Lactation Coaches in HKG

Before calling up any of the lactation coaches below, I would recommend that you first go to a La Leche League meeting. I think LLL is one of the best resources for breastfeeding mothers in Hong Kong. Often, a leader from the group can help you with problems before you need to hire a lactation consultant. Sometimes, breastfeeding is rough no matter what you do.
http://www.lllhk.org/Englishindex.html

If after the meetings, you still find a need for a lactation coach/consultant, you can try to below. A small disclosure...I didn't personally try them. I just compiled the list for a friend and thought this might be useful for other breastfeeding mothers.

1.) Lotus Lactation. Sarah Hung has been active with LLL. time with breastfeeding.
http://www.lotuslactation.com/about.html

2.) May Hui does home visits. Note that I have heard that she gives painful massages with sometimes moms get a fever the following day. May Hui's number is 852 9070 2668

3.) Wendy at Annerley - her direct number is: 852 6575 8564.
http://www.amidwife.com/doula.htm
http://www.amidwife.com/pricelist2.htm

WARNING : ALENDRONATE (FOSAMAX) side-effects to the extreme

This is a late update but I do want to spread the word about this medication for osteoporosis and its side effects that affected my family. 

GENERIC NAME: ALENDRONATE - ORAL (a-LEN-droe-nate) 

BRAND NAME(S): Fosamax 

DECEMBER 2010 

My mom broke her right femur (thigh bone) in December last year. She didn't fall or anything. She was talking to my dad at home beside the bed and was leaning to her left. She moved to her right and maybe twisted her leg a bit or maybe moved her full weight on her right leg then she then heard a "crack" and fell to the floor. 

My dad and I & E were there and I called my brother and his wife. My mom was in pure pain, based on her facial expressions, but her Type A personality won over and started to direct us on what to do. Since she is a doctor (non-practicing), she instructed my dad to calm down and not touch her while at the same time, asked me to find something to immobilize her upper leg. 

By the time my brother and wife arrived, mom was lying on the floor with her leg in a makeshift splint. We called the ambulance and she was rushed to the hospital. The doctor came to see her around lunchtime the following day and looked at the X-rays and said it was most likely a metastasis of her breast cancer. Actually mom, a breast cancer patient (2 years and counting), had been experiencing pain/weakness in her legs for a few months. 

A few weeks before this accident, her bone scan showed some suspicious areas in both her femur. A subsequent MRI showed that they more likely were not cancer cells but the doctors could not rule it out. Her oncologist said that likely they were not cancer cells because they appeared in symmetrically in both femurs and in the exact same spot of each femur. Anyway, we were also thinking that it might be because mom has been taking Fosamax for 10 years now. 

Recently, there have been more cases of strange fractures (hip, femur, etc.) for people who were taking Fosamax long term. Mom's X-rays are below. The cut was very clean, no jagged edges. The doctor said they only see clean breaks like these if one was hit by a car. 

 Her operation was scheduled at 8pm that evening but was actually operated on at 10pm and then everything was done by 12am. She woke up at 3am and was wheeled to the room. Dad stayed with her at the hospital that evening. 

 At any rate, when they did the operation last night, they put a pin and bone cement into the leg. They also did a biopsy of the bone area, but the doctor said after looking at it he has changed his mind and thinks that it is Fosamax, not Cancer. So that is great news! 

 The doctor was so sure that it wasn't Fosamax before the operation because he reasoned that most of the Fosamax cases he's seen are fractures in a slightly higher area than where mom's is. Now that he has changed his mind, he is now equally sure that it is not Cancer. 

 Anyway, we waited the official biopsy results which should be out in a week and the fracture is caused by long-term Fosamax use until anything else changes. Everyone was in good spirits after knowing this and everyone is in a good mental state. 

 Also, we will have to think of what to do with the left femur. The bone scan also showed the same suspicious area. The family is thinking that we should also put a pin and bone cement (and also get a biopsy). Otherwise, we will just be waiting for another fracture down the road, but we'll see what the options are. The doctor seems to think that if it is not cancer, there are other ways to strengthen the bone rather than operating to put a pin and cement. We'll see. 

