「林醫師,你幫Janet接生呀?」
「Nonono.!..是George接生的!
從頭到尾都在搖滾區卻非常的專注冷靜!」
Janet Hsieh 謝怡芬 & George Young 真的是非常恩愛的一對夫妻
能參與他們的懷孕,生產,是件幸福的事
祝福你們
首先~要大大感謝大家的恭喜和祝福簡訊及禮物!其實到現在一切都還感覺很不真實,而我好像還停留在呆滯的狀態。我,的,天,啊,我真的是位媽咪了! George Young 我們有個兒子了!
(對了所以有人猜對嗎?是位男孩,10/11,凌晨2:37出生,3650公克,有大GG(像媽媽一樣man,哈哈!)
First of all, THANK YOU for all of the congratulatory messages, support, and presents! It’s been so surreal and I’m still in a daze. OMG! I’m a MOMMY!!! GEORGE, WE HAVE A SON!! @instageorgy
(BTW, anybody guess correctly? Baby boy, born Oct 11, 2:37am, 3650g, big GG (Takes after mommy. haha!))
現在我終於有時間可以稍微回顧,也同時想把這特別的分娩經驗分享給大家。
Now that I have time to think back, I wanted to share MY labor experience with you.
如何把寶寶生出來的101條守則:
How to deliver a baby 101:
先列出一個非常詳細的生寶寶計畫,包含以下需要事先想清楚:
自然產 v.s. 剖腹產
有打藥催生 v.s. 無藥
會陰剪開 v.s. 自然撕裂
是否寶寶一生出來就和母體肌膚接觸
是否保存臍帶、臍帶血
Write a very detailed birth plan. Include the following
Vaginal delivery vs. C-section
Medicated vs. Non-medicated
Episiotomy or natural tearing
Skin to skin afterwards or not
Do you want to keep the umbilical cord and cord blood for cord blood registry?
2. 小心翼翼地拿著那本生寶寶計畫並且沿長邊對著中線對折
Take that birth plan and carefully fold it in half, long ways, down the middle.
3. 再將紙攤開來
Open it back up again
4. 將紙的右上角往中線摺成三角形
Fold the top right corner down to the middle line, forming a triangle
5. 將紙的左上角往中線摺成另一個對等的三角形
Fold the left right corner down to the middle line, forming a matching triangle
6. 將你的生寶寶計畫(現在它應該是個紙飛機了)往窗外飛,然後和它揮手說再見
Fly your birth plan (now a paper airplane) out the closest window and wave byebye
哈哈。 well, 這個是我自己的經驗啦。
Haha. Well, that’s how it worked out for me in the end anyway.
生小孩之前,我們做很多研究,問了很多朋友然後跟我們的醫生 林思宏醫師 討論了。我跟George決定要用最自然的方式來生小孩, 用最少的醫療。 除非有緊急狀況或是必須的條件,我們盡量不要用催生、針筒、無痛藥或任何其他的藥物,也不想會陰側切或是剖腹。
Before delivering out baby boy, and after doing a lot of research and talking to numerous friends and our physician Dr. Jason Lin, George and I had decided that we wanted as “natural” of a birth as possible, meaning: as little medical intervention as possible. Unless there was a medical emergency or absolute necessity, we wanted no induction, no needles, no pain medication, no episiotomy, and definitely, no surgery.
不過很顯然的我們的寶寶很有想法,他有自己的一套計畫:已經41週大了他就是不打算出來(即便他已經有個超級大頭而且已經3700克),而且一點產兆都沒有!於是林醫師強烈建議我們催生。因此,在10月9日的中午,我們冷靜的打包好,吃飽午餐,非常平靜的前往醫院。這感覺好像是我們要去一趟三天兩夜的小旅行(嗯哼,最好是),但其實仔細想一想,我們的寶寶今天就要出來與我們見面這件事其實是蠻嚇人的!這是一種很詭異的平靜卻緊張的氛圍,好像我們一切都很有效率。
Well, our baby had his own plan. He (even with his big ol’ head and already almost 3700g) just didn’t want to come out, and after 41 weeks and not a single sign of labor, Dr. Lin highly recommended that we induce. So, on October 9 at noon, with our bags calmly packed, lunch eaten, we head to the hospital in a weird daze. It felt like we were packing for a 3-day holiday (haha! Yeah right!), but it was also so scary to think that we could have a baby TODAY! It was a strange calmness/nervousness. Almost like we were being too efficient.
