tag:blogger.com,1999:blog-49460008870854393882024-03-23T03:14:17.457-07:00Baby Blue in BangkokA blog about the healthcare system, and culture, in Thailand in relation to getting pregnant, having a baby, pregnancy loss and miscarriage specifically here in The Land of Smiles.
I take the most likely of 'healthcare and lifestyle events', research them in the context of the western world and compare them to Thailand experiences.
I hope this helps other future families, empowers expats, and enables better conversations with doctors. GET INFORMED, GIVE TRUE CONSENT!Unknownnoreply@blogger.comBlogger48125tag:blogger.com,1999:blog-4946000887085439388.post-12579296685776950472018-05-06T19:22:00.002-07:002018-05-06T19:22:51.119-07:00OMG we have a mini human.....School Fees in Bangkok<div style="text-align: center;">
Before I begin I have an admission to make. I am no longer living in Bangkok, in fact we don't even live in Thailand at the moment. My husband got a great job offer in Singapore and so I find myself back on The Little Red Dot. If you have a yearning to follow what I get up to there then you can come and find me, my musings and helpful hints and tips at <a href="https://www.facebook.com/littleredboob/" target="_blank">The Little Red Boob</a>.</div>
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<span style="font-size: large;"><b><i>Ok, back to the purpose of today's musings and general nosiness.</i></b></span></div>
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Before we found out we were leaving Thailand I had started my research regarding Schools, because quite frankly it is a minefield of opinions, reviews, recommendations, pros, cons, curriculums and information overload. As I still have baby brain I needed some lead time on this!</div>
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I hit the jackpot when a friend passed me a spreadsheet that basically had all the info I needed to get started...bingo!<br />
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So here is the BabyBlueInBangkok School Guide (information was deemed correct at August 2017):<br />
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<br />Unknownnoreply@blogger.com0Bangkok, Thailand13.7563309 100.5017651000000613.2627269 99.856318100000053 14.2499349 101.14721210000006tag:blogger.com,1999:blog-4946000887085439388.post-1454512553243949842018-04-12T04:56:00.001-07:002018-04-12T04:56:32.207-07:00Knocked up.....Now what? GBS testing (Group B Strep)<div style="text-align: center;">
<span style="font-family: inherit;">Towards the end of your pregnancy (normally between 35 </span>and<span style="font-family: inherit;"> 37 weeks) your Doctor will want to put another line on your bill and expose you to the worry of yet another test result...GBS.</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh5NE51tdmDLlCfYfPY1Pdxx5z-v8YT0vD9balZXytNmYHDc6KMZnvGVgJFsEAvW53hbUDBkPhnFkXO_azGYH1vyAVbL_Kz4gijQR5qwszURRk8QAy5bKdd-amqKwYRMF3Ptz35puNLPr6j/s1600/medical-342446_1920.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1067" data-original-width="1600" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh5NE51tdmDLlCfYfPY1Pdxx5z-v8YT0vD9balZXytNmYHDc6KMZnvGVgJFsEAvW53hbUDBkPhnFkXO_azGYH1vyAVbL_Kz4gijQR5qwszURRk8QAy5bKdd-amqKwYRMF3Ptz35puNLPr6j/s320/medical-342446_1920.jpg" width="320" /></a></div>
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<b><u><span style="font-family: inherit;">What is GBS?</span></u></b></div>
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<span style="font-family: inherit;"><i><u><b>Group B Streptococcus</b> or <b>Group B Strep</b> or <b>GBS</b></u></i> is a bacteria that resides in peoples intestines. It can move down our bodies into our urinary tract, rectum and/or vagina.</span></div>
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<b><u><span style="font-family: inherit;">Why do I need to know about GBS?</span></u></b></div>
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<span style="font-family: inherit;">It is usually harmless in adults (although not always, for more information see <a href="https://www.mayoclinic.org/tests-procedures/group-b-strep-test/about/pac-20394313" target="_blank">www.mayoclinic.org</a>) but can cause serious illness in newborn babies. It has been cited as a major cause of meningitis, pneumonia and sepsis.</span></div>
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<span style="font-family: inherit;">GBS can pass to your baby during a vaginal delivery and this is the primary reason why healthcare professionals carry out the test before finalising your birth plan. GBS can also sometimes (although rarely) impact conditions such as endometritis after delivery and if exposed, can increase the risk of infections to a C Section wound.</span></div>
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<b><u><span style="font-family: inherit;">How do they Test for GBS?</span></u></b></div>
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<span style="font-family: inherit;">It's a very simple, painless, swab of your vagina and rectum. It is worth noting that you can test positive and negative at different times in your life so being negative for one pregnancy, does not mean you are necessarily low risk for another pregnancy. This is why it is also important to have the test close(r) to your due date.</span></div>
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<b><u><span style="font-family: inherit;">What if I test Positive?</span></u></b></div>
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<span style="font-family: inherit;">In Thailand you will probably be "encouraged" to have a C Section. This way they feel that they can control and prevent the potential spread of the bacteria.</span></div>
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<span style="font-family: inherit;">BUT in many other countries you would instead be put on a course of antibiotics during your labour (important to note that this is during labour, taking them before giving birth is pointless as they are fast growing bacteria...tricky little buggers)</span></div>
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<span style="font-family: inherit;">If you do decide to have a C Section then antibiotics aren't normally necessary, as long as the amniotic sac is intact at the start of C Section.</span></div>
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<span style="font-family: inherit;"><i>It is important to highlight here that you should have the choice. In general (with no other complications) a positive GBS test does not pose you with only one option. You Doctor should discuss this with you clearly, and provide you with information to make an informed choice.</i></span></div>
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<b><u><span style="font-family: inherit;">If I plan upfront to have a C Section do I still need a GBS test?</span></u></b></div>
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<span style="font-family: inherit;">Opinions differ on this. You could go into labour earlier than your planned C Section, and is this case you may wish to be prepared just in case you are GBS positive and didn't know about it. But some countries do not routinely check for GBS (UK for example) so you may feel confident to decline the test.</span></div>
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<b><u><span style="font-family: inherit;">What are the chances that I have GBS and will pass it on to my newborn?</span></u></b></div>
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<span style="font-family: inherit;">Extracts from the <a href="https://evidencebasedbirth.com/groupbstrep/" target="_blank">Evidenced Based Birth</a> website can explain this much better than I ever could:</span></div>
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<span style="font-family: inherit;">"All around the world, anywhere from 10-30% of pregnancy people are "colonised" with or carry GBS in their bodies"</span></div>
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<span style="font-family: inherit;">"If someone who carries GBS is not treated with antibiotics during [vaginal] labor, the baby's risk of becoming colonised with GBS is approximately 50% and the risk of developing a serious, life-threatening GBS infection is 1 to 2%"</span></div>
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<span style="font-family: inherit;">PLEASE REMEMBER that being colonised does not mean that there is an infection necessarily "most colonised babies stay healthy"</span></div>
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<span style="font-family: inherit;">"On the other hand, if someone with GBS is treated with antibiotics during [vaginal] labor, the risk of their infant developing an early GBS infection drops by 80%. So for example, the risk could drop from 1% down to 0.2%"</span></div>
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<b><u><span style="font-family: inherit;">How bad is it if my baby gets a GBS infection?</span></u></b></div>
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<span style="font-family: inherit;">Extracts from the <a href="https://evidencebasedbirth.com/groupbstrep/" target="_blank">Evidenced Based Birth</a> website can explain this much better than I ever could:</span></div>
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<span style="font-family: inherit;">"estimated that the death rate from early GBS infection is 2 to 3% for full terms infants"</span></div>
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<span style="font-family: inherit;">"Death rates...are much higher (20-30%) in infants who are born at less than 33 weeks gestation"</span></div>
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<span style="font-family: inherit;">Ongoing intensive care and long-term health problems may also be a consideration assuming infant survival.</span></div>
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<b><u><span style="font-family: inherit;">Considerations with antibiotic use</span></u></b></div>
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<span style="font-family: inherit;">Extracts from the <a href="https://evidencebasedbirth.com/groupbstrep/" target="_blank">Evidenced Based Birth</a> website can explain this much better than I ever could:</span></div>
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<span style="font-family: inherit;">"Although rare, severe allergic reactions have been reported.
The risk is estimated to be 1 in 10,000 for a severe reaction, and 1 in 100,000
for a fatal reaction."<o:p></o:p></span></div>
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<span style="font-family: inherit;">"IV antibiotics have been shown to cause a short-term
negative effect on the infant’s microbiome; however, most infants will
experience a recovery of their microbiome, and this recovery is enhanced by
breastfeeding."<o:p></o:p></span></div>
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<span style="font-family: inherit;">"There is an increase in the risk of maternal and newborn
yeast infections, which can harm the breastfeeding relationship. In one study,
15% of women who received antibiotics in labor had mother-baby yeast infections
(maternal nipple and infant mouth infections), compared to 7% of mothers
who did not have antibiotics"<o:p></o:p></span></div>
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<span style="font-family: inherit;">"Other potential harms have to do with side effects
related to the antibiotic that is used....but keep
in mind that most of the serious risks are rare"<o:p></o:p></span></div>
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<span style="font-family: inherit;">"The potential medicalization of labor and birth"<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">"If you use the antibiotics, you will have an IV placed, but
it only takes 15-30 minutes for the antibiotics to run in. The
antibiotics are only given every 4 hours until birth, which for many people is
only once or twice. When the IV is running, it should not limit
positioning, walking, or even laboring in water. For the hours in between, parents can ask for the
IV can be “hep-locked” or “saline-locked” and detached, so that you
are free from the IV pole....For low-risk, healthy pregnant people, it is a very
reasonable request to ask for the IV to be hep-locked or saline-locked in
between antibiotic doses."</span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">If you decide to not have the antibiotics (or cannot for some reason) then under normal circumstances babies are closely observed but not necessarily tested for GBS.</span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<b><u><span style="font-family: inherit;">Are there alternatives to Antibiotics?</span></u></b></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">Yes, but I have not found any that are truly recommended by healthcare professionals.</span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">Your main alternative is to opt for a planned C Section, but please note that this is not a light decision to make.</span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><b><u>Conclusion</u></b></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
From the reading I have done, and the professionals I have spoken to, I get the distinct feeling that in this instance Antibiotics are in the majority recommended throughout the World.</div>
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<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgDzMNlfXWcIS_DMnGbg_t9_lUkbo6uwvQgArC71rU9ek3inYQfp1Lx5yp_BYDEWQfURXt_-8oPX0txy5tWkpoanvGS7FWaYzs5YjACyXdRaCQ5NbsP2k7kZbqY_N8pTW00qb3ftN5NExF6/s1600/hospital-834154_1920.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1067" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgDzMNlfXWcIS_DMnGbg_t9_lUkbo6uwvQgArC71rU9ek3inYQfp1Lx5yp_BYDEWQfURXt_-8oPX0txy5tWkpoanvGS7FWaYzs5YjACyXdRaCQ5NbsP2k7kZbqY_N8pTW00qb3ftN5NExF6/s320/hospital-834154_1920.jpg" width="213" /></a></div>
<div class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="text-align: center;">
If you feel like you are being pressured into a C Section, and true consideration has not been given to your questions about antibiotics use instead, then I would strongly recommend reconsidering your choice of Doctor. Any Doctor that is not willing to assist you, within the realms of possibility, best practice and mother and baby safety, is not the Doctor for you.</div>
<div class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="text-align: center;">
Remember,</div>
<div class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="text-align: center;">
<b><u><i><span style="font-size: large;">GET INFORMED, GIVE TRUE CONSENT</span></i></u></b></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: left;">
<span style="font-family: inherit;"><b><u>References:</u></b></span></div>
<div class="MsoNormal" style="text-align: left;">
<span style="font-family: inherit;">Occasional Science & Sensibility contributor Rebecca
Dekker of <a href="https://evidencebasedbirth.com/groupbstrep/" target="_blank">Evidence Based Birth</a> wrote an </span>amazing blog article about Group B Strep from where I have
gleaned most of my knowledge, all credit should go to her for the content of
this blog post. To read Rebecca’s article in its entirety,<span style="font-family: inherit;"> </span><a href="https://evidencebasedbirth.com/groupbstrep/" style="font-family: inherit;" target="_blank">click here.</a></div>
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<o:p><span style="font-family: inherit;">In addition I have used information from the following sites: </span></o:p></div>
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<div class="MsoNormal" style="text-align: left;">
<a href="https://www.nhs.uk/conditions/group-b-strep/" target="_blank">www.nhs.uk</a></div>
<div class="MsoNormal" style="text-align: left;">
<a href="https://www.mayoclinic.org/tests-procedures/group-b-strep-test/about/pac-20394313" target="_blank">www.mayoclinic.org</a></div>
Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4946000887085439388.post-75595442394665492122018-02-22T03:48:00.001-08:002018-02-22T03:51:45.561-08:00The Club (A note about The Mummy Club Bangkok)<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><a href="https://www.facebook.com/TheMummyClubBangkok/" target="_blank">The Mummy Club Bangkok</a> has become synonymous with being an expat mum in Thailand. </span></div>
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
<div style="text-align: center;">
<b><i><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">It's boundless resources and quick fire responses cannot be matched on any other Facebook Group or Webpage in Thailand.</span></i></b></div>
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">But it does have one fatal flaw....administrators sometimes rule with an iron fist and becoming a member in the first place can be fraught with emotional hurdles.</span></div>
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">The Mummy Club admin team pride themselves, quite rightly, in running a closed group, a safe environment for mums to seek support, information and resources without worrying about judgement, trolling, cruising or solicitation. But in so doing they have a simple, seemingly innocuous, rule that can inadvertently cause much heartache....you have to be a mum before you can join.</span></div>
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">They claim to be open to "mums-to-be" but in reality it can be hard to get accepted as a member unless your profile picture contains a bouncing baby or tumbling toddler.</span></div>
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">I fell foul to this strict approach by admin and was upset to be initially refused membership, despite being 26 weeks pregnant (our fourth, final and successful pregnancy).</span></div>
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">With hindsight I can see that the job of policing and protecting this 'haven for mums' is not an easy task, so here is my quick guide to getting yourself onto The Mummy Club before your bundle of joy arrives, and without any unnecessary tears or tantrums.</span></div>
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
<br />
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">All approaches to join The Mummy Club should include:</span></div>
<div>
<ul>
<li><span style="text-align: center;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Confirmation that you live in Thailand</span></span></li>
<li><span style="text-align: center;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Motherhood status - TTC, pregnant, mum to x children etc</span></span></li>
<li><span style="text-align: center;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">If you know other people that belong to the group it is worth name dropping them</span></span></li>
<li><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><span style="text-align: center;">Details of other relevant groups in Bangkok that you belong to can also help, especially if you are TTC. For example </span><a href="https://www.facebook.com/ivfinbangkok/" style="text-align: center;">IVF Bangkok Support</a><span style="text-align: center;"> and </span><a href="https://www.facebook.com/BAMBIBangkok/" style="text-align: center;">BAMBI</a>. This is to show that your TTC status is real, and not a hoax to get onto the group</span></li>
</ul>
</div>
<div>
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">There are two ways to join:</span></div>
</div>
<div>
</div>
<br />
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large; text-align: center;">(1) If you have a friend on The Mummy Club get them to add you, including all of the details as above</span><br />
<div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large; text-align: center;"><br /></span></div>
<div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large; text-align: center;">(2) If you do not have a friend </span><span style="font-size: large;"><span style="font-family: "georgia" , "times new roman" , serif; text-align: center;">on The Mummy Club then send them a detailed note on their </span><a href="https://www.facebook.com/TheMummyClubBangkok/" style="font-family: Georgia, 'Times New Roman', serif; text-align: center;" target="_blank">FB messenger link</a><span style="font-family: "georgia" , "times new roman" , serif; text-align: center;">, including all of the details as above</span></span><br />
<div>
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">If all else fails and you still cannot obtain membership, feel free to message me and I will try to investigate further on your behalf. Whilst it should not be an excuse, the admin team are all busy mums themselves, and they often get overwhelmed with the amount of work that such a great support group can generate.</span></div>
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">One last thing I will leave with you. It's an amazing resource, but think about when is the right time to join for you. Whilst you are TTC might not be the right time, after all it is full of questions about newborn babies, toddlers, schools, paediatricians etc. Later in your pregnancy, when you may wish to pull of the resources and experience of other mums is probably the most useful time.</span></div>
<div style="text-align: center;">
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
<div style="text-align: center;">
<b><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;">Good luck mama-to-be, you will rock it no matter what!</span></b></div>
<div>
<span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><br /></span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgXTYgOnr437dI9Y50gWVYh1Ka-56lv5uirWblhQdCJwDEjuxQsk0R9IfJSMOVKIehWJTIjigaojUCr2NRLSbr9FT7xZfnBNcMp2jAgOX_lqmFDpXRPa880VOM1mD6E-D9QI9jkYqgquDRS/s1600/group-42920_1280.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: "georgia" , "times new roman" , serif; font-size: large;"><img border="0" data-original-height="1188" data-original-width="1280" height="297" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgXTYgOnr437dI9Y50gWVYh1Ka-56lv5uirWblhQdCJwDEjuxQsk0R9IfJSMOVKIehWJTIjigaojUCr2NRLSbr9FT7xZfnBNcMp2jAgOX_lqmFDpXRPa880VOM1mD6E-D9QI9jkYqgquDRS/s320/group-42920_1280.png" width="320" /></span></a></div>
<div>
<br /></div>
</div>
</div>
Unknownnoreply@blogger.com0Bangkok, Thailand13.7563309 100.5017651000000613.2627269 99.856318100000053 14.2499349 101.14721210000006tag:blogger.com,1999:blog-4946000887085439388.post-88898864570092033492017-11-19T08:49:00.001-08:002017-11-19T08:49:51.913-08:00How to get the birthing experience you want (in Bangkok)<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">I haven't been able to find much time to start writing
again, but then I realised that life simply isn't going to give me a few spare
hours a day anymore, pa ha ha. So I've promised myself that I will focus on
short (and hopefully sweet) posts for a little while. Hope you like them and
find them useful...<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">Here are my top five tips on how to get the birthing
experience you want. This is from my experience at Bumrungrad earlier this
year.</span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgvUL8bt8K6a-U_yAqwCmnjmAH0NKjOGG5opNedCqNCtKktfjpSTQVrRipmmKeFEQlbK-Fh5m1I6Xqfk7HeCkjXdQAoLcGhi00hzDq7ePyXNz_5-gQG8I9UQgrxlPRmRu1Ze9fixsFKLsMd/s1600/doctor-161345_1280.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1280" data-original-width="1155" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgvUL8bt8K6a-U_yAqwCmnjmAH0NKjOGG5opNedCqNCtKktfjpSTQVrRipmmKeFEQlbK-Fh5m1I6Xqfk7HeCkjXdQAoLcGhi00hzDq7ePyXNz_5-gQG8I9UQgrxlPRmRu1Ze9fixsFKLsMd/s200/doctor-161345_1280.png" width="180" /></a></div>
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><b><u><span style="font-size: large;">Ensure you have discussed your wishes with your Doctor</span></u></b></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">Emergencies happen,</span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">and its important to listen to the professionals when they
do,</span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">but at the very least your Doctor should know your basic wishes</span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">before you
get into the labour room</span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhv-dqRZAKBRT4GobdrYpPASYb038DuuePZckym3rr2AeC-OwNQBpfIRirzsgdYzZXeWuLZMFdAewDYftjM6Iozq1BuVh3fpi9HevS_ZFmCBr_5IBR-V_I6GWscodSXDG3_4NHowVPRMGdo/s1600/complaining-154204_1280.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1280" data-original-width="640" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhv-dqRZAKBRT4GobdrYpPASYb038DuuePZckym3rr2AeC-OwNQBpfIRirzsgdYzZXeWuLZMFdAewDYftjM6Iozq1BuVh3fpi9HevS_ZFmCBr_5IBR-V_I6GWscodSXDG3_4NHowVPRMGdo/s200/complaining-154204_1280.png" width="100" /></a></div>
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><b><u><span style="font-size: large;">Use your partner to be your voice</span></u></b></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">(they listen
to dads more)</span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1qcXxskiVA5JQ9GpKGoGNuLxuzn1iKablLLmHQpu3SPoI7h53IxfTcTr5mthJzrAal6TMm_xaKNfulvlXk80-LnIFcl_WdKQkT4tgIbfvM-OuHMViU1HEGep2cRW-jmpENHqEAsd3pnN9/s1600/fairy-tales-1650575_1280.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1204" data-original-width="1280" height="188" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi1qcXxskiVA5JQ9GpKGoGNuLxuzn1iKablLLmHQpu3SPoI7h53IxfTcTr5mthJzrAal6TMm_xaKNfulvlXk80-LnIFcl_WdKQkT4tgIbfvM-OuHMViU1HEGep2cRW-jmpENHqEAsd3pnN9/s200/fairy-tales-1650575_1280.png" width="200" /></a></div>
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><b><u><span style="font-size: large;">Hire a Doula</span></u></b></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">She will empower you to have a voice when it
matters most to you</span><br />
<a href="https://babyblueinbangkok.blogspot.com/2016/11/doulas-friend-in-hour-of-need.html" target="_blank">Article: Doulas - a friend in an hour of need</a><br />
<span style="font-family: inherit;"><a href="https://babyblueinbangkok.blogspot.com/2016/12/doulas-do-more.html" target="_blank">Article: Doulas Do More</a></span></div>
<div class="MsoNormal" style="text-align: center;">
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg56KdNN1NVC41HdisROj_W62q7EcuQhryqVUxrT-_Lt_LCAWZtLDhbtd2lC0D90BfL7MYrQdy6eFaK25el8DWdlmcxQpifz7IU4eqP3AzF8A096f-Ugbs9m-JzVY2e3MyLLGarDDy_1lID/s1600/owl-47526_1280.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1206" data-original-width="1280" height="188" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg56KdNN1NVC41HdisROj_W62q7EcuQhryqVUxrT-_Lt_LCAWZtLDhbtd2lC0D90BfL7MYrQdy6eFaK25el8DWdlmcxQpifz7IU4eqP3AzF8A096f-Ugbs9m-JzVY2e3MyLLGarDDy_1lID/s200/owl-47526_1280.png" width="200" /></a></div>
<br /></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><b><u><span style="font-size: large;">Attend an Antenatal Class</span></u></b></span></div>
<div class="MsoNormal" style="text-align: center;">
<a href="https://babyblueinbangkok.blogspot.com/2017/04/knocked-upnow-what-private-antenatal.html" target="_blank">Article: Knocked up.....Now What? Private Antenatal Classes in Bangkok</a></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjKy5t80AFqb4Qvi4vLBQjMZRphlMuuAbYTXS1vZbY49Yna_xbSJQIPfwaK0B94YUWKlasG7KoKF484e7u6R6qDCijnNwPDdPgXt80Hgh8wVA1bgr58q4HimSjuXJBQYiNNwXFKBLCks_TK/s1600/thailand-643325_1280.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1280" data-original-width="564" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjKy5t80AFqb4Qvi4vLBQjMZRphlMuuAbYTXS1vZbY49Yna_xbSJQIPfwaK0B94YUWKlasG7KoKF484e7u6R6qDCijnNwPDdPgXt80Hgh8wVA1bgr58q4HimSjuXJBQYiNNwXFKBLCks_TK/s200/thailand-643325_1280.png" width="88" /></a></div>
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><b><u><span style="font-size: large;">Politely insist on anything and everything you want</span></u></b></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">You
will ultimately get it if you stick to your guns</span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">We insisted on skin to skin, which admittedly was more of a
long awkward cuddle but we got some ✅</span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">We insisted that dad went with bubba to the nursery for her
basic checks, and that it was as quick as possible ✅ (they had her back to me before I’d even left
the labour room) </span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">We insisted that bubba came back to me for her eye drops and
vitamin k injection ✅ (as above, this was done in the labour room) </span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">We insisted that she stayed with us ✅ (in fact she stayed with us so much that they
almost forgot to do her hearing test and BCG) </span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">We insisted that I was with her for her hearing test and BCG ✅ (we threatened to not pay if they didn’t allow
me to have physical contact with her for her BCG)</span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">So, other than a very quick trip to the nursery with dad, I
was with her for everything. We had to be politely forceful, but it’s your
child, and no one should/can dictate to you.</span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><span style="font-size: large;">You've got this mama!</span></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><span style="font-size: large;"><i>GET INFORMED, GIVE TRUE CONSENT!</i></span></span></div>
<blockquote class="tr_bq">
<br /></blockquote>
<br />
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<!--StartFragment-->
<!--EndFragment-->Unknownnoreply@blogger.com0Bangkok, Thailand13.7563309 100.5017651000000613.2627269 99.856318100000053 14.2499349 101.14721210000006tag:blogger.com,1999:blog-4946000887085439388.post-7602397715244026742017-11-15T05:49:00.001-08:002017-11-15T05:49:47.344-08:00Booby Biscuits<div class="MsoNormal">
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="background-color: white; font-size: large;"><i>Otherwise known (to grown up people) as Lactation Cookies</i></span></span></div>
<div style="text-align: justify;">
<span style="font-family: inherit;"><span style="background-color: white;"><br /></span></span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiFXKtQWNKJY9LyFvKbuqm5XVesbvH8Zul320lVVDTkmDcfe6wqkwBH2GrjyjESOPGUB9FkJJB7sOsXIh7zTjD2mpfcth5BBR5QIvnFuYKufUyqeBF76NmrJ5y-wo4mtf0K212WMEZz6OTh/s1600/IMG_0665.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1350" data-original-width="1600" height="269" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiFXKtQWNKJY9LyFvKbuqm5XVesbvH8Zul320lVVDTkmDcfe6wqkwBH2GrjyjESOPGUB9FkJJB7sOsXIh7zTjD2mpfcth5BBR5QIvnFuYKufUyqeBF76NmrJ5y-wo4mtf0K212WMEZz6OTh/s320/IMG_0665.JPG" width="320" /></a></div>
<div style="text-align: justify;">
<span style="font-family: inherit;"><span style="background-color: white;"><br /></span></span></div>
<div style="text-align: justify;">
<span style="font-family: inherit;"><span style="background-color: white;">You may be like me and think
that all the talk about eating things to make you produce more booby milk is
hocus pocus but I found out it wasn’t simply by accident.</span></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<br /></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="background: white;"><span style="font-family: inherit;">I was attending a <a href="http://www.bambiweb.org/en/" target="_blank">BAMBI</a>
playgroup at <a href="http://stepswiththeera.com/" target="_blank">Steps with Theera</a> one Sunday morning and happily munching on a
plate of biscuits, they were gorgeous, oaty, crunchy yet soft, sweet but with
some background bitterness, they were so yum I ate at least 4 of them. Then I
found out they were so called ‘lactation cookies’, I rolled my eyes and thought
nothing of it. Until I pumped later that day and, to my surprise, pumped 30mls
more than I normally would….since then my husband has been making booby
biscuits (as they are called in our house) every week and he’s getting rather
good at them.<o:p></o:p></span></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<br /></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="background: white;"><span style="font-family: inherit;">He uses a well known recipe
from <a href="https://www.bellybelly.com.au/breastfeeding/lactation-cookies/" target="_blank"><span style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">www.bellybelly.com.au</span></a>
which he has tweaked a little, and I provide links below of where to find the
less than obvious ingredients. </span></span><span style="background-color: white;"><span style="font-family: inherit;">We try to find the best
quality products possible, but I appreciate this isn’t always possible. I’m
also quite certain that there must also be a placebo element to this, but if my
placebo is a yummy cookie, then hey ho, bring it on! </span></span><span style="background-color: white; font-family: inherit;">The raw dough is meant to
be a bit more potent than the cooked cookies, but obviously be careful about
raw egg products and definitely don’t eat raw cookie dough if you are pregnant.</span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<br /></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="background: white;"><span style="font-family: inherit;">Prep time: approx. 15 minutes
<o:p></o:p></span></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="background: white;"><span style="font-family: inherit;">Oven temp: preheat to 170C or
338F <o:p></o:p></span></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="background: white;"><span style="font-family: inherit;">Makes approx. 14-16 cookies<o:p></o:p></span></span></div>
</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="background: white;"><span style="font-family: inherit;"><b><u>Ingredients and Method:<o:p></o:p></u></b></span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;"><b>In a large mixing bowl, cream together</b></span></span></div>
</div>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;">½ cup butter</span></span> </div>
</blockquote>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;">¾ cup of brown sugar</span></span></div>
</blockquote>
<div class="MsoNormal">
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;"><b><br /></b></span></span></div>
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;"><b>Add</b></span></span></div>
</div>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;">1 egg</span></span> </div>
</blockquote>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;">1 tablespoon of vanilla
extract</span></span></div>
</blockquote>
<div class="MsoNormal">
<div style="text-align: center;">
<b style="font-family: inherit;">Mix well</b></div>
</div>
<div class="MsoNormal">
<div style="text-align: center;">
<br /></div>
</div>
<div class="MsoNormal">
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;"><b><br /></b></span></span></div>
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;"><b>In a separate bowl, combine</b></span></span></div>
</div>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;">2 tablespoons of flaxseed meal</span></span> </div>
</blockquote>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;">2-3 tablespoons of water</span></span></div>
</blockquote>
<div class="MsoNormal">
<div style="text-align: center;">
<b><span style="background: white;"><o:p><span style="font-family: inherit;">L</span></o:p></span><span style="background-color: white; font-family: inherit;">et them sit for a few
minutes before adding to mix</span></b></div>
</div>
<div class="MsoNormal">
<div style="text-align: center;">
<b><br /></b></div>
</div>
<div class="MsoNormal">
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;"><b><br /></b></span></span></div>
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;"><b>Add the following dry ingredients</b></span></span></div>
</div>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;">1 cup Flour</span></span> </div>
</blockquote>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;">½ teaspoon Baking Powder</span></span> </div>
</blockquote>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;">½ teaspoon Himalayan salt</span></span> </div>
</blockquote>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;">1-2 tablespoons Brewers yeast</span></span></div>
</blockquote>
<div class="MsoNormal">
<div style="text-align: center;">
<span style="background-color: white; font-family: inherit;"><b>Mix well again</b></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: center;">
<b><br /></b></div>
</div>
<div class="MsoNormal">
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;"><b><br /></b></span></span></div>
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;"><b>Finally, stir in</b><o:p></o:p></span></span></div>
</div>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;">1 ½ cups of oats</span></span> </div>
</blockquote>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;">½ cup of chocolate pieces</span></span> </div>
</blockquote>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;">½ cup of raisins</span></span></div>
</blockquote>
<div class="MsoNormal">
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;"><b><br /></b></span></span></div>
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;"><b>Make the biscuits (roughly a
dessert spoon as a rough size guide) and place them onto a lightly greased or
lined baking tray<o:p></o:p></b></span></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: center;">
<b><br /></b></div>
</div>
<div class="MsoNormal">
<div style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit;"><b>Flatten them a little with
your fingers or a spatula – if you like a soft centre, don’t squash them down
too much<o:p></o:p></b></span></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: center;">
<b><br /></b></div>
</div>
<div class="MsoNormal">
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="background: white;"><b>Bake for around 10-12
minutes, depending on how well cooked or crunchy you like your biscuits</b></span><o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="text-align: center;">
<span style="background: white;"><span style="font-family: inherit; font-size: large;"><b><i><u>What is so special about
Lactation Cookies?<o:p></o:p></u></i></b></span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="background: white;"><span style="font-family: inherit;">Some of the key ingredients
in these cookies are individually believed to help increase milk supply i.e.