Please tell your family and friends to stop taking Fosamax for more than 5 years. The side effects are pretty limited in writing but I know there are some here and the list seems to grow by the day.

********************************* Further updates *********************************

 

JANUARY 2011 Mom, with the support of the family, to have her left femur operated on to ensure no further fractures happen. The doctor recommended this time to cement and pin the leg, unlike what was done on the right femur. 

FEBRUARY 2011 After much complaints from mom that she is still unstable when she walks up to now on her right side, mom also had her right femur operated on by replacing a thicker rod (cement) and place a pin on both top and bottom the rod for added stability and balance.

Baby Essentials (updated 20 Apr 2011)

Our Top Baby Essentials are:-

1. Bibs, lots of them since Colin drools a lot and we used these little tissue paper!
2. Moving mobile like the ones from tiny love because it was a handy toy that kept him busy while we changed him
3. Baby carrier that can be used for enfants up to 2 years old like from Combi's Magical Compact; very handy when we travel or take walks
4. Baby pants because they are good cover-ups from bugs/mosquitos during the evenings especially when Colin is asleep and kicks his blanket often
5. A good breast pump; preferably one that can also be used in the car because you'll be married to it for roughly 6 months or more; it gives you the freedom to still pump anywhere...especially for working mothers
6. Teether - whether it be with water or not, it helped a lot for babies with fast growing teeth.
7. Baby safety bed railing especially for parents that cohabit with their babies; avoid the risk of having baby fall out of bed during midnight feedings and it can later be used for when they star sleeping on their own beds
8. Bib clips like these because not all bibs fit exactly to your babies and sometimes the necklines have gaps that aren't effective in soaking baby's drool or milk...with the clips, you can adjust as the grow

Top 5 "shouldn'ts" are:-

1. Infant shoes...b/c they don't really get used aside from maybe for parties and they get outgrown quite quickly; get baby socks instead
2. Baby nail clippers especially if you don't have steady hands and a light sleeper baby...better to just use a nail file to avoid accidents
3. Pretty maternity tops...best to invest in nursing tops instead because you'll use it more after pregnancy; get normal stretched tops when you are pregnant or borrow if you can
4. Too much infant/newborn baby cloths...they outgrow it too soon; I know it's too tempting due to the sheer amount of uber cute baby cloths but do resist and borrow if you can...also babies don't regularly attend parties so do resist buying too many party cloths
5. Baby sleeper like these because they outgrow it too fast and in our case, Colin prefers body heat a lot than sleeping alone in this bed...FYI our parents were concern that I'd roll over Colin when we cohabit so this was our solution. Borrow if you can instead. This only lasted us for two weeks!

Easter Festivities

It's officially summer already in MNL. The sun is high and hot. We are all getting ready for Colin's 1st Easter celebration. One way to commemorate this 1st moments is with this jam-packed collection from Mari Koegelenberg called Easter Bunnies The Collection available at TDC.

It's filled with adorbale bunnies, decorated egss, spring blooms and handy journaling tags and fun title strips creating your Easter memories cannot be easier. My favorite things in this collection is the printable quotes and cute bunnies!




Credits: Easter Bunnies The Collection by Mari Koegelenberg

This is what we did for the Holy Week weekend:-

Maundy Thursday: C and I stayed at home. Woke up late to take advantage and bonded more with each other. C ate his solids, carrots and bananas, better using grandma's blender. He went to visit some friends in grandma's (C) place like S and Baby J on the 10/F. Uncle Charlie's coming over tonight. Hope to see him on Easter Sunday for lunch. Bad migrane for mom so wasn't able to bring C to the club. Cousin Jer, Aunt R and Uncle J came to visit us after their Clark trip.
All happy that grandma was able to get discharged earlier than expected so we were all able to spend Holy Week together as a family. Grandma's doing far better than before. Definitely something had to be done to make the healing easier.

Good Friday: mom plans to work a bit more but hope to squeeze in club time later in the afternoon. E's going to the province for a meeting with grandpa and Uncle Charlie.

