not get through.. hahahhha.  So eventually we did the tvs. Dalam hati selawat and berzikir and berdoa semoga semuanya selamat.

Then suddenly Dr Sofi was like:

"Haa.. tu baby.. dah ada heartbeat pun. Mummy risau sgt ni.."

and i terus tgk screen and tanya doc "Mana heartbeat doc"

"Tu yang flick laju2 tu, npk x?"

"Ha'ah nampak.. alhamdulillah..... syukur..." sambil berlinang airmata.

Ya Allah, syukur alhamdulillah. Ya Allah, Kau pelihara lah kandungan ku, baby ku semoga sihat dan selamat. Amin.

Dr Sofi kata  sekarang 7 weeks plus.  Alhamdulillah.  Went back to her room after the scan since scanning room is in another room.  We discussed on my diet and meals. Do's and don'ts.

Seriously bersyukur sgt sebab dpt jumpa Doc Sofi.  Memang best! I was in her room for about 1 hour.  Previously kalau jumpa gynae mmg kejap2 je. nak cakap or tanya pun laju2 sbb diorg mcm rush nak jumpa patients lain kan. But with Dr Sofi I can actually tell her everything. And she listened very patiently.  Suka suka suka!  Dr Sofi ni boleh dikira sbg my cousin juga la kot.  Her uncle marries my aunt. So kitorg ni ala2 cuzzy muzzy gitu la.  It is so different when she puts her doctor's hat.  Kalau x before this jumpa kat rumah my aunty je so we weren't really talking about pregnancy stuffs.. oh well, i think last jumpa pun i was not married yet so mmg la x cakap pasal pregnancy kan! Lol.. But dia mmg best la, just hope dapat follow up with her through out my pregnancy ni. Amin...

Anyway, as expected, my sugar level is high.... again! So i have to do blood sugar profile (bsp) for 3 days this coming week (thank goodness I have my own glucometer now!) and she will need to review my results next week. Ok doc, i'll do what ever u said, anything for the sake of my little angel here :)

2nd gynae's visit

Hello dearies,

As promised, here's an update after my gynae's visit.  Had an early appointment sebab nak kena amek fasting blood sugar before seeing the gynae.  So at 8.30am, hubby and I were already at the gynae's clinic.  Registered myself and was taken to the lab for them to 'poke' my forearm. Kejap je amek darah tu, pastu nurse suruh gi makan dulu sebab diorg nak process darah tu. Dalam 20 minit camtu la. Then baru boleh jumpa doctor bila dah ada resultnya.

So after habis breakfast roti canai telor kat mamak kat tepi KJMC, we all naik la balik kat gynae's clinic.  Walaupun my number should be the 1st one to go, tapi sebab result belum dapat kot so terpaksa bagi laluan kat patients lain dulu.  Hmm.. xpe la... After about 15 minutes tgk dinding  tv (which i actually just stared at the tv), my number was called.

Then masuk la bilik Doc Fatima.  She called the lab for my blood test result and jeng jeng jeng.... 6.9 mmol!! Ok, tinggi ye for a fasting blood test! She said she wants to refer me to a physician to monitor my sugar level.  And since I want to continue my check up with PPUM, i asked if she could refer me there.  She noted.

After that, it was time to scan my tummy.  Alhamdulillah, ada kandungan dalam rahim.  We saw the sac.  Tapi tak nampak heartbeat lagi.  Probably awal lagi. Doc ckp insyaAllah, lagi seminggu boleh npk.  Aminn...
Pastu doc bg gambar scan yg nampak sac tu. Tapi dlm sac tu cam nampak bayang2 baby je. Oh.. perasaan seorang mummy... :)

7 weeks.

Credit : http://www.babycenter.com.my

Alhamdulillah, syukur ke hadrat Ilahi.  I am entering my 7th week this week (5 week fetal age)

The above is the image of my little precious at 7th week.  InshaAllah, kalau ikutkan dah nak ada heartbeat this week or next week.  My next appointment is this Wednesday untuk scan.  Semoga my little precious sihat and sempurna.

At 7 weeks, beside still having on off tummy cramps.  I think my nausea is getting worst.  I feel nauseated at all times especially from evening to night.  But today, tengahari ni pun dah rasa sangat loya.  Takpe la, mummy x kisah, at least there is a prove something miracle is happening inside me :)

My appetite is also decreasing.  Tengok semua, semua x lalu.  but i have to eat. kesian baby nanti x dpt nutrition secukupnya. so paksa la makan juga, foods that i can eat.  and refrain myself from vomitting it back.  I still have problem untuk gosok gigi every morning.  Pantang masuk kan toothbrush dlm mulut sure la ter uweekkk uweekkk... camna jer... adeh... mmg kena sepantas kilat gosok gigi.. huhuhu...

okie folks.. x leh ngadap lappy lama2... nak termuntah pulak tgk screen ni. will be back to update on my 2nd visit to see the gynae. doa2 kan semoga dapat tgk heartbeat baby ye semua.  amin...

1st gynae's appoinment.

It  has been a week since I've discovered that I am pregnant.  Given the history I had before I decided to see a gynae as soon as possible.  I haven't really decide which gynae I want to go to or to see for this pregnancy.  But one thing for sure, this time around, tak mo pergi klinik kesihatan awal2.  I will register with them but not that soon. maybe bila dah enter 2nd trim insyaAllah.