they are believed to be <a href="https://www.verywell.com/galactagogue-how-to-make-more-breast-milk-431854" target="_blank">Galactagogue’s</a><o:p></o:p></span></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<br /></div>
</div>
<div class="MsoNormal">
<div class="MsoNormal">
<b><i><span style="background: white;">Oats: </span></i></b>Although
there is no scientific evidence regarding oatmeal and milk supply, oatmeal does
seem to work for some (myself included). Oatmeal is a source of iron, and low
iron levels can result in decreased milk supply, so it makes sense that eating
something high in iron might increase milk supply. It is also thought that
there may be a link between decreasing cholesterol levels and increasing milk
production. Oat bran, which is in oatmeal, is also known to help lower
cholesterol. <span style="font-size: x-small;">(1)</span> </div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<br /></div>
</div>
<div class="MsoNormal">
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<b><i>Flaxseed:</i></b> <span style="background: white;">Flaxseed</span><span style="font-family: inherit; text-align: justify;"><span style="background: white;"> meal has been included as an ingredient in
the lactation cookies recipe because it's high in omega-3 and dietary fibre. It
contains calcium, magnesium, phosphorus, zinc and potassium <span style="font-size: x-small;">(2)</span>. </span></span><span style="background-color: white; font-family: inherit; text-align: justify;">However please note that
there have been studies (in rats) that suggest flaxseed can affect the adrenal
glands of offspring if taken by the mother during lactation. It might be worth
noting that the rats had consumed the equivalent of what would be 9 spoonfuls
(200g) a day and this recipe only calls for 2 spoonfuls (30g) for approx. 14
biscuits <span style="font-size: x-small;">(3)</span>.</span></div>
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<b><i>Brewer’s Yeast: </i></b>This contains protein, iron, and B vitamins,
as well as chromium, selenium, and other trace minerals. It comes from a fungus
called Saccharomyces cerevisiae. It can be used for baking, brewing beer, and
making wine, is thought to be a galactagogue and increase energy levels, and
elevate mood. I haven’t found any specific studies to explain why (or even, if)
brewer's yeast increases lactation but I also haven’t found any studies that
disprove this. Many women (including midwifery and lactation specialists)
report that it helps. But, it might not work for everyone. It is also worth
noting that it has been proven to r<span style="background: white;">educe the
incidence and duration of the common cold, so if nothing else that has to be a
good thing <span style="font-size: x-small;">(4)</span></span><span style="font-size: 13.5pt;">. </span>Some studies
show that it may help lower cholesterol levels <span style="font-size: x-small;"><span style="color: windowtext;"><a href="https://www.verywell.com/brewers-yeast-breastfeeding-and-breast-milk-supply-431836">(</a>5</span>)</span>, which again might explain the link to
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<span style="background: white;"><span style="font-family: inherit;">You can tweak the amount of
brewers yeast if you would like to try to better results, although it does add
a bitter taste so you may need to adjust the sugar or chocolate and raisins to accommodate.<o:p></o:p></span></span></div>
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<!--StartFragment-->
<!--EndFragment--><br />
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit; font-size: large;"><b><i>The bottom line for all lactation queries is your lactation professional.</i></b></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit; font-size: large;"><b><i><br /></i></b></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit; font-size: large;"><b><i>Speak to your Doctor or your lactation specialist.</i></b></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit; font-size: large;"><b><i><br /></i></b></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit; font-size: large;"><b><i>If you live in Bangkok I highly recommend attending <a href="https://www.facebook.com/bangkokbreastfeedingcafe/" target="_blank">Bangkok Breastfeeding Café</a> and speaking with <a href="https://www.facebook.com/BreastfeedingBangkok" target="_blank">Lia Segall</a></i></b></span><o:p></o:p><br />
<span style="font-family: inherit; font-size: large;"><b><br /></b></span>
<span style="font-family: inherit; font-size: large;"><b>Click here for <a href="https://babyblueinbangkok.blogspot.com/2017/10/top-6-breastfeeding-tips.html" target="_blank">Lia's Top 6 Breastfeeding Tips</a></b></span></div>
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<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal">
<span style="font-size: x-small;"><span style="font-family: inherit;">(1) </span><a href="https://kellymom.com/bf/got-milk/supply-worries/oatmeal/" style="text-align: justify;" target="_blank">kellymom.com</a></span><br />
<span style="font-size: x-small;">(2) <a href="https://www.bellybelly.com.au/breastfeeding/lactation-cookies/" style="text-align: justify;" target="_blank">www.bellybelly.com.au</a></span><br />
<span style="font-size: x-small;">(3) <a href="https://www.nutraingredients.com/Article/2015/09/04/Lactating-women-should-restrict-flaxseed-intake-Researchers?utm_source=copyright&utm_medium=OnSite&utm_campaign=copyright" style="text-align: justify;" target="_blank">www.nutraingredients.com</a></span><br />
<span style="font-size: x-small;">(4) <a href="https://www.ncbi.nlm.nih.gov/pubmed/18335702" style="background-color: white;" target="_blank">www.ncbi.nlm.nih.gov</a></span></div>
<div class="MsoNormal">
<span style="font-size: x-small;">(5) <a href="https://www.verywell.com/brewers-yeast-breastfeeding-and-breast-milk-supply-431836" target="_blank">www.verywell.com</a></span><br />
<br />
<div class="MsoNormal">
<div style="text-align: left;">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;"><b><u>Personal Notes on Ingredients and Where to get them - </u></b></span></span><b style="font-family: inherit;"><u><span style="font-size: x-small;">Click on the links below:</span></u></b></div>
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;"><br /></span></span></div>
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<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;"><b>Quantity<o:p></o:p></b></span></span></div>
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<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;"><b>What<o:p></o:p></b></span></span></div>
</td><td style="border: 1pt solid; padding: 0cm 5.4pt; width: 83.5pt;" valign="top" width="84"><div class="MsoNormal" style="text-align: center;">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;"><b>Notes</b><o:p></o:p></span></span></div>
</td></tr>
<tr style="mso-yfti-irow: 1;"><td style="border: 1pt solid; padding: 0cm 5.4pt; width: 90.45pt;" valign="top" width="90"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">1 cup<o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 251.85pt;" valign="top" width="252"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;"><a href="http://sunshinemarket.co.th/onlineshop/en/search?controller=search&orderby=position&orderway=desc&search_query=flour" target="_blank">Cake or All Purpose or Wholemeal Flour</a><o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 83.5pt;" valign="top" width="84"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">If can get Self Raising you don’t need the Baking Powder<o:p></o:p></span></span></div>
</td></tr>
<tr style="mso-yfti-irow: 2;"><td style="border: 1pt solid; padding: 0cm 5.4pt; width: 90.45pt;" valign="top" width="90"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">½ teaspoon<o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 251.85pt;" valign="top" width="252"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;"><a href="http://sunshinemarket.co.th/onlineshop/en/bob-s-red-mill-s/22-baking-powder.html" target="_blank">Baking powder</a><o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 83.5pt;" valign="top" width="84"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">Not needed if using self raising<o:p></o:p></span></span></div>
</td></tr>
<tr style="mso-yfti-irow: 3;"><td style="border: 1pt solid; padding: 0cm 5.4pt; width: 90.45pt;" valign="top" width="90"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">½ cup<o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 251.85pt;" valign="top" width="252"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;"><a href="https://www.honestbee.co.th/en/groceries/stores/villa-market" target="_blank">Butter</a><o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 83.5pt;" valign="top" width="84"><div class="MsoNormal">
<span style="font-size: x-small;"><br /></span></div>
</td></tr>
<tr style="mso-yfti-irow: 4;"><td style="border: 1pt solid; padding: 0cm 5.4pt; width: 90.45pt;" valign="top" width="90"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">¾ cup<o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 251.85pt;" valign="top" width="252"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;"><a href="https://www.honestbee.co.th/en/groceries/stores/villa-market" target="_blank">Brown sugar</a><o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 83.5pt;" valign="top" width="84"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">We like to get the best quality soft brown sugar we can<o:p></o:p></span></span></div>
</td></tr>
<tr style="mso-yfti-irow: 5;"><td style="border: 1pt solid; padding: 0cm 5.4pt; width: 90.45pt;" valign="top" width="90"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">2 tablespoons<o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 251.85pt;" valign="top" width="252"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;"><a href="http://sunshinemarket.co.th/onlineshop/en/search?controller=search&orderby=position&orderway=desc&search_query=flaxseed" target="_blank">Flaxseed meal </a><o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 83.5pt;" valign="top" width="84"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">We grind flaxseed’s in a coffee grinder<o:p></o:p></span></span></div>
</td></tr>
<tr style="mso-yfti-irow: 6;"><td style="border: 1pt solid; padding: 0cm 5.4pt; width: 90.45pt;" valign="top" width="90"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">1<o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 251.85pt;" valign="top" width="252"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">Egg<o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 83.5pt;" valign="top" width="84"><div class="MsoNormal">
<span style="font-size: x-small;"><br /></span></div>
</td></tr>
<tr style="mso-yfti-irow: 7;"><td style="border: 1pt solid; padding: 0cm 5.4pt; width: 90.45pt;" valign="top" width="90"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">1 tablespoon<o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 251.85pt;" valign="top" width="252"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;"><a href="https://www.iherb.com/c/vanilla-extract-beans" target="_blank">Vanilla extract</a><o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 83.5pt;" valign="top" width="84"><div class="MsoNormal">
<span style="font-size: x-small;"><br /></span></div>
</td></tr>
<tr style="mso-yfti-irow: 8;"><td style="border: 1pt solid; padding: 0cm 5.4pt; width: 90.45pt;" valign="top" width="90"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">½ teaspoon <o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 251.85pt;" valign="top" width="252"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;"><a href="https://www.honestbee.co.th/en/groceries/stores/villa-market" target="_blank">Himalayan Salt</a><o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 83.5pt;" valign="top" width="84"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">Any good salt would do, but I don’t think table salt would be nice<o:p></o:p></span></span></div>
</td></tr>
<tr style="mso-yfti-irow: 9;"><td style="border: 1pt solid; padding: 0cm 5.4pt; width: 90.45pt;" valign="top" width="90"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">1 ½ cups<o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 251.85pt;" valign="top" width="252"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;"><a href="https://www.honestbee.co.th/en/groceries/stores/villa-market" target="_blank">Oats</a><o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 83.5pt;" valign="top" width="84"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">We use Rolled Oats, but I’ve been told that there are healthier Oat alternatives like Steel Cut etc.<o:p></o:p></span></span></div>
</td></tr>
<tr style="mso-yfti-irow: 10;"><td style="border: 1pt solid; padding: 0cm 5.4pt; width: 90.45pt;" valign="top" width="90"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">½ cup<o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 251.85pt;" valign="top" width="252"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;"><a href="https://www.honestbee.co.th/en/groceries/stores/villa-market" target="_blank">Chocolate</a> broken into pieces<o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 83.5pt;" valign="top" width="84"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">Good quality is best. We use Green & Blacks from back home.<o:p></o:p></span></span></div>
</td></tr>
<tr style="mso-yfti-irow: 11;"><td style="border: 1pt solid; padding: 0cm 5.4pt; width: 90.45pt;" valign="top" width="90"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">½ cup<o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 251.85pt;" valign="top" width="252"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;"><a href="https://www.honestbee.co.th/en/groceries/stores/villa-market" target="_blank">Raisins</a><o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 83.5pt;" valign="top" width="84"><div class="MsoNormal">
<span style="font-size: x-small;"><br /></span></div>
</td></tr>
<tr style="mso-yfti-irow: 12;"><td style="border: 1pt solid; padding: 0cm 5.4pt; width: 90.45pt;" valign="top" width="90"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">1-2<o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 251.85pt;" valign="top" width="252"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;"><a href="https://www.iherb.com/search?kw=brwers+yeast" target="_blank">Brewers Yeast</a><o:p></o:p></span></span></div>
<div class="MsoNormal">
<span style="font-family: inherit; font-size: x-small;"><br /></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 83.5pt;" valign="top" width="84"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">DO NOT SUBSTITUTE for any other type of yeast We use Solgar powder.<o:p></o:p></span></span></div>
</td></tr>
<tr style="mso-yfti-irow: 13; mso-yfti-lastrow: yes;"><td style="border: 1pt solid; padding: 0cm 5.4pt; width: 90.45pt;" valign="top" width="90"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">2-3 tablespoons<o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 251.85pt;" valign="top" width="252"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">Water<o:p></o:p></span></span></div>
</td><td style="border-bottom-width: 1pt; border-right-width: 1pt; border-style: none solid solid none; padding: 0cm 5.4pt; width: 83.5pt;" valign="top" width="84"><div class="MsoNormal">
<span style="background-color: white; background-position: initial initial; background-repeat: initial initial;"><span style="font-family: inherit; font-size: x-small;">Mix to get the right texture<o:p></o:p></span></span></div>
</td></tr>
</tbody></table>
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</div>
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<br /></div>
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Unknownnoreply@blogger.com0Bangkok, Thailand13.7563309 100.5017651000000613.2627269 99.856318100000053 14.2499349 101.14721210000006tag:blogger.com,1999:blog-4946000887085439388.post-9312968641986809342017-10-26T00:17:00.003-07:002017-10-26T00:17:35.521-07:00Top 6 Breastfeeding Tips<div class="MsoNormal" style="text-align: left;">
<div style="text-align: center;">
<span style="font-family: inherit;"><i>Guest Post - A huge thank you to Lia</i><i> for writing this insightful article</i><i> and letting me share it with you</i></span></div>
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<div style="text-align: center;">
<span style="font-family: inherit; font-size: xx-small;"><i><br /></i></span></div>
</div>
<div style="text-align: center;">
<b><span style="font-family: inherit; font-size: large;">By: Lia Segall Pasternak – <a href="https://www.facebook.com/BreastfeedingBangkok" target="_blank">Lactation Consultant</a></span></b></div>
</div>
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<b><span style="font-family: inherit;"><br /></span></b>
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<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiHbgA0KxkdYwMDH5aVFeMJxTraLZeG43m8Wv7l3BwbgNpJjV-HtGd3atAGWl2JHNvnQF7W18Uil1fofUGV6w5fjOcckJXHJKOFq2wMDhXPdpZ4eqnmHJb7mp9USmtR-SsEhHsS0o68pqRQ/s1600/HLK-RougierLR-71_WEB.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1074" data-original-width="1600" height="214" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiHbgA0KxkdYwMDH5aVFeMJxTraLZeG43m8Wv7l3BwbgNpJjV-HtGd3atAGWl2JHNvnQF7W18Uil1fofUGV6w5fjOcckJXHJKOFq2wMDhXPdpZ4eqnmHJb7mp9USmtR-SsEhHsS0o68pqRQ/s320/HLK-RougierLR-71_WEB.jpg" width="320" /></a></div>
<span style="font-family: inherit;"><br /></span>
<span style="font-family: inherit;">It’s really hard for me to summarize
when it comes to breastfeeding, I am so passionate about the subject that each
time I try I end up writing five pages and I hope that people will read it and
get all the information they need, but in the bottom of my heart I know they
won’t, which mom has time to read five pages? Suddenly this morning I woke up
inspired and it hit me, I finally found the way to write only the basics by
thinking what are the top points that keep coming back with most of the mothers
I work with, and I did it, I was able to downsize to six points! And here it
is. </span><br />
<span style="font-family: inherit;"><br /></span>
<span style="font-family: inherit;">I am hoping this quick article will help you avoid some struggles, and
understand the basics a little better.</span></div>
<div class="MsoNormal" style="text-align: left;">
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<span style="font-family: inherit; text-indent: -17.85pt;"><br /></span>
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<ol>
<li><span style="font-family: inherit; text-indent: -17.85pt;"><b><u><i>Latch and position</i></u></b> – baby needs to open
a big mouth in order to latch properly, and to be able to do so they need to be
in a straight position, looking forward and up, same as we adults drink from a
water bottle. To achieve this position try holding your baby from their upper
back by supporting the head with your wrist (as if it is a shelve) and making
sure there’s an imaginary straight line between the top of the head, the back
and the bottom. Also, before the latch, the nose should be in front of the
nipple, this will force the baby to look up and open a big wide mouth (the theory
is the same for any other position like football hold or vertical position)</span></li>
<li><span style="font-family: inherit; text-indent: -18pt;"><b><u><i>How often and for how long to feed</i></u></b> –
Every time the baby shows hunger queues. It is a good practice to encourage day
feeding often, to avoid many night ones, especially as babies will eat 8-12
times a day and will compensate at night if they don’t receive their caloric
need during daytime. Feeds should be active, as long as they are they should
last between 20-40 minutes each. Skin to skin sessions help to motivate the
baby, encouraging them to feed more</span></li>
<li><span style="font-family: inherit; text-indent: -18pt;"><b><u><i>How to take care of nipples</i></u></b> – before the
baby latches you can hold your breast besides the areola as a sandwich,
parallel to baby’s mouth, this will push the nipple inside baby’s mouth and
help promote a better latch to protect your nipples. At the end of each feed
you can express a few drops of breast milk and spread it over your nipple and
areola to protect the skin. If some redness or soreness appear you may apply
100% lanolin after each feed, no need to wash or wipe before feeding your baby</span></li>
<li><span style="font-family: inherit; text-indent: -18pt;"><b><u><i>How to know baby is getting enough</i></u></b> – this
is simple, starting from day 3 and until 6 weeks we expect 3 soiled diapers
daily, 5 wet diapers, a happy baby who eats actively (you can hear the
swallowing) every feeding session and a baby that wakes up to eat. If you’re
still in doubt you can always check the weight gain, there should be no loss of
more than 10% of the birth weight, by 2 weeks baby is back to birth weight and
gaining a minimum of 135 grams a week thereafter</span></li>
<li><span style="font-family: inherit; text-indent: -18pt;"><b><u><i>How to give supplementation when needed</i></u></b>
– When supplementation is needed give either expressed breastmilk or formula
only. It is recommended to avoid bottles and give supplementation with a spoon,
cup or syringe. If a bottle is needed then it is recommended to use paced bottle
feeding technique to avoid nipple confusion, which means imitating (as close as
possible) the action of the baby when suckling on the breast, the bottle should
be in a horizontal position and the milk should cover half of the nipple only,
the baby, in an upward position, will have to make an effort to extract the
milk from the bottle, will be able to breathe better and take breaks as
necessary, this kind of feeding will take longer, which is good and healthy</span></li>
<li><span style="font-family: inherit;"><span style="text-indent: -18pt;"><b><u><i>Red lights and what to do</i></u></b> – a lot of
things can be rough or not go as expected. No matter what it is that you’re
struggling with the first thing you should do is call for </span><span style="text-indent: -18pt;">help from a
<a href="https://www.facebook.com/BreastfeedingBangkok" target="_blank">lactation professional</a></span><span style="text-indent: -18pt;">. Do not try to figure it out by yourself, use Dr.
Google, or ask friends or family since they don’t have the latest research
based information and even with the best intentions they could cause some harm.
Anything that doesn’t feels right is a red light, but here’s a list with some
of the most common ones: baby cannot open a big mouth, baby cannot latch,
nipples are cracked and/or hurt, baby feeds for very long or very short
periods, baby falls asleep whilst feeding, baby isn’t peeing/pooping enough, baby isn’t gaining enough weight,
baby isn’t waking up for feeds</span></span></li>
</ol>
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<span style="font-family: inherit;"><b><span style="font-family: inherit;">Well, that’s all for
now, and if you have any questions, something isn’t clear or you just want to
stay updated please feel free to like and contact me through my Facebook page: </span></b></span></div>
<div style="text-align: center;">
<span style="font-family: inherit;"><b><a href="https://www.facebook.com/BreastfeedingBangkok" style="font-family: inherit;" target="_blank">Breastfeeding Bangkok</a></b></span></div>
<br />
<br />
<span style="font-family: inherit;"><u><i>A note about Lia and I</i></u></span><br />
<i><span style="font-family: inherit;">I first met</span><span style="font-family: inherit;"> </span><a href="https://www.facebook.com/BreastfeedingBangkok" style="font-family: inherit;" target="_blank">Lia</a><span style="font-family: inherit;"> </span><span style="font-family: inherit;">at </span><a href="https://www.facebook.com/bangkokbreastfeedingcafe/" style="font-family: inherit;" target="_blank">Bangkok Breastfeeding Cafe</a><span style="font-family: inherit;">, she was relatively new to Bangkok and I was a brand new mum. Breastfeeding in public scared me, hell, just breastfeeding at all was scaring me. Breastfeeding, for me, will always be the most sacred, amazing, fulfilling but downright painful, difficult and at times heartbreaking thing I have ever done. My baby girl and I always found breastfeeding easy, her latch was, and is, good and my milk came in quickly but I've still had sore nipples, milk clogs, on clogs on clogs, I've had milk blebs, I've had mastitis...you name it and I think I've dealt with it, and am still dealing with it, but I don't think I would have continued to breastfeed this long without the help of</span><span style="font-family: inherit;"> </span><a href="https://www.facebook.com/BreastfeedingBangkok" style="font-family: inherit;" target="_blank">Lia</a><span style="font-family: inherit;">. She's my boob angel, what she doesn't know about boobs isn't worth knowing. She's kind, gentle, passionate and selfless. She continued to attend</span><span style="font-family: inherit;"> </span><a href="https://www.facebook.com/bangkokbreastfeedingcafe/" style="font-family: inherit;" target="_blank">Breastfeeding Cafe</a><span style="font-family: inherit;"> </span><span style="font-family: inherit;">after the birth of her daughter, when she was only one week old, because Lia likes to help people.</span></i><br />
<span style="font-family: inherit;"><i><br /></i></span>
<span style="font-family: inherit;"><i>If you are struggling with breastfeeding, if something doesn't feel quite right, if anything about it hurts, or if you just want to ask some questions before the birth of your baby, please reach out and ask for help. It will be one of the best things you can do for yourself and your child.</i></span><br />
<span style="font-family: inherit;"><br /></span>
<span style="font-family: inherit;">Photo courtesy of </span><a href="http://hlkstudio.com/" style="font-family: inherit;" target="_blank">Heather Latva-Kiskola Photography</a></div>
Unknownnoreply@blogger.com2Bangkok, Thailand13.7563309 100.5017651000000613.2627269 99.856318100000053 14.2499349 101.14721210000006tag:blogger.com,1999:blog-4946000887085439388.post-20488907096011002102017-05-01T07:07:00.000-07:002017-05-13T22:53:06.337-07:00My stork arrived early...<div dir="ltr" style="text-align: left;" trbidi="on">
<div style="text-align: center;">
<span style="font-family: inherit; font-size: large;">Just a quick post to say that I am very pleased to announce that on the 1st May 2017 our baby girl was delivered safely, and happily, at Bumrungrad Hospital with the aid of Dr Somsri and team, my doula, <a href="https://doularasee.wordpress.com/" target="_blank">Rasee Govindani</a>, and of course my wonderful husband.</span></div>
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<span style="font-family: inherit; font-size: large;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: inherit; font-size: large;">I went into early labour 9 days early whilst eating our favourite food in our favourite restaurant - xiao long bao in Din Tai Fung - and 17 hours later I delivered our bundle of joy.</span></div>
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<span style="font-family: inherit; font-size: large;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: inherit; font-size: large;">I am very pleased to say that, whilst I won't lie - labour friggin hurts! - I asked, and was given, an epidural at 10cms dilated - the team were very respectful of our birth plan, and we got everything we asked for.</span></div>
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<span style="font-family: inherit; font-size: large;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: inherit; font-size: large;">Our baby girl was never out of our sight post delivery, and eye drops and vitamin K were administered, after checks were done, in the room with us, whilst Hep B and BCG was administered a couple of days later in the nursery, again with us by her side and immediate cuddles and kisses.</span></div>
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<span style="font-family: inherit; font-size: large;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: inherit; font-size: large;">I will write more about how we managed to get the birth we wanted just as soon as I can...but for now I have some very important cuddles to give!</span></div>
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<span style="font-family: inherit; font-size: large;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: inherit; font-size: large;">Please don't hesitate to message me if you have any questions, I have already mastered the art of one handed typing, but I might not be blogging for a few weeks.</span></div>
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<span style="font-family: inherit; font-size: large;"><br /></span></div>
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<span style="font-family: inherit; font-size: large;">Big hugs and kisses to everyone out there that is TTC, pregnant or just starting their family. </span></div>
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<span style="font-family: inherit; font-size: large;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: inherit; font-size: large;">It's all such a precious time, be gentle to yourselves!</span></div>
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<span style="font-family: inherit; font-size: large;"><br /></span></div>
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<span style="font-family: inherit; font-size: large;">Baby Blue in Bangkok is not so blue :-)</span></div>
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<span style="font-family: inherit; font-size: large;"><br /></span></div>
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<span style="font-family: inherit; font-size: large;">xxx</span></div>
</div>
Unknownnoreply@blogger.com3Bangkok, Thailand13.7563309 100.5017651000000613.2627269 99.856318100000053 14.2499349 101.14721210000006tag:blogger.com,1999:blog-4946000887085439388.post-38056935354245469282017-04-21T02:13:00.002-07:002017-04-21T02:19:29.769-07:00Knocked up.....Now What? Private Antenatal Classes in Bangkok<div dir="ltr" style="text-align: left;" trbidi="on">
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Hallelujah, Bangkok has some very special people, finding them can be difficult but once you do hold on to them tight!</div>
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<br /></div>
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Rasee Govindani is a Birth Doula in Bangkok and also specialises in <a href="https://doularasee.wordpress.com/childbirth-education/" target="_blank">Child Birth Education</a> classes.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhxvsouSXfI7V53n2zVG-U7SU9OzpKHP6VgMW-lxekcj8HA9auHSr0R5NGVfBNsBBklUW2K3mAyxMHTQZyMMHL5_2MtQkgJAraYOs3c1WtZbnrB2E0-DWXqFBF2rbZEwiCGDdH0uLu2_us_/s1600/17309906_10155159951803552_701469722221844079_o.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="196" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhxvsouSXfI7V53n2zVG-U7SU9OzpKHP6VgMW-lxekcj8HA9auHSr0R5NGVfBNsBBklUW2K3mAyxMHTQZyMMHL5_2MtQkgJAraYOs3c1WtZbnrB2E0-DWXqFBF2rbZEwiCGDdH0uLu2_us_/s320/17309906_10155159951803552_701469722221844079_o.jpg" width="320" /></a></div>
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She has worked at Bumrungrad hospital, in fact she used to translate many of the documents and also hold the english antenatal classes there, but now carries out her work privately.</div>
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<div style="text-align: center;">
It seems wrong to steal Rasee's thunder and disclose too much about her classes and the things you will learn, but needless to say that you will learn what you need to (unlike the <a href="http://babyblueinbangkok.blogspot.com/2017/04/knocked-upnow-what-hospital-antenatal.html" target="_blank">hospital classes</a> I attended) and you will have fun with it.</div>
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<div style="text-align: center;">
She will prepare you, and your partner, for the practicalities of child birth (whichever way you deliver your baby) she will discuss the emotions you should prepare for, the honest truth of what it can be like in Bangkok hospitals and how to navigate your way through all of this to achieve the child birth experience you are hoping for.</div>
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<br /></div>
<div style="text-align: center;">
If you, or your partner, are worried that she will be an earth mother that will have you all rolling around on balls and chanting with big deep breaths...she won't! She's practical to a fault, giving it to you in "real" terms.</div>
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<br /></div>
<div style="text-align: center;">
You can play with a model baby and practice putting a nappy on if you want to, but Rasee knows that bit will come naturally (after a few leaks!), what she aims to do is send you off with realistic expectations of child birth in general and the system in Bangkok, what you can expect and what you probably weren't expecting, the things that the Doctors will agree to and the things they almost certainly won't.</div>
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<div style="text-align: center;">
You'll laugh, maybe cry a little, eat gorgeous cup cakes and some healthy stuff too, hopefully make a friend or two and walk away feeling considerably more ready to welcome your baby into the world and to Thailand.</div>
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<br /></div>
<div style="text-align: center;">
You can contact Rasee on her website at <a href="https://doularasee.wordpress.com/contact/" target="_blank">Contact Doula Rasee</a> and via <a href="https://www.facebook.com/groups/1556387314372663/" target="_blank">Facebook</a></div>
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Unknownnoreply@blogger.com03/7 Sukhumvit 31, Soi Sawadee 1, กรุงเทพมหานคร 10110, Thailand13.734215 100.56607899999995-16.4425625 59.257484999999946 43.9109925 141.87467299999994tag:blogger.com,1999:blog-4946000887085439388.post-54118600989788599822017-04-21T01:47:00.003-07:002017-04-21T02:19:19.227-07:00Knocked up.....Now What? Hospital Antenatal Classes in Bangkok<div dir="ltr" style="text-align: left;" trbidi="on">
<div style="text-align: center;">
My 'offline' pregnancy bible throughout this journey has been the book by Lesley Regan called "<a href="https://www.amazon.co.uk/gp/product/1409326667?ie=UTF8&camp=1634&creativeASIN=1409326667&linkCode=xm2&tag=d0eed-21" rel="nofollow" target="_blank">your Pregnancy week by week</a>", it has been my friend and confidant on many nights ...</div>
<div>
<div style="text-align: center;">
<br /></div>
</div>
<div>
<div style="text-align: center;">
As I hit the Third Trimester section Lesley writes "you will probably be starting your antenatal classes now - most hospital-run classes have start dates every four weeks and recommend women start their course between 30 and 32 weeks".</div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: center;">
Panic! Where do I find Antenatal classes, in English, in Bangkok???</div>
<div style="text-align: center;">
<br /></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEir55HEmdAbMNiMIBz-DrmcSztM_cQz2mjuVjNR5s7pNwlTgljgeeoyqDcFXNXCOAUqts64Lilol9INlUyXj_prVQJ60U-CTecAjeKQ6xhFsR_162WCX6IOq_G3bbTGB4O0abFslLeVhr1G/s1600/questions-1922476_1280.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEir55HEmdAbMNiMIBz-DrmcSztM_cQz2mjuVjNR5s7pNwlTgljgeeoyqDcFXNXCOAUqts64Lilol9INlUyXj_prVQJ60U-CTecAjeKQ6xhFsR_162WCX6IOq_G3bbTGB4O0abFslLeVhr1G/s200/questions-1922476_1280.jpg" width="200" /></a></div>
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<a name='more'></a><br /></div>
