My Antenatal Check Ups Experience Part 2

Assalamualaikum and Hello!

Last week i received a very very very very good news! My cousin is 3 months pregnant! Excitednya!! Alhamdulillah! Then she told me she is waiting for my post on the details of tests i did during my check ups. Ye lah lain doktor, lain hospital, lain test-test yg di offer. Since i went to both government clinic and private hospital, i will list them down so you can compare with what your doctor offer k.

Government clinic

First of all you need to know your house is under which clinic. Bring your IC, your husband's IC if he is with you or photocopy of it, marriage cert, any recent bill to confirm your home address if your IC is different address. For first visit they will get 2 pink books to be filled. 1 for you to keep and another one will be kept in the clinic. They will sit down with you and ask you your details, your husband's details, your family's history, your health history etc. and they will fill them up in the book. For first pregnancy, you will notice they put "Primid" under "Faktor Risiko" at the front of your book. Don't worry, this just means this is your first pregnancy (ni nurse tu ckp). List of tests done:





1. Urine test to check on albumin and sugar (every visit)
2. Measure height and weight and blood pressure (every visit except height)
3. Took a drop of blood on your finger to check on your hemoglobin (HB) level  (red blood cells count) (almost every visit depending on your result)
4. Took around 10ml of your blood to be sent to the lab to check on blood group and the RH (+ or -), syphilis and HB. (do not be surprise if your HB count from the drop of blood and this blood is different. Mine was!) (once only during 1st visit)
5. Took a drop of your blood to check on HIV. (once. mine was done on 2nd visit (4th month))
6. Asked you to lay down and they will press your belly to feel something. I was told mine is too early to feel anything at 3 months. Then they will check your breast. For next monthly visits, they will check your baby's heartbeat and check whether you have a swollen feet or not.
7. Anti-tetanus (ATT) injection will be given twice at around your 5th month and a month later. Injection ni buat tangan anda sgt lenguh!
8. Oral Glucose Tolerance Test (OGTT) to check your are diabetic or not. I did not do this at gov clinic. I did it at my private hospital since i did not want to wait for too long. You need to fast from a night before. They will take your blood and give you a cup of glucose drink and will take another blood after 2 hours. (once only)

You will be given free obimin every month. You may take or just tell if you are taking different kind of obimin. If your HB is low, you will get iron tablet.

Since my clinic is klinik desa hulu klang where they only have nurses there. No doctors. I was told to go to AU2 Keramat clinic for appointment to have an ultrasound scan. For government clinic, you will get 2-3 times ultrasound scan.

Private hospital

I started to go to private hospital at my 4th month of pregnancy. Mcm biasa lah for first visit, doctor will ask your medical history, your health during the first few months of pregnancy etc. Similar to government clinic, urine test, weight and blood pressure will be tested every visit. The big difference is what they test using your blood sample. But still you have a choice what you want to test. These are the choices my doctor gave me:

1. Blood Group (done at gov clinic so no need)
2. HIV (done at gov clinic so no need)
3. Syphilis (done at gov clinic so no need)
4. Hepatitis B
5. Rubella immune or not? (at gov clinic they will only ask you whether you got an injection at your school or not. According to my gynaecologist, although you have been injected, you might not be immune (mcm my case). So it is advisable to check. You can't do anything if you are not immune since you are already pregnant but you can take precaution and can get immunization after you give birth. For next baby. If you aren't pregnant yet and not married yet, pls check!)
6. Red cells antibodies
7. Down syndrome detection test
8. OGTT
9. Group B Streptococcus test at 35-37 weeks

In the end i did all the tests since package price for all is cheaper than individual price (although some of it da buat at gov clinic). Except down syndrome test since i do not want to know. Even if you knew, nk buat apa? abortion? oh no no! some people might want to know so that they can prepare mentally and dr segi ilmu but my doctor tak advise to know since it will only put pressure and stress on you through out your pregnancy.

My doctor will make an ultrasound scan every visit. To check baby's growth, air ketuban ok ke x, flow in tali pusat ok ke x, position ok ke x etc. At 20 weeks she offered me detailed scan. Ukur mcm-mcm which mmg x phm. Check ada tulang hidung x coz apparently it shows ada down syndrome ke x. Hm one of it symptoms kot. Check mcm-mcm la time ni including the gender! hehehe part plg excited :P

As for vitamins, my doctor gave me 2 choices:

1. Obimin Pluz (obimin with DHA & EPA) + Obical (calcium) OR
2. Obimin + Obical + Neurogain

I chose the first one. Oh and since obimin pluz have DHA and EPA i decided to stop on my anmum. Lgpn nk muntah je everytime minum anmum and my doctor ckp xpyh minum pn xpe since calcium pn da mkn.

Apa-apa pun tests and vitamins intake may vary depending on your condition. Alhamdulillah i am normal and healthy setakat ni so these tests kira basic for healthy condition. Example if you are diabetic, you would need to check on that for every visit. Sentiasa la berdoa agar kita and baby kuat and healthy. Kita pn kena jaga diri kita and pemakanan kita ;)







Lastly, to my cousin who might be reading this, take good care of yourself!! and no more nescafe tau! okla sekali sekala tu bole la tp not more than a cup in one day! tau!! hehe. i love you and so excited for you! insyaAllah semua akan ok ^_^

That 'I' & 'Me',
Hayfa