Saturday, August 23, 2014

My Pregnancy Journey - Part 2

Health and Beauty Regime

4-14 weeks : Folic Acid 5mg - 1 tab every morning before food
guardian : 50 tabs - $2.75
Why you need folic acid
Folic acid helps prevent neural tube defects (NTDs)—serious birth defects of the spinal cord (such as spina bifida) and the brain (such as anencephaly). Neural tube defects occur at a very early stage of development, before many women even know they're pregnant. Women who take the recommended daily dose of folic acid starting at least one month before conception and during the first trimester of pregnancy reduce their baby's risk of neural tube defects by 50 to 70 percent. Some research suggests that folic acid may help lower your baby's risk of other defects as well, such as cleft lip, cleft palate, and certain types of heart defects. Your body needs folic acid to make normal red blood cells and prevent a type of anemia. Folic acid is also essential for the production, repair, and functioning of DNA, our genetic map and a basic building block of cells. So getting enough folic acid is particularly important for the rapid cell growth of the placenta and your developing baby. Some research suggests that taking a multivitamin with folic acid may reduce your risk of preeclampsia, a complex disorder that can affect your health and your baby's.

How much folic acid you need
To reduce your baby's risk of developing a neural tube defect, experts recommend that you take 400 micrograms (mcg) of folic acid per day, beginning at least a month before you start trying to get pregnant. The neural tube—from which your baby's spine and brain develop – begins to form about three weeks after conception, so it's critical to get a sufficient daily dose of folic acid before conception and during the first trimester of pregnancy. Don't take more than 1,000 mcg per day of folic acid unless your healthcare provider advises you to. This is particularly important if you are a vegan. Vegans are at risk of being deficient in vitamin B12 and taking too much folic acid would make it hard to diagnose that deficiency.

When you might need extra folic acid
Women who are obese appear to be more likely to have a baby with a neural tube defect, although the reason for this is still unclear. If you're significantly overweight, see your healthcare provider before you try to conceive. She may advise you to take more than 400 mcg of folic acid a day. If you've previously been pregnant with a baby with a neural tube defect, be sure your current providers are aware of this and schedule a visit before you try to get pregnant. With no intervention, women in this situation have a 2 to 5 percent chance of having another pregnancy complicated by an NTD. The good news is that this risk can be reduced significantly by taking a very large dose of folic acid. Talk to your doctor about how much folic acid you should take if you're in this situation. Women who are diabetic or are taking certain antiseizure medications are also more likely to have a baby with an NTD. If either of these situations applies to you, see your provider at least a month before trying to conceive to find out how much folic acid you should be taking and to monitor your condition in general.

Food sources of folic acid
Research shows that the body absorbs the synthetic version of this vitamin (folic acid) much better than the version that occurs naturally in certain foods (folate). While enriched cereals and other grain products are fortified with the synthetic version, most women don't eat these foods consistently enough to rely on them as a source of folic acid. Foods that are rich in naturally occurring folate include lentils; dried beans and peas; dark green vegetables such as broccoli, spinach, collard or turnip greens, okra, and asparagus; and citrus fruit and juice. These foods aren't a substitute for supplemental folic acid. Instead, consider them a complement to your supplement. Because while your body absorbs all of the folic acid in a supplement, it absorbs only some of the naturally occurring folate from the food you eat. What's more, folate can be lost during storage or destroyed by cooking.

The signs of a folic acid deficiency
The signs of folic acid deficiency can be subtle. You may have diarrhea, loss of appetite, and weight loss, as well as weakness, a sore tongue, headaches, heart palpitations, and irritability. If you're only mildly deficient, you may not notice any symptoms at all, but you won't be getting the optimal amount for your baby's early embryonic development.

6 weeks onwards : Doctor's Choice Prenatal Essential - 1 tab every morning before food
Thomson Women's Clinic : 30 tabs - $24 
6 weeks onwards : Bio Oil - application to lower back, buttocks, abdomen, hips, thighs twice a day
Watsons & guardian : 125ml - $23.50
Bio‑Oil should be massaged in a circular motion into the stretch marks, twice daily, for a minimum of 3 months. During pregnancy, Bio-Oil should be applied from the start of the second trimester to areas that are prone to stretch marks.

9 weeks onwards : Dhaxtra Softgel - 1 tab every morning after food
Thomson Women's Clinic : 30 tabs - $49
The most important fatty acids for the brain and retina are the polyunsaturated fatty acids docosahexaenoic acid (DHA), an Omega-3 fatty acid, and arachidonic acid (AA). These EFAs are well documented for their importance in normal neurological development. Concentrations of DHA in brain tissue increase three to five folds during the last 3 months of pregnancy and by as much again during the first 3 months of life.

Each softgel capsule contains :
Concentrated Omega-3 Triglycerides (EPAX 1050) 815mg
Providing Omega-3 Marine Triglycerides
- DHA 350mg
- EPA 73mg
Arachidonic Acid 18mg
Olive Oil 67mg
- Equiv Oleic Acid 50mg
D-alpha-tocopherol 4mg

Thursday, August 21, 2014

Boy oh Boy!

08 Aug : detailed scan at 19 weeks 4 days, 314 grams
21 Aug : our boy at 22 weeks 2 days, 485 grams (obstetric scan)

Saturday, August 16, 2014

My Pregnancy Journey - Part 1

The Beginning

As per majority of newly wedded couples, hubby and I planned to start a family of our own. We have been trying, I have to admit not actively, to conceive. Due to tiredness from work and time taken off for social life (eg. clubbing, mahjong), we hardly have time for good quality sex. Even with the help of P Tracker Lite app (indicates fertility period and ovulation date, recommended by Joyce and Zhenlin), there was no good news.

The sign finally came when my average 26 days cycle was past due in Apr 2014. Bought a twin pack pregnancy test kit on 24 Apr, and yay! I am pregnant! Both tests in the evening and next morning showed positive results. Hubby and I were elated and shared the great news with our parents and a few close friends. This marks the start of the life-long planning. 

My very first task was to choose a gynaecologist. It was easy to shortlist as I wanted the clinic to be as near as possible to my parent's or in-laws' place for obvious convenience reason. There were 3 choices, Dr Tan Poh Kok @ PK Women's Specialist Clinic, Dr Claudine Tan @ Thomson Women's Clinic and Dr Tan Yin Yin @ YY Tan Clinic for Women. After reading reviews online and seeking friends' advices, the final decision by elimination was to go with Dr Claudine Tan. PK shares the premises with OneDoctors GP which would expose myself and baby to unnecessary risk. YY Tan is highly recommended with good reviews which explains the crowd and long waiting time even with scheduled appointment. 

1st visit to Dr Claudine was during my 4th week. Much as the nurse who picked up my hubby's enquiry call was not too friendly, the whole experience was pleasant. His call must have been at the wrong timing when the clinic was packed and busy. Was requested to confirm the pregnancy via urine test and I remembered my last question to Dr Claudine was "So I'm really pregnant?". 😛 Opted for obstetric scan to be done next visit 2 weeks later as we probably will only see the water bag at that stage as per advised by Dr Claudine. 

Saturday, August 09, 2014

Happy 49th Birthday Singapore



tribute to Singapore - a national day video shot 2 years back with my dear friends who are all over the world now.