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| Wednesday, 10-Oct-2007 12:00 |
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Jom bersenam
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Adik pn ikot juga
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Balai polis di Perth
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Ari nih aku gi postnatal class dkt KEMH. Adik Haziq pn ikot sama, saje je nk tgk apa aktivitinya, drpd dok umah mandom je gi exercise pn bagus gak ble gak buang lemak mna2 xberkaitan tu  .Bes gak dia ajar senam2an ringan utk pelvic floor muscle, mcm senaman yg guna bola bsr tu.At the end of the class ada tunjuk video teknik2 utk massage baby. Nih salah satu drpd postnatal program KEMH utk sesape yg bersalin dkt sni.
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| Wednesday, 3-Oct-2007 17:49 |
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Kiriman kad raya utk semua
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Memandangkan puasa yg tinggal seminggu lebih je lg nih rasanya xlewat lg aku nk tujukan kad raya kat sumer sesapa yg lawat fotopages nih,heheee....kasi dialam maya je xpe kan. Kad raya nih didatangkan khas utk korang sumer  Hanya 4copy shj yg disend kealam nyata, tungguuu... sape la agaknya penerima tu. So terimalah ucapan penghargaan dan Selamat Hari Raya Aidilfitri Maaf Zahir dan Batin dari aku sekeluarga di sini. Kalau ada salah silap tu mintak ampun la eaa...  Kira 0-0 balik ble...
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| Sunday, 30-Sep-2007 12:00 |
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My sweet home,ehehhehee...
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Dah dkt 3 mggu puasa, sekejap je masa berlalu, sikit ari lg nk msk bulan Syawal. Aktiviti harian sepanjang bulan puasa nih agak slow sikit, masing2 mandom je. Walaupun sepatutnya masa nih la mudah nk wat apa pn xyah pkr pasal makan. Tp dah xpikir psl mkn pkr pasal nk berbuka apa la pulak . Aku plak br lepas pantang 44 ari yahoo....makcik merdekaa. Dah puas aku bertapa dlm umh, so xde la apa nk di updatenya. So aku igt nk kasi tayang sikit my sweet home aku nih,huarghahaa.....boring ooo lepak umah je.
Persekitaran apartmen
Main entrance
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| Friday, 14-Sep-2007 15:10 |
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Matilda Bay UWA
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Kamcing ker nih
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Sejuknya angin nih
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Duduk aje eaa tok xde mkn2 ker
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Sebenarnya pg nih tokwan plan nk pegi pasar buah Subiaco, so memandangkan ayah mmg nk pg kampus so diaorg ikot la sekali coz jln yg sama jgk tu. Sementara tunggu ayah jumpa supervisor dlu, Maira lepak2 la dekat Matilda Bay sebelah UWA nih. Kat sni ada byk sailboat parking utk disewa.View Swan River la tu. Masing2 muka xlarat je sbb bln puasa kan kecuali seorg tu je yg xpuasa
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| Thursday, 13-Sep-2007 08:17 |
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Selamat Berpuasa.....
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Ari nih 1 Ramadan 1428H tibalah masanya seluruh umat islam menunaikan ibadah wajib berpuasa. Dan detik yg paling best sekali bulan puasa nih pastinya masa time berbuka tu, emm... yummy2..rasa mcm satu pasar ramadan tu nk borong  . Semalam ayah bwk tok ngan tokwan gi Araluen Botanic Park. Kat sni la tempat paling sesuai kalau nk tgk bunga tulip bermacam2 color. Sehari sebelum tu pegi Caversham Wildlife Park. Ble tgk, pegang2, sambil2 bg makan kangaroos.
Alahai jinaknya dia...
Bergambar bersama tok,tokwan & paksu
Tulip
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| Sunday, 9-Sep-2007 12:00 |
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Fremantle & Perth City
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Burung2 bebas berterbangan dan hinggap di bumbung2 bgnan
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Spesies burung yg byk di sini
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Menunggu train utk pulang
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Jalan2 di sekitar Perth City
Ari nih ahad gi jln2 dkt Fremantle, tempat yg sesuai utk shopping souvenirs. Lagipn kedai kat sini bukak ari Ahad shopping complex lain sumer tutup.Tempatnya kalau kat Msia tu kira mcm Central Market la, tp aku sendiri pn xpenah sampai lg. Semalamnya ayh bwk tok ngan tokwan gi tgk Perth City. Pegi naik train lg mudah dr segi parking. Memang senario biasa kat sni anak2 aussie umur 3thn pn naik stroller lg, malehnya nk jln (kasi chance mamanya bersenam). Mna2 pg pn mesti nampak org tolak stroller xkiralah dkt shopping complex, tempat riadah termasuk la kat city. Dan lg kalau kat city, dpn2 bgn bsr mesti ada tempat parking basikal,hehee.... opss.. bukannya parking motorsikal yer, lain btl dgn kl. Motorsikal pn xbyk kalau ada pn kat jln tu mcm ble bilang la dan sumernya superbike & scuter je. Mungkin sbb sejuk kot so org xgemar la nk naik motor nih. Australian Government galakkan residentnya amalkan cara hidup sihat dgn byk bersenam termasuklah byk berjalan dan berbasikal. Sampai posmen pn ada yang naik basikal jgk, tp yg ada electric tu ler. Pikir2 blk jauh mnala sgt dia ble kayuh kan.Trafic light pn kalau dkt2 dgn recreation park tu yg lampu hijau ada gambar org naik basikal  Lagipun udara kat sni bersih and nyaman so xde hal la nk tolak stroller tgh2 bandar tu, tp kat tgh kl tu mmg xdapek la Maira pn dah jd mcm kebiasaan juga gi mna2 kena bwk stroller sbb time tdo nya xkira masa, kalau ngantok tu mula la meragam, paling x pn dia akan suroh dukung,emm masak la.
