List of Gynaes

[cutiecate 0]

Hi cutiecate,

I've heard other people having good experience with them also so maybe I'm just unlucky one. Anyway, my total bill is about 4k (induced labor via forceps, no epidural and 1 night stayed in single deluxe room) inclusive of baby bill.

My baby had jaundice and was admitted to SMC for fototheraphy. The total bill for the fotophotherapy and doctor visits was about 1k.

Hope you have a safe and smooth delivery ;)

Cheers.

thanks alyce... my gynae is Dr. Wong Choon Meng, what about yours? may i know u induced at weeks no. what ah?

[alyceyong 0]

Hi ripleycyw,

My gynae was the one who delivered my baby but during the 1st stage of labor i.e. before the cervix fully dilated, its normally taken care by the midwives. But I believe the midwives would update the progress to the gynae and when its about time to labor, the midwives will call/inform the gynae.

Any mummies out there had their gynae accompanied them throught the labor? I doubt so lor :P

[alyceyong 0]

thanks alyce... my gynae is Dr. Wong Choon Meng, what about yours? may i know u induced at weeks no. what ah?

[hoisum100 0]

Hi , has anyone delivered or seeing gynae at KPJ Kajang Specialist Center? Please share experience.

[Wai Yee 0]

Dr. KK Tan from Pantai Cheras. He is good, patience and funny! :) He has night clinic near Jusco Cheras, so good timing for me to go for check-ups. Reasonable charges.

I had complication during my C-sec, and both my husband and myself were not know - because he does not look panic....and he is calm to handle my case....

When you are in Pantai Cheras, my suggestions is choose a single room. I chose double room and the aircond was not working too well......SOOOOO hot. Then spend a bit more and got a single room!

[swtgl79 0]

Have u guys heard of Dr Param from Selayang Hospital?

[JoyceChan 0]

Hi Wai Yee,

my gynae is Dr KK Tan too. when i asked for the delivery charges last time, he told me that for normal delivery is ard RM2k-RM3k. is it true? for my info, private hospitals should cost more than RM5K...

now i think of Cheras Specialist maternity centre which located at Tmn Pertama Cheras, jst ask for info thru phone...havent pay them a visit. the delivery charges got from them is RM2k for natural birth, and RM4k for c-sec. anyone been there before and mind to share your experience?

thanks a lot...

joyce

[ophelia 0]

Hi all, I'm new here.

I'm from Klang and I've been going to Dr Soh so far.

Anyone else from Klang that can recommend other gynae in this area?

I just want to have a 2nd opinion. Thx.

[Amay 0]

I'm new here. No sure whether this is the right place to post my question here. Anyway, I appreciate if anyone can recommend a good gynea to me.

I'm pregnant with my 4th child and also will be my 4th C-section. My previous gynea reluctant to take up my case because it too risky . I'm now urgently looking for a gynea with experience in multiple cesarean section and experience in handling complication during cesarean. Thank you.

[nckeat 0]

I'm new here. No sure whether this is the right place to post my question here. Anyway, I appreciate if anyone can recommend a good gynea to me.

I'm pregnant with my 4th child and also will be my 4th C-section. My previous gynea reluctant to take up my case because it too risky . I'm now urgently looking for a gynea with experience in multiple cesarean section and experience in handling complication during cesarean. Thank you.

OMG, you are really a great mother risking your life for this pregnancy.

4th C section carries certain significant risk:

1. Dense adhesion - possible other organ injury especially to the bladder.

2. Possibility of placenta praevia or even placenta accreta (placenta invade into muscle layer of the uterus), this is a condition with super super high risk of massive intraop bleeding which can even cost you your life.

3. When massive bleeding happen, a hysterectomy may be needed and it is extremely difficult to do when there is dense adhesion which may distort the normal anatomy.

Your surgery need a very well equipped centre especially the blood bank support and other discipline doctors like surgeon, urologist to standby in case complication happen.

