KKH

So why did I choose to go KKH?

The only reason why I wanted to go NUH, as mentioned previously, was that I desired a water birth. However, as I found out more details about it, I decided that water birth may not be feasible in terms of cost.

To have water birth, it is necessary to engage a doula. A doula, as indicated on WebMD’s website, is a person who provides emotional and physical support to you during your pregnancy and childbirth. I only know of one person, a colleague, who had engaged a doula previously. She did so as she was determined to have a natural birth (her first birth was emergency caesarean). It was very difficult to have VBAC (vaginal birth after caesarean) but she was so determined she attended classes etc on natural delivery, on what sort of breathing exercises she should use. She was successful in her planning and preparation and gave birth to her second child at NUH via vaginal birth. She delayed going to the hospital as long as she could, with the doula assisting her with the birth and pain at home. By the time she reached the hospital, she was already at 10 cm and could no longer take epidural. With the doula’s help, she could manage the pain (the doula helped to massage her, soothe her etc.).

My colleague paid $1K+ for her doula, who was engaged from an external agency. However, the doula at NUH has went through water birth training and the cost was $2, 500. On top of that, there were extra charges for the bathtub etc. (I think it was around $800). And if I cannot handle the pain, or if there are complications and I require epidural/vaginal birth at the last minute, I had to pay extra for the delivery charges. In total, there was an additional $3,000 minimum cost I was looking at.

At that point in time, there were only 4 gynae at NUH certified to do water birth too. 2 were not available during my EDD and when I read up on the other 2, I had concerns such as long waiting time (quoted very frequently), and unreliability (one of the gynae seemed to ‘disappear’ when mothers were going to give birth). 

NUH also did not provide scans for every appointment, whereas KKH did. I felt more assured if I could see my baby growing.

And finally, NUH was really very far from my house (I live in Punggol). Waiting time of 2-3 hours at the clinics aside, I spend 2 hours traveling to and fro NUH for each appointment.

However, NUH was cheaper than KKH for delivery. NUH offered a maternity package of $2500 or so that covered the costs of all appointments, scans and standard medications from the 20th week to delivery. Their ward charges were also cheaper – remember that colleague who gave birth without epidural at NUH? She chose the biggest deluxe room, which even had a living room area, and paid less than $8000 for 2 nights.

Note: This price was what she paid in 2019. I went to look at their charges recently and it seemed the costs may have increased. However, given that deluxe room is much bigger and cost only $300 extra/night, it is really worth it especially if you’re expecting a lot of relatives to come and visit. Do be mindful of Covid limitations on visitation though – no point getting a bigger room if visitors are not allowed/are capped!

I really struggled with the decision of whether or not to switch. Ultimately, my husband persuaded me to switch as it would be difficult for me to travel so far in future (we don’t drive).

When I looked through the list of KKH gynae, I decided on engaging Dr. Tee Chee Seng, as there were rave reviews about his stitching skills. Coincidentally, another colleague was pregnant, and she was visiting Dr. Tee, whom she described as being fast and humorous. He was also very understanding – when my colleague had to visit him earlier as she had an outbreak of hives, he waived off his consultation fee and she only paid for her medications. 

Upon probing, I found out that in my office, at least 3 other mothers had visited him, and I would be the 4th. Feeling assured, I made the switch to KKH, and never looked back.

1st appointment at KKH

I called KKH and made an appointment to see Dr. Tee (remember, no need polyclinic referral if you intend to be a private patient!).

For Dr. Tee, his first appointment would be at a night clinic (don’t ask me why). There is a surcharge for night clinics.

My first appointment was around 6 pm. I went on my own as my husband was busy with work. My mother, eager to see some scans of her first grandchild, hurried down from Seng Kang. As it was my first appointment, and basing my experience on past NUH appointments, I was expecting to wait for a long while.

After registration, I was asked to take my height, weight and blood pressure (standard procedures). Then I did a urine test. Unlike NUH where they asked us to collect our urine in cups, KKH gave us a urine dipstick and after collecting my urine on the dipstick, I had to show it to the nurse.

At 5.45 pm, to my surprise, my queue number was called. This was the first time my number was called before my appointment time, and it was refreshing. I entered the room and met Dr. Tee for the first time.