Black Saturday: lunch with grandpa & ma (C)

Easter Sunday: lunch with grandpa & ma (E)

Is it Summer or Spring? (also old published news)

I'm so sorry for the overdue post. I had to bring the good ol' laptop to the shop to fix a virus. Definitely not happy but good thing it's all done and over with already! The best part of all, I was able to save my files and the virus wasn't as bad as we expected. Yehey!!!

FYI: I'm also thankful for my iPad that came in handy as a back-up computer. :)

Also, I'm happy to report that though we don't have Spring in MNL and it's suppose to be Summer but it doesn't feel like Summer at all! It ironically feels more like Spring with cooler nights and cloudy to mild days. It brings to mind an appropriate kit by Mari Koegelenberg's In the Birdhouse Kit with its colorful spring blossoms, birdhouses and other sweet birds theme. My favorite is the handmade flowers from crumpled to rolled paper flowers that can lighten and brighten up any digital layout!

Check out the preview below.

Credit: In the Birdhouse Kit by Mari Koegelenberg; Font - Myriad Pro

Okay - now I don't know how I missed this one out but I found out just today that I got featured in DST's October newsletter! It think it was around the time I gave birth and everything was just a blur. :) The layout featured was for my Colin Edward piece.

Giving Birth in HKG: why do it?

There are a few people who have asked me why we gave birth in HKG.

The usual side comment are:

• why go that far when you have everything and everyone in MNL to help you?
• it's going to be more expensive there, why do it?
• the cost would be double if you are not based there since you would need to have two doctors monitoring you?
• isn't it too much of a hassle?

The above comments are valid but I would believe that E and I did it because we would want to give our baby the option of another life outside of MNL. An option that might be visible only too far down the road so if we, as parents, can do it, why not?

Also, our decision's end result may not flourish now but it will, later on, ~ "hassles" are only a temporary thing...C will surely thank us for it.

Giving birth abroad...some Traveling Abroad Reminders

1. Pregnancy women should bring as much documentation as possible regarding their own medical history and antenatal care that they have received during their pregnancies. This documentation should include details of all tests and scans carried out during the pregnancy as well as any medications prescribed for the mother or any instances in which bed rest was advised. Women who plan to travel abroad to give birth should also advise their doctors and midwives of this as early as possible so that all required information can be collected before its time to travel.
2. Ensure you place all important documents in your handbag or hand carry bag since you might be asked in various airport gates of clarification and confirmation. Never in your check-in luggage. When in doubt, bring ALL.
3. Choose an appropriate itinerary. It is not recommended that pregnancy women fly more than three hours when they travel to give birth abroad. It is also not recommended that such women then travel for mor than three hours when they land (such as by car, bus or train). With these guidelines in mind, women should strive to find a travel schedule that will not over-tax their bodies, make them travel too close to the due date or restrict the items (for themselves or their babies) that they can bring with them as luggage.
4. Elect an appropriate facility in which to give birth abroad is important - if possible, women should be in contact with a doctor or clinic prior to leaving home so that it is known that they will be giving birth and can be put on the "schedule". Women should look for facilities large enough to accommodate any emergencies that could arise, or for facilities known to deal well with any other factors (the birth of multiples, water births, etc). Family and friends who live in the area where a woman will give birth can be a great resource when it comes time to pick a facility and doctor.
5. Women who give birth abroad will receive a birth certificate from that country but will need to register their child's birth with the British authorities. There are some exclusions to this rule, however, as there are some countries in which foreign births can not be registered. Women should check with the British authorities in that country to find out more about registering a birth abroad. For more information about Secondary Citizenship Queries, please refer here.
6. Women interested in giving birth abroad should make this decision as early as possible to give themselves the greatest amount of time to organize their travel and medical plans. Plan early and do inform the airline carrier of your condition to check what is each carrier's pregnancy regulations. Note that as you wait longer in your term to fly, the heavier and harder on yourself it will be.

Midwife IPuiYi) or Newborn Nanny or none?

