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Wednesday 3 June 2009

Young, single and... WHAT? DELIVERED?!

On Monday, after her appointment at the O&G clinic, Sharifah called to inform me that she is supposed to be warded on 14th June and her op to deliver the baby is on 15th June. Her due date of delivery is 28th June but operations are usually scheduled 2 weeks earlier.

Her appointment at the HIV clinic is this morning and since my voluntary duty is also this morning, I promised to pick her up at the flats and we'd go together to the hospital.

Puan Nur had gone home on Monday night and was thinking of coming again to Ipoh when Sharifah delivers in 2 weeks time. I myself thought I'd probably visit Sharifah every day nearer to the due date, in case she needed to be warded earlier.

My initial plan for today was to pick Sharifah at the flats, go to the hospital, then have lunch together before I send her back to the flats.

But in the wee hours of the morning, at 2.40 am to be exact, my handphone rang. It was the dreaded James Bond ringtone - my PLHIV assigned ringtone. Alamak... not a good sign...

With my blurry "baru bangun tidur" vision, and without my reading glasses on, I couldn't really see the name appearing, but based on the length of characters appearing, I figured the call was from Sharifah. That worried me even more.

"Kak, sakit kak. Ayaq pun dah keluaq ni. Macam mana nak buat?"

Definitely it wasn't a good sign. Here's a 19 year old HIV positive pregnant girl, alone in a flat not familiar to her and as such she doesn't know any neighbours to seek help from. The thought of her possibly giving birth at home alone is a cause for concern. Amma ilek, appa oso ilek. She didn't have anyone in Ipoh but me.

So yeah, without even washing my face, I just grabbed and simply wore my jubah and tudung over my sleep clothes, and quietly sneaked out of the house so as not to wake my mother who was sleeping in the next room. The worrier that she is, if she was awake when I went out at such an ungodly hour, she wouldn't be able to sleep until I got back. Thank goodness she was sound asleep and didn't notice that her daughter went missing for a while.

Driving at such hour, and in Ipoh some more, was a breeze. I went to fetch Sharifah (thank goodness the flat she's staying in is on the ground floor) and by 3 am we were already at the delivery hall. I was asked to wait outside, together with some eager daddy-to-be's. Some were even there since afternoon. I figured there was no point for me to wait. I had after all, left her in good hands. I went back in, asked Sharifah for the keys to the flat (in case I needed to take anything from there later) and told her I'd go back first. Then off I went home to continue my sleep.

At 6.30 am, I SMSed Sharifah asking about her progress. She said the doctor had seen her and told her that she may need to be operated this morning. After a few minutes, she called. She asked if I could come take her things (her purse, handphone etc) as there is nobody to look after her things when she goes into the operation theatre. I told her I'd get her things when I go to the hospital later for my clinic duty. Sharifah also asked for my favour to call her mom. I called Puan Nur immediately.

Before going to the hospital again this morning, I stopped by the flats to switch off the lights and check whatever else necessary. Then off I went to the hospital, got a parking which so happened to be nearer to the maternity building, so I decided to go the the delivery hall first, to get Sharifah's things, and to ask for her status. I got her things without a problem, they didn't even ask who I was. When I was told Sharifah was still in the delivery room, I asked what time would her op be. To my surprise, the nurse told me maybe she didn't need to go for op. "But she has HIV", I argued. "Ya, tapi doktor pakar kata tak payah, tak apa lah," answered the nurse. At that time, it was already 9 am. I didn't really believe the nurse.

Then off I went for my clinic duty. I immediately told SN that Sharifah wouldn't be coming for the HIV clinic appointment as she was already at the delivery hall. SN then told me about an HIV positive lady who wanted a baby soooo much who asked if anyone wanted to give away their baby. She didn't care if the baby is positive or negative, she just wanted a baby so much. I told SN I'd have to discuss again with Sharifah's family and then talk to the lady who had earlier offered to take care of the baby.

After my clinic duty, I went down to the delivery hall to enquire on Sharifah's status again. A more senior nurse who saw me earlier and had already recognised my face told me that Sharifah had delivered a baby - NORMAL DELIVERY.

"Hah? Tapi dia ada HIV." Again, I argued. No confidentiality issues as Sharifah's records there already show she is HIV positive.