So untuk 1st appoinment ni, after some thoughts and considerations, I chose Dr Fatima Najla from KJMC.  One of the reason, dekat dengan rumah.  Less than 5 minutes drive.  5 minutes cari parking and 5 minutes walk from my car to the Gynae's clinic. chewah!

Made an appointment the yesterday and today dah boleh terus datang.  My appoinment was after 10.30am sebab pagi doctor ada case.  Ok, xpe at least they notify me early. so xde la dtg tercongok2 kat situ kan.  So by the time I arrived, ada la jugak beberapa couples waiting for their turn.  The staff nurses are very friendly.  I registered myself and after a while, got my number.  3005.  Oh, 3 more people before my turn.  Not so bad :)

Finally my turn.. first time tgk Dr Fatima ni live. Kalau x before this asyik tgk kat internet je. hihi. She looks friendlier in person.  Memang friendly pun.  I can't say that I like her instantly.  Not yet, too soon to tell.  Hehehe..

So I told her my history.. the ttc journey, the 1st mc @ 4 weeks, the recent 2nd mc @ 9 weeks, the result of low progesterone, the gestational diabetes in my 2nd pregnancy etc.  Dia dengar and take note of it.  She calculated my LMP and said that I am in my 5th week and my expected due date will  be on 22 July 2013.. in sha Allah.

Dr Fatima said that usually 5 weeks is still early to do an ultrasound scan.  Sometimes, boleh npk sac, sometimes x nampak lagi.  But knowing my body, sure x npk lagi sbb before this scan at 7 weeks pun x npk.  Could be perut i tebal sgt kot. hehehehe.. Anyway, doc said, she'll try and scan anyway and as expected, mmg x npk pun lagi.  So she said to come again in 2 weeks time to scan again.  Kalau still x npk baru buat tvs.  Asked her why x boleh buat tvs skrg, but she said it is too early to insert the stick inside at this point.  Tunggu dah besar sikit baru boleh katanya. Hence the 2weeks time..

I think i was in her room about 15 minutes kot.. x lama pun.  Ha... but the charges.. walaweh!

Gynae's consultation fee : RM80

Specialist fee                 : RM80

Medicine                       : RM109

Total : RM269!!!

Ok, for medicine tu lagi melampau... just sekotak duphaston and 14 days acid folic.  serious mahal!

Am not sure if  that is the standard charges for a first timer.  Nak kena survey ni.  mmg la service best... tp alahai... mahal nya.. now x sure nak continue kat sana lagi ke x.  Though I have made a 2nd appointment nanti.  Oh... dilemma....

Anyway, we will wait and see how it goes later... kalau bagus service doc ni, perhaps we just stay despite the expensive charges.  After all, for the sake of me and my little one juga kan :)

So, this is my baby's development at 5 weeks:-

Credit : http://www.yourpregnancy-weekbyweek.com/5-week-pregnancy.html

So at 5 weeks ni, as an expectant mother, apa yg I rasa are as follows:-

• Nausea at times, tapi x muntah. just loya je.
• Muntah everytime gosok gigi. Kadang2 rs cam malas nak gosok gigi je.. hihihi
• Relieve every time pergi swimming.  Mmg rasa sgt calm.
• Malam tido awal.. kul 10pm dah ngantuk tahap gaban.  Good thing is, I get to wake up early.  But through out the day mmg cepat penat la. So again, banyak tido gak siang. hihi
• On and off cramping.  Macam nak period.  Read somewhere, it is because our uterus is expanding sbb tu cramp.
• Sakit pinggang, but not as bad as the last pregnancy
• Cepat lapar... i guessed since now am eating for 2 kan :)

Despite all the symptoms, I sangat2 x kisah.  I embrace each moments of it. I am so looking forward to this great journey, semoga semuanya selamat dan dipermudahkan. in shaa Allah..

New Year's Gift!

Salam Maal Hijrah 1434H semua.

Syukur ke hadrat Ilahi masa diberi nafas dan dipanjangkan umur untuk menyambut tahun baru.  Maaf kawan2, I terpaksa private kan dulu post ni sebab i think it is too early to share the great news.

Taken on 1st Muharram.

Actually I have not missed my period yet the day I took this HPT. I was not sure why I wanted to do the test anyway. Could be because my bbt temperature was still high hence the test. It was a cold call for the test as I obviously did not expect anything since as u all may know I just had my miscarriage 2 months before.

So when the 2nd line appeared, I woke hubby up quickly and first thing that I asked was "B, i pregnant ke?" Hubby opened his eyes and without looking at the stick answered "Hormon u x betul kot yang". And I just answered "Ntah.. xpe la tunggu je".

We didn't talk about it at all the whole day. Tapi... hati perempuan mana yg tak tertanya2 kan. Even  though I have the feeling that I am pregnant, but wanted to be more surer.. and so.... the next morning, I took another test....

And another one the next day.......

Skip 18 November sebab kehabisan stick, and on 19th morning, another test.....

Ok, could not be more surer tapi x nak overjoy sgt.  Hanya mampu mengucapkan Alhamdulillah... alhamdulillah.. alhamdulillah...  syukur sangat2.  Terima Kasih Allah.