小生命

2019年12月17日第一日M。

2019年12月27日(第11日)、30日(第14日)同2020年1月4日(第19日)都做咗功課。
2020年1月4日下午飛台北，和媽媽一起見證台灣總統大選，2020年1月12日回港。

2020年1月17日(第32日)朝早心血來潮用了大衛驗孕紙，發現有兩條深紅線。因為之前有小產嘅經驗，所以大為緊張。馬上去屈臣氏買咗一支clearblue驗孕棒，怕大衛試紙唔夠準確，想Double confirm。但用都未用到支clearblue驗孕棒,就先打咗俾我個婦科醫生。何醫生話咁岩今朝有位，叫我而家上去驗血。

2020年1月17日(第32日)第一次產檢：

早上11:30驗血，抽左兩支血，晏晝1:00知道結果。中間等待嘅時間我去咗中環圖書館睇漫畫同睇室內設計書。驗血報告話我嘅B-hCG指數有1071mlU/ml。醫生話呢個係一個幾高嘅指數，可以證實叫懷孕。相比起我上一次小產，第一次驗血嘅指數只不過係406.7mlU/ml(第33日發現)。心裏面覺得應該係一個好開始 =)

醫生用咗陰道超聲波做檢查，話我子宮內膜厚度12.5mm都ok, 但係黃體酮唔夠，要開始食藥。醫生開咗三隻藥比我：

·       folic acid tab 5mg (5000μg) (因為我之前冇日日食葉酸#，醫生開咗一隻比較高劑量嘅俾我，一日食一次)

·       duphaston tab 10mg (一日食兩次，早晚食，用嚟補充黃體酮不足，用嚟穩定子宮環境)

·       aspirin tab 80mg (一日食一次，夜晚飽肚食, 每日食低劑量好似話有機會減低流產機會率，及預防妊娠高血壓)

#服用葉酸的主因是當缺乏葉酸，會引起巨球性貧血、胎兒神經管發育缺損、胎兒生長遲滯、發育受阻等，也會影響母體本身的健康。葉酸是水溶維他命，過量會自然排出，且葉酸的吸收很容易受到藥物的影響，如制酸劑胃藥、阿斯匹靈、酒精與雌性素等，加上體內的葉酸要發揮功能，必須要有維生素B12的共襄盛舉，因此單獨食用葉酸的效果並不理想，單獨使用高單位維他命B群，會抑制其他非B群維生素的吸收。(!!) 但報載，英國阿伯丁大學和布裏斯托爾大學的研究人員上世紀60年代，對3000名懷孕婦女進行服用葉酸添加劑的實驗研究。結果顯示，每天服用5毫克大劑量葉酸的懷孕婦女，今後患乳腺癌的機會比其他婦女多一倍，並且35年後去世的風險高20%。雖有待進一步研究證實，研究者建議準備懷孕的婦女仍然應該遵照醫囑服用葉酸添加劑。(!!)

Week 4 à It's implantation time! That's ball of cells that you'll soon call baby - though it's now called embryo - has reached your uterus and is snuggling into the uterine lining, where it'll stay connected to you until delivery. Once firmly in place, the call of cells undergoes the great divide - splitting into 2 groups. Half will become your son or daughter, while the other half will become the placenta, you baby's lifeline during his or her uterine stay, And even though it's just a call of cells right now (no bigger than a poppy seed, actually), don't underestimate your little embryo - he or she has already come a long way since those blastocyst days. The amniotic sac - otherwise known as the bag of waters - is forming, as if the yolk sac, which will later be incorporated into your baby's developing digestive tract. Each layer of the embryo - it has 3 now - is beginning to grow into specialized parts of the body. The inner layer, known as the endoderm, will develop into your baby's digestive system, liver and lungs. The middle layers, called the mesoderm, will soon be your baby's heart, sex organs, bones, kidneys, and muscles. The outer layer, or ectoderm, will eventually form your baby's nervous system, hair, skin and eyes.à Extracted from "What to Expect when you're expecting" written by Heidi Murkoff and Sharon Mazel 

