Birthclub: April 2027

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Risk of Pre-Eclampsia and Small Baby

This is my first pregnancy. I just got back my blood test results from the scan during week 12. I am below 30, but opted to do the NIPT Testing just to be sure. Baby shows low risk of everything for chromosomal testing (21,18,13,X and other sexual chromosomal abnormalities), NT (Neck Measurement) was well within normal range. My BP has also been measuring well within the 115-120 / 74-80 range. But my PPAP-A is extremely low which can mean 2 things: weak placenta (higher risk of pre-eclampsia and small baby) or a chance of baby having chromosomal abnormality (atypical neuploidies, Gynae said about 2% chance?). Anyone has been through this exact experience and how was your experience? Was baby born fine? Did you end up developing pre-eclampsia? How long did pre-eclampsia take to clear? I have been prescribed aspirin to start and have been taking for 2 days but i am extremely worried about baby's wellbeing and also the risks of getting pre-eclampsia.

I completely understand the worry, low PAPP-A can feel quite overwhelming when you first hear it, especially since you've already done all the right screening and everything else looks good. The good news is that a lot of mums I know who've been in your shoes ended up having straightforward pregnancies; the low marker doesn't mean it will happen, just that you need closer watching. My neighbour's sister had the same result and went on to deliver a healthy baby, she did end up with more frequent scans and check-ups, which honestly felt like a trade-off between peace of mind and the extra appointments, but she was monitored really well and caught everything early. The aspirin is a solid first step your gynaecae is taking to help protect the placenta, and staying on top of your blood pressure (which is already looking great) really matters. Most mums who are flagged early like you are tend to sail through without pre-eclampsia at all, and the babies grow fine, it's really the monitoring that makes the difference. That said, definitely check in with your own specialist about what warning signs to watch for and how often they want to see you going forward, because every case is a bit different and they know your full picture best.

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Has anyone given birth at NUHS before?

First time mom here, I was referred to NUHS after my initial appointment at the polyclinic instead of KKH. Does anyone have any experience with the process there?

Hi! I haven't personally delivered at NUHS, but I've heard quite a bit from mums around me who have, generally very positive feedback on the experience. Most mentioned minimal waiting times and that the staff were really attentive, which is reassuring for a first-timer like you. A few also raved about the postnatal care side of things, including things like massage, which helped with recovery. The main thing I'd say is just clarify with your gynae upfront what's covered under your plan (especially if you're going private vs subsidised) so there are no surprises on the bill later, that's something a couple of mums I know wish they'd asked about earlier. Otherwise, you're in good hands; NUHS has a solid reputation for maternal and newborn care. All the best with your delivery!

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Is it normal to have indigestion/heartburn?

Lately I've been feeling heartburn, hours after my meals. Is this normal?

Heartburn in pregnancy is super common, especially as your baby gets bigger and puts pressure on your stomach, but it can also happen if you're eating heavier meals or lying down too soon after eating. Might be worth mentioning to your PD or gynae at your next visit just to rule out anything else, but in the meantime try eating smaller meals, avoiding greasy or spicy foods, and staying upright for a bit after you eat.

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How to handle morning sickness

I am currently 7 weeks pregnant and having really bad morning sickness and i cant even eat food or certain drinks. I feel nausea throughout the whole day everyday and have a hard time eating because i will vomit out. Anyone experiencing the same as me what do you guys do to help ease the morning sickness please i feel like i cant go on anymore😭

I have been drinking so much ginger water! and just trying to rest alot

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It's gone. I have lost my pregnancy.

I have lost my pregnancy. Its one of the most painful experience in my life today. I don't know how to heal or recover from this. But I hope I will. Sending my love to all the mamas who have gone through this. Or going.

I’m so sorry to hear this. My heart goes out to you and your family. Please take all the time you need to grieve and be gentle with yourself during this incredibly difficult time. There are no words that can take away your pain, but please know that you’re in my thoughts. Sending you so much love and strength🤍

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What should I do next?

Hi mummies, this is my first time getting pregnant and I dont know what to do. It says on the app that im 5 weeks in, and I took the home kit test twice - it shows positive. Do I go poly and tell them I wanna get a blood test or smth? Or GP only does it? If theres like a map/timeline of what to do, when to do what, it would be really helpful huhu >_

Congrats on your pregnancy! You can go to either your polyclinic or GP for a blood test to confirm, both will do it no problem. I'd suggest polyclinic first since it's usually faster and cheaper, just tell them you've got a positive home test and want confirmation. After that they'll refer you to KKH or your chosen hospital for your first scan around 8-12 weeks, and they'll give you a proper timeline then for all your appointments and checkups ahead. Don't worry, once you start the system they make it pretty straightforward with dates and what to expect at each stage.

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Why KKH don’t play sound for heartbeat.. any nurse can share why this protocol?

Went for dating scan in KKH and the nurse said it’s KKH protocol to not play the sound. But just show the flickering heartbeat.. why so?

I think it's a safety thing lah, they want to limit unnecessary ultrasound exposure, especially in early pregnancy when you're just confirming dates and viability. Some hospitals are stricter about this than others, but KKH's approach is basically "we show you it's there, that's what matters" rather than adding extra time for the audio. My friend went there for her dating scan too and had the same experience, so it does seem to be their standard practice rather than anything to worry about.

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Is it possible?

I took 3 preggy test... First said positive then second said negative then lastly said positive... All is digital test. Went to the doctor and he said not pregnant and he said it may be too early to detect.. Do you think I could be pregnant or not pregnant? P. S. The digital test states "pregnant 1-2"

How many weeks are you? The best way is to take a blood test to test for your beta hcg hormone. This is the same hormone that home kit tests but home kit would not tell you the level of beta hcg(ie the number). Most home kit are have a sensitivity of 25, so if you are borderline this level it will show faint lines only Non pregnant people typically do not have this hormone, but a blood test will tell u the exact number

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After vaginal ultra sound, no sac found... had heavy bleeding too. Anyone exp this? Week5

It would have most likely been an etopic pregnancy. Did you consult your gynae on the bleeding

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Private choice at Thomson

Hi! I'm a first time mummy to be and I am thinking hard about which route to go. I thought I would try Thomson Medical for my birth and wanted to ask how is the cost for mummies that gave birth there? I also plan to go to Dr Wong (clinic in tampines) if you have any experience I'd be so grateful to read your thoughts and advices

I delivered at Thomson with my first and found it quite pricey overall, though the facilities are really nice and the staff were attentive. For costs, it really depends on whether you go with a consultant obstetrician or the hospital team, and what package you choose, I'd recommend calling their billing department directly to ask for a breakdown because prices vary quite a bit depending on your delivery type and any complications. As for Dr Wong in Tampines, I haven't personally been to that clinic, but a few friends have mentioned their GPs there are thorough, though you'd still need to decide later on where you want to deliver. I think the best move is to clarify Thomson's exact costs first since that's your main concern, then you can weigh whether it fits your budget before committing to a consultant there.

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