Not many private obstetricians will take this case because:

1. Private obstetrician usually work solo.

2. When massive bleeding happen, blood bank support in private is not that good as in public hospitals.

3. When complication happen, this bring bad reputation to the obstetrican.

Doctor experience may be important but the more important aspect is the support of the system which make dealing of complication smooth and without problem (e.g. in public hospital you have 2-3 HOs to run blood for you which is not available in private)

My suggestion is deliver your baby at a well equipped PUBLIC hospital. It must be a major PUBLIC HOSPITAL like HKL, Selayang or Putrajaya.

Only public hospital has 24 hour oncall doctors (of all disciplines) standby for you.

Rest very sure that your case will be tagged very high risk and the surgery will only be done by senior specialist or consultant. No junior or medical officer will be allowed to do such case.

Your case will be planned well with all the blood ready for you.

Last but most important is please agree for the tubal ligation during this C section so that you won't have a 5th C section which will be an ultimate nightmare for the doctor.

[Amay 0]

nckeat, thank you so much for your fast reply. Correct me if I'm wrong, my knowledge with the public hospital is that you will have different doctors attend to you depends on who is on duty that day. For my high risk case, I need a same doctor to monitor my whole pregnancy closely and the same doctor to do the cesearian. Is Putrajaya hospital allowed patient to choose their own gynea? Need any referral letter? Can you recommend any experience doctor in Putrajaya hospital? Million, million thanks in advance.

You mentioned "you are really a great mother risking your life for this pregnancy'' I wonder is this an compliment or an insult of my stupidity to keep this pregnency? Well, all mothers want to protect their own children even if risking their life whether they are on earth or still in the womb. That's all I can explain to everyone who ask me to terminate the pregnancy.

[alyceyong 0]

Hi nceat,

That's pretty scary. My cousin's wife had her 4th c-sec early this year at a private medical centre in Sarawak.

I don't think her gynae mentioned all these risks to her as she plans to have at least 6 children!!!

Her gynae even told her the way the incision was carried out can cater for AS MANY PREGNANCY as she wants!!! Really got such thing ah?

Must ask her to read the risk from here.

[nckeat 0]

nckeat, thank you so much for your fast reply. Correct me if I'm wrong, my knowledge with the public hospital is that you will have different doctors attend to you depends on who is on duty that day. For my high risk case, I need a same doctor to monitor my whole pregnancy closely and the same doctor to do the cesearian. Is Putrajaya hospital allowed patient to choose their own gynea? Need any referral letter? Can you recommend any experience doctor in Putrajaya hospital? Million, million thanks in advance.

You mentioned "you are really a great mother risking your life for this pregnancy'' I wonder is this an compliment or an insult of my stupidity to keep this pregnency? Well, all mothers want to protect their own children even if risking their life whether they are on earth or still in the womb. That's all I can explain to everyone who ask me to terminate the pregnancy.

I am not asking you to terminate your pregnancy. I am just applaud your will of having 4th pregnancy despite the 3 previous C section.

However don't overtly worry about the complications.

My surgical experience with 3 previous scars are so far unevetful but even if I had to do it again I would be feeling uneasy if the op is done in any other hospital except public hospital because in pubic hospital I know the supporting team is solid good as compare to the private which you work solo.

About your pregnancy, the antenatal period will be just like any other normal pregnancy. What the doctor need to look for is make sure the placenta is not at the abnormal position e.g. placenta praevia / accreta. This can be done by doing an ultrasound at about 28th week.

Unfortunately you can't choose to have certain gynae in public hospital as they all work as a team.

But one thing for sure, your case will only be done by senior specialist or consultant only because they can't afford to let the inexperience junior doctor to do and they later need to deal with the complication.

There are 4 options you can choose:

1. Choose the private wing of university hospital like HUKM (less crowded) and UMMC. You will have the same doctor follow you up till the C section.

2. Ask your gynae refer you to the public hospital of choice, set a date for C section and continue the follow up at your own private gynae till delivery.

3. If your gynae knew somebody senior in major public hospitals, ask him to refer to the senior doctor personally.

4. Just walk in any other KKIA, get yourself referred to a major public hospital and follow whichever doctor assigned to you but rest assured the doctor who ultimately do your surgery is a senior one.

Option 1 is most expensive, may cost you upto RM8k.

Option 2 is convenient.

