There is no birth of a perfect position. Each has its own advantages and kekurangannya own.
Delivered to the small world is not only can be done with a lie, but can also with various other positions. Each has its own advantages and shortages, and no one said a good position or bad.
Indeed, in reality, not all of the hospital gynecologist or mother help choose the position that labor is felt most comfortable. Generally, mothers are asked only half a lie or sit down. However, during the process of childbirth, the mother may be very
change the position. For example from the original lie recumbent ago italics advisable to take the position of the mother be calculated if slow.
Well, what is actually a position that allows the clothes? This is the first explanation. H. Taufik Jamaan, Sp.OG., which among other berpraktik in RSIA Hermina, Jatinegara, East Jakarta. According to him, any position you choose, the most important must be considered carefully with attention to the condition of the mother.
1. Lie
Medical circles familiar with the call litotomi position. At this position, while the mother left recumbent pahanya hang on a second cantilever chair specifically for childbirth. Benefits of this position, your doctor can help the process of free labor. Born to the road ahead, so that doctors can more easily measure of development. Thus the confinement time can be predicted more accurately.
In addition, the action episiotomi can be done more freely, so that more can pengguntingannya good, effective, and sayatannya can be minimized. So also with the position of the baby's head is relatively more easily held and directed. Thus, if there is a change in head position, can be properly directed.
Kekurangannya, location of vessel is under the baby's position and depressed by the mass / body weight babies. Moreover, if the location of the placenta is below the baby. As a result, the pressure on the blood vessel can escalate and cause a slowing of blood circulation behind the mother. Delivery of oxygen through the blood that flows from the mother to the fetus through plasenta also be relatively reduced.
To anticipate this is usually some time before the establishment of the full, doctors told patients to lie down and to the left or right. Thus the supply of oxygen and blood circulation is not obstructed mother back.
In some cases, such a new birth to the first, lie in a position to make capital mengejan. The reason is, style of body weight that is below and parallel with the difficult position the baby for the mother mengejan. In addition, this position is also alleged to be caused perineum (area between the anus and vagina) stretch so difficult childbirth.
2. MIRING
This position requires that the mother lie down sloping to the left or right. One foot lifted, while the other leg straight in the circumstances. Called a familiar position this lateral position, generally done when the baby's head position is not yet right.
Normally, the position of crown baby was born in front of the road. Position the baby said the head is not normal if the position ubun-ubunnya behind or the side. Well, in case your doctor will usually refer the mother to take the position italics. To the position where the mother italics depending on which location in the crown baby. If you are in the left, the mother is recommended to take a position sloping to the left so that the baby is expected to play. Similarly, vice versa.
The benefits of this position, behind the mother's blood circulation can flow smoothly. Delivery of oxygen in the blood from the mother to the fetus through plasenta also not disturbed. Consequently, because they were not too pressing, the process will take place in the establishment of the slowly so that the confinement takes place more comfortable. Birth to this position is also very suitable for mothers who feel weary-weary in backache or fatigue due to try another position.
Unfortunately, the sloping position to help doctors make the process of childbirth. In the sense, the difficult baby monitored, and held, as well as directed. Doctors will have difficulties when the action episiotomi.
3. JONGKOK
This position is known as the position of natural childbirth. Some tribes in Papua and other areas have a habit to change the way squat like this. By utilizing gravity as the body, the mother does not need too strong mengejan. While the baby out even more quickly through the streets of birth. Not surprisingly because of various advantages, several RS / RSB in a position to apply this change to help the patient.
While kelemahannya, giving birth to the position jongkok very likely make the baby's injury. What, the body of a baby who is on the road can be born in such a rapid slide. To avoid injury, the mother usually squat on the soft cushion that allows you hold the head and body of the baby.
For physicians, this position is considered less profitable due to complicate the monitoring of progress and actions of other labor, such episiotomi.
4. Half DUDUK
Recognized or not, this position is the most common position adopted in the various RS / RSB in all corners of the ground water. At this position, the patient sits with the back rest pillow, leg and thigh ditekuk opened to the side. This position is enough to make the mother comfortable. The good, the way punk was born fetus that need to be able to come out so shorter. Supply of oxygen from mother to fetus is optimal progress.