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| Friday, 7-Sep-2007 12:00 |
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Kunjungan tok dan tokwan
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Bergambar berbackgroundkan Perth City
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Dipuncak Swan Bells Tower
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Di perkarangan Swan Bells Tower
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Ari isnin lepas 3hb tok, tokwan dan paksu dtg sni melawat. Maira bukan main suka la ada kawan nk ajak main,hehee... dah boring main dgn ayah  Tp masa mmula gi amik dkt airport tu Maira senyap aje, malu la kononnya tu, xbiasa konon. Pastu dah sampai umah siapla, bila dia dah start bukak mulut bercakap tu sampai xble nk benti ckpnya. Ari Selasa ngan Rabu tu xgi jln memana sgt, setakat jln2 tgk supermarket kat sni je, maklumlah ayh ada keje sekolah nk siapkan. Tapi ari Khamis tu dah ble la jln skt so diaorg pegi Swan Bells Tower dan Kings Park. Pagi nih pegi pasar buah dkt Subiaco. Tok ngan tokwan dtg mmg the right time kena musim bunga, so ble la amik gambar bersama himpunan bunga2 yg colourful dkt Kings Park. Cuma mama je yg kempunan xble berjalan sama kena dok umah je ngan adik, sampai abis pantang,huwaaa....Dan mcm biasa ayah amk contract jd cameraman tetap xbergaji wpn selalu kena kutuk ngan mama gambar xcantik
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| Thursday, 30-Aug-2007 12:00 |
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Vaginal Birth After Caesarean Section
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high or "classical"
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lower transverse uterine scar & low vertical uterine scar
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A Guide for Women
Caesarean section is a common surgical procedure. For decades it had been generally assumed that once a woman had a caesarean section, all her future babies would have to be delivered by caesarean section.
However, this concept has changed due to improvements in obstetric care and surgical techniques. Many women who have had a caesarean section can safely give birth through the vagina during a subsequent labour. This known as vaginal birth after caesarean section (VBAC). With careful selection of patients and good obstetric care, about five to eight women out of 10 who attempt VBAC are successful.
Reason for VBAC
# Lower risk of complications (such as bleeding and infection) than routine, repeat caesarean section.
# Other risks associated with surgery are avoided, such as reaction to the anaesthetic, damage to internal organs, decreased bowel function, and abdominal would infection.
# A shorter hospital stay and quicker recovery.
# Some women regard vaginal birth as more fulfiling.
# If successful, VBAC facilitates vaginal birth of subsequent babies, avoiding the risks of repeat caesarean section.
The decision to attempt VBAC
It will depend on your medical history and the progress of your current pregnancy. To decide for VBAC, your doctor will consider factors such as:
# the location of the uterine scar from the caesarean incision.
# the reason for the previous caesarean section.
# how you want to deliver this baby.
# your access to a hospital that is well equipped for an emergency caesarean section.
# how many more babies you hope to have.
# the time since you previous caesarean section (uterine scars less than two years old may have a greater risk of rupture).
Location of uterine scar:
The women most suitable for VBAC have had a horizontal incision (cut) in the lower part of their uterus, known as a lower transverse uterine incision.
The four types of uterine incisions are:
1)lower transverse- a side-to-side cut in the lower, thinner part of the uterus where labour contractions are minor; this is the most common incision and is the most suitable for subsequent VBAC.
2)low vertical- an up-and-down cut in the lower, thinner part of the uterus.
3)high or "classical"- an up-and-down or horizontal cut in the upper part of the uterus; more stress is placed on this area during labour than on the lower areas of the uterus.
4)inverted "T shape" incision; this is the weakest scar.
You cannot tell where your uterine scar is by looking at the scar on your skin. The uterine scar is in a different position. A doctor needs to see your medical records to determine which type of uterine incision was made. Another factor is whether the reason for your previous caesarean section is again present in your current pregnancy. If the problem is absent, VBAC might be an option.
