"I Lost 2 Litres of Blood!"

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Even though there was the risk of Postpartum Hemorrhage lingering, Serynna planned for baby number 2. In case there were any complications that might arise, Serynna informed her former gynaecologist that she was opting for a subsidized plan. Her gynaecologist suggested going for a cesarean birth. 

Serynna was told that the reason for her Hemorrhage was Disseminated Intravascular Coagulation (DIC) which is a condition in which blood clots form throughout the body, blocking small blood vessels. When clotting factors and platelets are used up, bleeding may occur. This may include blood in the urine, blood in the stool or bleeding into the skin. However it was not confirmed. She found out the real reason for her Hemorrhage after her second birth. Doula Fadillah added that induction and the risk of a big baby may cause Hemorrhage as well. Where your body is not ready for labour. 

Her second pregnancy was rather smooth. She did not have any discomfort throughout the months. As she was going for a planned cesarean, she was already informed to be prepared for extra medical help. She was supposed to have her cesarean on 6th september at 8am. That day at 4am she started having contractions. She was 7 minutes apart. She reached the hospital at 6am to register for her cesarean. However, they brought her straight to the delivery suite. The doctor checked and informed her that she was 4 cm dilated and Serynna was told to try for the normal delivery.

However, Serynna was scared that the same thing might happen like her first delivery. All along she was mentally preparing for a cesarean and she did not want  to risk it. She was brought in for an emergency cesarean. It was supposed to be 1 hour, but Serynna was in the operating room for 2 hrs as she was hemorrhaging again. She lost 2 liters of blood! This was lesser than the first labour, but considering Serynna’s petite size, it was a lot. This time round. She managed to get her skin on skin with her son for a long time and managed to breastfeed him. 

Suddenly, she heard her doctor say “Why is her blood oozing out non stop?” Serynna asked if everything was okay and told the doctor that she could feel pain. She had to go under and perform a surgery for her. After the surgery, they told her that they found many grape-like sized cyst everywhere in her uterus. It was bursting which was causing the bleeding. 

Click here to find out Serynna thoughts on both her normal birth and cesarean birth and which she would have preferred. Doula Fadillah and Serynna also discuss ways to speed up the recovery process after cesarean and how to mentally prepare for it. The first step might be daunting and painful, but we need to cross that hurdle to move on to recovery. Having a good support system is also essential when you are recovering. 

Here are a few Do’s and Dont’s you should take note of during your cesarean recovery:

1) When it come to Physical Activity 

  • Do rest when you feel tired.
  • Do take time to sit and have some bonding time with your baby
  • Do some walking everyday. It helps to prevent blood clots and constipation
  • Do reach out to a lactation consultant if you have trouble breastfeeding.
  • Don’t lift anything heavier than your baby.
  • Don’t participate in rigorous activities or do core muscle exercises until your doctor gives you the all clear.
  • Don’t take the stairs repeatedly.
  • Don’t be afraid to ask for help when you feel tired.  
2) When it come to Diet
  • Do follow a well-balanced and healthy diet.
  • Drink enough water.
  • Include high fiber food or fiber supplements daily. This will help avoid constipation
  • Don’t do a crash diet immediately. Consult with your doctor on when you can start trying to lose the baby weight.
3) When it come to Incision Care
  • Do keep the are dry and clean
  • Do use warm, soapy water to wash your incision daily. Pat the area dry after you clean.
  • If tape strips are used on your incision, do let them fall off on their own. 
  • Don’t use cleaning products that can make your wound heal slowly
  • Consult your doctor if you have any doubts.

If you would like to be on our podcast or have any feedback for us, send us an email at hellosg@soulslings.com

This podcast is facilitated by Nurjanna Ng, Director of Soul Singapore and Fadillah Yusope, Doula at Birth Mayya.

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