Option 3 is the best but your doctor need to know the doctor in public hospital.

Option 4 is good as well but you may have to endure the long waiting time but is the cheapest, almost FREE.

There is an option 5 which is you insist to have a senior doctor in public hospital to see you when you register with the public hospital. You can talk to the nurse or medical officer but you may risk confronting them and you have to be firm on this to eventually make them send to the senior doctor. This option is unpleasant and need you to be stubborn.

In my opinion I would suggest the following hospitals:

HUKM, UMMC, HKL, Selayang and Putrajaya.

All these hospitals have senior doctors that I knew can perform this surgery and more importantly the backup system.

Hope this help.

[nckeat 0]

Hi nceat,

That's pretty scary. My cousin's wife had her 4th c-sec early this year at a private medical centre in Sarawak.

I don't think her gynae mentioned all these risks to her as she plans to have at least 6 children!!!

Her gynae even told her the way the incision was carried out can cater for AS MANY PREGNANCY as she wants!!! Really got such thing ah?

Must ask her to read the risk from here.

If nothing happen, nothing happen. If something happen, all hell will broke lose.

You can have as many children as you want but each additional C section will add on further risk.

The more scars the uterus have, the more chance adhesion will develope and by the 5th C section, the risk of the ultimate nightmare for obstetrician which is placenta accreta (or even percrreta - invade through the uterus) is as high as 20% and imagine by 6th C section, your doctor must be an Indiana Jones for not advising the patients properly about the risk. And like the other mother when your cousin's wife were to have her 5th or 6th pregnancy, she may be kicked back to public hospital and the doctor just say too high the risk to take the case which I think is an inappopriate and irresponsible practice especially when the risk of further pregnancy not explained.

I had observed not less than 3 cases of C section for previous C section scars with placenta accreta as an obstetrician. When bleeding happen, they bleed by multiple of 10 litres, everything happen very fast, in minutes. 2 of them died on table, one became vegetarian after prolonged stay in ICU due to hypoxia of the brain and the family and husband suffered because need to take care of her.

I know children are adorable but think carefully, if something happen in the 5th C section, who is going to take care of those 5 poor children? I think while someone's wish to have as many children as possible must be respected but think of the risk! Is it worth it? What about the right of the other 4 children to have a healthy mother to look after them? For me, to have a 5th C section is like gambling with your life.

[Amay 0]

nckeat, million thanks. Your explaination better than my gynea. Actually, I also worry about my thin uterus at the scar region. My doctor said this baby have to be delivered early (not more than 37th weeks) to aviod rupturing of the uterus.

alyceyong, congrats to your cousin. I hope I am as lucky as your cousin.

[nckeat 0]

nckeat, million thanks. Your explaination better than my gynea. Actually, I also worry about my thin uterus at the scar region. My doctor said this baby have to be delivered early (not more than 37th weeks) to aviod rupturing of the uterus.

alyceyong, congrats to your cousin. I hope I am as lucky as your cousin.

There could be risk of rupture of uterus but that only happen if you are in active labour (your uterus already contracting). So the timing of delivery will be about 37-38th week.

However this risk looks benign compare to placenta accreta / percreta which stuck at the scar and cannot be separated.

[Amay 0]

Just to add on, this is an unplanned pregnancy. We have practised birth control. According to theory, I shouldn't have pregnant, somehow I got pregnant, just don't know what went wrong . What happen already happened. What I can do now is to try my best to protect the unborn one, at the same time to reduce the risk to the minimum by closely monitoring and choosing the right hospital and gynea.

[alyceyong 0]

nckeat, million thanks. Your explaination better than my gynea. Actually, I also worry about my thin uterus at the scar region. My doctor said this baby have to be delivered early (not more than 37th weeks) to aviod rupturing of the uterus.

alyceyong, congrats to your cousin. I hope I am as lucky as your cousin.

Yeah, nckeat explaination always very detail and better than our gynae. We are lucky to have him here to give us advice.

Amay, thanks on behalf of my cousin. Wish you have a smooth and safe delivery. Good luck and God Bless!