"Ya lah, tapi sudah deliver normal," answered the nurse.

"Sharifah, the 19 year old girl?" I asked again just to be sure we weren't talking about different people.

"Yes!" Answered the nurse, lucky thing she didn't scold me...

Sharifah was then still in the delivery room, so I didn't go in to see her. I went up again to the HIV clinic to see SN to tell her that Sharifah had delivered. Who knows, maybe I wasn't aware that it is okay now to let the HIV positive mothers to deliver their babies via normal delivery. But SN herself was surprised when I told her about the normal delivery.

"Kenapa pulak normal delivery?" asked SN.

"Manalah saya tau? Saya hantar tadi pukul 3 pagi. Pukul 9 tadi belum ada apa-apa tapi dia orang kata mungkin nak buat normal delivery," I said.

SN then conveyed the matter to the doctor on duty at the HIV clinic. The doctor asked if a date had already been fixed for Sharifah's delivery. After telling her that the due date is 15th June, and after explaining a few more things, in the end the doctor could only say, "What can we do now anyway? Already delivered what?"

Which is true, really. Already delivered, what else could I, or anyone else for that matter, do?

It was already lunch time, so I drove home, feeling somewhat frustrated that after going through the trouble of sending the girl to the hospital at 3 am, she still delivered via normal delivery. But I guess, it was meant to be. All I can do now is pray that the baby is not infected.

Will visit Sharifah again later today, and maybe pass back her handphone to her, in case she needed to call anybody.

More updates later.

20 comments:

mamasita said...

Pi..pardon my ignorance..HIV patients are not encouraged to go through the normal delivery?? Why?

Pi Bani said...

Mamasita,
Normal delivery for HIV mothers puts the baby at a high risk of getting infected.

There is still hope though, that the baby may not be infected, and so I am still relying on that hope.

Salt N Turmeric said...

Eh doc tu pulak yg tanya soalan? was he even there? did he read her report? and all he could say is apa nak buat dah delivered already? Pi, can i go and slap the doc and the nurses?

koolmokcikZ said...

Salaam all,

Salt N Turmeric, such is the reality here. Bila kita bertanya, dikata pulak kita memandai mandai. You would be surprised to find some Myammar docs in government hospitals cakap Melayu tak reti cakap omputih tak boleh. Lotih dek non if you plan to go around giving each of them a slap.

Anonymous said...

salam k.pi,

- myanmar docs that cant converse in either malay or english??? how in the world did we accept them to work in our government hospital???? (i know for a fact that years back, foreign medical students who graduated from one local university had a tough time to work in our hospitals....and they can converse in both english and bahasa!!)

- doesnt the hospital has an sop or something that acts as a guideline on how to treat deliveries from an hiv status mom?? ok....maybe they have but doesnt anyone read it???

oh dear...sedihnyerrrrrr :(

what are the chances of some people with power to read this blog and do something about this????

frustrating lah k.pi...coz i can only vent about it but not doing anything else.... :(

-niasulaiman-

Pi Bani said...

Woah! Hold your horses people!

First of all, I don't know about those Myanmars docs okay? I haven't dealt with any of them, at least not here in Ipoh GH - so I shall refrain from commenting on that issue. My posting here has nothing to do with Myanmar or any other foreign doctors.

Secondly, Farina dear, the doctor yang tanya I macam-macam tu was the HIV clinic punya doctor, bukan O&G - and Sharifah's scheduled date of op was only known on Monday 1st hari tu, whereas her appointment with the HIV clinic was supposed to be yesterday - by right masa tu lah baru the HIV clinic people will put down in their records about Sharifah's scheduled delivery date.

And the reason the doc tanya I tu pasal dia pun heran how come the O&G people buat normal delivery instead of op. She was thinking maybe from the info I gave, she could figure out why it was normal delivery. And if memang belum deliver tapi dengar cerita nak buat normal delivery, then maybe she could call the O&G people to ask. Tapi disebabkan baby tu dah pun delivered, there wasn't anything we could do but to pay more attention to the already born baby lah.

As for the O&G people, I'm sure they had their own reasons (like maybe it was already too late - and as such no point to go for op?) particularly since nobody expected Sharifah to deliver THAT early. I don't think Sharifah's mom would have gone home on Monday if she knew Sharifah would deliver that soon.