分泌物: 

第34日開始有少量粉紅色分泌物，一直到36日開始減少停止。醫生說正常的，可能是着床出血。

其他症狀:

第36日開始腰酸背痛，中醫話是陀唔穩嘅症狀，西醫就話係正常反應，而我自己就懷疑係長期臥床嘅原因(我因為一開始發現有粉紅色分泌物已經開始驚，所以絕大部份時間都係訓係張床上)。

第38日除咗腰酸背痛，腹部中下位置有扯痛，亦有下垂墮下感，胸部乳頭位置脹痛，右手無名指及尾指麻痹，亦開始有作嘔作悶的感覺。

2020年1月24日(第39日)第二次產檢：
一個星期後，24號(第39日)再睇醫生，今次指數達標，醫生用陰道超音波，話見到胚囊（gestational sac）及卵黃囊（yolk sac）。雖然我自己淨係睇到一個好似水泡咁嘅物體，但起碼可以排除係宮外孕。醫生話希望下次應該見到有心跳。我自己都好擔心，因為上次小產就係去唔到呢一步。

Week 5 à Your little embryo, which at this point resembles a tadpole more than a baby (complete with teeny tail), is growing fast and furiously and is now about the size of an orange seed - still small, but exponentially larger than before. This week, the heart is starting to take shape. In fact, the circulatory system, along with the heart, is the first system to be operational. Your baby's heart (about the size of a poppy seed) is made up of 2 tiny channels called heart tubes and thought it's still far from fully functional, it's already beating - something you might be able to see on an early ultrasound. Also in the works is the neural tube, which will eventually become your baby's brain and spinal code. Right now the neural tube is open, but it will close by next week.

分泌物: 

第40日又出現少量粉紅色分泌物，之後第41日至43日開始有淺啡色的分泌物。致電醫生醫生話應該正常的，如果有血紅嘅顏色馬上致電醫生。第44日開始分泌物變返正常淺黃色。

2020年2月3日(第49日)第三次產檢：

2月3日睇醫生，醫生用咗陰道超聲波，照到BB有心跳，心跳每1分鐘128下，大約8.8mm大。今日為BB影咗第一張相。醫生亦出左信比我證明我懷孕，亦都寫咗一張轉介信俾我去瑪麗醫院排期。何醫生話我睇佢睇到大約9－10星期就可以，之後直接由瑪麗醫院跟進。何醫生亦都話我要繼續食藥，但係可能到9－10週左右要慢慢減少藥嘅份量，佢到時會再教我。

在網上做一些研究有關於BB心跳 à

A normal heartbeat at 6-7 weeks would be 90-110 beats per minute. The presence of an embryonic heartbeat is an assuring sign of the health of the pregnancy. Once a heartbeat is detected, the chance of the pregnancy continuing ranges from 70-90% dependent on what type of ultrasound is used. Week 8-9: The embryo has reached the end of the embryonic stage and now enters the fetal stage. A strong fetal heartbeat should be detectable by ultrasound, with a heartbeat of 140-170 bpm by the 9th week.

Week 6 à Crown (head) to rump (bottom) measurements are used for babies in the first half of pregnancy because their tiny, newly forming legs are bent, making it difficult to estimate the full length of the body. How's baby measuring up this weeks? That crown to rump measurement has reached somewhere between 1/5 to 1/4 inch (no bigger than a nail head). This week also sees the beginning of the development of your baby's jaws, cheeks and chin. Little indentations on both sides of the head will form into ear canals. Small black dots on the face will form the eyes, and a small bump on the front of the head will turn into a button nose in a few week's time. Also taking shape this week: Your baby's tiny heart is beating 110 times per minute and getting faster each day - a stat that's probably got your heart racing.  