其實坐上計程車後我們一度很想請司機回頭,並取消約診,然後回家繼續等。不過仔細想想又覺得,那,我們到底在等什麼?如果我們只是為了固執的等待陣痛自己來臨,卻因此造成拖延而產生很多不可控制的病發症怎麼辦?
There were moments in the short cab ride when we nearly told the taxi to turn around, cancel the appointment, and just wait it out. And then there were times when we thought, well, what exactly are we waiting for? What if we cause some complications because we were stubborn about waiting for contractions to start on their own?
每一位迎接寶寶來臨的準媽媽甚至準爸爸都會害怕自己的寶寶會在準備出生的前幾天因為受臍帶纏繞而窒息,或是寶寶會開始在媽媽肚子的羊水中便便甚而吃到自己的胎便,這其實很危險且容易造成感染,或是胎盤會開始失去功能等等。身為一位母親,妳就是會時不時的替寶寶擔心這擔心那,一切都是為了確保他/她能夠平安。
Every mother and even father has the fear that their baby will get tangled on its umbilical cord and stop breathing just DAYS before he or she is supposed to be born, or that it will start to poop inside and eat it’s own poop inside the amniotic fluid which can be very dangerous and cause infection, or the placenta will start will fail, etc etc. As a mother, you are constantly worried about that baby inside your belly and you just want to do anything possible to make sure it is OK.
所以,因為腦中有這麼多的擔心和顧慮不斷徘徊,於是我們乖乖的聽醫師的話,10月9日的中午12點準時到醫院報到,和飯店check in,喔不是,我是說我們的產房,並且真的開始面對催生這件事。
So, with these concerns and considerations in mind, we listened to our doctor and by 12 noon on October 9th, we checked into our hotel room, I mean, our hospital room, and started INDUCTION.
長話短說,38小時過後,我們的男寶寶來到這個世界。我絕對會說他是我們”美麗的男寶寶”!但你們真的見過寶寶剛生出來的樣子嗎?(George當時是搖滾區) 它當時並不是我認為最美的事物我必須承認...,它其實長得像異形啊!哈哈!
Long story short, 38 hours later, we have our baby boy. I would say our “beautiful baby boy,” but have you SEEN a baby when it comes out?! (George did at the business end). It is not the prettiest thing… it looks like an alien! Haha!
說真的我真的不知道如果沒有林思宏醫師、產房護理長王俐文還有其他護理人員、Holly及許多客服人員們的協助我會怎麼樣。生寶寶真的是件既美妙卻又嚇人的一件事,尤其當妳在分娩的這段期間只有感受到自己的無比脆弱,妳絕對會需要一個懂妳也懂妳的寶寶的團隊來支持妳:一個能不時監測妳和寶寶狀態的專業團隊,且具備充分耐心可以願意一一回答妳百萬種不可思議的問題。妳絕對會需要一個盡量能讓妳感到放心的環境,在這可能是妳人生中最不舒服的一天!(或者舉我為例,我人生中最不舒服的38小時!)
I honestly don’t know what I would have done without the support of Dr. Jason Lin, Wendy (our doula), and the rest of the nurses and staff at 禾馨婦產科-專業母胎兒醫學中心 . Having a baby is a wonderful, yet absolutely terrifying thing, and you feel completely vulnerable when you are going through labor. You need a team by your side who knows what YOU want for your delivery and for you and your baby. A professional group who is there to monitor you and your baby in case anything goes wrong, and who is also caring and supportive enough to answer all of your millions of silly questions. You need an environment which makes you feel as comfortable as possible, in what is going to possibly be THE MOST UNcomfortable day in your life! (Or, in my case, 38 LOOONG hours of my life!)
謝謝林醫師的熱情和專業,尤其在回答我們千奇百怪的問題的同時還能用一套幽默與邏輯來平息我們的不安。如果我真的要再做一次生產這件事,不用問,我一定會讓George來生...哈哈。不過說真的,我真的找不到第二人選來幫我的男寶寶順產接生。
Thank you Dr. Lin for your passion for your job, your professionalism when answering our questions, and your sense of humor to calm our nerves. If I had to do it all over again, there’s no question… I’d make GEORGE have our baby… Haha. But seriously, I can’t think of a better person that I’d rather have deliver our baby boy.
