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Birth Stories

Jill, Colin, and baby Ewan

At a routine ultrasound scan at 20 weeks into her pregnancy, Jill found out her placenta was attached to her womb very low down, close to her cervix. Usually a "low lying placenta" this early in pregnancy does not cause any problems at all at it moves up as pregnancy progresses. In some cases the placenta stays low and touches or lies over the cervix, increasing the risk of heavy bleeding in pregnancy or birth and can require emergency caesarean delivery of the baby. Jill was hospitalized several times for bleeding, and gave birth by emergency caesarean at almost 35 weeks. Jill found the support of her family and her doula crucial in helping her to confront her fears and deal with the practicalities of a complicated pregnancy and birth.

Ewan's birth was a complete contrast to the birth of our first baby, Callum (click here to read the story of Callum's birth). At my 20 week scan, the ultrasound technician commented that my placenta appeared low. My doctor, Paul Tseng, told me that this may not cause any problem, but we would monitor it.

After returning from a visit to the UK at 6+ months pregnant, we went to Bangkok for the weekend to spend the weekend with Colin's sister. In the middle of the night I got up and found that I had been bleeding heavily. The hotel staff helped to get me checked in to an international hospital, while Colin's sister looked after Callum, who luckily stayed asleep.

I remember feeling strangely calm while being admitted and checked by ultrasound scan. At least I could still feel the baby (whose name was still under debate) kicking, so that was reassuring, and while I had lost a lot of blood, at least the bleeding seemed to have stopped. I stayed in Bumrungrad Hospital for two nights and then was given a letter to certify I was fit to fly back to Singapore, although I would have to be pushed in a wheelchair to the plane. Callum was very confused at this – at 16 months old, maybe he was wondering why his mummy was in a big stroller.

Colin and I saw Paul the next day and he told me I would most likely have to have a c-section. I burst into tears, as I'm very squeamish and the thought of surgery, epidurals, etc., did not appeal. Our doula, Tania, who had been with us during Callum's birth, came round that afternoon and we discussed my fears and options. Had a look through Callum's birth-plan and cried some more. But talking about what was worrying me really helped. I had to take it easy, and try not to walk too much. I was still at work, and driving, but had to slow down – my body had given me a warning.

A month later I woke up during the night with more bleeding, and off we went to Thompson Medical Centre. It stopped again and I was allowed home. This time I was put on bed rest; again more confusion for Callum – I couldn't bath him, or lift him, and he had to "be careful" all the time around me. We set up the sofa bed in the living room, and my life was between our bedroom and the sofa bed for a couple of weeks. The only other place I went was for my weekly check-ups with Paul; I remember getting upset at his clinic because I was frightened that the exertion of getting to the clinic might trigger more bleeding.

Another bleed sent me back to Thompson for a couple of days; they always started during the night, so I was often worried when getting up to the bathroom in the night in case I found it was happening again. Two days after being discharged from Thompson, we were discussing names, and decided on Ewan Andrew. It was Sunday afternoon and I was on my sofa bed, when I felt a bleed starting again. For some reason, I thought this was a bad sign – the fact that it was during the day. Off to Thompson again!

Colin had to travel to the US the following week. My due date was still more than 5 weeks away, and so we hoped he could get there and back before Ewan arrived. The plan was for scheduled c-section at 38 weeks, if I could make it that far. (caesareans are often scheduled in cases of placenta previa because labour can trigger severe bleeding; the key is to balance ensuring the birth happens before labour starts, but giving the baby the maximum time to mature in the womb.) The bleeding stopped and Paul reassured me that I could be OK for another week or two. Meanwhile my parents had booked themselves on flights to be in Singapore while Colin was in the States, just in case I had more problems. So I settled down to sleep in the hospital, happy that I should be getting home the next morning. Just as I was dozing off, I felt the familiar unwelcome sensation of more bleeding … I was taken back down to the observation ward. This time the bleeding got worse. Paul arrived to check me, and told me, "This is it," I was going to have an emergency c-section.

Colin and Tania were both on their way … Tania made it first. I was all prepped and the doctors were waiting for me, but I was waiting for Colin. He made it, and I was whisked off to theatre. I felt quite calm and confident that everything would be fine, but also so helpless and reliant on the medical staff.

After going under, the next thing I knew the nurses trying to work out which room I had to return to (my case notes had so many room numbers from the past few weeks). They told me everything had gone well. Tania was waiting for me, and Colin was with Ewan. Ewan had been fine initially, but then started to have some breathing difficulties, so was taken to the ICU.

Colin brought me lots of photos of Ewan from frequent visits to the ICU, while I was still hooked up to a painkiller drip. Ewan was born in the early hours of Tuesday 5th October, and I made it to the ICU the next afternoon for the first time and then as often as possible after that to feed him, a very slow walk!

Mum and Dad arrived the next day, delighted that Ewan had arrived already. Ewan was allowed out of ICU on Friday evening, with Colin passing him out of his cot to me for feeding. We made it home on Saturday morning.

Today, Ewan is a happy, healthy toddler, shown here with his big brother Callum.
 


 

 

 

What's going on here?

Most parents think about a situation like Jill and Colin's at least in the back of their minds: what if something goes wrong? Especially after a healthy first pregnancy and birth, Jill and Colin never expected to discover such a serious complication as placenta previa when expecting their second baby.

In ParentLink's childbirth classes, you'll focus closely on developing skills to deal with the unexpected, no matter what that might be. You'll learn simple ways to ensure you feel informed and in control in any situation, and techniques for ensuring you are communicating effectively with your caregivers.  For details on classes, click here.

The support of a doula can be invaluable when you're dealing with complications. A doula can help you find the information you want to understand your situation, and help you make sense of it all in plain English. She can also help you go through your options so you end up feeling you're making fully informed choices that are right for you and your baby, without feeling pressured or rushed. To learn more about how a doula can make a difference for you during pregnancy and birth, even in the face of the unexpected, click here.
 
To talk over your particular needs or concerns, you can:
call Diann at +65 6536-4626 or
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