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Images of going into labour with nothing but my midnight reading material to refer to, and a wet behind the ears hubby, filled me with dread, especially in a different country.</div>
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<br /></div>
</div>
<div>
<div style="text-align: center;">
So I asked my hospital ... but this seemed to land on deaf ears, despite the billboard they had blazoned in the waiting room.</div>
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<a href="https://2.bp.blogspot.com/-Iag0TzisgI4/WOn95jqizRI/AAAAAAAAQWU/Wap6QR0NVNElEGvvN6dd70Hf_YKo5uYTgCPcB/s1600/IMG_4762.JPG" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="200" src="https://2.bp.blogspot.com/-Iag0TzisgI4/WOn95jqizRI/AAAAAAAAQWU/Wap6QR0NVNElEGvvN6dd70Hf_YKo5uYTgCPcB/s200/IMG_4762.JPG" width="150" /></a></div>
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I submitted my email address and waited for them to contact me, and I waited, and I waited, and I waited. Then I complained, and complained again. Then I found the contact for the Expat Marketing Manager and discovered that classes had not been running and, as is usual for Thailand, they had been hoping the problem would go away and nobody would ask. Eventually I was informed that they would have a Doctor performing the classes in April...yey, I would be 7.5 months pregnant then but better late than never.</div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: center;">
I wanted to learn the hospitals policy on key aspects of child birth, things that I knew may be contentious, but often important to expats.</div>
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<div style="text-align: center;">
<br /></div>
<div style="text-align: center;">
What I actually learnt was somewhat of a surprise and mostly useless to me:</div>
<ol style="text-align: left;">
<li><i>How to calculate my expected due date ... doh, as if I'd forgotten to find that out</i></li>
<li><i><span style="font-size: large;">That the dark line down my belly was permanent and that you can use this as a way to spot the dancers with babies in Bangkok's naughty nightclubs</span></i></li>
<li><i>That I might get heart burn ... no shit sherlock, I could breath fire most nights</i></li>
<li><i><span style="font-size: large;">That Doctors personally benefit from every procedure/drug they prescribe i.e. there is a direct correlation between what they charge for and how much they earn</span></i></li>
<li><i>That my centre of gravity will change ... the fact that I couldn't get out of the comfy conference style chair was evidence of this alone!</i></li>
<li><i><span style="font-size: large;">Episiotomies are routinely performed in Thailand, without asking, because many husbands leave their wives if "down there" isn't neat</span></i></li>
<li><i>That Doctors seem to have very different approaches here but will never disagree with each other publicly (making second opinions almost worthless)</i></li>
<li><i><span style="font-size: large;">An "extra" husband stitch is often put in after an episiotomy...see point 6 above</span></i></li>
<li><i>Doctors don't like agreeing to work under the Labour Package prices ... see point 5 above</i></li>
<li><i><span style="font-size: large;">Doctors may, or may not, read your birth plan and Nurses almost definitely won't understand it</span></i></li>
</ol>
<div style="text-align: center;">
<span style="font-size: x-large;"><br /></span></div>
<div style="text-align: center;">
<span style="font-size: x-large;">So, was I prepared for child birth....hell no!</span></div>
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<br /></div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: center;">
Back to the books and reaching out to private, expat, birth professionals in Bangkok.<br />
<br />
For more information and options for antenatal eduction <a href="http://babyblueinbangkok.blogspot.com/2017/04/knocked-upnow-what-private-antenatal.html" target="_blank">click here</a></div>
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</div>
Unknownnoreply@blogger.com133 Soi Sukhumvit 3, Khwaeng Khlong Toei Nuea, Khet Watthana, Krung Thep Maha Nakhon 10110, Thailand13.746166 100.55234799999994-16.430611499999998 59.243753999999939 43.9229435 141.86094199999994tag:blogger.com,1999:blog-4946000887085439388.post-68408977485680114802017-03-13T04:54:00.002-07:002017-03-16T19:42:19.020-07:00Ummmmm we have a baby....now what? - Vitamin K<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgbnA-s5h3JJCPw5kWeTjqQG3in3b4VRwZn9_ewbR07M77EMCedb0DIIQo501WxmU__KGgj9LVDfRFZIaNNghqN1BT0Xk62bx6P_ycNRShUa5wXqPrq4HrJfd4MowEvSnaJhG02yNobeqb6/s1600/nurse-296505_1280.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgbnA-s5h3JJCPw5kWeTjqQG3in3b4VRwZn9_ewbR07M77EMCedb0DIIQo501WxmU__KGgj9LVDfRFZIaNNghqN1BT0Xk62bx6P_ycNRShUa5wXqPrq4HrJfd4MowEvSnaJhG02yNobeqb6/s320/nurse-296505_1280.png" width="236" /></a></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">I have been told that the
very first injection my baby is likely to receive will be a Vitamin K shot and
this will be give as soon as she is born.</span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">Ouch, that seems harsh to
me.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">You mean my baby will go
through the stress of labour, and then before she gets a proper
cuddle with mum and dad, and a good feed, you are going to jab her with a
needle and put foreign substances into her body?<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">What's this all about???</span></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="font-family: inherit;"><br /></span><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjerOJw3c5SvPfv146sgWlb1PcknTpljakwUug_iiPLJY4F6_MZ1Fkkm0wUUwsRQD7VUAdPNAr272PUKn6dsi7q87_kfhfNGO2iPeqa4woCJWPy5CYabDsXlq42xQaymIr0unihOQWWVX_0/s1600/stickman-310589_1280.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjerOJw3c5SvPfv146sgWlb1PcknTpljakwUug_iiPLJY4F6_MZ1Fkkm0wUUwsRQD7VUAdPNAr272PUKn6dsi7q87_kfhfNGO2iPeqa4woCJWPy5CYabDsXlq42xQaymIr0unihOQWWVX_0/s200/stickman-310589_1280.png" width="109" /></a></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">Not only that, but some
mums I have spoken to about this in Thailand weren't even aware this happened to their baby,
it is something that is considered standard and often gets done when baby is
whisked away for checks and you may only find out about it on the bill.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;">So in the spirit of <span style="font-size: large;">GET
INFORMED, GIVE TRUE CONSENT</span> I thought this was well worth a google.<o:p></o:p></span><br />
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: justify;">
</div>
<a name='more'></a><div style="text-align: center;">
<span style="font-family: inherit; text-align: justify;">I hope
to answer the 4 main questions everyone should ask their doctor for every
procedure and/or medication:</span></div>
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<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEir55HEmdAbMNiMIBz-DrmcSztM_cQz2mjuVjNR5s7pNwlTgljgeeoyqDcFXNXCOAUqts64Lilol9INlUyXj_prVQJ60U-CTecAjeKQ6xhFsR_162WCX6IOq_G3bbTGB4O0abFslLeVhr1G/s1600/questions-1922476_1280.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEir55HEmdAbMNiMIBz-DrmcSztM_cQz2mjuVjNR5s7pNwlTgljgeeoyqDcFXNXCOAUqts64Lilol9INlUyXj_prVQJ60U-CTecAjeKQ6xhFsR_162WCX6IOq_G3bbTGB4O0abFslLeVhr1G/s200/questions-1922476_1280.jpg" width="200" /></a></div>
<div class="separator" style="clear: both; text-align: center;">
<br /></div>
<div style="text-align: center;">
<span style="font-family: inherit;"><u><b>Why</b></u><b> does my baby need this
vaccination?<o:p></o:p></b></span></div>
</div>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="font-family: inherit;">Read below for more
information but the answer is <u><i>probably yes</i></u></span></div>
</blockquote>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><b>What are the <u>advantages</u> of
this vaccination?<o:p></o:p></b></span></div>
</div>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="font-family: inherit;">Read below for more
information but <u><i>statistics seem to show that the Vitamin K injection does
provide good and effective/best protection from VKDB</i></u></span></div>
</blockquote>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><b>What are the <u>disadvantages</u>
of this medication, including side effects?<o:p></o:p></b></span></div>
</div>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="font-family: inherit;">Read below for more
information but <u><i>unless your circumstances have complications the side effects
seem minimal</i></u></span></div>
</blockquote>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><b>Is there an <u>alternative</u>?<o:p></o:p></b></span></div>
</div>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="font-family: inherit;"><u><i>Yes there is</i></u>, read below
to decide if the alternative options work for you</span></div>
</blockquote>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><b>What brand and dosage will
they be using?<o:p></o:p></b></span></div>
</div>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="font-family: inherit;"><u><i>Probably Konakion ®</i></u> but read
below for more information and check with your healthcare provider</span></div>
</blockquote>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><b>What is the cost?<o:p></o:p></b></span></div>
</div>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="font-family: inherit;">(to be updated)</span></div>
</blockquote>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjerOJw3c5SvPfv146sgWlb1PcknTpljakwUug_iiPLJY4F6_MZ1Fkkm0wUUwsRQD7VUAdPNAr272PUKn6dsi7q87_kfhfNGO2iPeqa4woCJWPy5CYabDsXlq42xQaymIr0unihOQWWVX_0/s1600/stickman-310589_1280.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: inherit;"></span></a></div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit; font-size: x-large;"><b><u style="text-underline: #1A1A1A;">What is so important about Vitamin K?</u></b><o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">Vitamin
K is essential for helping blood clot properly.<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">In newborns, adequate Vitamin K levels are needed to prevent <b>Vitamin K </b><b style="mso-bidi-font-weight: normal;">Deficiency
Bleeding</b>
<b>(VKDB)</b>, which is very rare but can be a life-threatening condition that could
cause uncontrolled bleeding, sometimes into the brain.<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">So
think of K for Koagulation (the german spelling!) and you should remember the
connection.<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit; font-size: large;"><i>Let me summarise what I
have learnt in my research.<o:p></o:p></i></span></div>
<div style="text-align: center;">
<span style="font-family: inherit; font-size: large;"><i><br /></i></span></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgDJYmQAWaDDnOaxYvMI_7yr2n0t2Cu5mUWhzR5uCafJOnH_YmAVSRH6C5ThucB4iXQVU1PjTjJMfewCln9rnglJBCW2Mfo1zEFNdwyMgTg3tsyuWQcgMGwXT-AGjLWBwr2RHTHuFJUfP5c/s1600/owl-158414_1280.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgDJYmQAWaDDnOaxYvMI_7yr2n0t2Cu5mUWhzR5uCafJOnH_YmAVSRH6C5ThucB4iXQVU1PjTjJMfewCln9rnglJBCW2Mfo1zEFNdwyMgTg3tsyuWQcgMGwXT-AGjLWBwr2RHTHuFJUfP5c/s200/owl-158414_1280.png" width="198" /></a></div>
<div style="text-align: center;">
<span style="font-family: inherit; font-size: large;"><i><br /></i></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">Firstly it does appear
that giving a Vitamin K injection very early (within 24 hours) is a common
practice throughout the world and there seems good reason for it, but of course it
is still always good to make sure that your doctor explains the procedure,
alternatives and costs to you.<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><u style="text-underline: #1A1A1A;"><span style="font-family: inherit; font-size: large;"><br /></span></u></b></div>
<div style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><u style="text-underline: #1A1A1A;"><span style="font-family: inherit; font-size: large;"><br /></span></u></b></div>
<div style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><u style="text-underline: #1A1A1A;"><span style="font-family: inherit; font-size: large;"><br /></span></u></b></div>
<div style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><u style="text-underline: #1A1A1A;"><span style="font-family: inherit; font-size: large;"><br /></span></u></b></div>
<div style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><u style="text-underline: #1A1A1A;"><span style="font-family: inherit; font-size: large;"><br /></span></u></b></div>
<div style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><u style="text-underline: #1A1A1A;"><span style="font-family: inherit; font-size: x-large;">Why might my baby need a Vitamin K
injection so soon?<o:p></o:p></span></u></b></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">There are two main reasons
why babies do not have enough Vitamin K in their system.</span></div>
</div>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="font-family: inherit;"><b><i><span style="font-family: inherit;">1) Babies are born with
very small amounts of Vitamin K because very little transfers from mum
to baby via the placenta</span></i></b></span></div>
</blockquote>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="font-family: inherit;"><b><i><span style="font-family: inherit;">2) Babies don't have
enough good bacteria in their intestines to produce it themselves very early on</span></i></b><span style="text-align: justify;"> </span></span></div>
</blockquote>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">Babies levels of Vitamin K
are at their lowest 2-3 days after birth and are predicted to not get to adult
levels until 6 months of age (technically there are two types of Vitamin K,
K1 and K2, but I don't think we need to go into detail about that here, you can
find more details about that in the links I referenced throughout this article)<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><u style="text-underline: #1A1A1A;"><span style="font-family: inherit; font-size: x-large;">Is Vitamin K Deficiency Bleeding
(VKDB) something to really worry about?<o:p></o:p></span></u></b></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">Some babies are at increased risk of Haemorrhagic
Disease of the Newborn (HDN), also known as Vitamin K Deficiency Bleeding
(VKDB), including:</span></div>
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
</div>
<i><span style="font-family: inherit;"></span></i><br />
<div style="text-align: center;">
<i><span style="font-family: inherit;"><span style="font-family: inherit;">Babies
born less than 37 weeks of pregnancy</span></span></i></div>
<i><span style="font-family: inherit;">
</span><span style="font-family: inherit;"></span></i>
<div style="text-align: center;">
<i><span style="font-family: inherit;"><span style="font-family: inherit;">Babies
whose birth involved the use of forceps, ventouse or caesarean, where bruising
occurs</span></span></i></div>
<i><span style="font-family: inherit;">
</span><span style="font-family: inherit;"><div style="text-align: center;">
<span style="font-family: inherit;">Babies
who had trouble breathing and did not get enough oxygen when they were born</span></div>
</span><span style="font-family: inherit;"><div style="text-align: center;">
<span style="font-family: inherit;">Babies
whose mum are taking anti-convulsants, anti-coagulants, or drugs to treat
tuberculosis</span></div>
</span><span style="font-family: inherit;"><div style="text-align: center;">
<span style="font-family: inherit;">Babies
who have liver disease that may show as prolonged jaundice or symptoms, such as
pale stools or dark urine</span></div>
</span></i><br />
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: inherit;">According
to <a href="https://www.nct.org.uk/parenting/vitamin-k" target="_blank">www.nct.org.uk</a> “this means that about
a third of babies are at increased risk”</span></div>
</div>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="font-family: inherit;"><u><i><span style="font-family: inherit;"> There are 3 types of
Vitamin K Deficiency Bleeding (VKDB):</span><span style="font-family: inherit;"><br /></span></i></u></span></div>
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;">Early - within 24 hours of
birth - its seems that the main cause for this is if mum has been taking some
medication that inhibits Vitamin K</span> </span></div>
</blockquote>
</blockquote>
<blockquote class="tr_bq">
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;">Classic - between 1 and 7
days of birth - it seems this is mostly associated with feeding (insufficient
levels of Vitamin K passed to baby)</span> </span></div>
</blockquote>
</blockquote>
<blockquote class="tr_bq">
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="font-family: inherit;">Late - between 1 week and
6 months of birth - this is very rare, but can lead to neurological damage and
is the one that everyone is worried about</span></div>
</blockquote>
</blockquote>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><u style="text-underline: #1A1A1A;"><span style="font-family: inherit; font-size: large;">Worst case scenario – Late VKDB:<o:p></o:p></span></u></b></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"> <o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">According to <a href="https://evidencebasedbirth.com/evidence-for-the-vitamin-k-shot-in-newborns/" target="_blank">Evidence Based Birth</a> statistics shows
that:<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: inherit;">“When infants do not receive any Vitamin K
at birth, statistics from Europe show that 4.4 to 10.5 infants out of
100,000 will develop late VKDB. Rates are higher in Asian countries (1 out of
every 6,000 infants).”</span></i></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<i style="mso-bidi-font-style: normal;"><span style="font-family: inherit;">“When infants receive oral Vitamin K at
least three times during infancy (typically at birth, one week, and
four weeks), anywhere from 1.4 to 6.4 infants out of 100,000 will develop late
VKDB.”</span></i></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><i style="mso-bidi-font-style: normal;">“When infants receive the Vitamin K shot at
birth, anywhere from 0 to 0.62 infants per 100,000 have VKDB. In an 18 year
period in the United Kingdom, only two babies who received the shot had late
VKDB brain bleeds, out of 64 million births</i><i style="mso-bidi-font-style: normal;">”</i></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">Overall, I think we can safely
say that <b style="mso-bidi-font-weight: normal;"><u>late VKDB appears to be very
rare</u></b> in Europe, but may be more common in some Asian countries, such as
Japan, Vietnam, and Thailand. <o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;">According to </span><a href="https://evidencebasedbirth.com/evidence-for-the-vitamin-k-shot-in-newborns/" style="font-family: inherit;" target="_blank">Evidence Based Birth</a><span style="font-family: inherit;">, in the 1980's infants
in Thailand did not receive any Vitamin K at birth and at that time,
researchers reported that 72 out of 100,000 infants developed late VKDB. It is
assumed that the variance between countries may be due to a combination of
environment (diet) and genetics.<o:p></o:p></span></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">Although
late VKDB is rare, the consequences may be great.<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;">According
to reseachers, and discussed in </span><a href="https://evidencebasedbirth.com/evidence-for-the-vitamin-k-shot-in-newborns/" style="font-family: inherit;" target="_blank">Evidence Based Birth</a><span style="font-family: inherit;">, more than half of
infants who develop late VKDB will have bleeding in
the brain
and the mortality rate for late VKDB is approximately 20%. <o:p></o:p></span></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">Specialists
advise that the symptoms can be subtle and therefore parents may not seek
medical help quickly enough. The key symptoms are:<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
</div>
<span style="font-family: inherit;"></span><br />
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;">difficulty
feeding</span></span></div>
<span style="font-family: inherit;">
</span><span style="font-family: inherit;"></span>
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;">lethargy</span></span></div>
<span style="font-family: inherit;">
</span><span style="font-family: inherit;"><div style="text-align: center;">
<span style="font-family: inherit;">fussiness</span></div>
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</span><br />
<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit;"><b><i>Hmmm
sounds just like a normal day with a new baby, I see the difficulty here!<o:p></o:p></i></b></span></div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><u><span style="font-family: inherit; font-size: large;">What about Classic VKDB? Is that dangerous?<o:p></o:p></span></u></b></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">Classic VKDB—bleeding that occurs in the first week of life—is more common than Late
VKDB, depending on the study you read this ranges from 0-1.5% of newborns will
experience Classic VKDB if they don’t receive Vitamin K at birth.<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">But,
<u><i>Classic VKDB is usually mild</i></u> and may only involve bleeding at the umbilical
cord site or circumcision site (of course every case may be different).<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;">But
we can safely say that the <u><i>mortality rate of classical VKDB is very low in
developed countries</i></u>. Of course lack of medical resources or delay in treatment
is the most contributing factor in developing countries (</span><span style="text-align: left;"><a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3021393/" target="_blank">Lippi & Franchini, 2011</a>).</span></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><u><span style="font-family: inherit; font-size: x-large;">Are there any disadvantages, or side effects, of the
injection?<o:p></o:p></span></u></b></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">Some parents are worried
about whether there are toxins in injections. You can try to alleviate some
concern by asking if they can administer a preservative free version of the
injection (to date I cannot confirm if one is available in Thailand)<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">Typical Ingredients (may vary depending on manufacturer) </span><span style="font-family: inherit;"><a href="https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=e8808230-2c44-44c6-8cab-8f29b6b34051" style="font-family: inherit;" target="_blank">www.dailymed.nlm.nih.gov</a></span><span style="font-family: inherit;">:</span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">2
mg Phytondione<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">70
mgs polyoxyethylated fatty acid<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">37.5
mgs hydrous dextrose<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">9
mg benzyl alcohol<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">hydrochloric
acid (not always)</span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">Or a preservative free version has typical ingredients (may vary
depending on manufacturer) </span><span style="font-family: inherit;"><a href="https://evidencebasedbirth.com/evidence-for-the-vitamin-k-shot-in-newborns/" style="font-family: inherit;" target="_blank">Evidence Based Birth</a></span><span style="font-family: inherit;">:</span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">1
mg Vitamin K1<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">10
mg Polysorbate 80<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: left;">
</div>
<div style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;">10.4
mg Propylene glycol</span></span></div>
</div>
<div style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">0.17
mg Sodium acetqate anhydrous</span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">0.00002 ml Glacial acetic acid, also known as vinegar</span></div>
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: inherit;">Other concerns you may have heard about:</span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;">Propylene Glycol:
According to </span><a href="https://evidencebasedbirth.com/evidence-for-the-vitamin-k-shot-in-newborns/" style="font-family: inherit;" target="_blank">Evidence Based Birth</a><span style="font-family: inherit;"> “Proplyene Glycol is used in many medications
(oral, topical, and injections) because it is a very good at helping
medications absorb into l<span style="font-family: inherit;">iquid. Any cases about severe side effects from
propylene glycol are from decades ago, and were related to very high doses….”<o:p></o:p></span></span></span></div>
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="background-color: white; text-align: start;">L<span style="font-family: inherit;">eukaemia<span style="font-family: inherit;">/Cancer: You may have heard about suggestions that vitamin K injections were associated with cancer and leukemia. However, </span></span></span><span style="font-family: inherit;"><span style="background-color: white; text-align: start;">researchers have come to the conclusion that there is </span><span style="box-sizing: border-box; text-align: start;">no evidence supporting a relationship between Vitamin K and leukemia or other childhood cancers </span><span style="background-color: white; text-align: start;">(</span><a href="http://www.ncbi.nlm.nih.gov/pubmed/18804903" style="-webkit-transition: all 0.1s ease-in-out; box-sizing: border-box; text-align: start; text-decoration: none; transition: all 0.1s ease-in-out;" target="_blank">Shearer, 2009</a><span style="background-color: white; text-align: start;">).</span><span style="background-color: white; text-align: start;">There is NO known association between the two and many many researchers concur on this.</span></span></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;">Benzyl alcohol: </span><span style="background-color: white; text-align: start;">manufactured vitamin K may contain benzyl alcohol. Benzyl alcohol </span><span style="background-color: white; text-align: start;">targets the liver, </span><span style="border: 0px; margin: 0px; padding: 0px; text-align: start; vertical-align: baseline;">the organ which is necessary for humans detoxify. This may be associated with babies developing jaundice (hyperbilirubinemia) <a href="http://www.thevaccinereaction.org/2016/03/how-toxic-are-vitamin-k-and-hepatitis-b-injections/" target="_blank">www.thevaccinereaction.org</a> </span><span style="background-color: white; text-align: start;">Benzyl alcohol has also been reported to be associated with a fatal "Gasping Syndrome" in premature infants </span><a href="https://www.drugs.com/pro/vitamin-k1.html" target="_blank">www.drugs.com</a></span></div>
<div style="text-align: center;">
<span style="border: 0px; margin: 0px; padding: 0px; text-align: start; vertical-align: baseline;"><span style="font-family: inherit;"><br /></span></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;">Aluminum (which may be in some versions): </span><span style="text-align: start;">Aluminum may reach toxic levels with prolonged parenteral administration if kidney function is impaired. Premature neonates are particularly at risk because their kidneys are immature, and they required large amounts of calcium and phosphate solutions, which contain aluminum. </span><a href="https://www.drugs.com/pro/vitamin-k1.html" target="_blank">www.drugs.com</a> </span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;">Allergic
reactions: According to </span><a href="https://evidencebasedbirth.com/evidence-for-the-vitamin-k-shot-in-newborns/" style="font-family: inherit;" target="_blank">Evidence Based Birth</a></span><span style="font-family: inherit;"><span style="font-family: inherit;"> “almost
all of the cases in history occurred with the intravenous (IV) form, something
that is never used in the newborn period unless an infant comes in with vitamin</span>
K deficiency bleeding….”<o:p></o:p></span></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;"><b><i>Side
effects: </i></b></span></span></div>
<div style="text-align: center;">
<span style="font-family: inherit;"><b><i><span style="font-family: inherit;">According to </span><a href="https://evidencebasedbirth.com/evidence-for-the-vitamin-k-shot-in-newborns/" style="font-family: inherit;" target="_blank">Evidence Based Birth</a></i></b><span style="font-family: inherit;"><b><i> side effects “from vitamin K injection given at birth are incredibly rare….”</i></b><o:p></o:p></span></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">Of
course there is always the case that any injection could lead to redness or
irritation, and we can’t say for sure how much pain a baby feels with an
injection, but all of this can be minimized as much as possible by mothers (or
nurses) intervention and calming influence. Consider having the injection administered whilst conducting skin to skin and/or breastfeeding for example.</span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit; font-size: x-large;"><b><u>Are there any alternatives?<o:p></o:p></u></b></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<br /></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit; font-size: large;"><b style="mso-bidi-font-weight: normal;"><u>Can I help by breast feeding?</u></b><o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">People can be forgiven for
thinking that surely there is an easy solution – surely if mum has good Vitamin
K levels and she breastfeeds that would be OK???!!!<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><u><i>Unfortunately it isn’t
that simple. <o:p></o:p></i></u></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">Even with the best
intentions and diets, most adults do not have enough Vitamin K in their system
to provide the adequate dose to their baby<span style="color: windowtext;"> <a href="https://www.ncbi.nlm.nih.gov/pubmed/3684378" target="_blank">www.ncbi.nlm.nih.gov</a>.</span><o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<br /></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">B</span><span style="font-family: inherit;">reastmilk today is not normally good enough, on its own,
to provide enough Vitamin K. In fact, virtually all babies with late VKDB are
exclusively breastfed (<o:p></o:p></span><a href="https://evidencebasedbirth.com/evidence-for-the-vitamin-k-shot-in-newborns/" style="font-family: inherit;" target="_blank">Evidence Based Birth</a>).</div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">Breast
milk has very tiny amounts of Vitamin K. Colostrum has about 2 micrograms of
Vitamin K per Liter, while mature milk has 1 microgram per Liter (</span><span style="font-family: inherit;"><a href="http://www.ncbi.nlm.nih.gov/pubmed/3684378" style="font-family: inherit;" target="_blank">von Kries et al, 1987</a>).</span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><u><i>But
can I boost this with supplements taken by the mother?<o:p></o:p></i></u></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;">According
to </span><a href="https://evidencebasedbirth.com/evidence-for-the-vitamin-k-shot-in-newborns/" style="font-family: inherit;" target="_blank">Evidence Based Birth</a><span style="font-family: inherit;"> “so far, the studies that have been done looked at
babies in which both the babies AND their mothers received supplements. No
research has been done on maternal supplementation alone, probably for ethical
reasons. It appears that when the mother takes 5 mg of Vitamin K per day, that
this is very effective in raising levels of Vitamin K in breast milk, and
probably raises Vitamin K levels in the baby….”<o:p></o:p></span></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;">A
knock on from this question is what about formula fed babies? - it does
transpire, in the particular instance of VKDB, that formula fed babies are better
off. According to </span><a href="https://evidencebasedbirth.com/evidence-for-the-vitamin-k-shot-in-newborns/" style="font-family: inherit;" target="_blank">Evidence Based Birth</a><span style="font-family: inherit;"> there are
virtually no reports of VKDB occurring in infants who are formula fed. <o:p></o:p></span></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">“This
is because, in contrast to breast milk, formula has relatively high levels of
Vitamin K1—55 micrograms per liter (</span><span style="font-family: inherit; text-decoration: none;"><a href="http://www.ncbi.nlm.nih.gov/pubmed/18804903" style="font-family: inherit;" target="_blank">Shearer 2009</a></span><span style="font-family: inherit;">). On average, babies who are fed formula receive nearly 100 times
more Vitamin K1 than babies who are breastfed....</span><span style="font-family: inherit;">”</span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">So
if you are planning to exclusively formula feed your baby from birth, you may decide that
an injection is not necessary, but I always suggest speaking to healthcare
provider before making any final decisions.<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><u><span style="font-family: inherit; font-size: large;">Is there a
supplement that I can give to my baby orally?<o:p></o:p></span></u></b></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">Yes
there is, and there are different oral regimes that are followed in different
countries, each with varying results depending on the research. </span><br />
<span style="font-family: inherit;"><br /></span>
<span style="font-family: inherit;">The US doesn’t
have an approved FDA Oral Vitamin K, although people talk about the
availability of <b>K-Quinone</b> (</span><span style="font-family: inherit; text-decoration: none;"><a href="http://scientificbotanicals.net/kquinone.html" style="font-family: inherit;" target="_blank">Scientific Botanicals, Inc</a></span><span style="font-family: inherit;">) online. </span></div>
</div>
<div class="separator" style="clear: both; text-align: center;">
<span style="clear: right; float: right; font-family: inherit; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjL3IDTOhTRkCZArfKOlLMvzpi_v0OhzPl85c123qyTO0t7eeNMGF3ONjeBbjTCLwJm1Q0VITIj7-eoxY-33GHNvOBQ8dotwWAHwlc2PEq7l2eY7zqIVRrUD4YRdr67krxp2Od1x6u954cr/s200/31rsOU-P1DL.jpg" width="200" /></span></div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">Other countries like Germany,
Netherlands and Denmark have oral regimes for Vitamin K, but according to <a href="https://evidencebasedbirth.com/evidence-for-the-vitamin-k-shot-in-newborns/" style="font-family: inherit;" target="_blank">Evidence Based Birth</a> the cons may outweigh the pros, especially if there are
liver or gallbladder complications. </span></div>
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: inherit;">In the UK <a href="http://www.nhs.uk/Conditions/pregnancy-and-baby/Pages/what-happens-straight-after-the-birth.aspx#vitamin%20K" target="_blank"><span style="mso-bidi-font-family: Lato-Light;">www.nhs.uk</span></a><span style="mso-spacerun: yes;"> </span>you should be able to ask for an oral regime
(probably the 3 dose regime) as an option also <a href="http://www.uhcw.nhs.uk/clientfiles/File/Guidance_for_parents_about_vitamin_K__122__-_March_2012.pdf" target="_blank"><span style="mso-bidi-font-family: Lato-Light;">www.uhcw.nhs.uk (PDF doc)</span></a> <o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit; font-size: x-large;"><b>So
what does it all come down to – what should I do???</b></span></span><br />
