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Klinik Ibu Mengandung & Kanak-Kanak


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#31 sushipig

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Posted 07 May 2009 - 02:35 PM

Dear All,
I just came back from my FIRST visit to Poliklinik Komuniti Kelana Jaya- Klinik Ibu Mengandung dan Kanak-kanak. I'm currently 8Weeks pregnant and did once private gynae check due to suspected ectopic but found ok. I went 7.30 and alraedy got number 17. I brought along my marriage cert,hubby's IC copy,My Kelana Jaya house electricity bill to prove my address and my own IC. They register me after taking Height, Weight and Blood Pressure. I'm tagged under Green even I'm asthma patient and primigravida. Then they refer me to urine and blood test.(Forever painful experience for me to take blood sample as my vein are super tiny, dash2.gif ) After everything done, counselling session with nurse. Not to wear high heel oops.gif Not to wear too tight oops.gif Not to carry heavy stuff,balance meal intake and bla bla bla.They want me to go for dental check on Monday or Friday. Nurse also requested me to come back for check up one day before I leave to Australia to make sure I'm fit to travel. I meet Medical Officer after their advise session(maybe I'm asmatic blink.gif )Last step is the Pharmacy session to take my Folic Acid.
TOTAL HOURS SPENT: 7.30am-9.45am
FEES: RM0 as nobody ask any fees from me (Dont know why)

#32 nckeat

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Posted 07 May 2009 - 02:41 PM

QUOTE (sushipig @ May 7 2009, 02:35 PM) <{POST_SNAPBACK}>
Dear All,
I just came back from my FIRST visit to Poliklinik Komuniti Kelana Jaya- Klinik Ibu Mengandung dan Kanak-kanak. I'm currently 8Weeks pregnant and did once private gynae check due to suspected ectopic but found ok. I went 7.30 and alraedy got number 17. I brought along my marriage cert,hubby's IC copy,My Kelana Jaya house electricity bill to prove my address and my own IC. They register me after taking Height, Weight and Blood Pressure. I'm tagged under Green even I'm asthma patient and primigravida. Then they refer me to urine and blood test.(Forever painful experience for me to take blood sample as my vein are super tiny, dash2.gif ) After everything done, counselling session with nurse. Not to wear high heel oops.gif Not to wear too tight oops.gif Not to carry heavy stuff,balance meal intake and bla bla bla.They want me to go for dental check on Monday or Friday. Nurse also requested me to come back for check up one day before I leave to Australia to make sure I'm fit to travel. I meet Medical Officer after their advise session(maybe I'm asmatic blink.gif )Last step is the Pharmacy session to take my Folic Acid.
TOTAL HOURS SPENT: 7.30am-9.45am
FEES: RM0 as nobody ask any fees from me (Dont know why)


FREE if you are malaysian. RM15 if you are foreigner

#33 sushipig

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Posted 07 May 2009 - 02:54 PM

QUOTE (nckeat @ May 7 2009, 02:41 PM) <{POST_SNAPBACK}>
FREE if you are malaysian. RM15 if you are foreigner


Thanks Doc biggrin.gif

#34 islandgal

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Posted 07 May 2009 - 11:07 PM

QUOTE (sushipig @ May 7 2009, 02:35 PM) <{POST_SNAPBACK}>
Dear All,
I just came back from my FIRST visit to Poliklinik Komuniti Kelana Jaya- Klinik Ibu Mengandung dan Kanak-kanak. I'm currently 8Weeks pregnant and did once private gynae check due to suspected ectopic but found ok. I went 7.30 and alraedy got number 17. I brought along my marriage cert,hubby's IC copy,My


hi hi ~ congrates to you n ur hubby ~
know who i am or not?? can remember this nick :-p

din know u guys were married til i check ur facebook foto last week (ur hubby added me that time) ..hehe

anyway, welcome to motherhood cheers.gif

#35 AlineMBTS

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Posted 13 May 2009 - 10:49 AM

Dear all,

I have 2 questions, can anyone answer me ?

1. Does gov clinic give antenatal classes
2. Does gov clinic give ultrasound scan

#36 happi

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Posted 13 May 2009 - 11:20 AM

1. no antenatal classes. they do give quick briefings on how to breastfeed & bathe newborn baby. (u can google for giving birth videos, it'll prepare u for the delivery. nurses will also tell u when to push)
2. no ultrasound scan. if u hv complications, they'll refer u to hospital. if u want ultrasound, they'll recommend u go to private clinic for the ultrasound. just step into any gynae office & ask for ultrasound, they'll charge abt RM100.