再來是護理長王俐文,妳真的是上帝派來的天使、我的救世主!妳陪伴著我和George最難熬的那幾個小時是我永生難忘!妳在我最艱困的的每一次陣痛幫我擦乾我的眼淚、用妳的笑容鼓勵我,幫我擠出那些痛、按摩我、跟我一起做骨盆搖擺運動,妳是我的意志力讓我堅持到最後。真的真的真的好感謝妳
And Wendy. Oh Wendy. You are an angel. A godsend. My savior! The hours that you spent with George and I during my most difficult moments will never be forgotten. You helped wipe away my tears, encouraged me with your smile, squeezed, massaged, swayed, and moved with me through all of my toughest contractions, and you kept me sane when I thought I couldn’t last another second. THANK YOU THANK YOU THANK YOU.
獻給那些即將臨盆的媽咪們,我不騙你,生產真的是我人生目前做過最嚇人的一件事!我從來沒有為一件事情如此害怕、緊張過。不過希望妳也可以一樣,有個很支持妳、照顧妳的家人和醫療團隊在妳身邊,也能像我一樣,順利地生出健康、開心又獨一無二珍貴的寶寶,妳們的寶寶!祝妳好運!加油!
To any moms out there about to deliver a baby, I won’t lie. It is the scariest thing I have ever done in my life. I have never been so nervous or scared about anything before. But hopefully, like me, you have an amazing support group and family by your side… and like me, you will also deliver a healthy, happy and precious baby. YOUR baby. GOOD LUCK. JIA YOU!
同時也有10000部Youtube影片,追蹤數超過62萬的網紅Bryan Wee,也在其Youtube影片中提到,...
「umbilical cord blood」的推薦目錄:
- 關於umbilical cord blood 在 林思宏醫師 Facebook
- 關於umbilical cord blood 在 Janet Hsieh 謝怡芬 Facebook
- 關於umbilical cord blood 在 Dr 文科生 Facebook
- 關於umbilical cord blood 在 Bryan Wee Youtube
- 關於umbilical cord blood 在 Travel Thirsty Youtube
- 關於umbilical cord blood 在 スキマスイッチ - 「全力少年」Music Video : SUKIMASWITCH / ZENRYOKU SHOUNEN Music Video Youtube
- 關於umbilical cord blood 在 How umbilical cord blood could save your life - YouTube 的評價
umbilical cord blood 在 Janet Hsieh 謝怡芬 Facebook 八卦
A parent has to make a lot of decisions before the baby is even born. I know George Young and I did a lot of research on everything - from the type of labor, to the more important things (like what is the absolute BEST infant nose snot sucker, best tasting edible nipple cream, etc), and of course: cord blood banking.
一個新手爸爸媽媽在小孩還沒有出生之前有很多要考慮的事。我知道我跟George兩個研究很多關於所有該研究的事。比如說: 選擇生產方式、最好用的鼻涕吸引器、最好吃的奶頭乳液、然後,當然,關於臍帶血保存。
Like many parents, we weren’t sure exactly was involved in cord blood banking. Or even what it meant to be honest. We were unsure if it was something we needed or wanted to do. How do they take the blood? Would it hurt our newborn? How much blood is needed? Would we still be allowed to have a couple minutes of delayed umbilical cord clamping? (That’s a whole other thing…) Do we have to decide right away if we want to keep the cord blood they save, or do are we supposed to donate it right away? What’s the point of a cord blood bank anyway?!
像很多爸媽,我們不是百分之百清楚“存臍帶血”到底是什麼意思:我們需要嗎?我們想要嗎?臍帶血怎麼取得?會不會痛?需要多少血?我們還會有機會延遲鉗夾臍帶嗎?(這個又是另外的要討論的事!)我們需要立即決定要不要自己保存或是願意將臍帶血捐出去嗎?啊到底我們幹嘛要做這件事呢?有用嗎?
After asking the relevant questions, and more importantly, after meeting some of the families who have benefitted from cord blood banking, our decision was made. Seeing how a simple decision made at the time of your child’s birth can change the lives of so many people...in some cases giving the gift of life, made registering our son’s cord blood an easy choice.
問完很多問題之後,更重要的是,在和真正親身體會到存臍帶血的重要性的家庭相遇之後,我們就決定了。看著他們的案例,只是因為一個當寶寶出生時就做的簡單決定,卻能改變一個家庭甚至好多個家庭的命運,就像是天上掉下來的禮物一樣,讓我們在決定該不該作存捐互利這件事時更果決且更肯定!
Now that we are parents, we realize that we would do ANYTHING for Egan. Hopefully, he will never ever have to use his cord blood for any treatment, but if he does, we can rest assured that we have it saved. And if someone else needs it, we’re able to help and/or provide hope. Not like Egan’s nose snot. THAT’s totally useless and we will not save it no matter how much he and his daddy seems to enjoy eating it.