<span style="font-family: inherit;"><span style="font-family: inherit; font-size: x-large;"><b><br /></b></span></span>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjTdnH5qejlt7HhZoRQXduRcRUwu0lfItS1U6WWCsLsPMicehCg6aoFATS0wd01hfjKjQkZ2kwluYpPMN6SVhoIX0Ip_5q3Dy9T7Vb1xsG4lMb27iQmiiB2pFWoZnBgZPOGxdB8_-U8uS-o/s1600/complaining-154204_1280.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjTdnH5qejlt7HhZoRQXduRcRUwu0lfItS1U6WWCsLsPMicehCg6aoFATS0wd01hfjKjQkZ2kwluYpPMN6SVhoIX0Ip_5q3Dy9T7Vb1xsG4lMb27iQmiiB2pFWoZnBgZPOGxdB8_-U8uS-o/s200/complaining-154204_1280.png" width="100" /></a></div>
</div>
<div style="text-align: center;">
<span style="font-family: inherit;"><b><a href="https://evidencebasedbirth.com/evidence-for-the-vitamin-k-shot-in-newborns/" style="font-family: inherit;" target="_blank">Evidence Based Birth</a><span style="font-family: inherit;"> published this Pro’s and Con’s list taken from the Cochrane review (<a href="https://www.ncbi.nlm.nih.gov/pubmed/11034761" target="_blank">Puckett and Offering, 2000</a>)</span></b></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><b><br /></b></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><u><span style="font-family: inherit;">Injection versus
Oral<o:p></o:p></span></u></b></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: inherit;">What are the
pros of a Vitamin K injection?<o:p></o:p></span></b></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="font-family: inherit;">Is
highly effective at preventing Classic and Late VKDB</span></div>
<span style="font-family: inherit;"></span><br />
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;">Vitamin
K is slowly released over time from the injection site, which provides enough
Vitamin K1 until the baby’s Vitamin K levels reach adult levels naturally</span></span></div>
<span style="font-family: inherit;">
</span></blockquote>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: inherit;">What are the
cons of a Vitamin K injection?<o:p></o:p></span></b></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="font-family: inherit;">Causes
pain, which can be minimized by having the infant breastfeed while the shot is
given</span></div>
<span style="font-family: inherit;"></span><br />
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;">Can
cause bleeding or bruising at the injection site</span></span></div>
<span style="font-family: inherit;">
</span></blockquote>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: inherit;">What are the
pros of oral Vitamin K?<o:p></o:p></span></b></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="font-family: inherit;">Easy
to give and not invasive</span></div>
<span style="font-family: inherit;"></span><br />
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;">The
3-dose regimen lowers the risk of Classic and Late VKDB, but not as well as the
injection</span></span></div>
<span style="font-family: inherit;">
</span><span style="font-family: inherit;"></span>
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;">The
weekly regimen seems to protect infants with undiagnosed gallbladder problems
just as well as the shot does</span></span></div>
<span style="font-family: inherit;">
</span></blockquote>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: inherit;">What are the
cons of oral Vitamin K?<o:p></o:p></span></b></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<blockquote class="tr_bq">
<div style="text-align: center;">
<span style="font-family: inherit;">Some
babies may not be able to absorb it, or they may spit it up</span></div>
<span style="font-family: inherit;"></span><br />
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;">If
the baby has undetected gallbladder or liver disease, a 3-dose regimen of oral
Vitamin K will not protect them from VKDB</span></span></div>
<span style="font-family: inherit;">
</span><span style="font-family: inherit;"></span>
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;">The
3-dose regimen is less effective than the shot at preventing Late VKDB</span></span></div>
<span style="font-family: inherit;">
</span><span style="font-family: inherit;"><div style="text-align: center;">
<span style="font-family: inherit;">Requires
that parents commit to giving at least three doses or weekly dose</span></div>
</span></blockquote>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit; font-size: x-large;"><b style="mso-bidi-font-weight: normal;"><u>W</u></b><b style="mso-bidi-font-weight: normal;"><u>hat
brand and dosage do they use in Thailand?<o:p></o:p></u></b></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">Vitamin
K1 injections are made under several brand names:<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">Phylloquinone
®<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">Phytonadione
®<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">AquaMEPHYTON
®<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">Mephyton
®<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">Konakion
®<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<a href="https://evidencebasedbirth.com/evidence-for-the-vitamin-k-shot-in-newborns/" style="font-family: inherit;" target="_blank"><span style="font-family: inherit;">Evidence Based Birth</span></a></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<br /></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">From my research, discussions with other mums, and discussions with healthcare professionals in Thailand I can advise that in Samitivej it is common to administer <b><u>Konakion</u></b> brand (please note this is also used i the UK) <i>I will release an update to this post when I find out more from other hospitals.</i></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">It
is believed that this brand does not contain Aluminium. See here for more
information <a href="https://www.medicines.org.uk/emc/medicine/17299" target="_blank">www.medicines.org.uk</a><o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;">According</span>
to </span><a href="https://evidencebasedbirth.com/evidence-for-the-vitamin-k-shot-in-newborns/" style="font-family: inherit;" target="_blank">Evidence Based Birth</a><span style="font-family: inherit;"> “depending on the country in which Vitamin K is
administered, there are 1 to 2 mg of Vitamin K1 in the injection….Although this
amount may seem high to some, it is thought that the Vitamin K1 injection is
temporarily stored in the leg muscle and gradually released into the baby’s
system over the next several months. This kind of delayed-release explains why
the shot protects babies from both Classic AND Late Vitamin K deficiency
bleeding (</span></span><a href="http://www.ncbi.nlm.nih.gov/pubmed/8827545" target="_blank">Loughnan and McDougall 1996</a>).<span style="font-family: inherit;"><span style="font-family: inherit;">” </span></span><br />
<span style="font-family: inherit;"><span style="font-family: inherit;"><br /></span></span>
<span style="font-family: inherit;"><span style="font-family: inherit;">According to <a href="https://www.medicines.org.uk/emc/medicine/1699" target="_blank">www.medicines.org.uk</a> the dosage for Konakian in healthy neonates of 36 weeks or older can be either 1mg administered by intramuscular injection (at birth or soon after birth) or 2mg administered orally, followed by 2mg at 4-7 days and a further 2mg at 1 month (if exclusively formula fed they say you may be able to omit the third dose)</span></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;">I
understand that oral Vitamin K is available in Thailand, if you cannot obtain this from your Doctor I suggest you
speak to the Doula community in Thailand if you need help with this (<a href="http://babyblueinbangkok.blogspot.com/p/websites-i-find-useful_15.html" target="_blank">Websites I Find Useful</a>)<o:p></o:p></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal" style="text-align: justify;">
<div style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><u><span style="font-family: inherit; font-size: x-large;">What is the cost?<o:p></o:p></span></u></b></div>
</div>
<div style="text-align: left;">
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<span style="font-family: inherit;"><i><span style="font-family: inherit;">I
will release an update to this post as soon as I have more information about
cost</span><span style="font-family: "georgia";"><o:p></o:p></span></i></span></div>
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<span style="font-family: inherit; font-size: x-large;"><b><u>Conclusion</u></b></span></div>
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<span style="font-family: inherit;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: inherit;">I am going to directly quote someone much more qualified than me on this. </span><a href="https://scienceofmom.com/2015/11/09/are-the-ingredients-in-the-newborn-vitamin-k-shot-safe/" style="font-family: inherit;" target="_blank">Alice Callahan</a><span style="font-family: inherit;"> - trained as a research scientist and has a PhD in nutrition. She's the author of The Science of Mom: A Research-Based Guide to Your Baby's First Year, published by John Hopkins University Press 2015 </span></div>
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<b><i><br /></i></b></div>
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<b><i><span style="font-size: x-large;">"This is an evidence-based recommendation. The shot is safe and effective. Of all the many questions that I researched for my book, this one was one of the few that had a crystal clear answer. There's just no good reason to decline the vitamin K shot and leave your newborn at risk of VKDB."</span></i></b></div>
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<b><i><br /></i></b></div>
<div style="text-align: center;">
<span style="font-family: inherit;">Of course, if you feel you have good reason to use the oral method, and are confident in the brand, dosage and your ability to administer as prescribed (without forgetting) then this is an option.</span></div>
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<span style="font-family: inherit;"><br /></span></div>
<div style="text-align: center;">
<span style="font-family: inherit;">Me: </span><span style="font-family: inherit;">I will be including the Vitamin K injection in my birth plan, especially as I take very small amounts of aspirin which could prevent clotting, and to ease my worries of it causing any stress to our new bundle I will be requesting that it is administered during "skin to skin" time.</span></div>
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<span style="font-family: inherit; font-size: x-small;">Sources:</span></div>
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<a href="https://evidencebasedbirth.com/evidence-for-the-vitamin-k-shot-in-newborns/" style="font-family: inherit;" target="_blank"><span style="font-family: inherit; font-size: x-small;">Evidence Based Birth</span></a></div>
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<div style="text-align: center;">
<div style="text-align: left;">
<a href="http://www.mommypotamus.com/newborn-vitamin-k-shot/" target="_blank"><span style="font-family: inherit; font-size: x-small;">www.mommypotamus.com</span></a></div>
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<span style="font-family: inherit; font-size: x-small;"><a href="http://articles.mercola.com/sites/articles/archive/2010/03/27/high-risks-to-your-baby-from-vitamin-k-shot-they-dont-warn-you-about.aspx" target="_blank">Mercola.com</a></span></div>
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<span style="font-family: inherit; font-size: x-small;"><a href="http://www.nhs.uk/Conditions/pregnancy-and-baby/Pages/what-happens-straight-after-the-birth.aspx#vitamin%20K" target="_blank">www.nhs.uk</a></span></div>
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<a href="http://www.uhcw.nhs.uk/clientfiles/File/Guidance_for_parents_about_vitamin_K__122__-_March_2012.pdf" style="font-family: inherit;" target="_blank"><span style="font-family: inherit; font-size: x-small;">www.uhcw.nhs.uk</span></a></div>
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<div style="text-align: center;">
<div style="text-align: left;">
<span style="font-family: inherit; font-size: x-small;"><a href="https://www.nct.org.uk/parenting/vitamin-k" target="_blank">www.nct.org.uk</a></span></div>
</div>
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<div style="text-align: center;">
<div style="text-align: left;">
<span style="font-family: inherit; font-size: x-small;"><a href="http://squatbirthjournal.org/oralvitamink/" target="_blank">www.squatbirthjournal.org</a></span></div>
</div>
<div style="text-align: center;">
<div style="text-align: left;">
<span style="font-size: x-small;"><a href="https://scienceofmom.com/2015/11/09/are-the-ingredients-in-the-newborn-vitamin-k-shot-safe/" target="_blank">www.scienceofmom.com</a></span></div>
<div style="text-align: left;">
<a href="https://www.medicines.org.uk/emc/medicine/1699" style="font-family: inherit; text-align: center;" target="_blank"><span style="font-size: x-small;">www.medicines.org.uk</span></a></div>
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Unknownnoreply@blogger.com2Bangkok, Thailand13.7563309 100.5017651000000613.2627269 99.856318100000053 14.2499349 101.14721210000006tag:blogger.com,1999:blog-4946000887085439388.post-6408888380141885932017-02-27T07:45:00.000-08:002017-07-29T22:06:53.284-07:00Knocked up.....Now What? Basic labour packages in Bangkok<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgoglnnIMi3aK55hc7mSPgx9utAKL-0lsrK-hV6Pg2KPZrLxBlm-54sPrFQIV3rnRAbPa-4sItjwPhtmGP38YzM2J1KHagtX7K1ttWF1p1CO4ugyIsM27ZQiwJ2NgIdyL9jVD0sZTZ3_63C/s1600/coins-1015125_1920+%25281%2529.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgoglnnIMi3aK55hc7mSPgx9utAKL-0lsrK-hV6Pg2KPZrLxBlm-54sPrFQIV3rnRAbPa-4sItjwPhtmGP38YzM2J1KHagtX7K1ttWF1p1CO4ugyIsM27ZQiwJ2NgIdyL9jVD0sZTZ3_63C/s320/coins-1015125_1920+%25281%2529.jpg" width="320" /></a></div>
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<br />
<span style="color: red;">UPDATED at 30th July 2017</span><br />
<br />
There is a lot to think about when you are growing a baby, and cost might not be at the forefront of your mind, but it is worth thinking about sooner, rather than later, as it may affect your decision of hospital (and Doctor).</div>
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If you do not have medical insurance that is covering the cost of your labour then the hospitals try to make it easier for you by advertising Birthing Packages, but you really do need to look into the small print.</div>
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<blockquote class="tr_bq">
<span style="font-size: large;"><b></b></span><br />
<a name='more'></a><span style="font-size: large;"><b>Basic packages start from around THB30,000, but can go up to THB150,000, but please remember that this is for the basic package only </b>and may not include pain relief and procedures/medication that are a necessity due to your specific requirements on the day of labour.</span></blockquote>
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It is important to remember that Labour Packages normally represent approx. 50% reduction from standard pricing, or to put that another way, if you do not fit the criteria for a package your costs could easily be much much higher.<br />
<br />
Additional costs are not included in the packages and the packages are normally for uncomplicated birthing experiences that run like clockwork. In reality, this is rarely the case and you are likely to be charged for additional procedures, medication and equipment usage, so check your bill carefully when you check out.</div>
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If you are offered procedures, or medication, during your stay that is not included in your package make sure you discuss this with your OB/GYN <b><i>(if you do not want a surprise when you get your bill!).</i></b><br />
<b><i><br /></i></b></div>
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Questions you should always ask your Doctor in Thailand:</div>
<blockquote class="tr_bq">
<b><i>Is this procedure/medication necessary?</i> </b></blockquote>
<blockquote class="tr_bq">
<b><i>What are the advantages of this procedure/medication?</i> </b></blockquote>
<blockquote class="tr_bq">
<b><i>What are the disadvantages of this procedure/medication? (including side effects)</i> </b></blockquote>
<blockquote class="tr_bq">
<b><i>Is there an alternative procedure/medication?</i> </b></blockquote>
<blockquote class="tr_bq">
<i><b>What is the cost of this procedure/medication?</b></i></blockquote>
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But to help you make the first analysis of the various International Hospitals, please see below table highlighting public information available, and where applicable information based on my or contacts feedback.</div>
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<span style="font-size: large;"><b>GET INFORMED, GIVE TRUE CONSENT!</b></span></div>
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<br />
<div style="text-align: center;">
<a href="http://babyblueinbangkok.blogspot.com/p/costs.html" target="_blank">For more pricing information on other pre-natal costs please click here</a><br />
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<a href="http://babyblueinbangkok.blogspot.com/p/the-cost-of-being.html" target="_blank">For Map locations of each Hospital please click here</a></div>
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Unknownnoreply@blogger.com0Bangkok, Thailand13.7563309 100.5017651000000613.2627269 99.856318100000053 14.2499349 101.14721210000006tag:blogger.com,1999:blog-4946000887085439388.post-43969857450426954132017-02-23T17:53:00.004-08:002017-02-23T23:06:05.640-08:00TIT - Top Tips for dealing with Doctors and Hospitals in Thailand<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgCKGHP3LZKs-sam53VFKnqhHOo5KWsoeXthFSP5gpUOiEccZdKWjfZO9ByXp-M1u49lM5Po9i9d15tPg_2QpqzrrkiCNRjbN7W5gUsTNIgA_4eCbhQVbO7iWQImhdAv_SbN7E6pjY49pmz/s1600/doctor-161345_1280.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: inherit;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgCKGHP3LZKs-sam53VFKnqhHOo5KWsoeXthFSP5gpUOiEccZdKWjfZO9ByXp-M1u49lM5Po9i9d15tPg_2QpqzrrkiCNRjbN7W5gUsTNIgA_4eCbhQVbO7iWQImhdAv_SbN7E6pjY49pmz/s320/doctor-161345_1280.png" width="288" /></span></a></div>
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<span style="font-family: inherit;"><br /></span></div>
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<span style="font-family: inherit;">Just a quick post today as I was musing over what I thought made the most successful <a href="http://babyblueinbangkok.blogspot.com/2016/10/knocked-upnow-what-choosing-doctor_5.html" target="_blank">Doctor</a> visits in Bangkok</span></div>
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<b><span style="font-family: inherit;"></span></b><br />
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<span style="font-family: inherit;">1. <b><u>Ask questions</u></b>. Whilst it may not be the culture here to ask too many questions for fear of someone losing face - this is your (or your families) health - if you don't ask you cannot blame anyone else in Thailand for not knowing everything you should know</span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiucAEsRZNRpxca84ds50dafYDqsqxhKo7tK38uSPa2R6HTTrydL15siLTi_y-MtWR1_lVOLvOIBttM2HCI6HGd-DkNUndksydMIHXnOkrnjn5YZq3gZ-tldghwxYHNBXEVZNnXLFpMShvJ/s1600/questions-1922476_1280.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiucAEsRZNRpxca84ds50dafYDqsqxhKo7tK38uSPa2R6HTTrydL15siLTi_y-MtWR1_lVOLvOIBttM2HCI6HGd-DkNUndksydMIHXnOkrnjn5YZq3gZ-tldghwxYHNBXEVZNnXLFpMShvJ/s200/questions-1922476_1280.jpg" width="200" /></a></div>
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<span style="font-family: inherit;">2. If you are female and are seeing a male doctor, in my experience, it is <b><u>better to go alone</u></b> (i.e. without your partner). Male Thai doctors have a tendency to talk to the male partner, making you feel irrelevant</span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9rYDqynF8pKaVW8uMNAjOWbDxGhaL3aYZCh1Q4a1UedEf7zIoYzcs7VZQme7aZFdwWJdWiMAF6tREUdHX67enojMo-vVp6nmw7RyWHCY43kBp08EaxwTo7I0urGGle7-qVAbtLn1jcQP3/s1600/gender-1341368_1280.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9rYDqynF8pKaVW8uMNAjOWbDxGhaL3aYZCh1Q4a1UedEf7zIoYzcs7VZQme7aZFdwWJdWiMAF6tREUdHX67enojMo-vVp6nmw7RyWHCY43kBp08EaxwTo7I0urGGle7-qVAbtLn1jcQP3/s200/gender-1341368_1280.png" width="200" /></a></div>
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<span style="font-family: inherit;">3. Use the <b><u>complaints procedures</u></b>. Despite paying some hefty private medical bills for so called private appointments you will still find yourself waiting around in hospitals here (for hours sometimes). If you are like us and think that punctuality is important then complain. Don't shout at the nurses or doctors, but using the proper channels will normally yield a little note on your file and you will miraculously find yourself at the front of the queue every visit.</span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh1G6zgrAwi3Ib8BJfZTJhXPtIHobLcwNmPZMMkgKAePpEmDzGDLVb9aJWkkNO6m8SIajFlUparqwRk-9bEKeR9oL32VFNe3o2JL2u0nCWoKtS1ahBwyTwK2KvKR358K1uCKd5_EvEUA1vZ/s1600/complaining-154204_1280.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh1G6zgrAwi3Ib8BJfZTJhXPtIHobLcwNmPZMMkgKAePpEmDzGDLVb9aJWkkNO6m8SIajFlUparqwRk-9bEKeR9oL32VFNe3o2JL2u0nCWoKtS1ahBwyTwK2KvKR358K1uCKd5_EvEUA1vZ/s200/complaining-154204_1280.png" width="100" /></a></div>
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<span style="font-family: inherit;">4. <b><u>Ask questions</u></b>. I know I have said this before, but its sooooooo important. </span></div>
<blockquote class="tr_bq" style="text-align: left;">
<ul style="text-align: left;">
<li style="text-align: justify;"><span style="font-family: inherit;">Why do I need this procedure/medication etc? </span></li>
<li style="text-align: justify;"><span style="font-family: inherit;">What are the side effects? </span></li>
<li style="text-align: justify;"><span style="font-family: inherit;">Is there an alternative?</span></li>
<li style="text-align: justify;"><span style="font-family: inherit;">What is the cost?</span></li>
<li style="text-align: justify;"><span style="font-family: inherit;">What is the brand name, expiration date and dosage? (if given medication or injections)</span></li>
<li style="text-align: justify;"><span style="font-family: inherit;">What do my vital statistics tell you? (after all they take them every time you visit, but hardly ever mention the results)</span></li>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhigASo8lVsB_u28hIRFjTsOL72FHD_GmVOIhHws1OHqAzsAXZtBWJrDQQjWvsxAAjRpdxDtU-93JI_mxwY0hMK7WxtH8EQZF-TLJ1IlKvhH5lv3gCF4HmO8OzV16TrpqZaLmPM0i2kpIoP/s1600/questions-1922476_1280.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhigASo8lVsB_u28hIRFjTsOL72FHD_GmVOIhHws1OHqAzsAXZtBWJrDQQjWvsxAAjRpdxDtU-93JI_mxwY0hMK7WxtH8EQZF-TLJ1IlKvhH5lv3gCF4HmO8OzV16TrpqZaLmPM0i2kpIoP/s320/questions-1922476_1280.jpg" width="320" /></a></div>
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<div style="text-align: justify;">
<span style="font-family: inherit;"> 5. Be <b><u>Smiley</u></b> 😃 It's the key communication tool here. Even if you are not feeling at all smiley, try to grin through it. It will yield much better responses from hospital staff no matter how grave the situation is.</span></div>
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<span style="font-family: inherit;"><br /></span></div>
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<b><i><span style="font-family: inherit; font-size: large;">GET INFORMED, GIVE TRUE CONSENT!</span></i></b></div>
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4946000887085439388.post-19158386706611161992017-02-22T18:35:00.001-08:002017-02-27T18:35:35.677-08:00Knocked up....now what? Maternity and Paternity Leave in Thailand<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9etz-2DOFv_M11YCVYbCIcl3j9lKhH_OSTOLcYx7BqaDGKDcWXFu65K3wNvbxIJUD2kK2veYdHK9nBlg5FmMMOiri1YAybpdmi48lJS98VN9xjp6gUYiULQoJe4t8hyRIWgmaeCjtZsvw/s1600/chef-1299033_1280.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9etz-2DOFv_M11YCVYbCIcl3j9lKhH_OSTOLcYx7BqaDGKDcWXFu65K3wNvbxIJUD2kK2veYdHK9nBlg5FmMMOiri1YAybpdmi48lJS98VN9xjp6gUYiULQoJe4t8hyRIWgmaeCjtZsvw/s320/chef-1299033_1280.png" width="251" /></a></div>
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<span style="font-family: inherit;">So I assume you are </span><span style="font-family: inherit;">reading</span><span style="font-family: inherit;"> this post because you are pregnant and working in Thailand. </span></div>
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<span style="font-family: inherit; font-size: large;"><b><i>Hmmmm, you are not going to like the next bit.</i></b></span></blockquote>
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<span style="font-family: inherit;">Expectants mothers are protected by law here (<a href="http://www.labour.go.th/en/attachments/article/18/Labour_Protection_Act_BE2541.pdf" target="_blank">Labour Protection Act 1998</a>), BUT we only get 90 days leave per pregnancy, and only 45 days of that is on full pay, the other 45 days is on the Social Welfare Fund, oh and that allowance includes weekends and any public holidays.</span></div>
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<span style="font-family: inherit;">It sucks, and if at all possible it pays to plan your pregnancy when the public holidays are light, so for example in 2017 try to pop your little one out in Feb/March or June/July or Sept/Oct (</span><a href="https://www.timeanddate.com/holidays/thailand/" style="font-family: inherit;" target="_blank">www.timeanddate.com/holidays/thailand</a>) Don't be like me and find yourself heavily pregnant in the hottest month of the year, and have the longest National Holiday in the middle of what would be ideal maternity leave. Such is life and if this pregnancy journey has taught me anything it is to "roll with the punches".</div>
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<span style="background-color: white;"><span style="font-family: inherit;">The most pertinent things to know before you speak to your boss in Thailand is:</span></span></div>
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<ul>
<li style="text-align: left;"><span style="background-color: white; font-family: inherit;">90 days of maternity leave including any holidays in that period</span></li>
<li style="text-align: left;"><span style="background-color: white; font-family: inherit;">45 days Full Pay from the employer</span></li>
<li style="text-align: left;"><span style="background-color: white; font-family: inherit;">45 days from the </span><a href="http://www.sso.go.th/wpr/eng/marternity-benefit.html" style="font-family: inherit;" target="_blank">Social Welfare Fund</a><span style="background-color: white; font-family: inherit;"> (if you have paid contributions to the Social Welfare Fund for at least 7 months prior to the pregnancy*)</span></li>
<li style="text-align: left;"><span style="background-color: white; font-family: inherit;">With a doctor's certificate, a temporary change of duties either before and/or after the child's birth is allowed</span></li>
<li style="text-align: left;"><span style="background-color: white; font-family: inherit;">Protection from termination of employment due to pregnancy</span></li>
<li style="text-align: left;"><span style="background-color: white; font-family: inherit;">Employers are not required to provide medical benefits for pre-natal and post-natal care and childbirth, childcare provisions or breaks for breastfeeding</span></li>
</ul>
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<span style="background-color: white;"><span style="font-family: inherit;">* Note that applications are made in Thai. Please also note that the current rate is THB13,000 per pregnancy and requires a lot of paperwork. The process includes verifying that birth certificates and surnames match identically to the parent claiming the benefit, if they do not match then new birth certificates must be issued. Personally we never got round to unifying our surnames post marriage, because of the headache this causes with work permits and visas, so I decided to forgo my THB13,000 in view of an easier life!</span></span></div>
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<span style="font-family: inherit;">For more information here is the website for the <a href="http://www.doe.go.th/prd/" target="_blank">Department of Employment</a> - good luck though because the english translation button doesn't seem to work!</span></div>
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<span style="font-family: inherit; font-size: large;"><b><u><i>BUT THERE IS SOME HOPE....</i></u></b></span></div>
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<span style="font-family: inherit;">I was recently told by a friend that her company had agreed to a Thai employee taking 6 months maternity leave, although I do not know what the payment schedule was for this, and they also agreed to flexible working hours when the mother returned to work. </span></div>
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<span style="font-family: inherit;">The company in question is international, but the HR Director was Thai, they recognised the importance of some flexibility and encouraging good behaviours from their loyal staff. </span></div>
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<span style="font-family: inherit;"><br /></span></div>
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<span style="font-family: inherit;">However, it is worth remembering that often these side agreements do not stand the test of time if forcibly requested by other members of staff, or if management changes, so try to document everything and keep all correspondence. </span></div>
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<span style="font-family: inherit;">You may find Thai people unwilling to go into print on some matters, preferring it to be a friendly verbal understanding, in these instances I find that an email "confirming our conversation" can be useful to have on file, as they often will not respond and at least you have peace of mind of some correspondence.</span></div>
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<span style="font-family: inherit;"><b><u><i><span style="font-size: large;">But what about dads????</span></i></u></b> </span></div>
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<span style="font-family: inherit;">Technically only female <span style="background-color: white;">employees are entitled for such leave upon the birth of a child. However, there are some encouraging signs for dads.</span></span></div>
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<span style="background-color: white;"><span style="font-family: inherit;"><br /></span></span></div>
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<span style="background-color: white;"><span style="font-family: inherit;">In 2012 the Ministry of Labour made an announcement stating that State Officials could take upto 15 days paid paternity leave, within the first 30 days of a child birth - <a href="http://www.nationmultimedia.com/news/national/aec/30178350" target="_blank">The Nation</a>.</span></span></div>
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<span style="background-color: white;"><span style="font-family: inherit;"><br /></span></span></div>
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<span style="font-family: inherit;"><span style="background-color: white;">The Ministry also requested collaboration from employers to allow male employees to take paternity leave. </span></span></div>
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<span style="font-family: inherit;"><span style="background-color: white;"><br /></span></span></div>
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<span style="font-family: inherit;"><span style="background-color: white;">The announcement is not treated as law however and in my experience paternity leave, in the truest sense is rare. Most dads decide to use holiday allowance and flexible working hours to provide them with some time in the early days. </span></span></div>
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<span style="font-family: inherit; font-size: large;"><b><u><i>Getting into the Nitty Gritty</i></u></b></span></div>
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<span style="font-family: inherit;"><br /></span></div>
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<span style="font-family: inherit;">Getting into the nitty gritty, in case you are interested, or need this to explain to an employer, the details of the <a href="http://www.labour.go.th/en/attachments/article/18/Labour_Protection_Act_BE2541.pdf" target="_blank">Labour Protection Act 1998</a> include:</span></div>
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<span style="font-family: inherit;"><b><u>“Leave”</u></b> means a day on which an Employee takes sick leave, leave for steilisation, leave
for necessary business, leave for military service, leave for training or knowledge and skill development
or <b><u>maternity leave</u></b>; </span></blockquote>
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<span style="font-family: inherit;"><span style="font-weight: 700;">Section 32. </span>An Employee is entitled to sick leave as long as he or she is actually sick.
For sick leave of three days or more, the Employer may require the Employee to produce a certificate
from a frst class physician or an offcial medical establishment. If the Employee is unable to produce
a certifcate from a frst class physician or an offcial medical establishment, the Employee shall give
an explanation to the Employer. If a physician is provided by the Employer, this physician shall issue the certificate except
where the Employee is unable to be examined by the physician. A day on which an Employee is
unable to work on account of injury or illness arising out of employment or on maternity leave
under Section 41 shall not be regarded as sick leave under this Section.<br /><br /><b>Chapter 3</b> provides guidance specifically for the employment of women: </span></blockquote>
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<span style="font-family: inherit;"><span style="font-weight: 700;">Section 38. </span>An Employer shall be prohibited to require a female Employee to perform
any of the following work:<br />
(1) mining or construction work to be performed underground, underwater,
in a cave, in a tunnel or mountain shaft, except where the conditions of work are not harmful to
health or body of the Employee;<br />
(2) working on a scaffold of ten metres or more above the ground;<br />
(3) producing or transporting of explosive or infammable materials, except
where the conditions of work are not harmful to health or body of the Employee;<br />
(4) any other work as prescribed in the Ministerial Regulations. </span></blockquote>
<blockquote class="tr_bq">
<span style="font-family: inherit;"><span style="font-weight: 700;">Section 39. </span>An Employer shall be prohibited to require a female Employee who is <b><u>pregnant</u></b> to perform any of the following work:<br />
(1) work involving vibrating machinery or engine;<br />
(2) work of driving or going on a vehicle;<br />
(3) work of lifting, carrying on the back, carrying on shoulder, carrying
with a pole across shoulder, carrying on a head, pulling or pushing of loads in excess of fifteen
kilograms;<br />
(4) work on a boat; or<br />
(5) any other work as prescribed in the Ministerial Regulations. </span></blockquote>
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<span style="font-family: inherit;"><span style="font-weight: 700;">Section 39/1 </span>An Employer shall be prohibited to require a female employee who is
<b><u>pregnant</u></b> to work between 10.00 p.m. and 06.00 a.m., to work overtime or to work on holidays.