Despite that, the position of this labor can bring fatigue and stiff back complaint. Moreover, if the process of childbirth is longstanding.
5. IN THE AIR
Giving birth in water have long been known in the countries of Eastern Europe and some Asian countries. However, in Indonesia, up to this time there is no one RS / RSB, which provides amenities. Taufik had requested that a patient abroad who want to undergo the process of giving birth in water. The patient also provides a variety of references, both from books and videos, on setting forth in the water. Based on the reference, at the opening of 4 or 5, my husband accompanied and assisted the doctor, the patient lying on the bed into a pond. Only with mengejan some time, the baby will be born and live in the swimming pool children akan ago the doctor directly membopongnya for review.
Taufik emphasize the need of facilities and infrastructure that is very adequate if you want to bear with this position. Of course swimming clothes that used to be designed and may not be used by any person. Water temperature is always exactly match the temperature of the body of the mother at birth. Accuracy is important to prevent temperature shock when the baby to slide in the pool. Sterilitas water is also important to consider that does not cause infection in the mother and baby.
Must be recognized, giving birth in water have distinctive advantages, namely the relaxation of all body muscles, especially the musculature associated with the process of childbirth. Mengejan also be easier and perhaps pain during childbirth is not experienced by the patient giving birth in water.
Not only that. Although not supported by scientific research, the process of giving birth in water can prevent the baby's head injury. Protected from trauma or head injury IQ allows the baby to be higher than among infants born with the other position.
Kekurangannya, the risk of water consumed by the baby pool is very large. Therefore, the process of childbirth is not only a doctor obstetrics and uterus only, but also children's medical specialist who will undertake directly when the baby is born. It's not the incoming water and other disturbances can be detected directly and immediately overcome with good. In addition, if the process is running long, can-can experience maternal hipotermia alias body temperature is too low.
SOME FACTORS INTO to note
* Security
The position of both labor ideally not cause injury. Even if there are factors that enable penyulit injury on the mother and baby, at least opportunities can be minimized. Injury that usually occurs in the mother's womb, among other robeknya, bleeding great, and the hole the way of birth. While the trauma on the baby's head trauma in them, a broken leg or broken hand.
* Leisure
Can not be denied, labor is hard work and struggle for the mother and the medical teams that address them. That is, the mother is entitled to the best service,
including the clothes comfortable. The bed and all the necessary hygiene standards must meet in order to minimize the risk of infant and maternal infection.
* Medical assistance
Any change of position is selected, the process must be assisted by a team of medical experts and trained. Doctors, midwives, doctors and children and the sister who must help truly understand the duty to lead and assist the mother through the process of childbirth. Thus, the risk of occurrence of injury and even death can be minimized.
Saeful Imam. Illustrator: Pugoeh
Natural BANYAK CHILDREN bleeding risk
That maternal womb with many children (often means a change) to the more damage.
What is precisely category that too many children? In fact it is very individual and depends on the condition of the mother womb. There are mothers who have delivered 5 children, but condition rahimnya still okay-okay only. However, other new mothers have 2 children already but rahimnya need to be appointed. Please note the condition of the womb is influenced by several factors, such as the distance of pregnancy (ideally between 2-4 years old), there are no diseases, such as tumor in the uterus, mioma, the frequency of birth is not history or recurrent miscarriage and twin pregnancy.
Well, one of the requirements to run smoothly so that the pregnancy is the condition of the womb either. With such potential embryo akan "roll" and stick to the top of the wall segment of the womb. On which the birth mother, the condition rahimnya wall is not "perfect" has many aliases that "tear". The problem is, the candidates are reluctant to stick to the fetus womb condition that ugly. Because he will "explore" a more secure, ie, towards the bottom near the mouth of the womb. But if the prospective embryo form in situ, the risk to the mother plasenta previa (plasenta cover part or all of the way so that the process of birth childbirth should be sesar). Please remember at the time of pregnancy, normal plasenta location in the top of the uterus.