現在我們真的升格為人父人母了,我們才驚覺,什麼叫做願意為自己的孩子犧牲一切。當然我們也希望將來Egan不會有機會去使用到他的臍帶血幹細胞。但萬一真的他碰到狀況需要了,至少我們很放心當初有替他作儲存。甚至如果有其他人需要,我們也可以藉此去幫助他們並至少給他們一點希望。這可不像Egan的鼻涕,它一點用處也沒有而且毫無疑問的我們並不會儲存它,即便不知道為什麼他和他爸都很愛吃鼻涕!
If you, like us, have questions about cord blood registry, don’t be afraid to ask them! Bionet was able to help us in answering everything we wanted to know… and if all that isn’t convincing enough, hear from the people who have been given a second chance at life…
如果你/妳們,像當初的我們一樣對於儲存臍帶血幹細胞有許多的疑問,別擔心,大膽問! 訊聯生技/訊聯臍帶血銀行 非常有耐心地一一回答我們的每一個問題,然而如果你聽到的回答無法說服你沒關係,聽聽這些受到臍帶血幫助而給了他們人生第二個希望的人們的故事吧。
https://www.youtube.com/watch?v=8V5BwD7SmxQ&feature=youtu.be
umbilical cord blood 在 Dr 文科生 Facebook 八卦
《臍帶血到底有沒有用?》
在產科門診,很多媽媽都會問臍帶血的功用和臍帶血到底值不值得投資。今日就讓我們一起從醫學角度探討臍帶血移植(Cord Blood Transplant, CBT)
臍帶可說是腹中胎兒的命脈,一般來說臍帶由兩條動脈和一條靜脈組成,讓媽媽能透過臍帶把養份傳給胎兒發育成長。
從前醫學界認為臍帶只是懷孕期間提供養份之用,嬰兒出生後便無作用,多被視作醫療廢物處理。不過,近年研究發現臍帶並非垃圾,當中的臍帶血在嬰兒出生後還能在未來為小Baby發揮重大作用。
目前臍帶血的臨床應用或臨床實驗性應用包括
1. 造血幹細胞移植(Hematopoietic stems cell transplantation, HSCT)
2. 再生性細胞治療(Regenerative cell therapy)
3. 免疫調節(Immune regulation)
世界第一宗的臍帶血移植是在1988年由研究員Gluckman及其團隊進行,用作治療范可尼氏貧血 (Faconi Anemia),病人移植臍帶血後能夠正常穩定地製造紅白血球和血少板而且沒有復發的問題[1]。其後,臍帶血被研究用於其他血液科的疾病,當中以治療血癌和骨髓癌最多研究證據支持,例如急性白血病(Acute Leukemia,為血癌的一種)和多發性骨髓瘤(Multiple Myeloma,為骨髓癌的一種)。
研究更發現臍帶血移植有以下好處 [2]
1. 允許免疫系統不完全吻合(HLA disparity)的病人接受移植
2. 較低的排斥風險,如移植物對抗宿主疾病(Graft vs Host Disease, GVHD),令整體安全性較高
這些特性令到臍帶血成為新世代再生醫學研究的對象。然而,由於初生嬰兒的臍帶血並不多,大約為50毫升,一般只夠移植於兒童,而且帶有更高的延遲植入(Delayed Engraftment)的風險。
近年較新的研究發現移植時使用以下方法可提高移植成功率和用於成人治療 [2]
1. 兩倍臍帶血的劑量(Double Cord Blood Transplantation)
2. 臍帶血擴展(Cord Blood Expansion)技術
3. 臍帶血細胞導航強化(Cord Blood Homing Enhancement)技術
在過去的30年來,臍帶血移植的發展有不少的突破,目前在血液癌症治療方面的成效相當不錯。雖然現時臍帶血庫令價錢變得相對親民,但長期儲存亦需一定的費用。
更加重要的是,研究發現臍帶血庫的儲存質素直接影響臍帶血裡幹細胞的數量和質素和移植的成功率。由於臍帶血近30年才開始發展,很多臍帶血庫並沒有完善的儲存系統和本地移植紀錄。參差的臍帶血庫儲存可減少可用的幹細胞數量(Viable CD34+ cells),令移植成功率降低[3][4]
事實上,臍帶血的運送、儲存和處理有著嚴謹的要求,有研究對比於24小時、48小時和72小時後臍帶血內含的幹細胞數量(Nucleated Cells, Viable Cells & CD34+ Cells),發現臍帶血內含的幹細胞數量隨著時間下降,影響移植效果[5]。因此近年國際間便開始制定處理臍帶血的標準,目前主要的國際標準為NetCord-FACT(Foundation for the Accreditation of Cellular Therapy),不過坊間的臍帶血庫並非全部都擁有此認證。
孕婦生產後獲得的臍帶血會被運送到臍帶血庫裡進行冷凍儲存(Cryopreservation),這個程序利用冷凍保護劑(Cryoprotectant)以持續平均的速度(Controlled rate freezing, CRF)把臍帶血冷凍至零下196度[7]。