[Kittycat 0]

I also delivered my baby at Sunway Medical Centre Mar this year. What is your experience? I do have some unpleasant experiences with them during my delivery.

1. During admission : Long waiting time eventhough I was the 2 or 3 patients; there were staffs at most of the counters but only

one or two counter is attending the queue! No sure is it because its too early (8++ am).

2. Check-in to room: A nurse came in and asked if I were admitted for c-sec!!! OMG... I was asked during admission the reason

(induced - natural delivery) for my admission ler!!! Luckily I was not in pain ler... if I pain till blur lioa what will

happen?!?! pushed to OT for c-sec?!?! Really wonder what is the purpose they ask during admission if the

message was not conveyed to another dept. Somemore I stayed in single room ler. Couldn't be confused bah

3. Midwife : Again in the labour room, the midwife asked why I were there!!! I almost fainted liao... I should have answered

her I came here for vacation!! Maybe we walked into the labour room ourself and waved good

bye to my parents as if we were departuring for our honeymoon!!!

- I would say the midwives who attended me were unfriendly n unproffessional! Can you imagine she even asked

me if I need an enema? I thought that is compulsory!

- At one point during my contraction, she suddenly came in and time my pulse and told me I might need to go

for emergency c-sec!!! When I asked her why? She said my baby heart rate dropped and could be due to

umbilical cord ard the neck. Aiyo, its because I was lying sideway and the CTG sensor has moved.

- I was asked to empty my bladder on the bed during contraction (3 times potty and 2 times cartherer

inserted). Hubby was the only one who help me with the potty and not the midwife!

- During active labor, another midwife take charge and she kept bummed into the cartherer on my hand. It was

painful as i remember telling her my hand was very painful (during contraction time). Now I have a very

obvious scar on my hand!!

Other than that, I'm happy with the 'general' nurses and nursery nurses. At least they were polite and friendly. Maybe I'm just unluckily being assigned to those midwives.

Hi alyceyong.. 1st of all, congratulations on d new arrival.. sorry that u had some unpleasant xperiences during ur stay there.. used to be one of d team there but it's been a while & I'm sure there's been a lot of changes especially since they've opened d new wings.. so things could've been a lot different now than it was before.. anyway, I hope u don't mind if I add some comments here..

1. U shouldn't have been made to wait long during admission since as u said there's not many patient around.. & d admission staff should know better than to keep pregnant ladies waiting.. (& 8++ am is definitely not too early)

2. I agree with u.. there should b better communication between d admission & ward staff.. my guess is u were asked during admission due to the amt of deposit required for admission (assuming that u r self-paying & not using guarantee letter) - deposit for normal delivery & planned c-section is different.. usually this kind of information is communicated before d patient even arrive at d ward..

3. Were u sent to labour room straight away or was it ur normal room 1st coz it's weird that u were asked that kind of question by d midwife if ur being admitted for induction.. again very bad communication amongst staff.. unless it was a terribly bz day when msg don't get relayed properly.. but hey no excuses eh

- As for enema, it's definitely NOT compulsory to give every patient an enema.. well, some very old-fashioned Obgyns may insist on giving enema to all their patients, even those who've bowel opened prior to delivery .. but seriously, this is ur own choice.. that's y u were asked if u need an enema.. a lot of Obgyns don't even practice this must-have-enema thingy anymore.. my take on this - if u haven't done d 'big job' for days, then by all means, ask for an enema coz it's not amusing to have to clean up heaps & heaps of adult poops.. but then again I'll never ever tell my patients to have an enema if they're not comfortable with it..

I'm not going to comment on the last 3 points coz I think it'll b unfair for me to do so without evaluating d whole thing from a several views.. Anyway, I'm glad that apart from these unpleasant events, u were happy with d others..

Cheers

[veve 0]

Hi all,

I'm quite new in Malaysia.

I'm in 34 weeks now, and I go for check up in Prince Court Medical Center (PCMC) at Tun Razak.

I was with Dr. Tan Nyap Hong, but then about 1 month ago he continue his study again in UK, then I have to choose other doctor.

I choose Dr. Paul Tay.

Does anyone has experience with dc. Paul Tay?