Week 7 à Here's an amazing fact about your baby right now: He or she is 10,000 times bigger now than at conception - about the size of a blueberry. A lot of that growth is concentrated on the head (new brain cells are being generated at the rate of 100 cells per minutes). Your baby's mouth and tongue are forming this week and so are arm and leg buds, which are beginning to sprout into paddle-like appendages and to divide into hand, arm, and shoulder segments - and leg, knee, and foot segments. Also in place now are baby's kidneys, and they're poised to begin their important work of waste management (urine production and excretion). At least you don't have to worry about dirty diapers yet!

分泌物: 

初二至初四左右(1月26日至28日)流啡色分泌物，之後就沒有。2月7日，2月8日(第53同54日)，兩日都有好輕微嘅粉紅色分泌物。

其他症狀:

額頭同下巴生好多暗瘡。鼻翼及嘴角位置非常乾燥甩皮。胸部乳頭脹痛。醫生話我手指尾麻痹，應該係壓到手踭嘅位置，可能關瞓覺姿勢的事。好似有啲鼻敏感成日流鼻水。每晚大約10點左右就好眼瞓。嗅覺開始比較靈敏。腰骨依然有些酸痛。2月7日開始(第53日)，腰酸有啲好似風濕病咁痛。亦持續有作嘔作悶嘅感覺。大約每兩天去一次大便，每次大便數目很少。唔叫做太軟，硬度適中，相比起上個星期大便硬度好了很多。上個星期比較軟身。我覺得我冇特別好想食啲咩食物，但係會比較想食番茄汁意粉，因為比較開胃。發現呢幾日，朝頭早食完早餐，晏晝12點左右會有啲肚餓，之後四點幾會再肚餓，晚餐就比平時少食咗好多。

另外，亦成功預約瑪麗醫院。透過 BookHK APP做網上預約，第一次檢查會喺2月27日在贊育醫院。

2月11日(第57日)做咗一啲網上嘅研究，發現由第9週到第12週可以進行一啲冇侵入性基因篩選檢查。主要係抽血進行，但要係私家醫院度做，政府醫院並沒有提供。做完研究發現對敏安兒T21 express比較有興趣, 因為係中文大學自發研製, 亦係香港有化驗所. 其他牌子雖然價錢比較便宜，但好多都係冇專利，同喺大陸做化驗。

2020年2月12日(第58日)第四次產檢：

2月12日睇醫生，BB大左好多，有16.8mm 長，見到小手及小腳，個頭好大，旁邊仲見到個卵黃囊（yolk sac）。心跳快左，一分鐘168下。成長進度正常！老公今次有陪我去，但係我地唔記得影相。

分泌物: 

2月13日(第59日)開始有一啲比較深啡紅色嘅分泌物，持續左兩日左右。之後就變返正常。2月17日(第63日)晚上分泌物多咗好多，一大堆黃色分泌物。

其他症狀:

呢兩個星期開始暗瘡情況有好轉，但依然有啲乾燥，雖然冇之前甩皮那麼嚴重。胸部乳頭亦都冇咁脹痛。但係腰背非常腰酸，尤其是係下半身尾龍骨左右兩旁的位置、膊頭、頸部、雙臂都覺得好酸痛。有時都有作嘔作悶嘅感覺，但冇真係嘔出嚟。夜晚瞓覺嘅時候，全身都好熱，但平日手腳就會好冰冷。另外有時夜晚，腳板底會好痕。

2月18日(第64日)今日磅左重，比未懷孕之前輕左1kg。

Week 8 à Your baby is growing up a storm, this week measuring about 1/2 to 2/3 inch, or about the size of a large raspberry. And that sweet little raspberry of yours is looking less reptilian and more human (happily), as his or her lips, nose, eyelids, legs and back continue to take shape. And though it's still too early to hear from the outside, your baby's heart is beating at the incredible rate of 150 to 170 times per minute (that's about twice as fast as your heart rates). Something else new this week: Your baby is marking spontaneous movements - twitches of the trunk and limb buds way to tiny for your to feel. 