QUOTE (AlineMBTS @ May 13 2009, 10:49 AM) <{POST_SNAPBACK}>
Dear all,

I have 2 questions, can anyone answer me ?

1. Does gov clinic give antenatal classes
2. Does gov clinic give ultrasound scan


#37 sheerwawa

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Posted 15 May 2009 - 10:50 AM

hi all, i am currently 7 weeks pregnant. I am planning to go for my first check up next week. This is my first pregnancy and I really not sure where I suppose to go. I heard of many bad things on private hospital too. I am staying at KL area. If i intend to go government hospital, should I go to HKL? HKL under which section? which day I should go? what document I should bring? One more thing is, besides breast check, do they do pap smear or pelvic exam test in HKL?

Anyone had experience in HKL please let me know...thanks!

one more thing is...if i wanna deliver in private clinic, can i choose again when i am around 7-8 months pregnant...i am thinking of c-sec because I scare of the vaginal delivery process :(

#38 nckeat

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Posted 15 May 2009 - 11:05 AM

QUOTE (sheerwawa @ May 15 2009, 10:50 AM) <{POST_SNAPBACK}>
hi all, i am currently 7 weeks pregnant. I am planning to go for my first check up next week. This is my first pregnancy and I really not sure where I suppose to go. I heard of many bad things on private hospital too. I am staying at KL area. If i intend to go government hospital, should I go to HKL? HKL under which section? which day I should go? what document I should bring? One more thing is, besides breast check, do they do pap smear or pelvic exam test in HKL?

Anyone had experience in HKL please let me know...thanks!

one more thing is...if i wanna deliver in private clinic, can i choose again when i am around 7-8 months pregnant...i am thinking of c-sec because I scare of the vaginal delivery process :(


You can't just walk straight to O&G department HKL. You need a referral. Usually from a private GP, specialist or from KKIA. You can register yourself at your nearest DBKL KKIA clinics.
They do PAP smear at HKL but why go there and wait 4-5 hours just to do PAP smear. Pap smear available in all GP clinics and LPPKN clinic.

If you want to take advantage of private and public care see this link:
http://www.malaysiab.......st&p=264559

When you are in active labour, you can go to any public hospitals, they won't reject you but you can't request C section because most gov hospitals only do C section when medically indicated.
Of course you can still do in private because just the matter of money. Before decide C section talk to the doctor for pro and con of this mode of delivery.

#39 sheerwawa

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Posted 15 May 2009 - 11:31 AM

thanks for your info. I thought i can go HKL as an out patient or something like that...Don't know that I must go to DBKL clinic.

I am actually just want to do the monthly check up for my pregnancy in government hospital. I understand that govn hospital don't accept c-sec for normal pregnancy :) am looking for private if i really want the c-sec ...

going to search which DBKL clinic i can go...:)

#40 sheerwawa

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Posted 18 May 2009 - 05:20 PM

I ended up checking at metro maternity hospital in klang last saturday. the doc did ultrasound scanning both abdominal and vaginal. It costs rm100 (with medication). I think it is quite reasonable. Government hospital is also good as far as I concern. Since my hubby can't take leave on weekdays to accompany me to the clinic, i have to choose private hospital.

#41 ice_anise

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Posted 30 May 2009 - 07:25 PM

hi all,

did an ultrasound last week at Klinik Ibu Mengandung Medan Maju Jaya....since they tie-up with some college for the trainer to practice how to scan and determine the baby organ correctly, i am one of the specimen....hahaha

But i am impressed with government facility and equipment leh....the sonographer actually did a 3D and 4D scan for me also, then burn into a CD for my safe keeping without charging me a single cents! Further, they measure everything, even show me my bb nostrils and nose bone. But since bb kepit the legs, cannot determine the gender yet.

The process took about 2 hours altogether because 45min, i am with the student and 2 examiner ( i am the specimen), thereafter, a sonographer did the scanning for 2nd time for me....i am happy because now, everyday i can replay the 4D scan and c my bb....however, still scare because coming month i need to do the glucose test....i am overweight actually....just keep my finger cross.