Where the female employee who is <b><u>pregnant</u></b> works in an executive position, academic work,
clerical work or work relating to fnance or accounting, the Employer may require the employee
to work overtime in the working days as long as there is no effect on the health of pregnant employee and with prior consent of the pregnant employee on each occasion. </span></blockquote>
<blockquote class="tr_bq">
<span style="font-family: inherit;"><span style="font-weight: 700;">Section 40. </span>Whereas an Employer require a female Employee to work between 24.00
hours and 6.00 hours and the Labour Inspector is of the opinion that the work may be hazardous to her health and safety, the Labour Inspector shall report it to the Director-General or a person
entrusted by the Director-General for consideration, and shall order the Employer to change or
reduce the female Employee’s working hours, as inspector deems appropriate, and the Employer
shall comply with such order. </span></blockquote>
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<span style="font-family: inherit;"><span style="font-weight: 700;">Section 41. </span>A female Employee who is <b><u>pregnant</u></b> shall be entitled to <b><u>maternity leave</u></b> of
not more than ninety days for each pregnancy. Any Leave taken under paragraph one shall include Holidays during the period of Leave. </span></blockquote>
<blockquote class="tr_bq">
<span style="font-family: inherit;"><span style="font-weight: 700;">Section 42. </span>Whereas a female Employee who is <b><u>pregnant</u></b> presents a certifcate from
a first class physician certifying that she is unable to continue in her previous duties, the Employee
shall be entitled to request the Employer to temporarily change her duties before or after delivery,
and the Employer shall consider changing her duties to suitable work for such an Employee.<br />
<span style="font-weight: 700;"><br /></span><span style="font-weight: 700;">Section 43. </span>An Employer shall not terminate the employment of a female Employee
on the grounds of her <b><u>pregnancy</u></b>. </span></blockquote>
<blockquote class="tr_bq">
<span style="font-family: inherit;"><span style="font-weight: 700;">Section 59. </span>An Employer shall pay Wages to a female Employee for maternity leave equivalent to Wages of a Working Day throughout the Leave period, but not exceeding forty five days per year.</span></blockquote>
<blockquote>
<span style="font-size: xx-small;"><span style="font-family: inherit; text-align: left;">Section 38, was amended by the Labour Protection Act.(No.2) B.E. 2551 / </span><span style="font-family: inherit;"> </span><span style="font-family: inherit; text-align: left;">Section 39, was amended by the Labour Protection Act.(No.2) B.E. 2551 / </span><span style="font-family: inherit; text-align: left;">Section 39/1, was added by the Labour Protection Act.(No.2) B.E. 2551</span><span style="font-family: inherit;"> </span></span></blockquote>
<span style="font-family: inherit;">Please note that any translations or interpretations of any applicable laws or guidelines should not be wholly relied upon and should be verified by an appropriate Lawyer or professional.</span><br />
<span style="font-family: inherit;"><br /></span>
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<span style="font-family: inherit; font-size: x-large;"><b><i>Good luck and I hope your conversations with your employers go well!</i></b></span></div>
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Unknownnoreply@blogger.com1Bangkok, Thailand13.7563309 100.5017651000000613.2627269 99.856318100000053 14.2499349 101.14721210000006tag:blogger.com,1999:blog-4946000887085439388.post-33131838589636623312017-02-16T00:29:00.000-08:002017-02-27T18:35:58.813-08:00Knocked up....now what? Cervical Examinations<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgkT8kIxElGAHtH4P52sPM6cM6nSUURb0J2zfL0XkFrnPZI5tJ5MnR-DksqnTBzYwYVDcQS5k0An67xnrqDtiW4LiK0zQ-gi-FMyMeE_PPa6VQn1zCkHePIleyeWc8j73rToLpPDGLy2KO7/s1600/owl-47526_1280.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="301" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgkT8kIxElGAHtH4P52sPM6cM6nSUURb0J2zfL0XkFrnPZI5tJ5MnR-DksqnTBzYwYVDcQS5k0An67xnrqDtiW4LiK0zQ-gi-FMyMeE_PPa6VQn1zCkHePIleyeWc8j73rToLpPDGLy2KO7/s320/owl-47526_1280.png" width="320" /></a></div>
<span style="font-family: inherit;"><br /></span>
<span style="font-family: inherit;"><br /></span>
<span style="font-family: inherit;">Cervical exams used to be a routine procedure in Western
practises for the later stages of pregnancy (normally from 36 weeks) I
therefore, rightly or wrongly, questioned whether it was something routinely
practised here in Thailand.<o:p></o:p></span></div>
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<span style="font-family: inherit;">I am only 28 weeks pregnant myself, and have so far only had
to drop my pants for vaginal ultrasounds in the early stages of my pregnancy, but my doctor has
advised that she will discuss birthing options with me from 36/37 weeks as I
may have a ‘big baby’ on the way. At 36 weeks is about the time when she may be likely to
routinely check my cervix and I’m conscious that my <a href="http://babyblueinbangkok.blogspot.com/2016/10/knocked-upnow-what-choosing-doctor_5.html" target="_blank">Ob/Gyn</a> may use this method
to help her make decisions about my birthing choices. But,</span></div>
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<ul>
<li><span style="font-family: inherit;"><span style="font-size: large;">Is it really necessary?</span></span></li>
<li><span style="font-family: inherit;"><span style="font-size: large;">Are there benefits to this procedure?</span></span></li>
<li><span style="font-family: inherit;"><span style="font-size: large;">Are there disadvantages to this procedure?</span></span></li>
<li><span style="font-family: inherit;"><span style="font-size: large;">Are there alternatives to this procedure?</span></span></li>
<li><span style="font-family: inherit;"><span style="font-size: large;">Could/should I decline this procedure?</span></span></li>
</ul>
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<span style="font-family: inherit;"><br /></span>
<span style="font-family: inherit;">Firstly, having researched mums experiences in Thailand it
seems that my <b><i>fears are not unfounded</i></b>. Mums do give accounts of simply being
told, not asked, by <a href="http://babyblueinbangkok.blogspot.com/2016/10/knocked-upnow-what-choosing-doctor_5.html" target="_blank">Doctors</a> that a cervical exam is required. So,<o:p></o:p></span></div>
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<span style="font-family: inherit;"><br /></span></div>
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<b style="mso-bidi-font-weight: normal;"><u><span style="font-family: inherit;">Is it really
necessary?<o:p></o:p></span></u></b></div>
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<div style="text-align: justify;">
<span style="font-family: inherit;">After speaking with experienced birthing professionals here
in Thailand and looking at evidence based resources it appears to me to be
clear that under NORMAL CIRCUMSTANCES IT ISN’T NECESSARY. Of course, there may
be extenuating circumstances and you must always listen to your <a href="http://babyblueinbangkok.blogspot.com/2016/10/knocked-upnow-what-choosing-doctor_5.html" target="_blank">healthcareproviders</a>, but generally speaking there are other ways to check on the progress
of your pregnancy and baby, that are far less intrusive.<o:p></o:p></span></div>
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<span style="font-family: inherit;"><br /></span></div>
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<b style="mso-bidi-font-weight: normal;"><u><span style="font-family: inherit;">Are there benefits
to this procedure?<o:p></o:p></span></u></b></div>
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<div style="text-align: justify;">
<span style="font-family: inherit;">I haven’t really been able to get a good answer to this. I’m
sure some <a href="http://babyblueinbangkok.blogspot.com/2016/10/knocked-upnow-what-choosing-doctor_5.html" target="_blank">Doctor’s </a>may tell you that they can better feel, and understand, the
progress of your pregnancy if they carry out this procedure, and of course if
it is a medical necessity (for a particular reason, not just because its
procedure) there would be a benefit, but no one I have contacted or any
resource I have read suggests that there is a particular benefit to having a
routine cervical exam (at least not before 41 weeks where an argument could be
made for having a more thorough check on things up there or a membrane sweep –
again a topic for another day)<o:p></o:p></span></div>
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<span style="font-family: inherit;"><br /></span></div>
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<b style="mso-bidi-font-weight: normal;"><u><span style="font-family: inherit;">Are there
disadvantages?<o:p></o:p></span></u></b></div>
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<span style="font-family: inherit;">Some people, and studies, do suggest that cervical
examinations can increase the chances of going into early labour. This is
likely linked to a chance of member sweeping at the same time, either proactively
or by accident. But recent studies have also shown that a routine physical exam
done properly should not affect your pregnancy or birthing progress. Of course,
this does not take into account any </span>psychological<span style="font-family: inherit;"> disadvantages that individuals
may need to consider. Not everyone is, or will be, comfortable with someone
carrying out this type of personal examination, and it is very important to
factor in your </span>psychological <span style="font-family: inherit;">needs as well as physical needs (yours and baby’s)
at such a stressful, and lets face it - hormonal, time.</span></div>
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<span style="font-family: inherit;"><br /></span></div>
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<b style="mso-bidi-font-weight: normal;"><u><span style="font-family: inherit;">Are there
alternatives?<o:p></o:p></span></u></b></div>
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<div style="text-align: justify;">
<span style="font-family: inherit;">Yes, NORMALLY THERE ARE ALTERNATIVES. Again from looking at
evidence based resources, an experienced <a href="http://babyblueinbangkok.blogspot.com/2016/10/knocked-upnow-what-choosing-doctor_5.html" target="_blank">Ob/Gyn</a> should not need to intrusively
poke around to work out where, or how, your baby is lying at any given time.
They can feel positioning through your stomach and see it via ultrasound.<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><u><span style="font-family: inherit;">Could/should I
decline this procedure?<o:p></o:p></span></u></b></div>
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<div style="text-align: justify;">
<span style="font-family: inherit;">If you are comfortable with the procedure, have considered
the possibility of it affecting the progress of your pregnancy and how you
would feel about that, then there appears to be no reason to decline the
procedure if your <a href="http://babyblueinbangkok.blogspot.com/2016/10/knocked-upnow-what-choosing-doctor_5.html" target="_blank">Ob/Gyn</a> happens to be old fashioned and wants to carry out
such an exam.<o:p></o:p></span></div>
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<span style="font-family: inherit;">However, there appears to be very little reason to have such
a procedure (other than exceptional circumstances, when you must always listen
to your <a href="http://babyblueinbangkok.blogspot.com/2016/10/knocked-upnow-what-choosing-doctor_5.html" target="_blank">healthcare provider)</a> so therefore little reason why you should simply
just accept to have it.<o:p></o:p></span></div>
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<div style="text-align: justify;">
<span style="font-family: inherit;"><br /></span></div>
</div>
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<div style="text-align: justify;">
<span style="font-family: inherit;">What I mean is, unless my <a href="http://babyblueinbangkok.blogspot.com/2016/10/knocked-upnow-what-choosing-doctor_5.html" target="_blank">Ob/Gyn</a> can give me a valid reason
then I think I will leave my knickers on and politely say no if she suggests
it.<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-family: inherit;">I have recently been raising more, polite, queries with my
<a href="http://babyblueinbangkok.blogspot.com/2016/10/knocked-upnow-what-choosing-doctor_5.html" target="_blank">Ob/Gyn</a> and have been politely declining some things, for example I declined yet
another HIV and Syphilis test and also a routine urine test, as there seemed
little indication that these were medically required at the time, so I figured
it was simply a routine way of the hospital to make money, something I am
getting wiser to.<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-family: inherit;">But ladies, it is very very important that you do not simply
take my word for any of this, I am not medically trained in anyway, and this
wriggling worm inside me qualifies me for very little (other than maybe winning
a competition for who has the weakest bladder in my household). So I urge you
to get informed, to ensure that you give true consent to any, and all,
procedures carried out to you and your baby.<o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-family: inherit;">I recently watched this You Tube clip from <a href="http://evidencebasedbirth.com/evidence-prenatal-checks/" target="_blank">Evidence Based Birth</a> about this very subject <o:p></o:p></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-family: inherit;"><br /></span></div>
</div>
<div class="MsoNormal">
<div style="text-align: justify;">
<span style="font-family: inherit;">I would highly recommend watching it to prepare yourself in
case your <a href="http://babyblueinbangkok.blogspot.com/2016/10/knocked-upnow-what-choosing-doctor_5.html" target="_blank">Ob/Gyn in Thailand</a> does try to, or suggest, routine cervical
examinations.</span><br />
<div style="text-align: center;">
<span style="font-family: inherit;"><br /></span></div>
</div>
</div>
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Unknownnoreply@blogger.com4Bangkok, Thailand13.7563309 100.5017651000000613.2627269 99.856318100000053 14.2499349 101.14721210000006tag:blogger.com,1999:blog-4946000887085439388.post-55137158789372659162017-02-10T05:06:00.000-08:002017-03-20T18:50:15.140-07:00TIT – It takes more than two to Tango in Thailand<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: inherit;"><b><i><span style="font-size: large;">and how to improve your “Lead” dancer</span></i></b></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEit0t9JXtNb0c4746oLVJR0oWi6VJecJSKazT7mvRxQ0QvdXg8m3rxr-ny5tzWyFyT7Fia2oVaMk3b_w-4amYKhuJoZarg6juWkHUqLXxJ-Jlk-taCq3NrsYtSkRh8MvlQHZBI1JicKdBkT/s1600/dance-1123786_1280.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="315" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEit0t9JXtNb0c4746oLVJR0oWi6VJecJSKazT7mvRxQ0QvdXg8m3rxr-ny5tzWyFyT7Fia2oVaMk3b_w-4amYKhuJoZarg6juWkHUqLXxJ-Jlk-taCq3NrsYtSkRh8MvlQHZBI1JicKdBkT/s320/dance-1123786_1280.jpg" width="320" /></a></div>
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<a name='more'></a><div style="text-align: justify;">
<span style="font-family: inherit;"><span style="font-family: inherit;">It seems like a no brainer to say that you and your partner
need to be pulling in the same direction when you are trying to conceive, but
it is so true. If you are both fully committed it makes decisions so much
easier and instinctive, and there is typically a lot less nagging!</span></span></div>
<span style="font-family: inherit;"><o:p></o:p></span><br />
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<span style="font-family: inherit;">It took us over 1 year to conceive with an egg that has
decided to hang around for longer than 11 weeks gestation (am now 27 weeks
pregnant, all fingers and toes crossed!) so we have had our ups and downs –
namely with 3 miscarriages along the way.<o:p></o:p></span></div>
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<span style="font-family: inherit;">In some ways we felt lucky as we knew we could conceive
easily, but that didn’t make is any easier without answers as to why we weren’t
staying pregnant. Was it the quality of my eggs, am I getting too old, was I
doing something wrong during the pregnancies, did either of us have any
underlying problems? The list of questions you ask yourself is endless and the
stress you can put on yourselves is boundless and throughout all of this I was
in danger of becoming a complete bitch. I began to focus the questions more and
more on myself, and the stress more and more on my husband.<o:p></o:p></span></div>
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<span style="font-family: inherit;">But becoming a bitch wasn’t going to get us pregnant, so I
refused to give in to it and kept looking for ways to work as a team and tango
our most perfect tango in total harmony.<o:p></o:p></span></div>
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<span style="font-family: inherit;">Here is my To Do List of things to try to help you and your
partner stay on the same page, stay focused (and to avoid ‘the bitch’ at all
costs):<o:p></o:p></span></div>
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<blockquote class="tr_bq">
<span style="font-family: inherit;">1) If you can <b style="mso-bidi-font-weight: normal;"><u>get
yourself some help with any of life’s other chores</u></b> do it!<br /> </span><span style="font-family: inherit;">Whether it is someone just to iron the shirts, or an
agreement to have take away once a week, take some pressure off by getting some
help. This is why I say it takes more than two to tango in Thailand in
particular. Its not always easy to live here, just finding the groceries you
want in the supermarket can be a mission, and don’t even get me started on the
first time I tried to buy washing powder (if you’ve been there you will know
what I mean, I think the utility room floor is still sticky from soap suds!). I
suggest getting yourself some home help as soon as possible, it doesn’t have to
be a full time maid, just a few hours each week to help with some cleaning and
ironing and you will feel the relief I promise. It is such a normal thing to do
here, and yet such a luxury for most women to have in the UK, but do it, you
won’t regret spending the baht it will cost you.</span></blockquote>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9etz-2DOFv_M11YCVYbCIcl3j9lKhH_OSTOLcYx7BqaDGKDcWXFu65K3wNvbxIJUD2kK2veYdHK9nBlg5FmMMOiri1YAybpdmi48lJS98VN9xjp6gUYiULQoJe4t8hyRIWgmaeCjtZsvw/s1600/chef-1299033_1280.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9etz-2DOFv_M11YCVYbCIcl3j9lKhH_OSTOLcYx7BqaDGKDcWXFu65K3wNvbxIJUD2kK2veYdHK9nBlg5FmMMOiri1YAybpdmi48lJS98VN9xjp6gUYiULQoJe4t8hyRIWgmaeCjtZsvw/s200/chef-1299033_1280.png" width="156" /></a></div>
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<span style="font-family: inherit;">2) Things can feel very ‘practical’ when you are TTC and
getting down to action loses its spark, its spontaneity and even its fun
sometimes, especially if you have been trying for a while. Whilst I hesitate to
suggest this, as I strongly believe it isn’t all down to the woman to be
alluring, it does help to make sure that ‘you’, as a woman, feel attractive,
and it’s a double bonus if you get his juices flowing without the need to nag.
So I recommend investing in a couple of <b><u>“let’s
get it on” nighties or outfits</u></b> (whatever works for you), and a dab of lippy
and perfume. It should work much better than nagging him to turn the telly off
and it has the added bonus of making you feel special too. Of course this works
both ways, there is nothing to stop him from paying a little extra attention to
his attire and bodily appearance too!</span> </blockquote>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiALzd1cRlDNNDFSrnrwJlM78QBw-vgoRczjzFjyoHCi6bmo97iOlgXvkBOlCr-46_EmprBdw9mhLasZ_XGBjbSM1M1MMw600XVz-mWiRkYL88knrDo7OrNswQyB-wy9VdBfof4wOmRTqzQ/s1600/woman-1989094_1280.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiALzd1cRlDNNDFSrnrwJlM78QBw-vgoRczjzFjyoHCi6bmo97iOlgXvkBOlCr-46_EmprBdw9mhLasZ_XGBjbSM1M1MMw600XVz-mWiRkYL88knrDo7OrNswQyB-wy9VdBfof4wOmRTqzQ/s200/woman-1989094_1280.jpg" width="152" /></a></div>
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<span style="font-family: inherit;">3) I am not aware of any true support networks for TTC in
Thailand and the doctors provide little to no advice on how to conceive (unless
you are paying for IVF of course). I know we all know the basics but there is a
little more to it sometimes, so I recommend downloading an app on your phone to
(a) get a little more informed about your cycle and (b) get you connected to
other people in a similar situation. You will feel instantly more motivated and
more in control, I promise.</span> </blockquote>
<blockquote class="tr_bq">
<span style="font-family: inherit;">I have tried and tested quite a few ovulation and TTC apps,
and you can find many free apps on your phone - but there is one that stood out
for me - <b><a href="https://glowing.com/glow" target="_blank">Glow Ovulation & Fertility Tracker</a></b> and the reason it
stood out for me is the importance of point 3</span> </blockquote>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhWlk9DHaOO334OKOh0Kh8ffxsykV2yS-X_DqAqZZiFThfyvkOu6g2iQi7KY4fXY0-JgA33Moj7poDY8V1jTLa-7e4TFAOB25ivJUghZsB3O84i9dnk9mBPP_pL1c4CpkOIwm7KqGZSx4df/s1600/download-1956182_1280.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhWlk9DHaOO334OKOh0Kh8ffxsykV2yS-X_DqAqZZiFThfyvkOu6g2iQi7KY4fXY0-JgA33Moj7poDY8V1jTLa-7e4TFAOB25ivJUghZsB3O84i9dnk9mBPP_pL1c4CpkOIwm7KqGZSx4df/s200/download-1956182_1280.png" width="200" /></a></div>
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<span style="font-family: inherit;">4) <b><u>Empower your
partner</u></b>. The <a href="https://glowing.com/glow" target="_blank">Glow App</a> allows you to connect with your partner so that they
also know the best days for TTC. This means that you simply don’t have to nag!
It removes the need to talk about “date night”, “steak night”, “sushi night”,
“DDay” whatever you call it, because he already knows, his phone has literally
reminded him to get jiggy with it. This was a revelation for us, with my hubby
almost turning the tables on me and nagging me about my work and social diary –
he suddenly got it. He got the fact that it really is a limited window, that we
really were trying for a miracle and that we really really really did need to
be in the same place at the same time on those limited, special days</span> </blockquote>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYx3n7M-RzFAPN6fqyEekpZ0Y51M2Q__Sfz-W5ZV8Q5hpcvyT_bTCD3jrLIcGuwzg4juMyUKtQpcQS2jpWOB-cny_Rf2tQV331w3-2yW9kSMJ2w5USG8vfO9c1a7aXb4NWJfVR_GbtcnRu/s1600/smartphone-1184865_1280.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="155" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYx3n7M-RzFAPN6fqyEekpZ0Y51M2Q__Sfz-W5ZV8Q5hpcvyT_bTCD3jrLIcGuwzg4juMyUKtQpcQS2jpWOB-cny_Rf2tQV331w3-2yW9kSMJ2w5USG8vfO9c1a7aXb4NWJfVR_GbtcnRu/s200/smartphone-1184865_1280.png" width="200" /></a></div>
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<blockquote class="tr_bq">
<span style="font-family: inherit;">and because hubby was now empowered he took another very
special leap</span> </blockquote>
<blockquote class="tr_bq">
<span style="font-family: inherit;">5) He booked us a <b style="mso-bidi-font-weight: normal;"><u>babymakecation</u></b>.
It was only just down the road for 1 night but it was the thought that counted
so much! I packed my “let’s get it on” nightie, I didn’t nag once and I
genuinely, and whole heartedly, adored him on that weekend, because he had taken
the “Lead” and we Tangoed all the better for it.</span></blockquote>
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<span style="font-family: inherit;">And the result – there is a likelihood that we fell pregnant
with this very baby on that babymakecation, booked after I had empowered hubby with
the Glow app, the one that he booked all on his own, with no nagging or input
from me. <o:p></o:p></span></div>
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Unknownnoreply@blogger.com7tag:blogger.com,1999:blog-4946000887085439388.post-26628799596243019512017-02-06T01:30:00.000-08:002017-02-27T18:36:37.805-08:00Knocked up….now what? More tests…am I Diabetic?<div dir="ltr" style="text-align: left;" trbidi="on">
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<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">Before I talk about diabetes (more
precisely the gestational variety) I have to have a huge moan about the Thai
Healthcare system AGAIN! Sometimes I think they are purely in this business for
the money, I mean purely, no Hippocratic oath, no caring for the patients, no
ethics, just plain wealth and extortion!<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
</div>
<a name='more'></a><br />
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">I have lost count of the number of
times I have been tested for HIV and Syphilis in Thailand, I mean, seriously
lost count. To the point that I forcibly told my doctor that I did not want any
most tests for this. I perceive my risk of having contracted either disease in
the last few weeks as very minimal as I only have one sexual partner, and as she
has prescribed vaginal suppositories for progesterone I haven’t even been able
to have unprotected sex with him!, so seriously….how do you think I have
suddenly and spontaneously caught HIV and/or Syphilis in the last few weeks?!<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">So I thought I had made myself
clear, well apparently not. Having just spoken to the nurse at Bumrungrad
hospital to check on my next appointment I find I have been routinely scheduled
for yet another HIV and Syphilis test at a cost of THB2,000. When I told her
that I didn’t want the tests she persisted to tell me that Dr. Somsri had recommended them. “NO NO NO please cancel”. <o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">I can only assume it is for the
money that they keep doing this, that they keep scheduling tests without
explaining, and seeking your informed consent to them. They are simply a
surprise when you get to the cashier, at no point do you get told what each
vile of blood is for.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><b><i>So please ladies, please remember
to clearly and unequivocally ask your Doctor’s what they are testing for and
why, please ensure that you are empowered with enough information to make a
decision about what your Doctor is doing to you and your baby and what they are
prescribing.</i></b><o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">Moan over for now, back to <b><u>testing
for Gestational Diabetes in Thailand</u></b>.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">At my last appointment I was told
that I should have a test for Gestational Diabetes. It was explained to me that
I would need to fast before I attended the hospital in the morning, then I
would drink a solution and have my blood sugar levels tested as an indication
of whether or not I had gestational diabetes. Looking back I really should have
learnt to ask more questions by now, but yet again I walked out of the doctors
office with a new appointment slip and little information about what I had
agreed to.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">I later spoke with friends and a
NHS trained midwife. She informed me that these tests are more typically needed
in Asian and Middle East populations and people with family history of diabetes
or high BMI. My friends helpfully added that the test wasn’t too bad (if I
needed it) and that it only cost around THB800. After a quick check around
the room people started telling me that they thought Bumrungrad would charge me
multiples of this, so I decided to investigate this further.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">Having spoken with the nurse at
Bumrungrad I believe I have been scheduled for the 50g oral glucose tolerance
test (OGTT), and the cost will be THB1,500, so whilst it is more than another
clinic at least it isn’t thousands more.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">But DO I NEED THE TEST?<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">The <a href="http://www.nhs.uk/Conditions/gestational-diabetes/Pages/Introduction.aspx#risk" target="_blank">NHS</a> says:</span></div>
<blockquote class="tr_bq">
<i style="font-family: inherit; text-align: left;">Any
woman can develop gestational diabetes during pregnancy, but you're at an
increased risk if:</i></blockquote>
<blockquote class="tr_bq">
<blockquote>
<i><span style="font-family: inherit;"></span></i><br />
<ul style="text-align: left;"><i><span style="font-family: inherit;">
<li><span style="font-family: inherit;">your </span><a href="http://www.nhs.uk/chq/Pages/3215.aspx" style="font-family: inherit;">body
mass index (BMI)</a><span style="font-family: inherit;"> is above 30 – use the </span><a href="http://www.nhs.uk/tools/pages/healthyweightcalculator.aspx" style="font-family: inherit;">healthy weight calculator</a><span style="font-family: inherit;"> to work out your
BMI</span></li>
<li><span style="font-family: inherit;">you
previously had a baby who weighed 4.5kg (10lbs) or more at birth</span></li>
<li><span style="font-family: inherit;">you had
gestational diabetes in a previous pregnancy</span></li>
<li><span style="font-family: inherit;">one of
your parents or siblings has diabetes</span></li>
<li><span style="font-family: inherit;">your
family origins are south Asian, Chinese, African-Caribbean or Middle Eastern</span></li>
</span></i></ul>
<i><span style="font-family: inherit;">
</span><span style="font-family: inherit;">If any
of these apply to you, you should be offered <u style="text-underline: #094EA8;">screening for gestational diabetes</u> during your pregnancy.</span></i></blockquote>
</blockquote>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">According to the NHS I was not at
an increased risk, but what was the consequence of failing to take the test and
subsequently finding out that I did have gestational diabetes?</span><span style="font-family: inherit;"> </span></div>
<blockquote class="tr_bq">
<i><span style="font-family: inherit;">Most
women with gestational diabetes have otherwise normal pregnancies with healthy
babies.</span><span style="font-family: inherit;">However,
gestational diabetes can cause problems such as:</span></i><br />
<ul style="text-align: left;"><i><span style="font-family: inherit;">
<li><span style="font-family: inherit;">your
baby growing larger than usual – this may lead to difficulties during the
delivery and increases the likelihood of needing </span><a href="http://www.nhs.uk/conditions/pregnancy-and-baby/pages/induction-labour.aspx" style="font-family: inherit;">induced labour</a><span style="font-family: inherit;"> or a </span><a href="http://www.nhs.uk/conditions/Caesarean-section/Pages/Introduction.aspx" style="font-family: inherit;">caesarean section</a></li>
<li><a href="http://www.nhs.uk/Conditions/polyhydramnios/Pages/polyhydramnios.aspx" style="font-family: inherit;">polyhydramnios</a><span style="font-family: inherit;"> – too
much amniotic fluid (the fluid that surrounds the baby) in the womb, which can
cause premature labour or problems at delivery</span></li>
<li><a href="http://www.nhs.uk/conditions/pregnancy-and-baby/pages/premature-early-labour.aspx" style="font-family: inherit;">premature birth</a><span style="font-family: inherit;"> – giving
birth before the 37th week of pregnancy</span></li>
<li><a href="http://www.nhs.uk/Conditions/Pre-eclampsia/Pages/Introduction.aspx" style="font-family: inherit;">pre-eclampsia</a><span style="font-family: inherit;"> –
a condition that causes high blood pressure during pregnancy and can lead to
pregnancy complications if not treated</span></li>
<li><span style="font-family: inherit;">your baby developing low blood sugar
or yellowing of the skin and eyes (jaundice) after he or she is born,
which may require treatment in hospital</span></li>
<li><span style="font-family: inherit;">the loss of your baby </span><a href="http://www.nhs.uk/conditions/Stillbirth/Pages/Definition.aspx" style="font-family: inherit;">(stillbirth)</a><span style="font-family: inherit;"> – though this is rare</span></li>
</span></i></ul>
<i><span style="font-family: inherit;">
</span><span style="font-family: inherit;">Having
gestational diabetes also means you're at an increased risk of developing <a href="http://www.nhs.uk/conditions/Diabetes-type2/Pages/Introduction.aspx">type 2 diabetes</a> in the future.</span></i></blockquote>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">Running through this in my mind I
already know from the ultrasounds that we are predicted a big baby and I want
to do everything I can to promote a uncomplicated natural birth. I also know
that in Thailand they are likely to do everything they can to try to convince
me to have either an induced labour or an elective caesarean section.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">Doing a some further research I
found a great resource at PubMed which comprises of more than 26
million citations for biomedical literature from MEDLINE, life science
journals, and online books. Whilst this is a very techy website the summaries contained in the
Abstract version can be helpful:</span></div>
<blockquote class="tr_bq">
<i><span style="font-family: inherit;"><u style="text-underline: #262626;">J Fam Pract.</u> 1997 Jun;44(6):556-61.</span><b><span style="font-family: inherit;"><a href="https://www.ncbi.nlm.nih.gov/pubmed/9191628?report=abstract" target="_blank">Do low-risk prenatal patients really need a screening glucose challenge test?</a></span></b><span style="font-family: inherit;"><b><span style="font-weight: normal;">Helton MR</span></b>1, Arndt J, Kebede M, King M.</span><br /><span style="font-family: inherit;"><b>Abstract</b></span></i> </blockquote>
<blockquote class="tr_bq">
<i><b><span style="font-family: inherit;">BACKGROUND:</span></b><span style="font-family: inherit;">It is
common practice to routinely screen pregnant women for gestational diabetes.
The screening technique typically used is the 1-hour 50-g oral glucose
tolerance test (OGTT), with a subsequent 3-hour 100-g OGTT for women whose
1-hour test was positive. This process can be both time-consuming and
inconvenient for patients. Additionally, its sensitivity and specificity are
estimated to be 70% and 87% respectively, and data about the effect of
screening and treatment on low-risk pregnancy outcomes are limited. The
objective of this study was to reassess the value of routine screening of all
pregnant patients with a 1-hour glucose challenge test.</span></i> </blockquote>
<blockquote class="tr_bq">
<i><b><span style="font-family: inherit;">METHODS:</span></b><span style="font-family: inherit;">At a
university-based family practice center with a predominantly low-risk
population, a retrospective analysis was performed of all patients (n = 595)
who received prenatal care and gave birth between January 1988 and December
1993. Among women in whom gestational diabetes was diagnosed on the basis of
glucose tolerance testing, we identified those with risk factors for the
disease, and examined whether a selective screening program based on risk
factors alone would have resulted in correct diagnoses of gestational diabetes.</span></i> </blockquote>
<blockquote class="tr_bq">
<i><b><span style="font-family: inherit;">RESULTS:</span></b><span style="font-family: inherit;">Of the
595 patients, 544 (91.4%) were screened with a 1-hour 50-g OGTT. This initial
screening test was positive in 76 women (12.8%). Of these, 58 (76.3%) then had
a 3-hour 100-g OGTT, and 13 received a diagnosis of gestational diabetes. Nine
of these 13 women had risk factors for gestational diabetes. We determined that
less than 1% of prenatal patients without risk factors for gestational diabetes
were ultimately found to have gestational diabetes.</span></i> </blockquote>
<blockquote class="tr_bq">
<i><b><span style="font-family: inherit;">CONCLUSIONS:</span></b><span style="font-family: inherit;">Screening
with a 1-hour 50-g OGTT only those women who have identifiable risk factors for
gestational diabetes is a reasonable approach to identifying the disease in a
low-risk population. All pregnant women should have a thorough history taken to
determine whether they have risk factors for gestational diabetes.</span></i> </blockquote>
<blockquote class="tr_bq">
<i><span style="font-family: inherit;">PMID:
9191628</span><span style="font-family: inherit;">[PubMed
- indexed for MEDLINE]</span></i></blockquote>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">Has my
doctor taken a thorough history to determine my risk factors, NO, do I have any
identifiable risk factors, NO, has she explained the procedure fully to me, NO,
has she explained the possible outcomes and follow on procedures to me, NO. But
in conclusion from all of the above, I reckon I have a 1% chance of having gestational
diabetes, and in the grand scheme of things it will only cost me THB1,500 to
check this, and it may help convince my doctor to proceed with a natural birth
plan, which ultimately will cost less here in Thailand (in fact up to THB47,900
less at Bumrungrad, which is the difference between a totally natural birth and
a caesarean birth - <a href="https://www.bumrungrad.com/en/womens-center-obgyn-thailand/packages/delivery" target="_blank">Bumrungrad Delivery Packages</a>)<o:p></o:p></span><br />
<span style="font-family: inherit;">_________________________________________________________________________________</span><br />
<span style="color: red; font-family: inherit;"><b>UPDATE @ 9th Feb 2017 Turns out I was scheduled for a 75gms GTT. Process at Bumrungrad is:</b></span><br />
<span style="color: red; font-family: inherit;"><b><br /></b></span>
<b><span style="color: red; font-family: inherit;">Make sure your Doctor schedules you an </span><span style="color: red;">early</span><span style="color: red; font-family: inherit;"> morning test with a follow up appointment on the same day at around midday or later.</span></b><br />
<blockquote class="tr_bq">
<b style="color: red;"><span style="font-family: inherit;">1. </span></b><b style="color: red; font-family: inherit;">Fast the night before the test (I fasted for 10/11 hours)</b> </blockquote>
<blockquote class="tr_bq">
<b style="color: red; font-family: inherit;"></b><b style="color: red; font-family: inherit;">2. Register at the Women's clinic early the next morning</b> </blockquote>
<blockquote class="tr_bq">
<b style="color: red; font-family: inherit;"></b><b style="color: red; font-family: inherit;">3. Take request form to Lab</b> </blockquote>
<blockquote class="tr_bq">
<b style="color: red; font-family: inherit;"></b><b style="color: red; font-family: inherit;">4. Have a catheter fitted in one hand</b> </blockquote>
<blockquote class="tr_bq">
<b style="color: red; font-family: inherit;"></b><b style="color: red; font-family: inherit;">5. Have blood drawn</b> </blockquote>
<blockquote class="tr_bq">
<b style="color: red; font-family: inherit;"></b><b style="color: red; font-family: inherit;">6. Drink sugary drink in 5 mins</b> </blockquote>
<blockquote class="tr_bq">
<b style="color: red; font-family: inherit;"></b><b style="color: red; font-family: inherit;">7. Have blood drawn in 1 hour</b> </blockquote>
<blockquote class="tr_bq">
<b style="color: red; font-family: inherit;"></b><b style="color: red;">8. Have<span style="font-family: inherit;"> blood drawn in 1 hour</span></b> </blockquote>
<blockquote class="tr_bq">
<b style="color: red;"><span style="font-family: inherit;"></span></b><b style="color: red;"><span style="font-family: inherit;">9. </span></b><b style="color: red; font-family: inherit;">See doctor (note that results can take 90 mins to come through)</b> </blockquote>
<blockquote class="tr_bq">
<b style="color: red; font-family: inherit;"></b><b style="color: red; font-family: inherit;">10. EAT!!!!!</b></blockquote>
<span style="color: red; font-family: inherit;"><b>The drink tastes ok, the lab technicians are normally 'ok' at taking blood (although not the best), you may feel a little dizzy and sick, you will feel very hungry...but all in all it's not too bad! </b></span><br />
<b style="color: red; font-family: inherit; text-align: center;"><br /></b>
<br />
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<br />
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<br /></div>
<div style="text-align: left;">
<br /></div>
<div style="text-align: center;">
<b><i>I killed some time chilling in the 6th floor roof garden</i></b></div>
<div style="text-align: center;">
<span style="color: red;"><b><br /></b></span></div>
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<div class="MsoNormal" style="text-align: center;">
<span style="font-family: inherit; font-size: x-large;"><i>Get
informed, give true consent!</i></span><span style="font-family: "georgia"; font-size: 10.0pt;"><o:p></o:p></span></div>
</div>
Unknownnoreply@blogger.com0Bangkok, Thailand13.82031 100.6647100999999813.326706 100.01926309999997 14.313913999999999 101.31015709999998tag:blogger.com,1999:blog-4946000887085439388.post-211556378582445562017-02-01T01:41:00.002-08:002017-02-05T00:49:42.125-08:00Knocked up….now what? Other mothers (know best) ….<div dir="ltr" style="text-align: left;" trbidi="on">
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjRdouyxBCX-EQ8MwzO-S8e3gald8tY8KhALvI1jd_pBN0iGvI0r-DfBVzuQoNRpneF4Mzdpj9_YMHgH5pLcz_SjvwnIXGEIrYpPwYkJCqgWJu9YUOZdaKqDvy0eOo5LRr2mUpxdDUdbGU4/s1600/IMG_4678.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: inherit;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjRdouyxBCX-EQ8MwzO-S8e3gald8tY8KhALvI1jd_pBN0iGvI0r-DfBVzuQoNRpneF4Mzdpj9_YMHgH5pLcz_SjvwnIXGEIrYpPwYkJCqgWJu9YUOZdaKqDvy0eOo5LRr2mUpxdDUdbGU4/s320/IMG_4678.JPG" width="320" /></span></a></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">After a particularly bad long haul
flight I was recently suffering from jet lag and innocently posted the above
photo on Facebook - a mug of hot chocolate and the book I was reading at the
time. I was reading Gina Ford. </span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<o:p><span style="font-family: inherit;"></span></o:p></div>
<a name='more'></a><br />
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">Now, let’s be honest we all know
that we often post photos with the sole intention of sparking conversation,
even controversy. I can honestly say that this was not one of those times, my
jetlag was so bad that my actions were not really conscious, I wasn’t asking
for advice, I wasn’t reaching out for help, the most I may have been thinking
was that if any of my friends in the UK saw my post they would realize I was
awake for a whatsapps chat…nothing more than that.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">But what unraveled in front of my
blurry eyes was quite amazing…other mums literally came out of the wood work to
not only give their opinion of my chosen non fiction reading material but also
imparted so much emotion, I had clearly opened up a genie’s lamp, and not
everyone liked Gina Ford’s genie.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">I choose to run with it (listen
and try to learn), after all I’ve been through the first trimester stuff and
I’m plugging my way through the second trimester stuff, the third trimester is
looming (and I know that will mostly be about sitting in the air con), BUT what
about the fourth trimester? What happens when I come home, with a living,
breathing, screaming, crying baby. How do I settle this pure, little thing into
our crazy household, how do I manage to be the best mother, whilst being the
best wife, best friend and best me?<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">Where could I turn? Friends of
course, and here they were spontaneously giving me book reviews and advice
about parenting, so I posted a polite thank you and sat back and watched it
unravel, as my various friends debated the best and worst of baby books out
there:</span></div>
<blockquote class="tr_bq">
<span style="font-family: inherit;"><b>“Eeekkk…that is one scary book!