Dr. Tee was very friendly, comprehensive and quick to the point. He immediately asked me for my previous reports at NUH and scanned through them. Upon finding out that I have thalassemia trait, he immediately asked my husband and I to both go for thalassemia screening (NUH was not as concerned – they only asked if mine was minor or major thalassemia, and whether my husband had (he doesn’t), but did not ask us to confirm). I explained that my husband and I had done pre-marital screening and my husband did not have thalassemia trait according to the blood test screening then. Dr Tee explained that thalassemia screening was more detailed and sometimes, minor thalassemia may not show up during routine blood screening. 

Dr. Tee was also very concerned on whether my husband was present. For that first appointment as he could not make it, Dr. Tee was tactful in asking whether he was coming. For subsequent appointments, Dr. Tee would always question where he was if my husband could not accompany me, and he made sure that my husband was present when he scanned my stomach, so that both of us could see the growing baby.

For the first appointment, after explaining to me about thalassemia, he scanned my stomach and I could leave. I was out before 6 pm – my actual appointment time. Unfortunately, because he was so fast, my mother missed the scanning. At the waiting area, after waiting for a short while – about 15 minutes – a nurse came to me and passed me my multivitamins. After making payment, I could leave. I was in and out of KKH in less than an hour.

I was delighted at the short waiting time and pleasantly surprised at the service received. The waiting time was a huge difference from NUH. My colleague who went to NUH as a private patient also informed that she had to endure long waiting times, especially for the scanning appointments, so I was glad I made the switch.

For my subsequent appointments, I could continue to see Dr. Tee at his night clinic, paying a surcharge, or have morning appointments. I chose the morning appointments and most of the time, I was finished with the appointment within an hour. Dr. Tee was very fast but comprehensive, and I could be out of his clinic within 10 minutes. Perhaps this is the case for KKH – my husband’s cousin saw another gynae at KKH and feedback that the appointments were super-fast, finished in 10 minutes. The gynae won’t say too much – which in my opinion, no news means good news!

NUH

P.S. I know it has been a while since our last post. We have been really busy with work! Will try to post more in future – at least once a month okay? :). Leave a review if you like what you are reading!

It is quite apparent by now that I had went to NUH first, before transferring to KKH. In this article, I will elaborate on the experience I had visiting NUH as a subsidized patient. (I went to KKH as a private patient. Hence, the service I received cannot be an apple to apple comparison.)

I initially decided on NUH because of one factor, and one factor only – water birth. I was very keen to give birth using this method and to avoid the use of any medications. I understood that by using water birth, I could not take epidural and I was fully prepared to go ahead with it, having read many articles on water birth.

Water birth is available only in NUH and Thomson Medical Centre. Having decided against private hospitals, I naturally went to NUH. Furthermore, from what I have read, at Thomson, women are only allowed to be in the water for the labor process, but not the actual giving birth process – when they are about to give birth, they would be lifted up from the water and brought onto a delivery bed for delivering.

I wanted a water birth as I hoped for a medication-free delivery, and because I had a colleague last time who gave birth using this method at NUH. She described the process as very calming, but unfortunately her labor was short and hence the pain was intense. However, the water flowing around her calmed her down, and the way she described her birthing process captured my heart.

When preparing to go NUH, I thought I had to go to polyclinic first to get a referral. This was what my other colleague had went through and I assumed it was the normal process. As I had went through the polyclinic route to get a referral to NUH, I was asked to go to the subsidized clinic. I didn’t realize until later that if I had wanted to go private, I need only make an appointment directly with the hospital. So, ladies, if you are very sure you want to be a private patient, there is no need to waste time in going polyclinic – just call the hospital you are interested in and make an appointment with your chosen gynae.

As a private patient, other than higher costs, you will also be able to admit into a private ward. Private wards are 4 bedders, 2 bedders or single bedder, depending on the final class you stay in. You can also choose your gynae, a privilege that is not present in the subsidized ward.

During my first visit to NUH, I was asked to go to Clinic G, which was located near the Pharmacy. After registration, I was asked to take my height and weight and was given a cup to provide a urine sample. There were no toilets inside the clinic, and I had to go to one a short distance away. There were only two cubicles in this toilet, and it was a bit squeezy.

I then had to place my urine sample on a counter and a lab technician would immediately take it and analyze it to confirm pregnancy and to check on protein and sugar levels.