2020年2月21日(第67日)第五次產檢：

今日睇醫生，BB又大左，有27.3mm 長。成長進度正常！醫生用咗陰道超聲波，見到BB個心喺度一下一下跳，醫生話心跳速度又比上次快左。今日仲見到小手及小腳喺度郁，又見到佢喺度扭pat pat!!好可愛!! 好開心!! 老公今次有陪我去，今次我哋記得影相同take video。

我因為同醫生講咗之前間竭性有啡紅色分泌物，所以醫生幫我做咗檢查，怕我子宮頸有息肉。醫生話我喺子宮頸外翻 (ectropion)**，所以容易出血。醫生話呢啲係懷孕有機會發生嘅事情，冇辦法處理，叫我留意分泌物嘅顏色。

**子宮頸外翻可分為生理性及病理性二類，大多數生理性的子宮頸糜爛沒有症狀，是一種正常的生理變化，不需治療。若是慢性子宮頸炎所造成的子宮頸糜爛，陰道會出現黃色或黃綠色的分泌物，且常伴隨異味，應該用藥治療。子宮頸糜爛並不是指真的潰爛，而是子宮頸口連接陰道的部位，如破皮般呈現出粗糙、充血發紅的表皮，故以糜爛來形容。女性服用避孕藥、懷孕、生產等原因，都可能造成子宮頸有類似糜爛的現象。

何醫生亦教左我點樣慢慢在下星期開始減少藥嘅份量。Aspirin 可以不用吃。Duphaston 頭兩日每日食一粒，之後隔日食一粒，吃到十週。高劑量葉酸亦唔使再食，可以轉食綜合維他命丸。因為我有便秘情況，醫生介紹我買雀巢 NESTLÉ MOM 鎖養膠囊^^。亦介紹我買 ProVen Probiotics 去改善便秘情況。

^^上網購買雀巢NESTLÉ MOM 鎖養膠囊滿3盒，送一套Casablanca嬰兒床品套裝B Duck系列(7件裝)，仲可以免費送貨。 

Week 9 à Your baby has grown to approximately 1 inch in length, about the size of a medium green olive. The head is continuing to develop and take on more babylike proportions. this week, tiny muscles are starting to form. This will allow your fetus to move his or her arms and legs, though it'll be at least another month or two before you'll be able to feel those little punches and kicks. While it's way to early to feel anything, it's not too early to hear something (possibly). The awesome sound of your baby's heartbeat might be audible via a Doppler device at your practitioner's office. Take a listen - that thump-thump is sure to make your heart beat a little faster. 

2月21日(第67日)今日磅左重，比上個星期重咗0.3 kg。

2020年2月27日(第73日)第六次產檢：

2月27日第一次去贊育醫院做產檢。一去到先要排隊登記，佢會比一疊表格你填寫，填完之後就去度高磅重。之後就等嗌名，喺大堂等待嘅時候，都有一啲政府嘅宣傳videos睇，可以了解下瑪麗醫院產房係點樣嘅，政府唐氏綜合證嘅檢查係點嘅資料等等。

老公今次都有陪我去，我地大約等左兩個小時，護士會嗌你名入去間房，主要淨係做問診，會問你一啲基本嘅問題，例如第一日M係幾時？之前有冇懷過孕？有冇出去睇過私家醫生等等？最重點係佢會問你做唔做政府嘅唐氏綜合證篩查，定係你會出去私家度做？

因為我攞咗張敏兒安T21嘅資料紙，護士一見到，就同我講話如果我諗住係私家做敏兒安，唔建議我喺政府重複做。因為政府嘅化驗準確度得80幾％，敏兒安有90幾％，同埋敏儀安檢查嘅嘢會多啲，雖然都係一啲比較唔常見嘅遺傳病。我最後都係決定比幾千蚊出去做敏兒安。