She is quite strict on routine very stressful for mummy’s, my advise…go with
the flow”</b></span> </blockquote>
<blockquote class="tr_bq">
<span style="font-family: inherit;"><b><o:p> </o:p>“Oh this book made me feel like a
rubbish mum”</b></span> </blockquote>
<blockquote class="tr_bq">
<span style="font-family: inherit;"><b><o:p> </o:p>“The only book you need is 12
hours by 12 weeks Suzy Giordano”</b></span> </blockquote>
<blockquote class="tr_bq">
<span style="font-family: inherit;"><b><o:p> </o:p>“Deffo crap book…Baby Whisperer
Tracy Hogg is much better and more human”</b></span> </blockquote>
<blockquote class="tr_bq">
<span style="font-family: inherit;"><b><o:p> </o:p>“We heard about so many books but
we decided to wing it”</b></span> </blockquote>
<blockquote class="tr_bq">
<span style="font-family: inherit;"><b><o:p> </o:p>“Too strict didn’t work for
us…chill and go with the flow. Some books can make you feel rubbish if you’re
not doing stuff exactly as they advise…”</b></span></blockquote>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">I was a bit shocked that so many
friends had been so quick to judge my choice of reading. I understand that they
may have been aware of this book, maybe even tried it out and had decided,
rightly for them, that it wouldn’t work. But I was also struck by the reason’s
they gave for rejecting Gina Ford’s method. They did not seem to be saying that
it didn’t work for their baby, but that it didn’t work for them, that it made ‘them’
feel bad.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">But for me, in my innocence at the
moment, I am already struck and overwhelmed by the responsibility of being ‘the
adult’, and the importance of imparting all of my wisdom and skills on creating
the best mini human being I can. I don’t remember my mum ever not doing
something to help me because “it made her feel rubbish”, quite the opposite,
she was the adult, I was the child and I learnt from her, I wasn’t left to
decide when to eat, sleep, go to school or do my homework and I assume,
innocently, that this acceptance of our respective roles had been learnt from
an early age, possibly even birth.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">I had also had the unusual
experience of being fairly hands on with a friends baby in the early days,
thanks to a douchbag husband that decided to leave her high and dry when their
son was just 3 months old. I’ve never seen such terror in someone’s eyes, but
she was filled with fire, filled with loathing, filled with love for her son
and filled with determination. So we got right down to it, the business of
recreating her world into a super kick arse single mum world, with a super kick
arse son.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">We set ourselves the mission and
we moved pretty quickly. The practicalities of suddenly, and unpredictably, being
a single mum, like finances and budgeting, meant that she would need to go back
to work when her son was 6 months old, and she would have to rely heavily on
day care, so this baby needed to learn quickly that he had a role to fill in
the family dynamic and it needed to be a calm, positive force in the house, and
most importantly she (and he) needed a routine…otherwise life was simply going
to break her.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">So she turned to the books…and she
stumbled across Gina Ford’s “The Contented Little Baby Book”. Gina Ford seems
to have gotten herself a reputation of being cruel and over strict, mostly due
to a (mis)perception that she promotes “crying it out”.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">BUT, my friend was fired up with a
desperate need to establish a routine and quickly, she needed tips on how to
parent in ways that enabled her to have a life, support her son, manage her
finances and bring him up in the most positive way possible. There was no
giving up, no time to go with the flow and it was too big a gamble to “wing it”.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">She chose to take the most important
bits out of the book, and not get obsessed with Gina’s tone (which can we
rather matronly). My friend will tell you to this day that Gina’s best advice
was:</span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
</div>
<ul>
<li><span style="font-family: inherit;">Use <b><u>mostly white clothes</u></b> early on
to enable easy washing</span></li>
<li><span style="font-family: inherit;">Invest in a <b><u>tumble dryer</u></b>, you
don’t have to but it makes life a lot easier</span></li>
<li><span style="font-family: inherit;">Suggested <b><u>meal times for mum</u></b>,
again you don’t have to, but eating at regular intervals helps to keep your
energy levels up</span></li>
<li><span style="font-family: inherit;"><b><u>Encourage baby to eat as much as
possible during the day</u></b>, common sense suggests they then don’t need as much at
night</span></li>
<li><span style="font-family: inherit;"><b><u>Encourage your baby to stay awake
and engaged more in the afternoon</u></b>, common sense suggests that then they will be
more likely to sleep at night</span></li>
<li><span style="font-family: inherit;">Use the baby’s nap times to
schedule your chores and <b><u>get some sleep yourself</u></b></span></li>
</ul>
<br />
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">It is true that Gina gives
suggested schedules that change over time that build all of the above into
black and white routines. But mum’s seem to forget that Gina isn’t in the room
with them, she isn’t standing over you with a big stick, and she gives guidance
on when and how to attempt moving on through the schedules.</span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">She followed them loosely, focusing
more on a <b><u>7am start and 7pm finish</u></b> whilst promoting all of the above main
points in those 12 hours, and I can honestly say that I cannot remember ever
hearing my her son “crying out” or seeming distressed. If he woke in the night
and was hungry, she fed him, but he learnt to settle himself quickly because she didn’t indulge in over stimulation after 7pm, in fact she had a <b><u>no speaking rule
after 7pm</u></b>, and it worked, <b><u><i>it really really worked!</i></u></b><o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">So, naturally the first thing my friend bought for me was my own edition of “The Contented Little Baby
Book”, she knew I would be open to this and with so much time on my hands
before the baby arrives I have even more opportunity to read, digest, impart
and impregnate the basic concepts into my moulinex brain.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">I won’t be implementing it in a
desperate rush like we were before, I can absorb and think about how
to adapt our lifestyle to her suggested routines, whilst maintaining the basic
concepts. After all, living in Thailand not all of Gina’s suggestions will work
for us, for example she suggests going for a walk (if you want to) in the
afternoon. Obviously the afternoons are hotter here, so I will probably shift
our routine to doing walks to the local market in the morning, and hubby has
already changed hisroutine <span style="mso-spacerun: yes;"> </span>in
preparation for engaging play time at 7am every morning, so that he doesn’t
have the pressure of always getting home in Bangkok traffic jams for bed time.
At the end of the day I don’t want daddy to run through the door stressed and sweaty
from Bangkok traffic, just in time to impart all of that stress onto our baby
just as she is winding down. I would much rather watch, and participate in,
constructive play time at 7am (I say watch and participate, but what I will be
probably doing is frantically showering!). <o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<span style="font-family: inherit;">So yes, I will be waking our baby
in the mornings, even if she wants to sleep longer, because quality time with
her daddy (and a showered, clean, mummy) will only help to encourage good
routines and eventually good sleeping patterns from positive stimulation
throughout the day at the right times.<o:p></o:p></span></div>
<div class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;">
<br /></div>
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<span style="font-family: inherit;">So, my mind is pretty much set,
but I remain open and continue to listen to other mums advice…and boy oh boy
are other mums happy to give advice – keep it coming ladies as I’m sure I will
have some bumpy days and nights ahead, and thank you in advance from
the bottom of my heart x</span><span style="font-family: "georgia"; font-size: 10.0pt;"><o:p></o:p></span></div>
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Unknownnoreply@blogger.com4Bangkok, Thailand13.7563309 100.50176510000006-39.821955599999995 17.884577600000057 67.3346174 -176.88104739999994tag:blogger.com,1999:blog-4946000887085439388.post-13877789067932689112017-01-18T20:41:00.000-08:002017-03-04T22:17:30.929-08:00Knocked up....now what? Maternity Clothes in Bangkok<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: inherit;">I'm 23 weeks pregnant and trying to squeeze into my non maternity dresses is making me look like</span></div>
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<span style="font-family: inherit;">Ursula from the Little Mermaid</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgYkfM7wmpthBG4gc47O6EWIw8t-dnuynyXBX8Fixy0rH3VxusbXjCz8pmO95rsGpeXphBduCw3fagxao8xEnGMGr3fpfgaxysCpJayX_imk5Mce6t1l7cWcpzVx1hWDFGp0Lfh_0rQZw_e/s1600/ursula.gif" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: inherit;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgYkfM7wmpthBG4gc47O6EWIw8t-dnuynyXBX8Fixy0rH3VxusbXjCz8pmO95rsGpeXphBduCw3fagxao8xEnGMGr3fpfgaxysCpJayX_imk5Mce6t1l7cWcpzVx1hWDFGp0Lfh_0rQZw_e/s1600/ursula.gif" /></span></a></div>
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<span style="font-family: inherit;">cue panic attack as I stare into my wardrobe.</span></div>
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<span style="font-family: inherit;">I'm not an avid shopper (although my husband may say different) but I am quite good at keeping key pieces that do come out year after year and work with new trends.</span></div>
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<span style="font-family: inherit;">I am super lucky that some forward thinking a few years ago meant that I purchased two bamboo maxi dresses from <a href="http://www.zhai.com.sg/dresses/Maxi-Dress-Black" target="_blank">Zhai</a> in Singapore. Not only are they proving to grow with me, the bamboo is super soft but they are also black (which is perfect for a country that is in one year of mourning).</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjPXscd94yCu67tjcI9aWgZxvdn_0umW1tH7FcTFenG1zP34jsUypZ7ry3tCaogL7ITw3NTxBPHS01UxN4B9qe7sMCi1A2K5Elzbz8OUG8BcM4U3ThWXCRFgJaE7YgnNJgx2Hgnq_a34Wt6/s1600/IMG_19762-1620x1620.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: inherit;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjPXscd94yCu67tjcI9aWgZxvdn_0umW1tH7FcTFenG1zP34jsUypZ7ry3tCaogL7ITw3NTxBPHS01UxN4B9qe7sMCi1A2K5Elzbz8OUG8BcM4U3ThWXCRFgJaE7YgnNJgx2Hgnq_a34Wt6/s320/IMG_19762-1620x1620.jpg" width="320" /></span></a></div>
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<span style="font-family: inherit;">So I had something relatively practical and smart to go out in. </span></div>
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<span style="font-family: inherit;">They are perfect "in between" dresses, can be dressed up with some jewellery, but can also slouch around at home or by a pool chatting in them.</span></div>
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<span style="font-family: inherit;">(Top Tip - at the moment I am loving jewellery from <a href="https://maisondesiam.co.uk/" target="_blank">Maison de Siam</a>, which has been set up by an English couple sourcing ethical handcrafted jewellery in Thailand and giving generoursly back to the community, currently only available in the UK, but contact them for more details)</span></div>
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<span style="font-family: inherit;">Unfortunately (mostly for my husband) I have also given in to waste bands almost entirely - they are uncomfortable at the best of times but now they feel like they are a <span style="text-align: left;">tourniquet around my poor babies neck, and my bladder! </span></span></div>
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<span style="font-family: inherit;"><span style="text-align: left;">I had slipped into a habit of sitting around at home in not much more than my knickers....not a good look!</span></span></div>
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<span style="font-family: inherit;"><span style="text-align: left;">Fortunately, as my husband pointed out, there are some great, very cheap, stretchy options in Thailand, that can be picked up at places like <a href="http://babyblueinbangkok.blogspot.com/p/the-cost-of-being.html" target="_blank">MBK</a> very easily for THB300-400. I have to admit that the elastic at the top is not the most supportive so these are strictly my 'lounge around at home dresses', but I couldn't live without them, and they are a little more elegant than sitting around in my </span>knickers! </span></div>
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<a href="https://4.bp.blogspot.com/-syGjvS7sdVw/WLTtfpS5NSI/AAAAAAAAPzg/qb0Kh_E6RhsdEvjvQReloMhYxdHufMY_ACPcB/s1600/IMG_5009.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: inherit;"><img border="0" height="320" src="https://4.bp.blogspot.com/-syGjvS7sdVw/WLTtfpS5NSI/AAAAAAAAPzg/qb0Kh_E6RhsdEvjvQReloMhYxdHufMY_ACPcB/s320/IMG_5009.JPG" width="240" /></span></a></div>
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<span style="font-family: inherit;">Now, if you are just here to pick up some hints and tips on where to get summer maternity clothes in Bangkok, then please see the table below for a (hopefully) helpful list of where you can try to find clothes that will fit. </span></div>
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<span style="font-family: inherit;">Please bear in mind though that even at their fattest, Thai girls are not born to the same proportions as many foreigners, so you may still find that arms are little too tight or waist lines a little too high, but then again an oversized cotton shirt is an oversized cotton shirt and can be dressed up or down, so you will always find some thing that works.</span></div>
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<span style="font-family: inherit; font-size: large;">Now in the meantime, I had an emergency!</span></div>
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<span style="font-family: inherit;">A trip back to the UK and a weekend in Finland <u>in January</u>. </span></div>
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<span style="font-family: inherit;">Instead of my normal delight at wearing my skinny jeans, knee high boots and cashmere jumpers I entered a spiral of panic, all I could think about was how cold I would be wearing MBK summer dresses in the middle of winter back home!</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgiTdpJzDIPHCT9s-JlWxdMajQoqFCs_lRllzbgRs22hLROEjez_-cnu_HWF79a12nf9-8xv_MvsRywY9Jazt43Bw_1XARJaJrtNFpuXDAVACjZMPr_IBfrvkWdS7D9sZPUipBrnvBR-ZgO/s1600/giphy.gif" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: inherit;"><img border="0" height="153" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgiTdpJzDIPHCT9s-JlWxdMajQoqFCs_lRllzbgRs22hLROEjez_-cnu_HWF79a12nf9-8xv_MvsRywY9Jazt43Bw_1XARJaJrtNFpuXDAVACjZMPr_IBfrvkWdS7D9sZPUipBrnvBR-ZgO/s320/giphy.gif" width="320" /></span></a></div>
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<span style="font-family: inherit;">So I asked around and was told that <a href="http://www.hm.com/th/products/ladies/maternity_wear" target="_blank">H&M</a> in <a href="http://babyblueinbangkok.blogspot.com/p/the-cost-of-being.html" target="_blank">Central World</a> has a maternity range, that is coincidentally useless for Thailand as it is mostly jeans and jumpers - hallelujah hallelujah hallelujah</span></div>
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<span style="font-family: inherit;">So bump and I went shopping!</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi4lnQXez0IEqTpz45HyR40gXcuChauvYUNOyeyFwfHLBKyT783xb2wiYuqiOrJd8PsYPWJ6M0u5ZD6qD_mId-8-uPa2zJAOjykgn62styikpU1CsidKcFn081sosmklZk6ioil4VxWXpYm/s1600/IMG_4395.JPG" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em; text-align: left;"><span style="font-family: inherit;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi4lnQXez0IEqTpz45HyR40gXcuChauvYUNOyeyFwfHLBKyT783xb2wiYuqiOrJd8PsYPWJ6M0u5ZD6qD_mId-8-uPa2zJAOjykgn62styikpU1CsidKcFn081sosmklZk6ioil4VxWXpYm/s320/IMG_4395.JPG" width="320" /></span></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj7_ESp92Pk-97eowvJCnghbII6Y9MYSlQMX0Cs4p9UNS_pV5azjOCeUn9HgjrVGxamXzwenhOPk3Dw-GDzQkB0ubjInN9KFODRQ0G5WtPsmiRCbCRKU6AfuuiQPMcZ0hNct3s7hV25tQK-/s1600/IMG_4394.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><span style="font-family: inherit;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj7_ESp92Pk-97eowvJCnghbII6Y9MYSlQMX0Cs4p9UNS_pV5azjOCeUn9HgjrVGxamXzwenhOPk3Dw-GDzQkB0ubjInN9KFODRQ0G5WtPsmiRCbCRKU6AfuuiQPMcZ0hNct3s7hV25tQK-/s320/IMG_4394.JPG" width="320" /></span></a></div>
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<span style="font-family: inherit;">It transpires that the shop has less choice than the website but there was enough to get me started.</span></div>
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<span style="font-family: inherit;">I choose to stick to key items, that would co-ordinate with my leather knee high boots or navy pumps.</span></div>
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<a href="https://2.bp.blogspot.com/-ymxx-_z9ROY/WHhZ5ZV4uBI/AAAAAAAAM0Y/BIt5bLE03gohb4rggUmjo4XN_2xQpp2VQCPcB/s1600/CA3A6B98-6ABD-47A8-8293-DD594CB5A3AC-COLLAGE.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: inherit;"><img border="0" height="320" src="https://2.bp.blogspot.com/-ymxx-_z9ROY/WHhZ5ZV4uBI/AAAAAAAAM0Y/BIt5bLE03gohb4rggUmjo4XN_2xQpp2VQCPcB/s320/CA3A6B98-6ABD-47A8-8293-DD594CB5A3AC-COLLAGE.jpg" width="320" /></span></a></div>
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<span style="font-family: inherit;">For the plane I wanted to be comfy. </span></div>
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<span style="font-family: inherit;">So I choose maternity joggers (THB999) and options for layering on the top</span></div>
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<span style="font-family: inherit;">THB 500 (sale item)</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJWi9Qp1Gf1LtHTK5CNYbZvu9PlH-qBaw4Gxm7_1QNHZE8nvngpVbEdLkGU7iYE_LSdcmvaT0dHMPdBMNWL60BX_dVmliKqbI2P7sxiuUQXGBKQJleq8gkdDTsG_XPtRnJslqls_Cs6B0v/s1600/IMG_4400.JPG" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><span style="font-family: inherit;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjJWi9Qp1Gf1LtHTK5CNYbZvu9PlH-qBaw4Gxm7_1QNHZE8nvngpVbEdLkGU7iYE_LSdcmvaT0dHMPdBMNWL60BX_dVmliKqbI2P7sxiuUQXGBKQJleq8gkdDTsG_XPtRnJslqls_Cs6B0v/s200/IMG_4400.JPG" width="150" /></span></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg-gmiYdeVruqM9VKmf8L-cyued9TC15SN0ScRu91lUuPFFqsvbetxVjRqjfnebnigOU-J5-1cVetRsnjmg__S_gU9Q8FTVQnkz3jSIoCMuZcuV0bW8Lsd9RIF_URjvwAiPvevcz7wooxYK/s1600/IMG_4396.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><span style="font-family: inherit;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg-gmiYdeVruqM9VKmf8L-cyued9TC15SN0ScRu91lUuPFFqsvbetxVjRqjfnebnigOU-J5-1cVetRsnjmg__S_gU9Q8FTVQnkz3jSIoCMuZcuV0bW8Lsd9RIF_URjvwAiPvevcz7wooxYK/s200/IMG_4396.JPG" width="150" /></span></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlLwFtbYgl9ZfKrQHvzRqH5eQ4GD9oPNo4fD-zCMgn7bJU9MKbSUG-VSs2EqLeE3DdwOY6bpWZxIYdMwlZULbzj9RFqOz43yRc6piQ64v8xLVMYVkjipZUHComllMMAd4Qkjar85RBKPPG/s1600/IMG_4399.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: inherit;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlLwFtbYgl9ZfKrQHvzRqH5eQ4GD9oPNo4fD-zCMgn7bJU9MKbSUG-VSs2EqLeE3DdwOY6bpWZxIYdMwlZULbzj9RFqOz43yRc6piQ64v8xLVMYVkjipZUHComllMMAd4Qkjar85RBKPPG/s200/IMG_4399.JPG" width="150" /></span></a></div>
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<span style="font-family: inherit;"> THB200 (sale item)</span></div>
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<span style="font-family: inherit;">Other collaborations:</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhemJZueqGNQMdSprPk_1zYyxajSazsJc5eOUsjxwmjRV0FERVqX2YSe2fgXRzbYgbXMa2ToVQDrHnk69OlfmRFd50G3v9Ns3cDXC1MDQxSJgJt3PFesqx5_fE2jxquy7CHhYoDlYPlyq8B/s1600/IMG_4402.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><span style="font-family: inherit;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhemJZueqGNQMdSprPk_1zYyxajSazsJc5eOUsjxwmjRV0FERVqX2YSe2fgXRzbYgbXMa2ToVQDrHnk69OlfmRFd50G3v9Ns3cDXC1MDQxSJgJt3PFesqx5_fE2jxquy7CHhYoDlYPlyq8B/s320/IMG_4402.JPG" width="240" /></span></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEge-L39LHKN7fmItYvsSd3ugxgx6bfye3J_K7LvHRg12Tlj-VHVJI9-fVbIZRUtuqQ51Cqpsgwmhs0zamjz3AN5IZpjc4AyN1DP0Kx5yupmPFskHns2AL1YWPAtMKgY9XWh6cBOdkwF4QTv/s1600/IMG_4397.JPG" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><span style="font-family: inherit;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEge-L39LHKN7fmItYvsSd3ugxgx6bfye3J_K7LvHRg12Tlj-VHVJI9-fVbIZRUtuqQ51Cqpsgwmhs0zamjz3AN5IZpjc4AyN1DP0Kx5yupmPFskHns2AL1YWPAtMKgY9XWh6cBOdkwF4QTv/s320/IMG_4397.JPG" width="240" /></span></a></div>
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<span style="font-family: inherit;">Navy blue maternity jeans @ THB1,399 and cream and navy maternity jumper @ THB1,099</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjYrlTmnswlGb6DiKS1s8-Zr6tNaxJ9GVE7gzlZhTkCbb6xj4v55zSPpgkkhFayvXTmP2HR2pJ5fQPtyjI3z2NB2FUP6lVsJBzbh83BAzjJoMgfH_UL2VmS7-fqUh3ybHPKKuo9sgViIzt4/s1600/IMG_4398.JPG" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><span style="font-family: inherit;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjYrlTmnswlGb6DiKS1s8-Zr6tNaxJ9GVE7gzlZhTkCbb6xj4v55zSPpgkkhFayvXTmP2HR2pJ5fQPtyjI3z2NB2FUP6lVsJBzbh83BAzjJoMgfH_UL2VmS7-fqUh3ybHPKKuo9sgViIzt4/s320/IMG_4398.JPG" width="240" /></span></a></div>
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhemJZueqGNQMdSprPk_1zYyxajSazsJc5eOUsjxwmjRV0FERVqX2YSe2fgXRzbYgbXMa2ToVQDrHnk69OlfmRFd50G3v9Ns3cDXC1MDQxSJgJt3PFesqx5_fE2jxquy7CHhYoDlYPlyq8B/s1600/IMG_4402.JPG" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><span style="font-family: inherit;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhemJZueqGNQMdSprPk_1zYyxajSazsJc5eOUsjxwmjRV0FERVqX2YSe2fgXRzbYgbXMa2ToVQDrHnk69OlfmRFd50G3v9Ns3cDXC1MDQxSJgJt3PFesqx5_fE2jxquy7CHhYoDlYPlyq8B/s320/IMG_4402.JPG" width="240" /></span></a><br />
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<span style="font-family: inherit;">Navy blue maternity jeans @ THB1,399 and beige maternity jumper @ THB500 (sale item)</span></div>
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<span style="font-family: inherit;">But this didn't solve every problem and most importantly my one and only winter coat was not going to co-operate and stretch around my expanding waist line.</span></div>
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<span style="font-family: inherit;">A quick look on <a href="https://www.facebook.com/groups/TheMummyClubBangkok/" target="_blank">The Mummy Club, Thailand</a> and I discovered that many people get their winter clothes from <a href="http://www.uniqlo.com/th/shop/">Uniqlo.</a> Whilst they don't have a maternity range I hoped that by utilising the right shapes and sizes I could get away with some key pieces.</span></div>
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<span style="font-family: inherit;">I was convinced that layering was the way to go, so I layered up two outer layers</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhX_APFNHd2F0WEYg-Hz2FkvhHkCrfl2MZwpS7vxjI7yq8xkO1fVPCa16rxUrmgBEPawStHcoOAJ30Qg_dFgS-mjkfqL-MLbkmP-2SSH4aC2qEigxIv0nX-t_pX_05haWHOfcBshgaM_rO8/s1600/goods_03_173349.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><span style="font-family: inherit;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhX_APFNHd2F0WEYg-Hz2FkvhHkCrfl2MZwpS7vxjI7yq8xkO1fVPCa16rxUrmgBEPawStHcoOAJ30Qg_dFgS-mjkfqL-MLbkmP-2SSH4aC2qEigxIv0nX-t_pX_05haWHOfcBshgaM_rO8/s200/goods_03_173349.jpg" width="200" /></span></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_0xCLhkmCIPYabpFQvB-1W2iLqg_nW7tSvXv8KwBqK2gO11g3jo82xqFElonTkDPkSP7csVbf9P-_RGxcQlY5RlncW6zx5kWUepPxC_IiFWcLEeeYFFYz_UeIkjHuoK1LCr3nP-1MmuO6/s1600/goods_186996_sub3.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><span style="font-family: inherit;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg_0xCLhkmCIPYabpFQvB-1W2iLqg_nW7tSvXv8KwBqK2gO11g3jo82xqFElonTkDPkSP7csVbf9P-_RGxcQlY5RlncW6zx5kWUepPxC_IiFWcLEeeYFFYz_UeIkjHuoK1LCr3nP-1MmuO6/s200/goods_186996_sub3.jpg" width="200" /></span></a></div>
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<span style="font-family: inherit;">Ultra light down vest @ THB990 (sale item)</span></div>
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<span style="font-family: inherit;">Blocktech coat @ THB2,990</span></div>
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<span style="font-family: inherit;">I also stocked up on thermal options for inner wear layering</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEijerVP0sMnDLuofMBOIBJ9Bqu8aO3Aydqn-dMmnIC4El7ZihhyphenhyphenEoIL09W7DwXRzCYr-mNX96wMy_-LgFtzzNcGoVcOBWKxvMpJoxiwoaJ641ynOsJowJ-TJQXGAn57MZ6Lt7JVdaYSGeJW/s1600/a7a97f60e29b6c323d3e228d48653a39.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><span style="font-family: inherit;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEijerVP0sMnDLuofMBOIBJ9Bqu8aO3Aydqn-dMmnIC4El7ZihhyphenhyphenEoIL09W7DwXRzCYr-mNX96wMy_-LgFtzzNcGoVcOBWKxvMpJoxiwoaJ641ynOsJowJ-TJQXGAn57MZ6Lt7JVdaYSGeJW/s200/a7a97f60e29b6c323d3e228d48653a39.jpg" width="200" /></span></a></div>
<span style="font-family: inherit;"> Heattech extra warm turtle neck t shirt @ THB390</span><br />
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<span style="font-family: inherit;">Heattech crew neck t-shirt @ THB390</span><br />
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgvBvYHb22EFy1K15NP8Jb_IoI-PqNJyZ05jIWSrXeW7Ji5yZS0YfllLGoh1jJZMixx_oCJAHOXPXWOa1Y_Ek62HjUa92zJN1LfBN0m0n06SFBJL1qAPoaxGwG35SpSbh6jzizw-UQ-E0tM/s1600/goods_01_147324.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><span style="font-family: inherit;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgvBvYHb22EFy1K15NP8Jb_IoI-PqNJyZ05jIWSrXeW7Ji5yZS0YfllLGoh1jJZMixx_oCJAHOXPXWOa1Y_Ek62HjUa92zJN1LfBN0m0n06SFBJL1qAPoaxGwG35SpSbh6jzizw-UQ-E0tM/s200/goods_01_147324.jpg" width="200" /></span></a><br />
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<span style="font-family: inherit;">and then treated myself to a "show off the bump" ribbed cotton stripped long dress @ THB790</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEidvdstcYMacygCfhYbmU3eM5WhPYRE0y4hNAazPVZ9mt_RmXDxU2w705KEbEa-rE1vL6RZrLaQ8W09a9i3yiKyVJ0ZOXjlCz4eXYHrxIKdtwbqjtYI4DC1w8aYRC5XSsN1ILTq4vEvhiW2/s1600/01_194127.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: inherit;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEidvdstcYMacygCfhYbmU3eM5WhPYRE0y4hNAazPVZ9mt_RmXDxU2w705KEbEa-rE1vL6RZrLaQ8W09a9i3yiKyVJ0ZOXjlCz4eXYHrxIKdtwbqjtYI4DC1w8aYRC5XSsN1ILTq4vEvhiW2/s320/01_194127.jpg" width="320" /></span></a></div>
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<span style="font-family: inherit;">and just as I was leaving the shop I saw this amazing bargain, that could hide an elephant under it let alone a baby bump!</span></div>
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<span style="font-family: inherit;">Sweat 3/4 sleeve tunic @ THB590 (sale item) which I teamed with some Heattech tights in navy @ THB 290</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjPgKukQtK-1Y3O1cu04vPnlckxVyxngYzmO1nHXtIrh-YfSi6ilY23i6r8IgEesGkUzoCV1h_4km7Ij5x-2cKeFHbAltq8YJrcVY9nLr7FatmJb2lttEzfh8HrLyebKIpquvf_rTdcHRHl/s1600/03_189902_middles.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: inherit;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjPgKukQtK-1Y3O1cu04vPnlckxVyxngYzmO1nHXtIrh-YfSi6ilY23i6r8IgEesGkUzoCV1h_4km7Ij5x-2cKeFHbAltq8YJrcVY9nLr7FatmJb2lttEzfh8HrLyebKIpquvf_rTdcHRHl/s1600/03_189902_middles.jpg" /></span></a></div>
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<span style="font-family: inherit;">I did also sneak back to H&M to buy a grey pair of maternity jeans from H&M to go with this green maternity jumper I had spotted.</span></div>
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<span style="font-family: inherit;">So, I was confidently set up with maternity wear for heading back home...probably too set up, </span><br />
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<span style="font-family: inherit;">it just about fit in the suitcase!</span><br />
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<span style="color: red;"><b><span style="font-family: inherit;">UPDATE @ 1st February - it was all perfect. I honestly couldn't have taken a better wardrobe home with me. It all co-ordinated well and I was never cold. The down vest and blocktech combo were an immense success in Finland in particular.</span></b></span></div>
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<span style="color: red; font-family: inherit;"><b>UPDATE @ 28th February - even though Bangkok is considerably hotter than the UK or Finland in January, I am surprised to find myself wearing most of the clothes I purchased, with obviously a few wardrobe rematches. </b></span></div>
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<span style="color: red; font-family: inherit;"><b>The striped dress is great for showing off the bump and I love to wear it in the evening for meeting friends for dinner, when the air con can get a little chilly in restaurants. AND I LOVE LOVE LOVE maternity jeans - why oh why did no one tell me about these before. I wear them all the time with long vest tops, they give lovely support and hide the fact that I can no longer reach my legs to shave them!</b></span></div>
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<span style="color: red; font-family: inherit;"><b>Although I still live in my black maxi dresses and MBK specials, when I need to be super comfy at home!</b></span></div>
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Unknownnoreply@blogger.com7Central World13.7458501 100.5382815000000413.2522461 99.892834500000035 14.2394541 101.18372850000004tag:blogger.com,1999:blog-4946000887085439388.post-62564361556233521872017-01-18T19:34:00.000-08:002017-02-27T18:37:00.864-08:00The nutritional value of a fish finger sandwich<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: inherit;">It's 5.45am and I've been up since 2.30am (yawn!)</span></div>
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<span style="font-family: inherit;">I'm 24 weeks pregnant (yey, for being viable!) and this seems to happen to me twice a week...for reasons that seem to be a mixture of constipation, cravings and a busy mind.</span></div>
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<span style="font-family: inherit;">Whilst I can entertain myself a little by chatting with friends online in the UK and catching up on other yummy mums blogs, I am also sweating my bump off because I'm scared that the aircon will make my hubby, so I'm sitting with two cats sprawled over me, a laptop that is burning up and a baby radiator inside me. </span><span style="font-family: inherit;">I decided to console myself with a fish finger sandwich, although I'm certain it is not helping the constipation situation. </span><span style="font-family: inherit;">But then I felt guilty about the nutritional value of my late night cravings. </span><span style="font-family: inherit;">So in an effort to ease my guilt, and maybe send myself to sleep, I decided to get googling.</span></div>
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<span style="font-family: inherit;">Hmmmm, the first thing I came across was this website <a href="http://www.eatdrinklivewell.com/can-fish-fingers-be-healthy-2/" target="_blank">www.eatdrinklivewell.com/can-fish-fingers-be-healthy</a> it wasn't looking promising...</span></div>
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<span style="font-family: inherit;">I am a avid user of excel spreadsheets and cue another reason to design one - a quick(ish) tool to calculate the nutritional value of my late night binges...geek heaven! (and was sure to send me to sleep eventually). </span><span style="font-family: inherit;">See my spreadsheet below but </span><b style="font-family: inherit;"><i>in summary:</i></b></div>
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<li><b><i><span style="font-family: inherit; text-align: justify;"><span style="font-family: inherit; font-size: large;">A fish finger sandwich will give you some important vitamins like vitamin K, Thiamin, Folate, vitamin B12 and vitamin A</span></span></i></b></li>
<li><b><i><span style="font-size: large;"><span style="font-family: inherit; text-align: justify;"><span style="font-family: inherit;">It will also give you a large helping of your daily Manganese mineral requirements</span></span></span></i></b></li>
<li><b><i><span style="font-size: large;"><span style="font-family: inherit; text-align: justify;"><span style="font-family: inherit;">It will also give you a decent helping of your Selenium</span></span></span></i></b></li>
<li><span style="font-family: inherit; font-size: large; font-style: italic; font-weight: bold; text-align: justify;">However it has also account for a third of my sodium intake (so no salt & vinegar crisps for me later!)</span></li>
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<i><span style="font-family: inherit; text-align: justify;">At this point I admit that I fell asleep...but I came back to my laptop to answer some important questions and found that:</span></i></div>
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<b><i><span style="font-family: inherit;">Is Vitamin K <o:p></o:p></span><span style="font-family: inherit;">important during during pregnancy?</span></i></b><br />
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<span style="font-family: inherit;">As well as being needed for
healthy bone development and protein formation in the liver, vitamin K plays a
key role in blood clotting, enabling
wounds to heal properly. This is particularly important during labour and just
after you’ve given birth, when your body is recovering and starting to heal. Sufficient levels of vitamin K are also crucial for
your baby immediately after birth and, while vitamin K deficiency in babies is
very rare, it can lead to a condition that increases their risk of bleeding too
much.</span><span style="font-family: inherit;">Source: <a href="https://www.aptaclub.co.uk/article/importance-of-vitamin-k">www.aptaclub.co.uk</a></span></blockquote>