Please share, need some info about it, and also about PCMC during delivery seems the labor room and the staff there are very helpful, but again... dunno what will be happen when i deliver :p

[nckeat 0]

Hi all,

I'm quite new in Malaysia.

I'm in 34 weeks now, and I go for check up in Prince Court Medical Center (PCMC) at Tun Razak.

I was with Dr. Tan Nyap Hong, but then about 1 month ago he continue his study again in UK, then I have to choose other doctor.

I choose Dr. Paul Tay.

Does anyone has experience with dc. Paul Tay?

Please share, need some info about it, and also about PCMC during delivery seems the labor room and the staff there are very helpful, but again... dunno what will be happen when i deliver :p

I think most of the obstetrician should be able to manage normal pregnancy.

However I am very curious about the rate offered to you for delivery in Prince Court as the centre is not only for rich, it is only for super rich people.

I knew one of the famous Chinese radio DJ's wife delivered there via elective C section. No complication and the final bill was RM40000 (FOURTY THOUSAND RINGGIT).

[veve 0]

hah? 40,000 RM? wakss..

My friend's friend delivered there few months ago with normal delivery, for about 4d3n (if i'm not mistaken) total bill is a about 5500 RM.

My previous doctor said (Dr. Tan Nyap hong) for normal delivery is about 4000-5000 RM (without any further action like epidural, etc); and for C section is about +-9000 RM.

My current doctor said (Dr. Paul Tay) for normal is about 3500 RM for 2d1n (without any further action like epidural, etc), but i'm sure the final won't be 3500 RM, may be about +-4000 RM (i think...).

I forgot to ask about C section :(

All of the room there is private room, the difference only have second bed for the guess, other doesn't have second bed (but they have sofa bed, so i think it's ok).

Now u make me worry if the final charge will be 40.000 RM... i will faint...

I got the info for Billing&Inpatient department, Dr. Dato Aziz will charge more higher than Dr. Tan... can be about >6000 RM for normal.

dunno lah.. i'm quite blur also hiks..

I'm also worry about the service and what i have to do during labor..panic panic panic...

Hi all,

I'm quite new in Malaysia.

I'm in 34 weeks now, and I go for check up in Prince Court Medical Center (PCMC) at Tun Razak.

I was with Dr. Tan Nyap Hong, but then about 1 month ago he continue his study again in UK, then I have to choose other doctor.

I choose Dr. Paul Tay.

Does anyone has experience with dc. Paul Tay?

Please share, need some info about it, and also about PCMC during delivery seems the labor room and the staff there are very helpful, but again... dunno what will be happen when i deliver :p

I think most of the obstetrician should be able to manage normal pregnancy.

However I am very curious about the rate offered to you for delivery in Prince Court as the centre is not only for rich, it is only for super rich people.

I knew one of the famous Chinese radio DJ's wife delivered there via elective C section. No complication and the final bill was RM40000 (FOURTY THOUSAND RINGGIT).

[bunnyNwife 0]

Aiya nckeat.. am sure the DJ's wife stays in presidential suite which cost few thousands a night la! Also they must be picking those weird auspicious time for delivery where it involved extra charges.

[nckeat 0]

Aiya nckeat.. am sure the DJ's wife stays in presidential suite which cost few thousands a night la! Also they must be picking those weird auspicious time for delivery where it involved extra charges.

I was wondering whether RM40k delivery can produce a superbaby, one class above than others who can't afford those kind of bill?

[veve 0]

Hahaha... yeah yeah.. may be staying at President Suite! I just remember President Suite is much more expensive then the Suite Room.

Suite Room only about 250 RM. and maybe she also does some special treatment :p

I will ask my doctor (another next 2 weeks), may I know who is the DJ's wife?

Back to my topic... still looking at someone has experience delivery there... is there any?

And i have other question at other topic, about where to buy good Chinese Herbal? help help... :p

Aiya nckeat.. am sure the DJ's wife stays in presidential suite which cost few thousands a night la! Also they must be picking those weird auspicious time for delivery where it involved extra charges.

I was wondering whether RM40k delivery can produce a superbaby, one class above than others who can't afford those kind of bill?