#42 nckeat

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Posted 30 May 2009 - 08:00 PM

QUOTE (ice_anise @ May 30 2009, 07:25 PM) <{POST_SNAPBACK}>
hi all,

did an ultrasound last week at Klinik Ibu Mengandung Medan Maju Jaya....since they tie-up with some college for the trainer to practice how to scan and determine the baby organ correctly, i am one of the specimen....hahaha

But i am impressed with government facility and equipment leh....the sonographer actually did a 3D and 4D scan for me also, then burn into a CD for my safe keeping without charging me a single cents! Further, they measure everything, even show me my bb nostrils and nose bone. But since bb kepit the legs, cannot determine the gender yet.

The process took about 2 hours altogether because 45min, i am with the student and 2 examiner ( i am the specimen), thereafter, a sonographer did the scanning for 2nd time for me....i am happy because now, everyday i can replay the 4D scan and c my bb....however, still scare because coming month i need to do the glucose test....i am overweight actually....just keep my finger cross.


Excellent, you have found a value for money place. Actually there are lots of value for money places. You get the same excellent service as the major hospital (some even better) but you pay little or fraction of the fee. Big name doesn't mean better.

#43 dreamy island

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Posted 15 June 2009 - 04:51 PM

Hi all,

Just want to check with u girls, if i deliver in private hospital can i bring my baby to poliklinik komuniti for injection?11Q1

#44 nckeat

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Posted 15 June 2009 - 05:02 PM

QUOTE (dreamy island @ Jun 15 2009, 04:51 PM) <{POST_SNAPBACK}>
Hi all,

Just want to check with u girls, if i deliver in private hospital can i bring my baby to poliklinik komuniti for injection?11Q1



If an Indonesian or myanmese can do it for free, why can't a Malaysian?
YES, you can!

#45 s_y

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Posted 06 July 2009 - 08:57 AM

FYI they oni register those who r 12 weeks preggie and above.

#46 ice_anise

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Posted 06 July 2009 - 01:29 PM

s_y,

i dun think so.....i register during my 9weeks...they still register me also..did you get wrong info?

#47 s_y

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Posted 06 July 2009 - 04:26 PM

I got this info from the nurse this morning. Unless she is trying to reduce the number of patient.

#48 sushipig

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Posted 07 July 2009 - 05:36 PM

QUOTE (s_y @ Jul 6 2009, 08:57 AM) <{POST_SNAPBACK}>
FYI they oni register those who r 12 weeks preggie and above.



I register during my 8th week in KKIA Kelana Jaya,no prob at all

#49 k_lyn

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Posted 08 July 2009 - 10:50 AM

i have all the baby jabs for my twin taken in the klinik ibu & anak in subang. all free but most of times long q.

#50 s_y

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Posted 08 July 2009 - 08:11 PM

Then the nurse there cheated me. Sigh.

#51 ice_anise

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Posted 15 July 2009 - 10:09 AM

dear mommy to be,

I just got back not long ago from my monthly check-up at klinik ibu mengandung. As i read thru the thread, there's a need to have a referral letter in order to give birth in government hospital. Today i asked the nurse in the klinik ibu mengandung. They said i need not to bring any referral letter, only need to bring the pink colour book since i am with "white sticker" (indicating normal condition).

If i were to give birth in Universiti Hospital, she told me that i can directly go there when i want to give birth, no need to do any pre-registration. Is it true? Further, she said i can continue my check-up at the Klinik ibu mengandung until i give birth.

Is it necessary for me to change my check-up to Universiti Hospital at 7 months? Today i have my first jab of Anti-tetanus and shall have the 2nd jab next month, was thinking that if it's necessary to change my check-up to Universiti Hospital, i will do it next month after my 2nd jab. What's the different between having check-up in klinik ibu mengandung and Universiti Hospital?

I think i heard that we need to pay RM500 for downpayment if we were to give birth in Universiti Hospital. Is it true? I am getting all sort of information which lead me to confusion. Please help.

#52 nckeat

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Posted 15 July 2009 - 10:30 AM

QUOTE (ice_anise @ Jul 15 2009, 10:09 AM) <{POST_SNAPBACK}>
dear mommy to be,

I just got back not long ago from my monthly check-up at klinik ibu mengandung. As i read thru the thread, there's a need to have a referral letter in order to give birth in government hospital. Today i asked the nurse in the klinik ibu mengandung. They said i need not to bring any referral letter, only need to bring the pink colour book since i am with "white sticker" (indicating normal condition).

