Typically HL will start on the date u see ur gynae or the day after. As the doctor is answerable to the reason for the HL. For e.g, ur HL is due to mom's chronic asthma as she shows signs of breathlessness tt had went on for days. So there's no reason for him to give HL 1 wk later. Tt's how my gynae explain to me. I understand the predicament of working mothers, we need to inform our workplace in advance. So my gynae gave a letter first stating my medical condition and the possibility of being put in bed rest, depending on the situation in the coming few weeks. This shld be given during the previous appt. So tt the next appt, ur doc can straight away give the HL. I'm not sure if there are gynaes who can give 1 wk in advance cz so far my friends also only get HL on the day of the appt.
Also do note tt being in private doesn't mean u cld get HL easily. I have colleagues whose gynae cldnt give HL even when they're in pte right frm the start. So far I heard of 2 such situations, both under KKH pte. Those in pte hospitals seem to get it easier and longer HL too. I had 4 wks HL prior to birth frm Parkway East due to asthma. Another friend had 6 weeks frm Mount E Orchard due to low blood pressure.
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