One word perfectly summarizes my experience at NUH – wait.

I had to wait a lot at NUH. For my first appointment, I waited close to an hour before I could see the gynae. To my surprise, the gynae did not give me an ultrasound to confirm pregnancy, and only told me to come back at a later date for the scan. She said that the urine test confirmed my pregnancy.

For my second appointment, I was asked to go to the fetal scanning centre, which was located at a separate building from Clinic G. From what I understand, at NUH they will only provide three scans. The first scan is to confirm pregnancy, the second scan is when the baby is around 20 weeks to ensure there are no abnormalities/deformities in the baby, and the third scan is when the baby is around 30+ weeks to check on the growth of the baby. They apparently do not provide scans at every appointment, regardless of whether you are a subsidized or private patient. This is a very big factor of why I decided to go KKH in the end.

Also, the fetal scanning centre is the same regardless of whether you can a subsidized or private patient. My appointment for the scan was 11 am and I waited from 10.30 am to 2 pm for my scan. So even if you go to NUH as a private patient, be prepared to wait this amount of time for the three scanning appointments.

However, we were rewarded for the long wait with a picture – our first picture! – of a little tiny pea. By then, my son was 9 weeks old and had developed a heartbeat. It was surreal watching the blood vessels and the heart beating for the first time on the screen. There was a feeling of lightheadness, a realization that – I am going to become a mother. A strong sense of protectiveness, that I need to protect myself and the little one inside me. At that moment, my husband and I clenched our hands together very tightly, watching the screen light up with each pulse of my son’s beating heart.

Yes, he looks like a pea. We called him Little Pea.

Pregnancy Journey

If you’re reading this post, it means you may be trying for a child. If so, ladies, do start taking folic acid even before you get pregnant. Folic acid is commonly found at Guardian and is quite affordable – about $5 for 20 tablets. Folic acid is essential for your child’s brain development. As your child’s brain usually starts forming even before you know you are pregnant, it may be too late to take folic acid only after discovering your pregnancy. So go take those folic acid tablets now!

We started trying for a baby around February 2019. I used the Flo app to track my periods and to determine the best dates to make a baby (grin). After about three months, I felt disheartened when there were no results, and bought ovulation kits from Qoo10.

These ovulation kits were very affordable, and I used them around the time Flo told me I should be ovulating. That was when I realized that I somehow always ovulated slightly later than Flo’s calculations. With the ovulation kits, I was able to pinpoint the ovulation period more accurately. To give more context, I have a history of ovarian cysts and late periods. For couples who are trying to have children, I highly encourage buying these ovulation kits to help you in your planning.

In August 2019, taking advantage of the long National Day holiday, my husband and I traveled to Taiwan, Taizhong. It was a wonderful trip and we stayed overnight at an aquarium (I could write more about it in future if there is enough interest). On the last day, I even took part in a roller coaster ride.

A few nights after coming back from Taiwan, I felt nauseous after dinner and tested with a pregnancy test kit. To my ultimate surprise, the kit showed positive results. Not believing it, I tested with an ovulation test kit, and it was also positive.

After reading up, I realized that if one is pregnant, both ovulation and pregnancy test kits can show positive results. I confirmed my pregnancy by using up all my pregnancy test kits, and then buying some more from Guardian to test (kiasu much).

I then went to polyclinic to get a referral letter to my hospital of choice (NUH). The polyclinic doctor did not ask me to do any test, which surprised me. He said if the conventional pregnancy test kits bought from Guardian show a positive result, then it is very likely I am pregnant since they will use the same urine test at polyclinic. I was hoping to do a scan to confirm the pregnancy, but they don’t do that at polyclinics.

1st Trimester

I was joyous about my pregnancy, but the joy lasted only about two weeks before I was brought on a roller coaster ride.

According to Chinese customs, a pregnant woman is not encouraged to announce her pregnancy until the first trimester is over. However, I had to let my sister know first as I needed her advice on whether I could have ovulation and pregnancy kits positive at the same time (she works as a nurse).