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<b><i><span style="font-family: inherit;">Is Thiamin <o:p></o:p></span><span style="font-family: inherit;">important during during pregnancy?</span></i></b><br />
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<span style="font-family: inherit;">Thiamin
(also known as thiamine or vitamin B1) enables you – and your baby – to convert
carbohydrates into energy. It also helps your nervous system, muscles, and
heart function normally and is essential for your baby's brain development.</span><span style="font-family: inherit;">Source: <a href="http://www.babycenter.com/0_thiamin-in-your-pregnancy-diet_668.bc">www.babycenter.com</a></span></blockquote>
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<b><i><span style="font-family: inherit;">Is Folate <o:p></o:p></span><span style="font-family: inherit;">important during during pregnancy?</span></i></b><br />
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<span style="font-family: inherit;">Folic
acid/Folate helps prevent neural tube defects (NTDs) – serious birth defects of the
spinal cord (such as spina bifida) and the brain (such as anencephaly).</span><span style="font-family: inherit;">Source: <a href="http://www.babycenter.com/0_folic-acid-why-you-need-it-before-and-during-pregnancy_476.bc">www.babycenter.com</a></span></blockquote>
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<span style="font-family: inherit;"><b><i>Is Vitamin B12 important during during pregnancy?</i></b></span><br />
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<span style="font-family: inherit;">If
you're pregnant, not having enough vitamin B12 can increase the risk of your
baby developing a serious birth defect known as a neural tube defect.</span><span style="font-family: inherit;">Source: <a href="http://www.nhs.uk/Conditions/Anaemia-vitamin-B12-and-folate-deficiency/Pages/Complications.aspx">www.nhs.uk</a></span></blockquote>
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<span style="font-family: inherit;"><b><i>Is Vitamin A important during pregnancy?</i></b></span><br />
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<span style="font-family: inherit;">Vitamin A is a fat-soluble vitamin that's stored in the liver. Vitamin A is important for your baby's embryonic growth, including the development of the heart, lungs, kidneys, eyes, and bones as well as the circulatory, respiratory, and central nervous systems. </span><span style="font-family: inherit;">Vitamin A is particularly essential for women who are about to give birth because it helps with postpartum tissue repair. It also helps maintain normal vision, fights infections, supports your immune system, and helps with fat metabolism.</span><span style="font-family: inherit;">Source: </span><a href="http://www.babycenter.com/0_vitamin-a-in-your-pregnancy-diet_675.bc" style="font-family: inherit;" target="_blank">www.babycenter.com</a></blockquote>
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<span style="font-family: inherit;"><i><b>Is Manganese important during during pregnancy?</b></i></span><br />
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<span style="font-family: inherit;">Manganese is a mineral that helps form bone and cartilage. It also helps protect cells from damage and activates the enzymes that play a role in the metabolism of carbohydrates, amino acids, and cholesterol.</span><span style="font-family: inherit;">Source: <a href="http://www.babycenter.com/0_manganese-in-your-pregnancy-diet_750.bc" target="_blank">www.babycenter.com</a> </span></blockquote>
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<i style="background-color: white; color: #222222; font-family: inherit; letter-spacing: -0.25999999046325684px;"><b>Is Selenium important during pregnancy?</b></i><br />
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<span style="background-color: white; color: #222222; font-family: inherit; letter-spacing: -0.25999999046325684px;">Selenium has also been studied for the treatment of dozens of conditions. They range from </span><span style="background-color: white; color: #222222; font-family: inherit; letter-spacing: -0.25999999046325684px;">asthma</span><span style="background-color: white; color: #222222; font-family: inherit; letter-spacing: -0.25999999046325684px;"> to </span><span style="background-color: white; color: #222222; font-family: inherit; letter-spacing: -0.25999999046325684px;">arthritis</span><span style="background-color: white; color: #222222; font-family: inherit; letter-spacing: -0.25999999046325684px;"> to </span><span style="background-color: white; color: #222222; font-family: inherit; letter-spacing: -0.25999999046325684px;">dandruff</span><span style="background-color: white; color: #222222; font-family: inherit; letter-spacing: -0.25999999046325684px;"> to </span><span style="background-color: white; color: #222222; font-family: inherit; letter-spacing: -0.25999999046325684px;">infertility</span><span style="background-color: white; color: #222222; font-family: inherit; letter-spacing: -0.25999999046325684px;">. However, the results have been inconclusive. </span><span style="background-color: white; color: #222222; font-family: inherit; letter-spacing: -0.25999999046325684px;">Source: </span><a href="http://www.webmd.com/a-to-z-guides/supplement-guide-selenium#1" style="background-color: white; font-family: inherit; letter-spacing: -0.25999999046325684px;" target="_blank">www.webmd.com</a></blockquote>
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For a great resource and summary of nutritional health and B Vitamins in particular refer to <a href="http://www.healthline.com/health/pregnancy/b-vitamins#2" target="_blank">www.healthline.com</a><br />
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<b><i><span style="font-size: large;">In conclusion, I say enjoy your fish finger sandwiches ladies!</span></i></b></div>
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Unknownnoreply@blogger.com8tag:blogger.com,1999:blog-4946000887085439388.post-47440369818922211312017-01-18T01:06:00.000-08:002017-01-20T00:52:52.897-08:00Knocked up....now what? What your Thai Ob/Gyn probably won't tell you<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: inherit;">I read this article on <a href="https://www.healthgrades.com/conditions/15-things-ob-gyns-want-pregnant-women-to-know">HealthyGrades.com</a> today and it made me chuckle...don't get me wrong, it was very useful but it struck me how little information my Thai Ob/Gyn had passed on to me (and made me think "thank god" for google and my insatiable urge to research)</span></span></div>
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<span style="font-family: inherit;">The article lays out 15 clear and useful points and I've added my own interpretations after each one from my experiences in Thailand</span></div>
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<span style="background-color: #fafafa; font-family: inherit;"><b><i>1. “There are many forms of prenatal testing available during pregnancy.”</i></b></span></div>
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<span style="font-family: inherit;"><span style="background-color: #fafafa;"><span style="font-family: inherit;">Are there? Really? Who knew? In Thailand they will ultrasound you, ultrasound you some more, and then ultrasound you again (charging you each time, plus extra for 4D which they won't ask you about but assume your consent for) </span><span style="font-family: inherit;">and then they will suggest (more like "tell") you to have a NIPT test and charge you a lot of money for the privilege, and then depending on the results they will charge you again if they think you need an amniocentesis (read my <a href="http://babyblueinbangkok.blogspot.sg/2016/11/knocked-upnow-what-chromosomal-testing.html">blog</a> on how our NIPT test went).</span></span><span style="text-align: left;"> </span></span></blockquote>
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<span style="background-color: #fafafa;"><span style="font-family: inherit;">That is all assuming you are having a 'normal' pregnancy. If you show even the slightest sign of having fertility problems they will once again use that apparent informed consent to sign you up for a myriad of blood tests (on one occasion they took 17 viles of my blood and charged me over THB25,000 for the privilege), which typically produces a long list of acronyms, which the doctor translates into 2 possible outcomes - everything is normal and we don't know what is wrong with you OR something is wrong with you (at this stage you don't know what, and you won't know what until you get home and googled for dozens of hours) and then they will charge you for more tests.</span></span></blockquote>
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<span style="font-family: inherit;">And of course, one should not forget the importance of checking every 3 months whether you have HIV and Syphilis. I am not exaggerating, I have lost count of the number of times I have seen this appear on my test results, despite having profusely refused to have any more tests for it (after all where the bejeepers do they think I picked up HIV or Syphilis from in 3 months, whilst pregnant?!)<span style="text-align: left;"> </span></span></blockquote>
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<span style="font-family: inherit;"><b><i>2. “Your birth plan is not etched in stone.”</i></b></span></div>
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<span style="font-family: inherit;">Birth plan...what is that? In Thailand women listen to their Ob/Gyn and follow their instructions. If you want to get yourself more informed and involved, I suggest to get yourself a <a href="https://www.facebook.com/bangkokdoulas/">Doula</a> to assist with communcation and your understanding of what is happening.</span></blockquote>
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<span style="font-family: inherit;"><span style="font-family: inherit;"><b><i>3. “You should NOT double your food intake just because you are pregnant.”</i></b></span></span></div>
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</span><span style="font-family: inherit;"></span>
</span><br />
<blockquote class="tr_bq" style="text-align: justify;">
<span style="font-family: inherit;">My weight is taken every visit, but rarely divulged to me. My Doc has recommended that I gain 2kg a month. <span style="font-family: inherit;">I've been told to lay off street food, fat, sweets and carbohydrates, to load up on protein, papaya, have 2 eggs per day, chicken livers, fish and calcium rich food.</span></span></blockquote>
<span style="font-family: inherit;"><span style="font-family: inherit;">
</span><span style="font-family: inherit;"></span>
</span><br />
<div style="text-align: justify;">
<span style="font-family: inherit;"><span style="font-family: inherit;"><b><i>4. “Remember to exercise and drink water!”</i></b></span></span></div>
<span style="font-family: inherit;"><span style="font-family: inherit;">
</span>
</span><br />
<blockquote class="tr_bq" style="text-align: justify;">
<span style="font-family: inherit;"><span style="font-family: inherit;">My Doc would faint if I told her I was exercising. I've been told to move as little as possible (I think they are worried the baby will fall out), she has even suggested we get a wheelchair if I need to walk a lot 😂</span></span></blockquote>
<span style="font-family: inherit;"><span style="font-family: inherit;">
</span><span style="font-family: inherit;"></span>
</span><br />
<div style="text-align: justify;">
<span style="font-family: inherit;"><span style="font-family: inherit;"><b><i>5. “Don’t postpone dental care.”</i></b></span></span></div>
<span style="font-family: inherit;">
</span>
<br />
<blockquote class="tr_bq" style="text-align: justify;">
<span style="font-family: inherit;"><span style="font-family: inherit;">That must be a different department and someone else's job as no one has discussed this with me. So despite the money they could make out of this I have not been advised to do anything about my teeth, will they all fall out???</span></span></blockquote>
<span style="font-family: inherit;"><span style="font-family: inherit;">
</span><span style="font-family: inherit;"></span></span>
<div style="text-align: justify;">
<span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><b><i>6. “Get your flu vaccine during flu season for a healthy fetus.”</i></b></span></span></span></div>
<span style="font-family: inherit;"><span style="font-family: inherit;">
<blockquote class="tr_bq" style="text-align: justify;">
Firstly, what is your definition of flu? Because in Thailand staff seem to be signed off sick with "flu" every other day of the week. This is of course only a light fever and no worse than a mild hangover by our standards!<span style="text-align: left;"> </span></blockquote>
<blockquote class="tr_bq" style="text-align: justify;">
As for getting a vaccination for proper flu, quite to the contrary, my husband was diagnosed with Influenza B and no health care professional suggested that I should get vaccinated. Our Doc just screwed her nose up in an attempt to ensure she did not catch any germs from my husband.</blockquote>
</span><span style="font-family: inherit;"><div style="text-align: justify;">
<span style="font-family: inherit;"><b><i>7. “Some caffeine is OK during pregnancy.”</i></b></span></div>
<blockquote class="tr_bq" style="text-align: justify;">
<span style="font-family: inherit;">Pregnant women seen drinking coffee in Thailand are burnt at the stake. Starbucks will only sell you decaf if you look pregnant.</span></blockquote>
</span></span><br />
<div style="text-align: justify;">
<span style="font-family: inherit;"><b><i>8. “Healthy pregnant women can get gestational diabetes, too.”</i></b></span></div>
<blockquote class="tr_bq" style="text-align: justify;">
<span style="font-family: inherit;">This has been mentioned in the context of being a "geriatric mother", and my Doc will test me next month.</span></blockquote>
<div style="text-align: justify;">
<span style="font-family: inherit;"><span style="font-family: inherit;"><b><i>9. “Remember, a Cesarean section is major surgery.”</i></b></span></span></div>
<span style="font-family: inherit;"><span style="font-family: inherit;">
</span>
</span><br />
<blockquote class="tr_bq" style="text-align: justify;">
<span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;">They will stick a needle in you and cut your open quicker than entering a LINE promotion.</span></span><span style="text-align: left;"> </span></span></blockquote>
<blockquote class="tr_bq" style="text-align: justify;">
<span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;">Assume C Section first, you may have to beg to have a Natural Birth and check whether your doctor is recommended for Natural Birth. Doula Rassee says "</span></span><span style="background-color: #f6f7f9; color: #1d2129; text-align: left;">For natural birth we recommend Samitivej (Dr. Yaowaluk and Dr. Kanoknat), Bumrungrad (Dr. Nopadol and Dr. Somsri), and BNH (Dr. Sornpin and Dr. Chuenkamon). (BNH doctors from mama experiences, not my own.)"</span></span><span style="font-family: inherit; text-align: left;"> </span></blockquote>
<span style="font-family: inherit;"><span style="font-family: inherit;">
</span><span style="font-family: inherit;"></span>
</span><br />
<div style="text-align: justify;">
<span style="font-family: inherit;"><span style="font-family: inherit;"><b><i>10. “Know the signs of preterm labor.”</i></b></span></span></div>
<span style="font-family: inherit;"><span style="font-family: inherit;">
</span>
</span><br />
<blockquote class="tr_bq" style="text-align: justify;">
<span style="font-family: inherit;">Not discussed (yet?)</span></blockquote>
<span style="font-family: inherit;"><span style="font-family: inherit;">
</span><span style="font-family: inherit;"></span>
</span><br />
<div style="text-align: justify;">
<span style="font-family: inherit;"><span style="font-family: inherit;"><b><i>11. “During labor and delivery, there will be mucus, leakage of fluid, and blood—but it’s usually normal.”</i></b></span></span></div>
<span style="font-family: inherit;">
</span>
<br />
<blockquote class="tr_bq" style="text-align: justify;">
<span style="font-family: inherit;">Not discussed (yet?) but see my note on C Sections above, I'm guessing there is a lot less mucus and leakage (but more blood).</span></blockquote>
<span style="font-family: inherit;"><span style="font-family: inherit;">
</span><span style="font-family: inherit;"></span></span>
<div style="text-align: justify;">
<span style="font-family: inherit;"><span style="font-family: inherit;"><span style="font-family: inherit;"><b><i>12. “If a tear of your vaginal area occurs during delivery, ask your Ob/Gyn exactly where the tear(s) occurred.”</i></b></span></span></span></div>
<span style="font-family: inherit;"><span style="font-family: inherit;">
<blockquote class="tr_bq" style="text-align: justify;">
Not discussed (yet?) but I do not expect to have an open dialogue with my doc about this.<span style="font-family: inherit; text-align: left;"> </span></blockquote>
<blockquote class="tr_bq" style="text-align: justify;">
I am quite certain she will do the necessary without even telling me, again, judgement and informed consent are very blurry here (although can be wholly reliant on my husbands interest in this matter so maybe he'll take care of the informed consent for me).</blockquote>
</span><span style="font-family: inherit;"><div style="text-align: justify;">
<span style="font-family: inherit;"><b><i>13. “After delivery, your uterus will continue to contract.”</i></b></span></div>
<blockquote class="tr_bq" style="text-align: justify;">
<span style="font-family: inherit;">I'll take your word for it</span></blockquote>
</span><span style="font-family: inherit;"><div style="text-align: justify;">
<span style="font-family: inherit;"><b><i>14. “Pregnancy isn’t over after delivering your baby.”</i></b></span></div>
<blockquote class="tr_bq" style="text-align: justify;">
<span style="font-family: inherit;">I'll take your word for it</span></blockquote>
</span><span style="font-family: inherit;"><div style="text-align: justify;">
<span style="font-family: inherit;"><b><i>15. “Wait at least 18 to 24 months before your next pregnancy.”</i></b></span></div>
<blockquote class="tr_bq" style="text-align: justify;">
That's a bit presumptuous, let me get past the first one before I decide on whether to have a football team!</blockquote>
</span></span><br />
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4946000887085439388.post-16243533345710039572017-01-17T19:33:00.000-08:002017-02-27T18:37:31.158-08:00Price Comparison - Feeding Bottles<div dir="ltr" style="text-align: left;" trbidi="on">
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<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;">I’m an excel spreadsheet freak, and since giving up my corporate job I 'excel' everything possible in my life to make me feel
like I’m organized. Of course, this does not come close to making me an
organised person but it lulls me into a false sense of calm.</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;">Last
week’s obsession, and excuse for an excel spreadsheet, was comparing the <b><u>cost of feeding equipment</u></b> (Thailand versus any cost savings I could find in the UK - we have a trip home
planned and I need to know how much space to leave in my luggage for baby
purchases!).</span><br />
<a name='more'></a><span style="font-family: inherit;"><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;">I know that
bottles are more of a fluid thing to purchase (excuse the pun) and knowing my
luck we will have a baby that refuses the bottles I have bought, has colic and
poses me all manner of feeding complications, but I knew that starting with a
basic idea of a bottle brand in mind would help me make decisions on
sterilizers and pumps (where the real money can be saved if purchasing back
home).</span></div>
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<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;">I have
settled on, initially, setting myself up with Philips Avent Natural, mainly because it
is readily available in Bangkok and because they have a good microwave
sterilizer (whilst I have not found the microwave steriliser in
Bangkok, yet). Despite the price comparison below showing Philips Avent as one
of the more expensive brands here I am confident that I saved us over GBP100 by
purchasing the steriliser, manual breast bump and bottle starter kit in
the UK, and at least I am confident that I can purchase any additional bottles and teats from any of the major stores.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;">Detailed
price comparison table (of stores in Bangkok) is below but here are my
conclusions:</span></div>
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</div>
<ul style="text-align: left;">
<li><span style="font-family: inherit;">Natur is the cheapest bottles I can find</span></li>
<li><span style="font-family: inherit;">Can get some good priced Pigeon
products in Tesco </span>and<span style="font-family: inherit;"> Tops</span></li>
<li><span style="font-family: inherit;">Philips Avent appear to be the
most widely available international brand in Bangkok</span></li>
<li><span style="font-family: inherit;">Philips Avent Natural are more
readily available in Bangkok than Classic</span></li>
<li><span style="font-family: inherit;">Can also get Tommee Tippee but
stocks did not seem so prevalent as Philips Avent</span></li>
<li><span style="font-family: inherit;">The Innosense range from
Mothercare is available in other stores and seems reasonable value for Bangkok</span></li>
<li><span style="font-family: inherit;">Dr Browns is available but
limited, as are other brands</span></li>
</ul>
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Unknownnoreply@blogger.com1Bangkok, Thailand13.82031 100.6647100999999813.326706 100.01926309999997 14.313913999999999 101.31015709999998tag:blogger.com,1999:blog-4946000887085439388.post-45825697420818899762017-01-15T00:46:00.000-08:002017-02-27T18:46:58.677-08:00Roasted Pumpkin, Chickpea and Sausage Stew<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: inherit;">Hubby has thrown a double whammy at me. After being inspired by the <a href="https://www.hairybikersdietclub.com/" target="_blank">Hairy Bikers Diet programme</a> </span><span style="font-family: inherit;">he wants to go on a low carb, low calorie diet and lose 18kg's. This means bringing his calories down to about 2,000 a day, which for a 6' 3" broad shouldered, broad chested man will mean I have to think quite laterally about how to stop him from being hungry, plus he has to get his arse down the gym more!</span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlp2CYOymBxV2abw5CYlmOEbUiXqB7B-DdpLXJ9gzl6YmkXkDnOaw5JrXKpPyhUO2bQld6BLBO0CjobdT4fhvms6SaemtAsSrlHIhRzty7N2DHPvylXablA3SyWrBTFhiwPCALsn6-taBz/s1600/IMG_4520.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlp2CYOymBxV2abw5CYlmOEbUiXqB7B-DdpLXJ9gzl6YmkXkDnOaw5JrXKpPyhUO2bQld6BLBO0CjobdT4fhvms6SaemtAsSrlHIhRzty7N2DHPvylXablA3SyWrBTFhiwPCALsn6-taBz/s400/IMG_4520.JPG" width="300" /></a></div>
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<span style="font-family: inherit;">I point blank refuse to cook two different meals for us, so as I am pregnant and for the FIRST TIME EVER in my life don't want to be limited to 2000 calories a day, I will be snacking at least twice a day (in addition) to keep my good calories up a bit.</span></div>
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<span style="font-family: inherit;">This recipe idea was born out of a recipe I found on <a href="http://www.bumpandbeyondnutrition.com/recipes-bump-and-beyond-nutrition/2016/12/7/roasted-squash-and-chickpea-curry-with-cauliflower-rice" target="_blank">www.bumpandbeyondnutrition.com</a>. It's hard to get some of the ingredients in Thailand at all supermarkets, and our local supermarket is very 'local', so this is an adapted version based on what I have available in my local shop and my store cupboard and freezer.</span><br />
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<span style="font-family: inherit;">My favourite thing about this recipe is when you get a little pop of the fennel seeds!</span></div>
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<b><span style="font-family: inherit;">1) Preheat oven to 180 degrees celsius </span></b></blockquote>
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<span style="font-family: inherit;">Pumpkin - 500g - chopped into 1" pieces with skin on<br />Carrots - 2 large - chopped into 1" pieces<br />Coriander root power - 1 tsp<br />Cumin powder - 1tsp<br />Fennel seeds - 1 tsp<br />Olive Oil - 1 tbsp<br />Sea salt and cracked black pepper - to taste </span></blockquote>
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<b><span style="font-family: inherit;">2) Put all of the above into a roasting tray, coat vegetables thoroughly, and roast for 30 mins </span></b></blockquote>
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<span style="font-family: inherit;">Onion - 1 diced<br />Garlic - 2 cloves grated<br />Ginger or Galangal - 2 tsp grated<br />Chilli - small, chopped finely (I use my little red ones that I pickled but any will do)<br />Olive Oil - 1 tbsp<br />Sea salt and cracked black pepper - to taste </span></blockquote>
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<b><span style="font-family: inherit;">3) Sweat the above ingredients over a medium heat for 5 mins </span></b></blockquote>
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<span style="font-family: inherit;">Cherry Tomatoes - 300g chopped into quarters<br />Bay leaf - 1 </span></blockquote>
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<b><span style="font-family: inherit;">4) Add the above ingredients to the onions and sweat with the lid on for 5 mins </span></b></blockquote>
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<span style="font-family: inherit;">Chicken or vegetable stock - 300ml (sometimes I make my own but usually use Knorr)<br />Chickpeas - 200g (canned or dried and cooked)<br />Premium Sausages - 3 pre grilled </span></blockquote>
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<b><span style="font-family: inherit;">5) Add the sausages, chickpeas, pumpkin, carrots and stock to the onions and tomatoes and simmer for 30 mins </span></b></blockquote>
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<span style="font-family: inherit;">Spinach - 3 frozen blocks (we use Waitrose from Tops) </span></blockquote>
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<b><span style="font-family: inherit;">6) Add the spinach to the stew and once the spinach is warmed through serve with brown rice or cauliflower rice</span></b></blockquote>
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<span style="font-family: inherit;">Serves 4 </span></blockquote>
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<span style="font-family: inherit;">To help track hubby's calories, carbs, protein and fat I am using the </span><a href="http://www.nutracheck.co.uk/" style="font-family: inherit;" target="_blank">www.nutracheck.co.uk</a><span style="font-family: inherit;"> website and according to that the nutritional value per serving is:</span></div>
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<span style="font-family: inherit;">Calories: 334</span></div>
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<span style="font-family: inherit;">Carbs: 25.8g</span></div>
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<span style="font-family: inherit;">Sugar: 13.4g</span></div>
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<span style="font-family: inherit;">Fat:19.3g</span></div>
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<span style="font-family: inherit;">Protein: 16.2g</span></div>
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<span style="font-family: inherit;">96% of a 5 a day fruit and vegetable target </span></div>
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<span style="font-family: inherit;">(f</span><span style="background-color: white; font-family: inherit;">or more information see <a href="http://www.nhs.uk/LiveWell/5ADAY/Pages/5ADAYhome.aspx" target="_blank">http://www.nhs.uk/LiveWell/5ADAY</a>)</span></div>
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<span style="font-family: inherit;"><span style="background-color: white;">Hope you enjoy it!</span></span></div>
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Unknownnoreply@blogger.com0Bangkok, Thailand13.82031 100.6647100999999813.326706 100.01926309999997 14.313913999999999 101.31015709999998tag:blogger.com,1999:blog-4946000887085439388.post-42389674171815799742017-01-11T07:06:00.000-08:002017-02-27T18:48:03.250-08:00Miscarriage Support - A Guide to Getting Help in Thailand<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: inherit;"><span style="font-family: inherit;"><br /></span>
<span style="text-align: justify;">Quick reference summary for Miscarriage and
Loss Support (all links are live and will take you to a new webpage):</span></span><br />
<span style="font-family: inherit; text-align: justify;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="font-family: inherit;"><span style="color: #648293;">For a more personal explanation of
our miscarriage experience please read </span><span style="color: #cd3778;"><a href="http://babyblueinbangkok.blogspot.com/2016/11/miscarriages-how-to-cope-in-thailand.html" target="_blank"><i><span style="color: #cd3778;">Miscarriages - How to cope in Thailand</span></i></a></span><o:p></o:p></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
</div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="color: #648293; font-family: inherit;"></span></div>
<span style="font-family: inherit;"><br /></span>
<span style="font-family: inherit;"><b style="font-family: inherit;"><u><span style="color: #648293;"></span></u></b><br /></span>
<br />
<a name='more'></a><b style="font-family: inherit;"><u><span style="color: #648293; font-family: inherit;">Thailand – Online and physical/emotional support</span></u></b><br />