有趣的是,研究發現移動臍帶血時如接觸外界的室溫,超過200度的溫差會令臍帶血的細胞的viability降低。我們不得不配服科學家的頭腦,為解決這個問題,新型的電腦系統將冷凍單位(Freezing Unit)加入CRF中以達至恆溫,減少因運送的溫差導致viability減低的問題。紐約捐血中心的研究對比1,400多名白血病病人的臍帶血幹細胞移植紀錄,發現使用新型全自動儲存系統如BioArchive®的臍帶血進行移植,比起使用傳統儲存方法,除了有更高的幹細胞viability外,移植後能更快回復造血功能,包括總嗜中性白血球數(Total Neutrophil Counts)、絕對嗜中性白血球數(Absolute Neutrophil Count)、血小版等,更快的植入(Engraftment)令使用新型技術儲存臍帶血的病人移植後一年的存活率提高10%(從40%提升至50%)[8]。
總括而言,臍帶血移植雖然只有30年的歷史,但近年愈來愈多研究顯示有不少的發展潛力。
然而,目前臍帶血的研究亦屬相對早期的階段,所以並非醫療系統會資助的常見項目。儲存臍帶血的費用近年變得較為親民,但仍屬一筆大開支。除了確保儲存合乎國際標準外,更重要的是要確保所選的臍帶血庫財政穩健,不會突然倒閉,否則當你真正需要用到臍帶血時才發現不見了便慾哭無淚了。
臍帶血其實有點像保險的概念,健康的情況下並不會用到,但當你剛好患上一些臍帶血可治療的疾病時,便能發揮其作用。
到底要不要儲存臍帶血,讀者宜自行根據財政狀況作informed decision。如果決定儲存的話,記得選擇帶有FACT認證、有適合的儲存和運送技術、有成功移植個案、財政穩健且大型和可信的臍帶血庫,同時諮詢專家或醫生意見選擇最適合的臍帶血血庫。
如果讀者有興趣的話,我會考慮於Patreon進行臍帶血庫review
#臍帶血 #臍帶血儲存 #臍帶血研究
Reference
[1] Umbilical Cord Blood Transplantation. From https://www.hematologyandoncology.net/files/2013/10/ho1110_Shpall1.pdf
[2] The Role of HLA in Cord Blood Transplantation From https://www.hindawi.com/journals/bmr/2012/485160/
[3] Quality rather than quantity: the cord blood bank dilemma. Bone Marrow Transplantation. Nature. From https://www.nature.com/articles/bmt20107
[4] Cord Blood Units with Low CD34+ Cell Viability Have a Low Probability of Engraftment after Double Unit Transplantation. Biology of Blood and Bone Marrow Transplantation. From https://www.sciencedirect.com/science/article/pii/S1083879109005308?via%3Dihub
[5] Does the Time Between Collecting and Processing Umbilical Cord Blood Samples Affect the Quality of the Sample? From https://pubmed.ncbi.nlm.nih.gov/26760817/
[6] Foundation for the Accreditation of Cellular Therapy. From http://www.factwebsite.org/cbstandards/
[7]Cord blood banking for clinical transplantation. Bone Marrow Transplantation. From https://www.nature.com/articles/bmt2009281
[8] Clinical Outcome of Unrelated Cord Blood Transplants: An Analysis of Processing Method and Freezer Storage on Transplants from New York Blood Center National Cord Blood Program
umbilical cord blood 在 スキマスイッチ - 「全力少年」Music Video : SUKIMASWITCH / ZENRYOKU SHOUNEN Music Video Youtube 的評價
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umbilical cord blood 在 How umbilical cord blood could save your life - YouTube 的八卦
Cord blood from three different babies saved Chris's life after he was diagnosed with leukaemia. ... <看更多>