PREPARING FOR VAGINAL DELIVERY
Some women are enthusiastic about attempting VBAC, while others may be reluctant, especially if a prior caesarean section was performed as an emergency. Discuss you concerns fully and frankly with your doctor because understanding labour and its stages can be helpful. Remember when you attempt a VBAC you may still need a caesarean section if complication arises.
Epidural analgesia can be used during VBAC. However, it may limit mobility and can make it more difficult to push the baby out. Other pain-relief medications such as pethidine can be used or non-drug techniques such as massage and emotional support.
UNSUITABLE CONDITIONS FOR VBAC
#The woman has a "classical" scars or inverted-T uterine scar.
#The position of the uterine scar is unknown.
#The woman does not want to try a vaginal delivery.
#Some types of previous uterine surgery, such as fibroid removal.
#Previous rupture of the uterus.
#The woman needs induction of labour and has an unfavourable cervix.
#The woman has an unusual pelvic shape.
#The baby is in the transverse position (lying across the uterus).
#The baby appears to be too big to pass through the birth canal.
#The hospital where you want to deliver is not equipped for an emergency caesarean section.
#The woman has a medical condition that can complicate labour.
#Any other contraindications to labour (for example, placenta praevia, where the placenta lies across the cervix).
There can be other medical reasons why VBAC may not be safe for a woman, and they may be unrelated to the previous caesarean section.
RISKS OF VBAC
VBAC is associated with a small risk of rupture of the uterine scar. This rupture can be caused by uterus's forceful contractions during labour and pressure against the scar. Rupture of a uterine scar is an uncommon but serious complication.
The signs of uterine rupture can be difficult to detect. A woman may have some bleeding or pain between contractions, but changes in the baby's heart rate may be the first sign of uterine rupture. This is why continuous electronic monitoring of the baby is often recommended during VBAC.
Rupture of the uterine scar can be life-threatening for mother and baby, and an emergency caesarean section will be necessary.
Rupture of the uterine scar occurs about once in every 200 VBAC attempts. Of those woman who do have a uterine rupture during VBAC:
#about one woman in 10 of these women will need a hysterectomy (uncommonly, a woman may need a hysterectomy following uncontrollable bleeding during an elective caesarean section).
#about one birth in 20 uterine ruptures can result in a stilbirth.
Of every 10 women attempt VBAC, from two to five will need to have a repeat ceasarean section.For this reason, VBAC should take place ONLY in a hospital equipped to perform an emergency caesarean section.In an emergency, general anaesthesia or regional (spinal or epidural) anaesthesia will be required, depending on the situation at the time.
The most common reason for an emergency caesarean section during VBAC is not uterine rupture but failure of the labour to progress.
Any labour is associated with some risk to the baby. It has been estimated that, during VBAC, risks to the baby are similar to those faced by a baby who is the vaginal first-born to any mother.
Patient Education RANZCOG
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| Sunday, 19-Aug-2007 12:00 |
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The first 7 days in my life
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Hari pertama adik Haziq
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Sedapnya dia tidor
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Kasih seorang kakak,hehee.....ye ker
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Dua hari lepas bersalin aku duduk wad sebelum dibenar pulang pagi Ahad tu. Kalau diaorang bg duduk lg pn aku nak je,heheee.Kat sni Dr xkan buat episiotomy masa delivery tu. Semlm aku ilang darah byk jgk sbb koyakan 3rd stages. So byk la stitch nya. Baby lepas bersalin sebaik shj ditimbang dan dicheck sikit2 akan diberi pada kt, so responsibility kt la nak jaga baby tu termasuk utk mandikan, tukar pampers and susukan. Aku pulak punya la tunggu bila la nak amik anak aku bwk mandi nih, alih2 aku terperasan ada tempat mandi baby kat bilik nih, sah la kena mandikan sendiri nih. Kompem lg bila midwife tu tanya aku baby ada mandi x,heheee. Nak angkat baby dlm cot dr ats katil pn aku xlrt camna la aku nk mandikan nih. Emm sbb tu la agaknya diaorg galakkan ada 2org teman setiap patient. Tapi masuk ari kedua aku dh kuat skt so wlpn xpandai sgt aku gambel je mandikan anak aku sendiri kat dlm sinki yg berbentuk kolam mandi tu. Pakaikan baju cantik2 ari nih dah ble balik umh  .
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| Friday, 17-Aug-2007 12:00 |
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Orang baru
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Akhirnya org baru yg dinanti-nantikan telah selamat lahir jam 8.51pg Jumaat 17 august 2007. Kisah selanjutnya visit my blog on http://www.camaryangpulang.blogspot.com
Emir Haziq bin Azham
Sayang adik nih..kakak jgn puk adik k
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intan sulaiman