If i were to give birth in Universiti Hospital, she told me that i can directly go there when i want to give birth, no need to do any pre-registration. Is it true? Further, she said i can continue my check-up at the Klinik ibu mengandung until i give birth.

Is it necessary for me to change my check-up to Universiti Hospital at 7 months? Today i have my first jab of Anti-tetanus and shall have the 2nd jab next month, was thinking that if it's necessary to change my check-up to Universiti Hospital, i will do it next month after my 2nd jab. What's the different between having check-up in klinik ibu mengandung and Universiti Hospital?

I think i heard that we need to pay RM500 for downpayment if we were to give birth in Universiti Hospital. Is it true? I am getting all sort of information which lead me to confusion. Please help.


Ya, it is true. No need referral to go to any gov facilities to deliver. In fact no need to even have antenatal ckeck up or having the pink book. Gov hospital will accept ANY patients (Malaysian or non Malaysian, legal or illegal, afford to pay or unable to pay). The policy of gov hospital is NEVER REJECT PATIENTS. It is better you have the pink book or whatever antenatal record to avoid the doctor to do the clerking and double work for them.

No need to have your check up at university hospital if you are low risk (white label).
In KKIA, the check up done by nurse mainly. In UH, the check up done by doctor mainly. But if you are low risk, it doesn't make a difference. The nurse will sceen you by their protocol. If any risk factors involve, they will refer directly to hospital.

Yes you need the deposit in UH (which is usually higher compare to gov hospital). In gov hospitals, masuk dulu, talk money later.

#53 ice_anise

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Posted 15 July 2009 - 01:02 PM

dear nckeat,

thanks for the reply. Isn't UH government hospital? I am not going for the private practice side. I am going for the public pool side wor. Next month, i will continue to do my check-up at Klinik Ibu Mengandung again for the 2nd dose of anti-tetanus jab. Was thinking to go to UH to take booking date (i called UH and the nurse said i need to go there to take booking date). I dun understand why i need to take booking date if i were to continue check-up at klinik ibu mengandung??? Is it, double checking? will they write the information in the same pink color book? How much deposit that i need to put in?

If i can still do the check-up in Klinik ibu mengandung, how about i dun go to hospital at all until i want to give birth, then only decide which hospital to go....my house i near UH but since lotsa people said HUKM is better....was thinking whether to go to HUKM or not.

Blur blur dy............

#54 nckeat

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Posted 15 July 2009 - 02:58 PM

QUOTE (ice_anise @ Jul 15 2009, 01:02 PM) <{POST_SNAPBACK}>
dear nckeat,

thanks for the reply. Isn't UH government hospital? I am not going for the private practice side. I am going for the public pool side wor. Next month, i will continue to do my check-up at Klinik Ibu Mengandung again for the 2nd dose of anti-tetanus jab. Was thinking to go to UH to take booking date (i called UH and the nurse said i need to go there to take booking date). I dun understand why i need to take booking date if i were to continue check-up at klinik ibu mengandung??? Is it, double checking? will they write the information in the same pink color book? How much deposit that i need to put in?

If i can still do the check-up in Klinik ibu mengandung, how about i dun go to hospital at all until i want to give birth, then only decide which hospital to go....my house i near UH but since lotsa people said HUKM is better....was thinking whether to go to HUKM or not.

Blur blur dy............


UH and HUKM are under ministry of education so not really gov hospitals as all gov hospitals are under ministry of health.

Both UH and HUKM are crowded in their public wing. So my suggestion is to do your check up at KKIA and only go to UH when you are in labour. They will take you regardless what they say about booking. No point go for booking if your pregnancy is low risk. I work in these setting before, we will ask you to continue follow up at KKIA if your pregnancy has no problem. So if you go UH, you will probably wait 3-4 hours and ask to go back own KKIA clinic to continue follow up till delivery. Wasting your time and their time. Unless your KKIA doctor say you need specialist attention than it is worth going to have booking at UH.

#55 ice_anise

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Posted 16 July 2009 - 09:15 AM

Dear nckeat,

Thanks for the information. To recep, the thing that i need to do now is to continue my check-up in KKIA until i want to give birth. If by 40 weeks my baby didnt show any sign of pooping out yet, i need to go to KKIA to get referral letter to be admitted to hospital. By the way, if i am in my 40 weeks and baby still didn't poop out, can i directly go to hospital already? or i still need to go to KKIA?

Further, i am in my 27 weeks this saturday, other than getting another dose of anti-tetanus shot in the next visit, are there any further test throughout my 3rd trimester? or it will be normal check-up only. I did the GMTT and the result is ok.