So no, don't go slapping people yet lah. Yes I couldn't help feeling a bit frustrated, but sometimes you have to accept, even when you take all the necessary care and precaution, things may still end up the way you don't want them to.

And just for additional info, all the nurses I spoke to, spoke nicely to me despite being so busy with so many cases yesterday. Tak siapa pun cakap kasar kat despite I dok gi keluar masuk banyak-banyak kali to tanya macam-macam.

So cool down, okay people?

Nightwing said...

Helo Kak,

Hope and pray that the baby is ok.

Anonymous said...

Pi,
Every time when you write Young,Single and ...... tu, the word that pops into my mind is Dangerous. Maybe, when one is young, one is looking good and dangerous..whatever!

Elara

Pi Bani said...

Nightwing,
Yes, let's all pray the baby's ok.


Elara,
Memang dangerous pun... this one kan dah termengandung luar nikah...

Elara said...

Pi,
Tulah pasal. Ingatkan kat UK ni je ada masalah teenage pregnancies.

Elara

Pi Bani said...

Elara,
Sini pun baanyaaak...

sherry said...

Ingatkan Tok Opah Kakak Pi dah boleh lega sikit dengan deliverednya Baby Sharifah..ada pulak isu lain ye..So,lepasni ni the tajuk should be - A New Born A New Hope !

Cat-from-Sydney said...

Suggestion from a cat: Spay them! Like us cats, to control libido and unnecessary births! Hahahahah....roar! this cat has turned evil!!!!
Seriously, my sympathy to this Sharifah. I do hope the baby will be fine. Boy or girl? Who's going to take care of the baby? This cat is very curious...meow...

Pi Bani said...

Sherry,
Takde mana leganya... but as long as there is hope, I'll keep on hoping!


Cat-in-Sydney the curious cat (is it true curiosity kills the cat?)
Answers to your question coming up in the next posting.

Salt N Turmeric said...

So it's a different doc lah ye Pi? Ok now i faham abt doc yg bertanya soalan tu.

She may went into labor earlier than her due date but there's a doctor 'pakar' there already and she was there for hours before giving birth. No such thing as takde masa. She went in at 3am and at 9.30am was still carrying the baby in her womb. We are talking about the life of a baby here who could get hiv if delivered normally.

Those nurses may talk to you nicely but sorry Pi, I just can't accept the fact that for whatever reason, they jeapardize the baby's life. :( I can only hope and pray that the baby is well.

Koolmakcikz, i tak pernah dengar lak pasal myanmar doc yg takleh converse in neither malay nor english. kalau i, mau naik hangin dibuatnya. lol.

Anonymous said...

hehehe...k.pi...today dah cool down dahhh....
-niasulaiman-

Anonymous said...

hehehe...k.pi...today dah cool down dahhh....
-niasulaiman-

Pi Bani said...

Farina,
Memang I masih tertanya-tanya pasal the normal delivery especially since earlier at 6.30 the girl called to say doc kata kena operate same morning. I pergi pukul 9 was told by nurses doctor pakar kata takyah operate. My wild guess is, the earlier doc was an MO, bukan pakar and since cases like this kena tunggu pakar, by the time the pakar check Sharifah, THEN it was too late for op. But tu my wild guess lah. Cannot conclude anything. Right now P.I. Pi still asking around looking for answers.

Anonymous said...

I just saw this post. Memang betul a HIV positve mom will harm the baby if by normal delivery. How come the docs all so bodoh one.

But enclosed the article also say, Jangan menyusukan anak if mother is HIV positive. Bagi milk formula. Hope baby is doing well.

http://www.aidsmap.com/cms1060325.aspx

Please keep us update.

Thanks.

Pi Bani said...

Anonymous,
Yes, am fully aware about no breastfeeding. The young mother was even given a pill so that milk will not flow from her breast. As for the normal delivery - maybe the water breaking took place more than 4 hours before, I don't know. And by the time I got her to the hospital, OR by the time the specialist got there, no point going for caesar. Maybe lah, I don't know. But her CD4 is not that low, and she was already on ARV, so I am still hopeful the baby will be spared.