After securing my NUH appointment, one day I felt slight pain in my stomach and rushed to the toilet – there were a few spots of blood. The spots were small and infrequent, but they were enough to make me jump and worry. I was afraid that I would lose this precious baby. That night, my husband and I told our respective parents about the pregnancy. Both sides were delighted – and I was assured by my mother that she too, had spotting when pregnant with both my sister and I. Ladies, tradition is tradition, but if you are pregnant and need some advice, the best person to seek from is your mother. This is because many things you experience during your pregnancy would be something she had experienced too. Genetics have never played a stronger role, as I was going to find out.

Morning Sickness

I started vomiting about two weeks later. It came suddenly. I was walking to work when I felt an urge to vomit. Luckily, I had prepared plastic bags and I dumped my breakfast into the bag. After this, I vomited daily. I usually vomited my breakfast, no matter how little I ate or drank. On bad days, I vomited my lunch too.

I felt extremely nauseous and weak and lost the energy to go out to buy food. I had to rely on help from my colleagues and simply told them I had stomach flu. The only food I could stomach was porridge with some vegetables and tofu. I could not handle meat. And there were many triggers for me – the most prominent one being the smell of lemon. The moment I smelled lemon, I felt like heaving. I had to switch out all my shower products as they contained lemon then. Even until today, I feel a bit uncomfortable when smelling it.

If you are also suffering from morning sickness, hang in there! Morning sickness is the toughest part of the entire pregnancy journey. Nothing seemed to make it better. I tried many different remedies, but even if they worked, the effectiveness was lost after a few days. And by ‘worked’, I did not mean they stopped the vomiting – it seems nothing could – but rather they reduced the frequency and intensity of the vomiting episodes and made me less nauseous.

Some of the things I tried included ginger tea (worked the longest, for about 2 weeks), orange juice and mints. For some reason I hated plain water. The taste felt strange to me, regardless of where I got the water from. I could only stomach juices and sports drinks such as 100 Plus.

I lost weight during this period actually. Don’t worry, soon to be mothers, if you don’t feel like eating anything during this period. 80% of pregnant women experience morning sickness, and it is common to lose instead of gain weight during this period. Luckily for me, my morning sickness was not the severe type of morning sickness, known as hyperemesis gravidarum (HG). HG starts earlier and ends later than morning sickness. A colleague of mine suffered from it and had to be hospitalized for IV drip as she could not stomach any food/drink.

Morning sickness peaked at around 9 – 10 weeks pregnancy for me and started to get better after the 11th week. The final time I vomited was after a dinner with some friends on a Sunday night. I remember this vividly because it was my final and most – violent – vomit. I had been vomit-free for a few days by then. After dinner, we took a cab back and the moment I alighted, I vomited so badly I tore my throat and I tasted blood. I was 13 weeks pregnant then.

Does nothing make it better? Any medications at all? Pleaseeeeeeee?

The happy answer is, the gynae does prescribe pills that claim to help with morning sickness. The one that I got was Diclectin, a white pill with a picture of a pregnant lady. The unhappy answer is, from my own experience and from what I read, the pills have limited effectiveness.

Diclectin

Perhaps it would make us better to know the reasons behind morning sickness. Unfortunately, there is no definite explanation as to why we suffer from it. One theory state that it could be our body’s reaction to higher levels of the hCG hormone, which is highest during the first trimester. So, in fact, it is good to suffer from morning sickness – it shows we have a healthy baby. Studies have suggested that women who do not suffer from morning sickness actually have higher rates of miscarriages.

And, if you really want to know if you can avoid this stage altogether, go ask your mother about it. Genetics play a very big factor in morning sickness. If you mom had it, likely you will go through it. And if she hadn’t, you may be the lucky 20% who can avoid going through this terrible phase. My mother suffered from morning sickness until her 5th month of pregnancy, so I guess I am lucky mine stopped at 13 weeks!

To make it better, remember to take note of your triggers – is there a particular smell or food that would especially trigger you? If so, avoid it at all costs. Drink and eat whatever you can, regardless of what it is. At this stage, it is important to ensure your body still has some nutrition, no matter how little. Having said that, eating overly spicy and fried foods would only make you more nauseous, so I suggest holding off on KFC until morning sickness is over.

Lastly, to all the husbands and soon-to-be fathers, please exercise some prudence and patience during this period. Your wife is going through a hard time. Volunteer to do the housework, wash the dishes, massage her feet and shoulders, and endure if she scolds you (this is good training for the REAL scolding during delivery). A healthy mother will have a healthy baby 😊.