Is it true that in 3rd trimester, they start to check preggie mom twice in a month? (more frequent?). Sorry, i have lotsa question in mind because this is my first pregnancy and the nurses explanation is very surface. "Akak, bila saya kena register kat hospital?"...."Masa you nak bersalin, then you pergi la". Seems like they didnt expect that there will be complication....but yet, i feel worry because i have never give birth before.

By the way, if i feel the pain and want to give birth already, do i directly go to "Emergency Unit" or i still need to go to "Wad Bersalin" in Hospital? What's the procedure? Since i am working and hubby also working quite far from my office, I am worry if i need to go to hospital by myself and dunno where to head to.

Thanks alot :-)



#56 nckeat

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Posted 16 July 2009 - 09:31 AM

QUOTE (ice_anise @ Jul 16 2009, 09:15 AM) <{POST_SNAPBACK}>
Dear nckeat,

Thanks for the information. To recep, the thing that i need to do now is to continue my check-up in KKIA until i want to give birth. If by 40 weeks my baby didnt show any sign of pooping out yet, i need to go to KKIA to get referral letter to be admitted to hospital. By the way, if i am in my 40 weeks and baby still didn't poop out, can i directly go to hospital already? or i still need to go to KKIA?

Further, i am in my 27 weeks this saturday, other than getting another dose of anti-tetanus shot in the next visit, are there any further test throughout my 3rd trimester? or it will be normal check-up only. I did the GMTT and the result is ok.

Is it true that in 3rd trimester, they start to check preggie mom twice in a month? (more frequent?). Sorry, i have lotsa question in mind because this is my first pregnancy and the nurses explanation is very surface. "Akak, bila saya kena register kat hospital?"...."Masa you nak bersalin, then you pergi la". Seems like they didnt expect that there will be complication....but yet, i feel worry because i have never give birth before.

By the way, if i feel the pain and want to give birth already, do i directly go to "Emergency Unit" or i still need to go to "Wad Bersalin" in Hospital? What's the procedure? Since i am working and hubby also working quite far from my office, I am worry if i need to go to hospital by myself and dunno where to head to.

Thanks alot :-)


If you reach 40th week and not in labour, you need a referral letter for possible induction. Usually the KKIA will give you the letter without you asking.
At 3rd trimester starting 32nd week, they will see you 2 weekly till 38th week then weekly till labour.
When you are in labour go to the wad bersalin or PAC (patient assessment centre) of the O&G department of the hospital. Every gov hospital has this unit just for pregnant ladies in labour.
SO before you go make up your mind which hospital you want to go and get yourself familiar with the route to that hospital.

#57 ice_anise

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Posted 17 July 2009 - 08:28 AM

dear nckeat,

thanks alot for the information :-)

#58 ice_anise

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Posted 29 July 2009 - 10:05 AM

Dear mommy to be,

Do not want to start a new thread and wish to get some information about "discharge & leakage of amniotic fluid". Basically, how we differentiate whether it's a normal discharge or it's actually amniotic fluid leakage? Since the beginning of my pregnancy, i noticed that i have lotsa discharge...be it thick yellowish discharge or "milky fluid discharge". Recently, i read alot about amniotic bag leakage during 2nd trimester and i am getting worry about it. I do not know how to differentiate whether it's normal discharge or leakage as this is my first pregnancy. Some of my colleague told me that if it's leakage, we can see some blood in the discharge, but i am not too confident on the answer. As i am schedule for check-up in Klinik Ibu Mengandung next month, i do not know who to refer to as i didnt' go for private check-up. Is there any indication to differentiate discharge & leakage of amniotic fluid? i.e..smell, colour..blood or etc.

Since i am getting my monthly check-up in Klinik Ibu Mengandung, the nurses does not do scanning for me. How do i know whether the liquid in my amniotic sack is consider enough for baby? I am reaching 29 weeks this Saturday, and i can feel the kicking of my baby very intensely. It is normal? Cos sometimes, i can feel the pain. Nurses in Klinik Ibu Mengandung told me that they won't do any scanning for me anymore until 40 weeks (provided if my baby still do not want to come out yet).