問診之後就叫你出去坐，等嗌名。抽血就好快，總共抽左兩支。血液檢查最主要係要檢查七樣野：

1. 血型

2. 血色素

3. Rh 因子

4. 德國麻疹抗體

5. 乙型肝炎抗原

6. 梅毒測試

7. 愛滋病病毒抗體測試

之前上網話醫院門口會有好多媽媽會嘅人送禮物俾你，同埋叫你入會。但係可能因為武漢肺炎嘅事情，剩係得美贊臣一間喺門口。冇所謂啦！遲啲再申請。

Week 10 à At nearly 1.5 inches long (about the size of a prune), your baby - who has officially graduated now from embryo to fetus - is growing by leaps and bounds. And in gearing up for those first leaps and bounds (and baby steps), bones and cartilage are forming - and small indentations on the legs are developing into knees and ankles. Even more unbelievably for someone the size of a prune, the elbows on baby's arms are already working. Tiny buds of baby teeth are forming under the gums. Farther down, the stomach is producing digestive juices, the kidneys are producing larger quantities of urine, and, if your baby's a toy, his testes are producing testosterone (boys will be boys - even this early on).

分泌物: 

分泌物多但正常。今個星期冇深啡紅色嘅分泌物。

其他症狀:

呢個星期唔舒服嘅情況冇咁多，皮膚依然乾燥，有甩皮嘅情況。額頭依然生暗瘡，但冇之前咁多。腰背都係酸痛，但冇咁多作毆作悶嘅感覺。呢幾日半夜都會起身去洗手間，再飲少少水(因為喉嚨好乾)。

因為武漢肺炎嘅事情，我由發現懷孕到整個2月為止都一直喺work from home，絕少出街。

2020年3月3日(第78日)第七次產檢：
因為喺贊育醫院只做咗問診，冇照超聲波，同埋差唔多夠週數可以做敏兒安T21，所以約咗何醫生產檢。醫生亦都話見到BB周圍嘅胎水都OK，但依然係由胎盤供給嘅胎水。等BB遲啲可以自己消化嘅時候，胎水就會自然增加。

因為位置問題，醫生話估計唔到佢嘅性別，不過敏儀安T21都會知道性別。大約五至七日後就會知道報告。今日BB都好活躍，又喺度轉身，郁嚟郁去。我同老公講笑話佢學咗Hugging 喺度跳 Happy Dance。

今日醫生要求先驗尿，佢話11週開始，每次產檢都要驗尿。驗完了之後就做超聲波檢查，本身係照肚皮，但係因為我啲腸遮住個BB，睇得唔清楚，所以最尾都係用咗陰道超聲波。今次見到BB又大左好多，有4.68cm長，心跳係168下1分鐘。亦都見到佢嘅小手同小腳。醫生都照到佢啲一粒粒小手指骨，另外亦都見到佢條尾龍骨。同埋佢個pat pat 位尖起左嘅，好似有條尾巴。

Week 11 à Your baby is just over 1.5 inches long now and weighs about 1/4 of an ounce. Baby's body is straightening out and the torso is lengthening. Hair follicles are forming, and fingernail and toenail beds are beginning to develop (nails will actually start to grow within the next few weeks). Those nails are forming on individual fingers and toes, having separated recently from the webbed hands and feet of just a few weeks ago. And though you can’t tell baby's sex by looking yet (even with an ultrasound), ovaries are developing if it's a girl. What you should be able to see, if your womb had a view, is that your fetus has distinct human characteristics by now, with hands and feet in the front of the body, ears nearly in their final shape (if not final location), open nasal passages on the tip of the nose, a tongue and palate in the mouth and visible nipples. 

分泌物: 

分泌物多但正常。冇深啡紅色嘅分泌物。

其他症狀:

皮膚依然乾燥，有少部分甩皮嘅情況(大多圍繞嘴邊)。額頭依然生暗瘡。

腰背都係非常酸痛。幾乎每天半夜都會起身去洗手間。

今日3月7日(第82日)，早上收到何醫生電話話敏兒安T21報告已經出咗，無大礙。💖性別係女仔💖