Warning: If they will want a midwife, they have to start searching (it might be too late since a friend of mine started calling on her 4th month and had some trouble picking the right midwife for them) because good and decently priced midwives are a premium. They are being snapped up like hot pancakes. It's also aluxury to have one since the price is high depending on experience and expectations.

THE GOOD & THE BAD BETWEEN A MIDWIFE / NANNY

the GOOD...

(1) trained/licensed professional ~ a midwife is licensed to take care of the baby and the mom. She cooks, cleans, and takes care of both persons so it makes it a lot easier on the mothers-in-law, husbands. She can be given a budget to buy groceries to cook for the mom. Note that she cooks gelai items more and might look stricter than a mother-in-law but the mom can say no to her compared to a mother-in-law.

(2) the experience ~ our midwife taught us so many things that even the other blogs didn't tell us like how to effectively bath a baby, what to do during feedings (not to have him sleep on you so you wouldn't waste so much time of him latched on to you), baby sleep, etc.

(3) the baths!!! ~ Cantonese gelai allows for baths and the midwife can prepare ginger bath water for use as often as the mom wants though I went through two weeks of no bathing just selective washings to still go through the gelai.

the BAD...

(1) the price ~ our midwife is only on a 8hour shift so it's more like 10am to 7pm. She goes home and it's normally the evenings that are tougher...though that's why you get them in the mornings since you're tired and sleepy and would try to catch up on sleep. You can hire them for two shifts - 24/7 service but note the price.

(2) the conflicts ~ there might be conflicting gelai items between Canto vs MNL Chinese styles, etc.

(3) the language barrier ~ not a lot of midwives in HKG speak fluent English. Some hardly utter a word of English though there are some with decent vocabulary. You might have to be patient in finding an English speaking one since most of the ones we were referred to were Canto speaking. (In our case, we didn't mind since E knows a bit more and E's side of the family can communicate for us if we can't.)

My advice...since a midwife normally just stays with you for a month or two, it would be good to have a Newborn nanny already with you also since the midwife will teach or coach the Newborn nanny to continue on and assist you. For those who would be interested - our PuiYi's name is Ying Jie (Mandarin for "English") - 852.9656.5158, if your are interested. Tell her that you were recommended by Wong Sin Sang or Cheryl Wong.

Note: she doesn't speak much English; speaks mostly Cantonese and a bit of Mandarin only.

HKG Doctors... I love the doctors in HKG. Pricey but professional. I surely miss Colin's pediatrician since he's so close to the house and very easy to talk to. Love him and my OB who's a wonderful man. If we are to be blessed again and to give birth in HKG, we hope to have both professionals on our side :) OB: Dr Eric Lee (Central District) Office: Room 1501, 15/F, Prince's Building, 10 Chater Road, Central Tel No: 852.2521.2567 Assistant: Connie Pediatrician: Dr Vincent Chan (Causeway Bay District) Office: 2607 Hang Lung Centre, 2 - 22 Patterson Street, Causeway Bay Tel No: 852.2894.8445

With regards to tips, there are a lot but some are below:

Places to get baby supplies in HKG...

• Eugene Club @Central (next to H&M) and Windsor House; Bumps to Babies (Shanghai Tang Building); Marks & Spencer (Central); SOGO department stor (baby/kids section)
• Baby Photography: (1) Michelle Garthe (Colin's photographer)** http://www.facebook.com/garthephotoarts **studio is @ her home but she can also go to your home but with a small fee; more stylized photos; took Colin's photo @ 11 days old (2) Cheeky Monkey*** ***no studio but no fee for any location around HK; more natural photos
• Diaper Rash Cure:-Mustela's Vitamin Barrier Cream ~ Mustela products (full range) is located in Sogo's 6/F. There's also a Mustela Shop in Shop 220-1 The Galleria 9 Queen's Road, Central HK. If you purchase 5k in one receipt, you get to have a lifetime Mustela discount card. I prefer this than the US' Desitin due to it being better smelling.
• Baby Wipes Alternatives: (1) water and cotton ~ Tenson Baby Cotton Wipes replace cotton balls and make it easier to use than cutting up cotton rolls, available @Eugene Club (2) If you need to use wet wipes for convenience especially when out, please ensure the wipes you use wipes with no alcohol. Colin uses Pigeon Baby Wipes and comes highly recommended.
• Baby Carrier: Combi Magic Compact ~ This is a great carrier since it's used for newborns until 2 years old! We used this to bring Colin back to MNL.
• Where to Breastfeed and Change Baby ~ follow here (credit to Geobaby's La Leche League HKG)
• I blogged more on my HKG/Chinese Confinement Regiment here.