Is it recommended to do a scanning every month to check whether my baby is ok? Cos until now, i do not know how much does my baby weight. Please help



#59 nckeat

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Posted 29 July 2009 - 10:39 AM

QUOTE (ice_anise @ Jul 29 2009, 10:05 AM) <{POST_SNAPBACK}>
Dear mommy to be,

Do not want to start a new thread and wish to get some information about "discharge & leakage of amniotic fluid". Basically, how we differentiate whether it's a normal discharge or it's actually amniotic fluid leakage? Since the beginning of my pregnancy, i noticed that i have lotsa discharge...be it thick yellowish discharge or "milky fluid discharge". Recently, i read alot about amniotic bag leakage during 2nd trimester and i am getting worry about it. I do not know how to differentiate whether it's normal discharge or leakage as this is my first pregnancy. Some of my colleague told me that if it's leakage, we can see some blood in the discharge, but i am not too confident on the answer. As i am schedule for check-up in Klinik Ibu Mengandung next month, i do not know who to refer to as i didnt' go for private check-up. Is there any indication to differentiate discharge & leakage of amniotic fluid? i.e..smell, colour..blood or etc.

Since i am getting my monthly check-up in Klinik Ibu Mengandung, the nurses does not do scanning for me. How do i know whether the liquid in my amniotic sack is consider enough for baby? I am reaching 29 weeks this Saturday, and i can feel the kicking of my baby very intensely. It is normal? Cos sometimes, i can feel the pain. Nurses in Klinik Ibu Mengandung told me that they won't do any scanning for me anymore until 40 weeks (provided if my baby still do not want to come out yet).

Is it recommended to do a scanning every month to check whether my baby is ok? Cos until now, i do not know how much does my baby weight. Please help


Leaking means leaking of liquor, from the history usually the patient will say there is a gush of fluid flowing out just like urine. The fluid usually not as thick as the discharge and usually clear to slight yellowish. And it has a distinctive sweet odour. Usually don't have blood. This is different from show which is a mucous like material and usually blood stained. Vaginal discharge usually quite thick and not as much as leaking liquor. Commonest cause is candidiasis, a form of fungal infection in which the discharge is whitish in colour. Typical text book description is whitish or whitish-gray cottage cheese-like discharge, often with a curd-like appearance. When the discharge is greenish or yellowish in colour, this is usually indicating bacterial vaginosis or secodary bacterial infection on top of the candidiasis. Both can easily treat with antifungal and antibiotic.
So in order to diagnose, the doctor will usually do a speculum inspecition. Often vaginal discharge can be diagnosed by visual inspoction. The doctor will also look for pooling of liquor or a gush pf fluid comes out when you are asked to cough, both these indicate leaking liquour. An ultrasound maybe done to measure the liquor volume which may reduced in leaking liquor.
There is a different of management of leaking liquor and vaginal discharge because leaking usually mean there may be preterm labour (hence problem associated with prematurity) and increase risk of intrauterine infection which may affect the outcome of baby. Vaginal discharge usually easily dealt with treatment and usually no problem for the baby. So if you are in doubt I suggest see a doctor at least to have spculum examination to clear your doubt.

Your baby kicking intensely mean your baby is active which is a good sign. Strictly speaking, you don't need an ultrasound every month as the nurse can monitor the baby growth from measuring your uterine height. However ultrasound enable the doctor to keep tract the measurement of parameters so that a growth chart can be plotted and early sign of growth problem can be detected.

Baby weight can be estimated by ultrasound through computer calculation using various parameters OR by experienced hand's palpation.

#60 ice_anise

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Posted 29 July 2009 - 11:39 AM

QUOTE (nckeat @ Jul 29 2009, 10:39 AM) <{POST_SNAPBACK}>
QUOTE (ice_anise @ Jul 29 2009, 10:05 AM) <{POST_SNAPBACK}>
Dear mommy to be,

Do not want to start a new thread and wish to get some information about "discharge & leakage of amniotic fluid". Basically, how we differentiate whether it's a normal discharge or it's actually amniotic fluid leakage? Since the beginning of my pregnancy, i noticed that i have lotsa discharge...be it thick yellowish discharge or "milky fluid discharge". Recently, i read alot about amniotic bag leakage during 2nd trimester and i am getting worry about it. I do not know how to differentiate whether it's normal discharge or leakage as this is my first pregnancy. Some of my colleague told me that if it's leakage, we can see some blood in the discharge, but i am not too confident on the answer. As i am schedule for check-up in Klinik Ibu Mengandung next month, i do not know who to refer to as i didnt' go for private check-up. Is there any indication to differentiate discharge & leakage of amniotic fluid? i.e..smell, colour..blood or etc.