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l0 level1 lfo1; mso-pagination: none; tab-stops: 11.0pt 36.0pt; text-autospace: none; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: inherit;"><span style="color: #cd3778;"><span style="mso-list: Ignore;">•<span style="font-style: normal; font-variant-caps: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i><span style="color: #cd3778;"><a href="http://bangkokcounsellor.com/" target="_blank"><span style="color: #cd3778; mso-font-kerning: 0pt;">The Bangkok Counsellor (Samantha Pryor)</span></a></span></i></b><span style="color: #cd3778;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l0 level1 lfo1; mso-pagination: none; tab-stops: 11.0pt 36.0pt; text-autospace: none; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: inherit;"><span style="color: #cd3778;"><span style="mso-list: Ignore;">•<span style="font-style: normal; font-variant-caps: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i><span style="color: #cd3778;"><a href="http://www.deniselove.net/" target="_blank"><span style="color: #cd3778; mso-font-kerning: 0pt;">Denise Love</span></a></span></i></b><span style="color: #cd3778;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l0 level1 lfo1; mso-pagination: none; tab-stops: 11.0pt 36.0pt; text-autospace: none; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: inherit;"><span style="color: #cd3778;"><span style="mso-list: Ignore;">•<span style="font-style: normal; font-variant-caps: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i><span style="color: #cd3778;"><a href="https://www.facebook.com/bangkokdoulas/?pnref=lhc" target="_blank"><span style="color: #cd3778; mso-font-kerning: 0pt;">Doulas of Bangkok</span></a></span></i></b><span style="color: #cd3778;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l0 level1 lfo1; mso-pagination: none; tab-stops: 11.0pt 36.0pt; text-autospace: none; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: inherit;"><span style="color: #cd3778;"><span style="mso-list: Ignore;">•<span style="font-style: normal; font-variant-caps: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i><span style="color: #cd3778;">Compassionate Friends</span></i></b><span style="color: #cd3778;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l0 level1 lfo1; mso-pagination: none; tab-stops: 11.0pt 36.0pt; text-autospace: none; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: inherit;"><span style="color: #cd3778;"><span style="mso-list: Ignore;">•<span style="font-style: normal; font-variant-caps: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i><span style="color: #cd3778;"><a href="http://www.bambiweb.org/en/bambi-services-en/support-groups" target="_blank"><span style="color: #cd3778; mso-font-kerning: 0pt;">BAMBI</span></a></span></i></b><span style="color: #cd3778;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l0 level1 lfo1; mso-pagination: none; tab-stops: 11.0pt 36.0pt; text-autospace: none; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: inherit;"><span style="color: #cd3778;"><span style="mso-list: Ignore;">•<span style="font-style: normal; font-variant-caps: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i><span style="color: #cd3778;"><a href="https://www.facebook.com/groups/TheMummyClubBangkok/" target="_blank"><span style="color: #cd3778; mso-font-kerning: 0pt;">The Mummy Club</span></a></span></i></b><span style="color: #cd3778;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><b><u><span style="color: #648293;">Worldwide – Online emotional support</span></u></b><span style="color: #648293;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l1 level1 lfo2; mso-pagination: none; tab-stops: 11.0pt 36.0pt; text-autospace: none; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: inherit;"><span style="color: #cd3778;"><span style="mso-list: Ignore;">•<span style="font-style: normal; font-variant-caps: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i><span style="color: #cd3778;"><a href="http://www.nhs.uk/Conditions/Miscarriage/Pages/Introduction.aspx" target="_blank"><span style="color: #cd3778; mso-font-kerning: 0pt;">The NHS</span></a></span></i></b><span style="color: #cd3778;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l1 level1 lfo2; mso-pagination: none; tab-stops: 11.0pt 36.0pt; text-autospace: none; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: inherit;"><span style="color: #cd3778;"><span style="mso-list: Ignore;">•<span style="font-style: normal; font-variant-caps: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i><span style="color: #cd3778;"><a href="http://www.miscarriageassociation.org.uk/" target="_blank"><span style="color: #cd3778; mso-font-kerning: 0pt;">The Miscarriage Association</span></a></span></i></b><span style="color: #cd3778;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l1 level1 lfo2; mso-pagination: none; tab-stops: 11.0pt 36.0pt; text-autospace: none; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: inherit;"><span style="color: #cd3778;"><span style="mso-list: Ignore;">•<span style="font-style: normal; font-variant-caps: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i><span style="color: #cd3778;"><a href="http://www.lullabytrust.org.uk/" target="_blank"><span style="color: #cd3778; mso-font-kerning: 0pt;">Lullaby Trust</span></a></span></i></b><span style="color: #cd3778;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l1 level1 lfo2; mso-pagination: none; tab-stops: 11.0pt 36.0pt; text-autospace: none; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: inherit;"><span style="color: #cd3778;"><span style="mso-list: Ignore;">•<span style="font-style: normal; font-variant-caps: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i><span style="color: #cd3778;"><a href="http://www.uk-sands.org/" target="_blank"><span style="color: #cd3778; mso-font-kerning: 0pt;">The Stillbirth and Neonatal Death Society (SANDS)</span></a></span></i></b><span style="color: #cd3778;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l1 level1 lfo2; mso-pagination: none; tab-stops: 11.0pt 36.0pt; text-autospace: none; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: inherit;"><span style="color: #cd3778;"><span style="mso-list: Ignore;">•<span style="font-style: normal; font-variant-caps: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i><span style="color: #cd3778;"><a href="http://www.tommys.org/" target="_blank"><span style="color: #cd3778; mso-font-kerning: 0pt;">Tommy's</span></a></span></i></b><span style="color: #cd3778;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l1 level1 lfo2; mso-pagination: none; tab-stops: 11.0pt 36.0pt; text-autospace: none; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: inherit;"><span style="color: #cd3778;"><span style="mso-list: Ignore;">•<span style="font-style: normal; font-variant-caps: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i><span style="color: #cd3778;"><a href="http://www.kickscount.org.uk/" target="_blank"><span style="color: #cd3778; mso-font-kerning: 0pt;">Kicks Count</span></a></span></i></b><span style="color: #cd3778;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l1 level1 lfo2; mso-pagination: none; tab-stops: 11.0pt 36.0pt; text-autospace: none; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: inherit;"><span style="color: #cd3778;"><span style="mso-list: Ignore;">•<span style="font-style: normal; font-variant-caps: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i><span style="color: #cd3778;"><a href="http://www.ectopic.org.uk/" target="_blank"><span style="color: #cd3778; mso-font-kerning: 0pt;">The Ectopic Pregnancy Trust</span></a></span></i></b><span style="color: #cd3778;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l1 level1 lfo2; mso-pagination: none; tab-stops: 11.0pt 36.0pt; text-autospace: none; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: inherit;"><span style="color: #cd3778;"><span style="mso-list: Ignore;">•<span style="font-style: normal; font-variant-caps: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i><span style="color: #cd3778;"><a href="http://www.ectopicpregnancy.co.uk/" target="_blank"><span style="color: #cd3778; mso-font-kerning: 0pt;">Ectopic Pregnancy Foundation</span></a></span></i></b><span style="color: #cd3778;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l1 level1 lfo2; mso-pagination: none; tab-stops: 11.0pt 36.0pt; text-autospace: none; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: inherit;"><span style="color: #cd3778;"><span style="mso-list: Ignore;">•<span style="font-style: normal; font-variant-caps: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i><span style="color: #cd3778;"><a href="http://www.childdeathhelpline.org.uk/" target="_blank"><span style="color: #cd3778; mso-font-kerning: 0pt;">The Child Death Helpline</span></a></span></i></b><span style="color: #cd3778;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l1 level1 lfo2; mso-pagination: none; tab-stops: 11.0pt 36.0pt; text-autospace: none; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: inherit;"><span style="color: #cd3778;"><span style="mso-list: Ignore;">•<span style="font-style: normal; font-variant-caps: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i><span style="color: #cd3778;"><a href="http://www.lifeafterloss.org.uk/" target="_blank"><span style="color: #cd3778; mso-font-kerning: 0pt;">Life after loss</span></a></span></i></b><span style="color: #cd3778;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l1 level1 lfo2; mso-pagination: none; tab-stops: 11.0pt 36.0pt; text-autospace: none; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: inherit;"><span style="color: #cd3778;"><span style="mso-list: Ignore;">•<span style="font-style: normal; font-variant-caps: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i><span style="color: #cd3778;"><a href="http://www.tamba.org.uk/Page.aspx?pid=715" target="_blank"><span style="color: #cd3778; mso-font-kerning: 0pt;">TAMBA Bereavement Support Group</span></a></span></i></b><span style="color: #cd3778;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-layout-grid-align: none; mso-list: l1 level1 lfo2; mso-pagination: none; tab-stops: 11.0pt 36.0pt; text-autospace: none; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="font-family: inherit;"><span style="color: #cd3778;"><span style="mso-list: Ignore;">•<span style="font-style: normal; font-variant-caps: normal; font-weight: normal; line-height: normal;">
</span></span></span><!--[endif]--><b><i><span style="color: #cd3778;"><a href="http://www.lonetwinnetwork.org.uk/" target="_blank"><span style="color: #cd3778; mso-font-kerning: 0pt;">Lone Twin Network</span></a></span></i></b><span style="color: #cd3778;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">It’s a rare evening when hubby is at a client dinner and I have
the remote control to myself, so I’m indulging in an episode of ITV’s Loose
Women. Whilst I don’t find it as hilariously funny as it used to be 5 years ago
I do find the content very relevant to my late 30’s status, talking about
insecurities with marriages, family life, fertility, health, confidence and
emotional stability.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">Whenever I tune in I seem to find a particular section that is
most relevant and today they are talking about tonight’s Coronation Street
episode where Michelle and Steve discover a problem with their pregnancy. The
baby must be born prematurely and, as it is before 24 weeks and therefore not
considered viable, the hospital policy is to not intervene if the baby does not
breath naturally.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">Kim Marsh, who plays Michelle in Coronation Street, has suffered
a miscarriage herself in real life and has referred to herself on Loose Women
in the past as an “Angel Mummy”, a phrase I have used myself when discussing
our miscarriages. I can’t begin to imagine how Kim Marsh must be feeling
whilst ‘acting’ these scenes, it is simply heartbreaking when Kim, speaking as
Michelle, sobs into Steve’s embrace asking “What did I do wrong?”. It is a
question that has caught me out spontaneously at various times. Even now I will
often say to friends that I “don’t know what I did, or what went wrong”, but
the truth, I know deep down, is that I didn’t do anything wrong, there was
nothing I could do differently, those little angels simply weren’t destined to
stay with us.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">Dialogues like this on daytime television in the UK enable open
communication and conversations about difficult and heartbreaking scenarios
like miscarriage. They announce that their websites are full of help and advice
and promote women to reach out for help from their GP, family, friends and a
plethora of private facilities. <o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><b><i><span style="color: #648293;">But what is here in Thailand? Where can you go in Thailand for
help and advice? Who can you talk to? What will your OB/GYN recommend to you?</span></i></b><span style="color: #648293;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">It is very sad to admit that in Thailand it is hard to find
support for moments like this.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">Firstly, and I find it astonishing to advise that, your OB/GYN
is very unlikely to recommend counselling to you. We have suffered 3
miscarriages, had dealings with 6 OB/GYN doctors and not once have we been
referred to, or even given a leaflet about, any counselling.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">Your doctor’s advice will most likely be limited to physical and
practical matters. Firstly dealing with the immediate need to physically remove
the baby, then by prescribing necessary medicine to physically recuperate from
the miscarriage, then by suggesting further tests that may assist you to have a
successful pregnancy next time.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><b><u><span style="color: #648293;">So, what is here in Thailand? Where can you go in Thailand for
help and advice? Who can you talk to?</span></u></b><span style="color: #648293;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">Sadly, the answer is that it takes a lot of effort to find
someone to talk to here in Thailand, so I have tried (and continue to try) to
do some of the leg work for you.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><span style="color: #648293;">My first miscarriage started at home and between contractions on
the toilet I goggled frantically. My first reference point was </span><span style="color: #cd3778;"><a href="http://www.nhs.uk/Conditions/Miscarriage/Pages/Introduction.aspx" target="_blank"><b><i><span style="color: #cd3778;">The NHS</span></i></b></a></span><span style="color: #4f81bd;">. </span><span style="color: #648293;">This explained what was physically happening to me and the
options I might have when I could get to the hospital. Getting to the hospital
was not an option for me for at least a few hours as I waited for the
contractions and bleeding to settle down, so I read on.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><span style="color: #cd3778;"><a href="http://www.nhs.uk/Conditions/Miscarriage/Pages/Complications.aspx" target="_blank"><span style="color: #cd3778;">The NHS</span></a></span><span style="color: #648293;"> website gave
reference to other online material and I turned to </span><span style="color: #cd3778;"><a href="http://www.miscarriageassociation.org.uk/" target="_blank"><b><i><span style="color: #cd3778;">The Miscarriage Association</span></i></b></a></span><b><i><span style="color: #648293;"> </span></i></b><span style="color: #648293;">for more information . I found
the information on this website the most useful and use it as a good reference
point for anyone that has suffered a miscarriage anywhere in the world.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">But I was not happy to accept that there was no one to turn to
in Thailand. Whilst the doctors may be woefully lacking in emotional support I
am pleased to advise that I have found other resources that you can turn to,
and that will be empathetic to your physical, emotional and cultural needs.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><span style="color: #648293;">I can personally recommend Samantha Pryor (</span><span style="color: #cd3778;"><a href="http://bangkokcounsellor.com/" target="_blank"><b><i><span style="color: #cd3778;">The Bangkok Counsellor</span></i></b></a></span><span style="color: #648293;">) as an amazing option to talk through all manner of emotional
and psychological needs. She has a unique, open, and friendly approach, which
works equally well for men and women, as we cannot forget that miscarriage
affects men, for every miscarriage there is a Angel Mum and an Angel Dad. Sam
offers a free initial consultation and is very accessible, both in terms of
physical location, flexibility of appointments and accessibility by personal
messaging to ensure you feel supported whenever, wherever needed.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><span style="color: #648293;">As a member of the Facebook group </span><span style="color: #cd3778;"><a href="https://www.facebook.com/groups/TheMummyClubBangkok/" target="_blank"><b><i><span style="color: #cd3778;">The Mummy Club</span></i></b></a></span><span style="color: #648293;"> I have conducted a search for support for miscarriage
sufferers and whilst I do not have personal experience of these professionals I
am pleased to see that there are some points of reference:<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="font-family: inherit;"><span style="color: #cd3778;"><a href="http://www.deniselove.net/" target="_blank"><b><i><span style="color: #cd3778;">Denise Love</span></i></b></a></span><b><i><span style="color: #648293;">'</span></i></b><span style="color: #648293;">s website, experience and groups
deal with a range of emotions and support women may need for birth and birthing
options, counselling through loss, coping with life and death experiences.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><span style="color: #648293;">Having spoken to the </span><span style="color: #cd3778;"><a href="https://www.facebook.com/bangkokdoulas/?pnref=lhc" target="_blank"><b><i><span style="color: #cd3778;">Doulas of Bangkok</span></i></b></a></span><span style="color: #648293;"> I would reference them also as a resource for support.
Whilst they may not be trained in counselling, they have acute experience of
many scenarios of birthing and are a lovely group of women that will not turn
you away if you need emotional support.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><span style="color: #648293;">You can also reach out to the </span><span style="color: #cd3778;"><a href="http://www.bambiweb.org/en/bambi-services-en/support-groups" target="_blank"><b><i><span style="color: #cd3778;">BAMBI</span></i></b></a></span><span style="color: #648293;"> group who
reference a support group called <b>Compassionate Friends</b>, which is a
support group for parents and other family members who have lost a child or
children either post or prenatally. For more information they say you can contact
Nicole Lasas on 085-240-3803 or </span><b><i><span style="color: #cd3778;">luluanator@gmail.com</span></i></b><span style="color: #648293;">, or Gregor Former on </span><b><i><span style="color: #cd3778;">nibbol@gmail.co</span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: #cd3778;">m</span></i></b><span style="color: #648293;">.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
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<span style="font-family: inherit;"><span style="color: #526f81;">In addition to the resources I have found in Thailand we
live in a connected world and I have been inspired by the Loose Women programme
today to see what resources </span><span style="color: #cd3778;"><a href="http://www.itv.com/thismorning/baby-loss-helplines" target="_blank"><span style="color: #cd3778;">ITV.com</span></a></span><span style="color: #bf1e65;"> </span><span style="color: #526f81;">recommend in the UK. I am pleased to see a myriad of online
resources that we can equally tap into from Thailand, see below for extracts
from the website and contact details accordingly (all telephone numbers are UK based):</span><b style="mso-bidi-font-weight: normal;"><span style="color: #cd3778;"><o:p></o:p></span></b></span></div>
</div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="font-family: inherit;"><i><span style="color: #648293;">The Lullaby Trust (formerly FSID the
Foundation for the Study of Infant Death)</span></i><span style="color: #648293;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">Bereavement Helpline: 0808 802 6868<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #cd3778;"><span style="font-family: inherit;"><a href="http://www.lullabytrust.org.uk/" target="_blank"><span style="color: #cd3778;">lullabytrust.org.uk</span></a><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">The UK's leading baby charity working to prevent sudden deaths
and promote health. Lullaby funds research, supports bereaved families and
promotes safe baby care advice, including helpline for bereaved parents and
their families, friends, neighbours and anyone else who has experienced the
sudden death of a baby.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="font-family: inherit;"><i><span style="color: #648293;">The Stillbirth and Neonatal Death
Society (SANDS)</span></i><span style="color: #648293;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">Helpline: 020 7436 5881<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #cd3778;"><span style="font-family: inherit;"><a href="http://www.uk-sands.org/" target="_blank"><span style="color: #cd3778;">uk-sands.org</span></a><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">SANDS provide support for bereaved parents and their families when
their baby dies, before, during or soon after birth as well as information and
support for healthcare professionals.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="font-family: inherit;"><i><span style="color: #648293;">The Miscarriage Association</span></i><span style="color: #648293;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">Helpline: 01924 200 799<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #cd3778;"><span style="font-family: inherit;"><a href="http://www.miscarriageassociation.org.uk/" target="_blank"><span style="color: #cd3778;">miscarriageassociation.org.uk</span></a><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">We know that miscarriage can be a very unhappy, frightening and
lonely experience. If you have been affected by the loss of a baby in
pregnancy, whether recently or long ago, we hope that you will find here
support, information and comfort.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="font-family: inherit;"><i><span style="color: #648293;">Tommy’s</span></i><span style="color: #648293;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">Helpline: 0800 0147 800<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #cd3778;"><span style="font-family: inherit;"><a href="http://www.tommys.org/" target="_blank"><span style="color: #cd3778;">tommys.org</span></a><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293; font-family: inherit;">Funds medical research into miscarriage, stillbirth and
premature birth and provides information on having a healthy baby. Raises
awareness of the facts and provides free, accurate and up-to-date information
for medical professionals and parents-to-be. This includes a dedicated
telephone midwife service, a comprehensive website and free books and leaflets
dedicated to promoting health in pregnancy and pre-pregnancy.</span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="font-family: inherit;"><i><span style="color: #648293;">Kicks Count</span></i><span style="color: #648293;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #cd3778;"><span style="font-family: inherit;"><a href="http://www.kickscount.org.uk/" target="_blank"><span style="color: #cd3778;">kickscount.org.uk</span></a><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">Kicks Count is a UK registered charity that aims to empower mums
to be with knowledge and confidence throughout their pregnancy. A baby’s
movement indicate its wellbeing and by understanding their baby, mums can be
empowered to trust their instincts and ensure the healthy delivery of their
baby.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="font-family: inherit;"><i><span style="color: #648293;">The Ectopic Pregnancy Trust</span></i><span style="color: #648293;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">Helpline: 020 7733 2653 (24 hour message line)<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #cd3778;"><span style="font-family: inherit;"><a href="http://www.ectopic.org.uk/" target="_blank"><span style="color: #cd3778;">ectopic.org.uk</span></a><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">A registered national charity, established to meet the needs of
people who have experienced ectopic pregnancy and the health care professionals
who care for them. The Ectopic Pregnancy Trust believes that the deaths and
trauma associated with ectopic pregnancy should be prevented and seeks to both
relieve the distress associated with it and provide ongoing support.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="font-family: inherit;"><i><span style="color: #648293;">Ectopic Pregnancy Foundation</span></i><span style="color: #648293;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">Patient Helpline: 0845 070 4636<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #cd3778;"><span style="font-family: inherit;"><a href="http://www.ectopicpregnancy.co.uk/" target="_blank"><span style="color: #cd3778;">ectopicpregnancy.co.uk</span></a><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">The Ectopic Pregnancy Foundation (EPF) has been established with
the aim of improving the care of women with a diagnosis, or possible diagnosis,
of ectopic pregnancy. We hope to reduce the morbidity and maternal mortality
caused by this common condition. For <a href="http://www.ectopicpregnancy.co.uk/for_patients"><span style="color: #648293;">patients</span></a> the
website provides information on what an ectopic pregnancy is, plus the risk
factors, symptoms, investigations and treatment options.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="font-family: inherit;"><i><span style="color: #648293;">The Child Death Helpline</span></i><span style="color: #648293;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">Freephone: 0800 282 986<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">Additional Freephone number for ALL mobiles: 0808 800 6019<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #cd3778;"><span style="font-family: inherit;"><a href="http://www.childdeathhelpline.org.uk/" target="_blank"><span style="color: #cd3778;">childdeathhelpline.org.uk</span></a><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">The Child Death Helpline is a helpline for anyone affected by
the death of a child of any age, from pre-birth to adult, under any
circumstances, however recently or long ago.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="font-family: inherit;"><i><span style="color: #648293;">Life after loss</span></i><span style="color: #648293;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #cd3778;"><span style="font-family: inherit;"><a href="http://www.lifeafterloss.org.uk/" target="_blank"><span style="color: #cd3778;">lifeafterloss.org.uk</span></a><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">Life After Loss is an online support community set up in
November 2006 by bereaved mothers who find support and friendship through
sharing their grief over the loss of a baby at any stage of pregnancy or after
birth.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="font-family: inherit;"><i><span style="color: #648293;">TAMBA Bereavement Support Group</span></i><span style="color: #648293;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #cd3778;"><span style="font-family: inherit;"><a href="http://www.tamba.org.uk/Page.aspx?pid=715" target="_blank"><span style="color: #cd3778;">tamba.org.uk</span></a><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #648293;"><span style="font-family: inherit;">For families who have lost one or more children from a multiple
birth, during pregnancy or at any stage afterwards. The Bereavement Support
Group provides parent to parent support through a befriending service, all our
befrienders are volunteers who have suffered a loss from a multiple pregnancy
themselves.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><br /></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="font-family: inherit;"><i><span style="color: #648293;">Lone Twin Network</span></i><span style="color: #648293;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="color: #cd3778;"><span style="font-family: inherit;"><a href="http://www.lonetwinnetwork.org.uk/" target="_blank"><span style="color: #cd3778;">lonetwinnetwork.org.uk</span></a><o:p></o:p></span></span></div>
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<div class="MsoNormal">
<span style="font-family: inherit;"><span style="color: #648293;">The Lone Twin Network (LTN) is a support network,
primarily serving the UK, but with many members overseas. All members are
surviving twins and have that unique understanding of what it means to lose
part of yourself when your twin - identical or fraternal - dies. Our membership
comprises surviving twins who lost their sibling before, at or around birth; in
childhood or as an adult.</span><span style="color: #648293;"><o:p></o:p></span></span></div>
<div class="MsoNormal">
<span style="color: #648293;"><span style="font-family: inherit;"><br /></span></span></div>
</div>
<div class="MsoNormal" style="mso-layout-grid-align: none; mso-pagination: none; text-align: justify; text-autospace: none; text-justify: inter-ideograph;">
<span style="font-family: inherit;"><b><i>Let me leave you with a personal request, please do not try to cope alone if you simply cannot. Reach out for help to any of the above resources, or simply reply to this post. I will do all I can to find resource that is right for you, maybe that is just a coffee and a chat, and if that is the case I am always happy to meet up and chat.</i></b></span></div>
</div>
Unknownnoreply@blogger.com0Bangkok, Thailand13.82031 100.6647100999999813.326706 100.01926309999997 14.313913999999999 101.31015709999998tag:blogger.com,1999:blog-4946000887085439388.post-52939539127904930092017-01-03T03:56:00.000-08:002017-01-14T15:39:01.868-08:00Thatch Pie Recipe<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiSVyCo9kiHfs0C1DKBIEAfCKFgXe6QIcMXge7vYuOdWzQpl813hDBqsy_-OiKDP62tzYDAUJCVUQUBeotMc9CjPfd5Ds6UN1sU0BF7u8oseIOl3ge1-vz0RDemRZOM5ILs0KLpRz85-9Aw/s1600/IMG_4282.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiSVyCo9kiHfs0C1DKBIEAfCKFgXe6QIcMXge7vYuOdWzQpl813hDBqsy_-OiKDP62tzYDAUJCVUQUBeotMc9CjPfd5Ds6UN1sU0BF7u8oseIOl3ge1-vz0RDemRZOM5ILs0KLpRz85-9Aw/s320/IMG_4282.JPG" width="320" /></a></div>
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This is a recipe I devised based on a shepherds or cottage pie theory. I call it Thatch Pie because it is made with pork and I thought about the Three Little Piggies and their straw house. It was a way to use up the left over porchetta joint from NYE but you could use any left over meat, or simply just mince meat for this and it would taste equally good.</div>
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Hubby is on a no carb diet, so I can't use potatoes at the moment, instead I made a vegetable mash out of pumpkin and carrot (both very readily available in all shops and markets in Bangkok).</div>
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<b><u><i>Ingredients</i></u></b></div>
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Left over porchetta - chopped finely - about a cereal bowl - you could use any left over cooked meat</blockquote>
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Pork mince - about 250g - I picked up a discount tray for 50 baht from Tops at MBK</blockquote>
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Onion - 1 white - chopped roughly</blockquote>
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Celery - 1 stick - chopped finely</blockquote>
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Carrots - 3 large - peeled and chopped into about 1 inch pieces</blockquote>
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Pumpkin - a medium chunk, probably about 1/5 of a whole pumpkin - peeled and chopped into about 1 inch pieces</blockquote>
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Olive Oil - 2 tbsp</blockquote>
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Bisto granules - 1 tbsp </blockquote>
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Water - a splash as needed </blockquote>
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Wine (optional) - 1 glass of old wine </blockquote>
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Worchester sauce (optional) - 1 tbsp</blockquote>
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Brown sauce (HP) (optional) - 1 tbsp</blockquote>
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Ketchup (optional) - 1 tbsp</blockquote>
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Cranberry sauce (optional) - 1 tbsp</blockquote>
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Cheddar cheese - grated - a good couple of handfuls</blockquote>
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Parmesan cheese (optional) - grated</blockquote>
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Sea Salt and Black Pepper - to taste </blockquote>
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<b><i><u>Directions</u></i></b></div>
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<li>Heat 1 tbsp of olive oil in a frying pan</li>
<li>Brown the onion and celery</li>
<li>Add, and sear, the mince</li>
<li>Add the left over meat</li>
<li>Add a glass of wine and simmer off the alcohol (optional)</li>
<li>Stir all/all of the (optional) sauces that you may have in your fridge or store cupboard</li>
<li>Sprinkle over the Bisto granules</li>
<li>Drizzle with water and stir until you get the consistency of sauce you desire</li>
<li>Season with sea salt and cracked black pepper to taste</li>
<li>Put the meat mixture into a oven proof dish</li>
<li>Saute the carrots and pumpkin in 1 tbsp of olive oil, in a large saucepan</li>
<li>When they are just starting to turn brown cover with water and boil until soft</li>
<li>Drain the carrots and pumpkin well and allow to sit and dry in the hot pan for short while</li>
<li>Mash the carrots and pumpkin to the consistency you like</li>
<li>Spread the mash over the meat mixture</li>
<li>Distribute the grated cheddar cheese evenly over the pie, and add a sprinkle of parmesan, sea salt and cracked black pepper if you like</li>
<li>Place under a hot grill until the cheese has bubbled and browned as you like</li>
</ol>
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Serves 4 (or 3 if you eat like us)<br />
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Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-4946000887085439388.post-81187467568631327572017-01-01T18:58:00.000-08:002017-01-14T15:39:43.325-08:00Baby Bitters<div dir="ltr" style="text-align: left;" trbidi="on">
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I've been there, I really have, I understand it is hard to see posts on Facebook about people having babies and cutesy families sitting around the Christmas tree looking like idiots in Christmas jumpers. But please can we stop with the new mum bashing!</div>
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All I read on my twitter feed at the moment is from families TTC, that have endured too many happy family Facebook posts and family dinners, and are now sounding just plain bitter.</div>
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We suffered 3 miscarriages and it took us 17 months before I conceived with a egg that has decided to hang around longer than 11 weeks (I am now 21 weeks and 5 days). </div>
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During this time I saw countless posts on Facebook about happy couples and families, with their smug smiles and cute baby grows, I went to weddings of pregnant couples, shared joy through gritted teeth with friends and family over new arrivals, endured two birthday parties trying not to get heinously drunk in case I was pregnant (those bloody awful two weeks waits) and even harder was enduring a dry Christmas (before we lost our second angel) and I cried into many mugs of decaf coffee.</div>
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I've been caffeine and alcohol restricted for nearly two years, am still petrified that something will go wrong, deal with the complexities of a health service in a 'developing' country and my family are 9,442 miles away, and yet I have never ever felt bitter towards anyone that is at a different stage on this journey than me, a more advanced stage lets say.</div>
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Maybe it's because I know it can all too easily be snatched away from you, maybe it's because I can see that mother hood will not a bed of roses. </div>
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Sure it may look like it on the surface when you go visit your cute little niece or nephew, but behind the scenes that mum has been shovelling a lot of horse s*&^ because of that one little rose, has been wiping eyes, noses and mouths covered in cuckoo spit, has been whispering endless amounts of B*& S*&^ into tiny ears in a vain attempt to ensure the next generation has a chance in hell of having more brains and doing a better job than we have so far, has been on constant vigil for each and every frost that might strike that little rose down with a chill or virus, has sore hands and brittle nails from constant pruning and aching and back and knees.</div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSwgo9Z7S3vXN2L8TWxHjL0Ux-zsxnzoYyA2gXgd64W8n4Jt2R565V-K3ptXIxWeBq20yQDhOXH3pvxv2-KHrORex9wTg-BmTroIYBpdVEm2K24iKRcWtJl3vo7rxEgB0iOLFjjzQCbqzB/s1600/flora-1299135_1280.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSwgo9Z7S3vXN2L8TWxHjL0Ux-zsxnzoYyA2gXgd64W8n4Jt2R565V-K3ptXIxWeBq20yQDhOXH3pvxv2-KHrORex9wTg-BmTroIYBpdVEm2K24iKRcWtJl3vo7rxEgB0iOLFjjzQCbqzB/s320/flora-1299135_1280.png" width="294" /></a></div>
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For frig sake, to the bitter ladies out there, give new mums, and mums-to-be a break.</div>
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They haven't had an easy life to get where they are either, they probably know more about your struggle than they let on (we know the miscarriage statistics), they are probably bloody knackered and probably can't understand why you won't offer to babysit or go over for a coffee to give them a break, a chance to have some grown up conversation, a chance to talk and try to help you, a chance to show you real life on the other side.</div>
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They are not being insensitive when they post pictures of their babies, they are just getting on with life, and trying to photoshop out the baby puck in their hair, stretch marks and bags under their eyes. </div>
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They haven't forgotten what you are going through, but just like you can't think much past what is encompassing your world right now (TTC I assume), their baby is consuming their world...understand that, understand how similar you are by being insular in your own worlds.</div>
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Unknownnoreply@blogger.com0