Baby Supplies and such in MNL...

• Baby Supplies: Baby Company (various locations like Rockwell, SM Makati)
• For Breastfeeding/Pre-natal Classes: (1) Lactation Coach (i went to this coach)*: Zeny C. Feliciano (2) Birthing Coach - Chiqui Brosas (we went to this one) *Both can do one-on-one appointments/sessions
• Breast pumps:- Medela Swing Pump: My mom bought my Medela pump @ Wing-On. You can price compare versus delivery price also.
• Milk storage plastics: Playtex Standard Pre-sterilized Disposable Liners
• Baby Bottle Soap (MNL - far cheaper than Pigeon and works even better) Karen Lopez +639209055530 You can also email her at momentrepreneur1@yahoo.com - she has a store opening in Shangri-la but can do home pick-ups either in QC or Makati
• Nursing Wears: Cher @ Plumeshop Sherry @ Contour / Hip Moms and Babies Au Lait Nursing Wear - a Singapore store/brand Latch Wear - a friend's shop
• Diaper Rash Cure: Desitin
• Clothing Brands (department stores/boutiques): Enfant (SM Megamall, Rustan's) especially the bottoms since the garter is specially suited for enfants; Tiny Tummies (SM Megamall), GAP (Bonifacio High Street) ~ wait for sales!
• Baby Cloths ~ outlet: (1) BlueParasol Inc Address: 58 Unit 3, Victoria Ave, New Manila, QC (two blocks away from Pizza Hut Bistro, street across St. Luke's Hospital QC) Tel: 632.571.8576 Look for: Maila / Ina Items sold: RL/Polo, Carter's, Gerber, etc (2) Hello Baby / Carter's Outlet Address: 43 Zodiac Street Bel Air Makati Tel: 632.896.4802 How to get there, if coming from EDSA, turn right to Buendia then right again after the Shell station, you’ll go straight to the Bel-air gate. That’s already Zodiac St. go straight and find number 48 to your left. The storage room is at the back of the house. Just enter the premises and follow the arrow to lead you to the back. You might want to call first to ask what their new arrivals are. Items sold: really cheap mittens/booties/hats/towels/receiving blankets/bibs, etc by Carter's, etc
• Breastfeeding Tips: Freezing Breastmilk
  Thawing Stored Frozen Breastmilk
  Expressing Breastmilk While Traveling

Other items... The above is more for the mom and the baby in HK. There are other items that parents need to think about aside from the birth and baby's health like the legal side of things i.e. filing baby's birth certificate, permanent resident card, passport, etc. I found a number of good sites with concise research on being pregnant, giving birth, and up to registration with the Hong Kong government:

• lbcaplan@ust.hk
• Angloinfo - HKG Family Life & Living in HKG

Please note that if your baby is a Phil citizen (i.e. both parents are Filipinos) like us, you would need to register your baby @ the Philippine embassy within thirty (30 days) of birth so they would send the details to NSO else you would have to file a Late Registration of Live Birth. This would hinder/delay your baby's passport processing.

Where To Breastfeed And Change A Baby In Hong Kong

~ from Geobaby HKG (updated 2013 July 27) and other resources

1. The Mandarin Oriental, Central - 2nd Floor powder room/washroom near the coffeeshop. Large mirror and nice attendants.
2. Marriott, Conrad, or Shangri-La, Admiralty - Most have washrooms with a bench and mirror. Also look for the more secluded chairs in lobbies.
3. Peninsula Hotel, T.S.T. - take the lift to the 1st floor where the bathroom is nice.
4. Hong Kong Hotel, Kowloon side near Star Ferry. Try any other large hotels as these usually have comfy chairs in the lobbies and clean washrooms for changing babies.
   