Since i am getting my monthly check-up in Klinik Ibu Mengandung, the nurses does not do scanning for me. How do i know whether the liquid in my amniotic sack is consider enough for baby? I am reaching 29 weeks this Saturday, and i can feel the kicking of my baby very intensely. It is normal? Cos sometimes, i can feel the pain. Nurses in Klinik Ibu Mengandung told me that they won't do any scanning for me anymore until 40 weeks (provided if my baby still do not want to come out yet).

Is it recommended to do a scanning every month to check whether my baby is ok? Cos until now, i do not know how much does my baby weight. Please help


Leaking means leaking of liquor, from the history usually the patient will say there is a gush of fluid flowing out just like urine. The fluid usually not as thick as the discharge and usually clear to slight yellowish. And it has a distinctive sweet odour. Usually don't have blood. This is different from show which is a mucous like material and usually blood stained. Vaginal discharge usually quite thick and not as much as leaking liquor. Commonest cause is candidiasis, a form of fungal infection in which the discharge is whitish in colour. Typical text book description is whitish or whitish-gray cottage cheese-like discharge, often with a curd-like appearance. When the discharge is greenish or yellowish in colour, this is usually indicating bacterial vaginosis or secodary bacterial infection on top of the candidiasis. Both can easily treat with antifungal and antibiotic.
So in order to diagnose, the doctor will usually do a speculum inspecition. Often vaginal discharge can be diagnosed by visual inspoction. The doctor will also look for pooling of liquor or a gush pf fluid comes out when you are asked to cough, both these indicate leaking liquour. An ultrasound maybe done to measure the liquor volume which may reduced in leaking liquor.
There is a different of management of leaking liquor and vaginal discharge because leaking usually mean there may be preterm labour (hence problem associated with prematurity) and increase risk of intrauterine infection which may affect the outcome of baby. Vaginal discharge usually easily dealt with treatment and usually no problem for the baby. So if you are in doubt I suggest see a doctor at least to have spculum examination to clear your doubt.

Your baby kicking intensely mean your baby is active which is a good sign. Strictly speaking, you don't need an ultrasound every month as the nurse can monitor the baby growth from measuring your uterine height. However ultrasound enable the doctor to keep tract the measurement of parameters so that a growth chart can be plotted and early sign of growth problem can be detected.

Baby weight can be estimated by ultrasound through computer calculation using various parameters OR by experienced hand's palpation.



Dear nckeat,

Thank you for the information. All this while, the discharge is liqiud yellowish in colour. But i did not mentioned much about it during check-up because it happens since pregnancy and they said it's normal for preggie lady to have lotsa discharge.

Normally nurse will only ask me whether I am "sihat" or not. Then will listen to baby heart beat thru the doppler, then the nurse will "picit-picit" my tummy (dunno why but i guess measuring the baby head kuar). sometimes, i doubt whether this is correct measurement or not, because they just put a measurement tape on the part that they "picit" to my private part.

They didnt check my private part either. Then, will continue to prescribe the supplement for me. Sometimes when i urinated, i can feel that there's yellowish discharge, if i wait for a little long while, then there's some liquid coming out also (watery, light yellow) - do not know whether this is the mixture of "urine with discharge" or it's the leakage because it has no "foul smell"...just normal, not stinky. Just now you'd mentioned that the leakage should smell a little bit "sweet". I do not know to determine this either.

Since Klinik Ibu Mengandung is not doing any further scanning, i am just curious how they can ever detect that some "mommy to be" are actually having leakage which harm the baby in the tummy? Do they do anything to detect this earlier?

You did mentioned that yellowish thick discharge means infection, does this infect my baby cos for me, this has happened for quite some time... i am worrying dead. Further, i read fluene post and noticed that cervic dilation happens without mommy actually noticing it. How does this happen? Cos sometimes, i do not know whether baby is getting heavier or what, most of the time when i urinated, i feel like my baby wants to come out dy....

I didnt feel those contraction yet (as mentioned by other members in this forum) but sometimes at night, can feel tummy painful, maybe baby don't like my sleeping position. Hubby said that i'd been thinking too much and read too much of horror pregnancy stories.

I do not know....throughout my pregnancy, i just hope that my baby will be fine. i just want to make sure that everything will be fine as i want to protect my baby. Thanks for explaining as i have no one to turn to.