5. Jusco Department Store, Tai Koo - On the 2nd floor near the baby department there is a changing area and a place to breastfeed.
6. Pacific Coffee and Starbuck's shops - Most have large chairs and some even have play areas for older children.
7. Many of the newer Superstore Park N Shops have baby changing/feeding areas with chairs in them. Festival Walk (Kowloon Tong), Paradise Mall (Heng Fa Chuen), Maritime Square (Tsing Yi), Citygate (Tung Chung).
8. All Mothercare stores have changing areas and usually a chair to sit on. The stores are in Prince's Building, Ocean Terminal, Windsor House and New Town Plaza (Shatin).
9. Outside Toys R Us in Ocean Terminal there is a special glassed in area to breastfeed and change babies under the escalator.
10. Eugene Club in Central (next to H&M), TST and in Windsor House (CWB)
11. Try the changing rooms of Marks and Spencer, Mothercare, Wing On, Lane Crawford or UNY.
    
    If they are not too busy they will usually let you use a room. Sometimes there are chairs. If not, the carpets are relatively clean.
12. Ikea in Causeway Bay, Shatin and Prince Edward (not far from Fa Yuen Street market) have changing tables and sometimes a chair. Try the cafeteria for breastfeeding. Usually quiet.
13. Chep Lap Kok Airport - There are baby changing rooms so you can change and feed your baby before getting on the plane. This is great if you need to wait a long time for your departure. Then you can nurse all the way to your destination on the plane!
14. Discovery Bay/Star Ferries - The rocking motion will even help baby fall asleep!
15. Try feeding in McDonald's or a Chinese Dim Sum type restaurant. They are always noisy, so breastfeeding seems less obtrusive.
16. Dan Ryan's are good places to eat with kids and they have changing tables.
17. Jaspa's Restaurant, Sai Kung - A good place to eat with kids, very comfortable with breastfeeding mums in the restaurant.
18. Olympic MTR station/shopping centre - Padded sofas and cubicles with lockable stalls to breastfeed in.
19. Times Square - 9/F nursing lounge OR Lane Crawford Toilet has Chair and Counter, very quiet.
20. Prince's Building - Ladies' toilet on the first floor of Prince's Building. Very nice! One big chair just right for breastfeeding. There is an attendant keeping the place clean and handing you fresh towels. And in the floors above are some baby and maternity shops including Mothercare, Toto, and a toy store (can't remember the name).
21. Immigration Building in Wan Chai - Sitting on the floor of the MTR station at Admiralty (baby began crying from hunger in TST, so I bailed out at Admiralty and just sat down and fed.
22. IFC 2 Building in Central - IFC women's rooms have breastfeeding/changing rooms(the ones across from the cinema) OR 2nd floor , nursing/baby diaper room on the corridor to the bathroom; not in ladies' rm, so daddy can keep u company OR P3 Near Lane Crawford, Baby Changing Room, small room with one chair, sink, wipes and bottle warmer.
23. Annerley's Midwives Centre in Lyndhurst Terrace: Changing table and breastfeeding facilities
    Address: Unit 1801, Car Po Commercial Building, 18-20 Lyndhurst Terrace, Central
24. Maritime Square in Tsing Yi has a nursing room at the same level than all the babies shops and Toys'R us. Very nice and comfortable but don't count on it on week-end, people are queuing up to change baby!
25. Lee Garden 1 on the floor with all the baby shops - a nice room with changer and couch to BF
26. Lee Garden 2 outside Habitu, very quiet in the far corner however you are surrounded by tall buildings.
27. Hong Kong Disneyland in - tucked away in a quiet cosy corner next o the First Aide Center is the Baby Care Room where you can breastfeed in private. It is right beside the Corner Cafe at the end of Main Street.