Furthermore, if the pregnant again (for example, because the curious to get the boys, but already have 4 children Perem-puan) then the most likely candidate embryo will stick to the wall of the womb that has been torn / ugly. This is because the reduction in the eligible candidates for the embryo to stick to. If you are the candidate has not menem embryo-field wall in the womb, but the muscle to the womb. Condition called plasenta akreta this can make the pregnant women experience bleeding. The greater age of the pregnancy the opportunity to terja-dinya akan increased bleeding because the fetus penetrate muscle womb. In normal conditions should be between plasenta and muscle layer of the womb have Nitabuch that prevent plasentanya stick on the uterus muscle.
MUST Appointed
What if pregnant women experience plasenta akreta. Following general procedures will be:
* One of the symptoms plasenta akreta is bleeding without pain at the beginning-the beginning of pregnancy. Can be detected with the use of USG-age pregnancy began 22 days.
* If minor bleeding, pregnancy can be and the mother must bedrest.
* During the bleeding did not occur, pregnancy can proceed not only the process of labor allows for normal but it should be sesar. After birth the womb must be removed, even if new mothers have one child.
* If severe bleeding occurs so that the pregnancy must be stopped with a certain action for the safety of the mother. Also performed the operation lifting the womb.
NUMBER OF CHILDREN Limit
Risk pregnancies with plasenta deviation may be the way:
* Do not have many children. Two are enough. We suggest that distance to have a child between 2-4 years.
* If the first and second child born sesar should not get pregnant again because of the risk plasenta akreta.
* Avoid sexual behavior that is not healthy. This increasing number of infections in the fetus at risk of damage to the wall of the womb.
Apart from that, the risk will be faced by pregnant women (which was often the birth) is a theory. There is still another factor that is very determined, namely the power of God. Therefore, surrender, and pray always ask the very best recommended during pregnancy undergo.
Thursday, July 9, 2009
Monday, June 29, 2009
Six months exclusive breastfeeding
Breastfeeding is a process that occurs naturally. So, there is rarely a mother can not afford to fail or breastfeeding the baby. However, breastfeeding is also necessary, especially by the mother of the first time that children have to know how to breastfeed properly.
Although the natural process, the ability to provide breastfeeding mother does not come suddenly. There are a series of processes which give a smooth contribution in the provision of breastfeeding, from the physical and mental preparation of prospective mothers. The early breast fed baby, the more quickly and smoothly the process of breastfeeding poppet.
Quality and quantity of breastmilk production also need to be guarded so that the physical and mental development of infants can be optimal. How, among other mengonsumsi with nutritious food, especially vegetables, drink fluids, rest, and often enough breastfeeding, and breast massage. If rare disusukan, production decreased ASI akan feared.
To meet the needs nutrisinya, World Health Organization (WHO) recommends that newborn babies get exclusive breastfeeding (no extra anything) for six months. For, according to the Chairman of the Association Physician Children DKI Jakarta Indonesia (IDAI Jaya) dr Badriul Hegar SpA (K), breastfeeding is the best natural nutrition for infants with the most appropriate nutritional contents for optimal growth.
There is no specific schedule which can be applied to the provision of breastfeeding on the baby. So, the mother must be ready at any time, breastfed babies need. Consequently, if the capital required to return to work outside the home full of babies before age six months, the provision of exclusive breastfeeding can not be run properly.
So, Akida M Widad, Teacher Staff Department of Chemistry University of Surakarta Muhammadiyah menuturkan in his article, a number of countries to give a respite to the pregnant women and birth. In the UK a pregnant mother giving birth and can get 40 weeks leave. In Denmark, the mother obtained leave four or eight weeks before birth and 14 weeks after birth plus 10 days leave to care for the baby.
In Indonesia, according to government policy, most companies implement a policy giving birth to leave only three months. Therefore, despite a national campaign of exclusive breastfeeding for six months Dicanangkan, in reality it is difficult for mothers who work outside the home. Physical and mental condition of tired after working all day has impeded the smooth production of breastmilk.
Nevertheless, it does not mean that working mothers the opportunity to give exclusive breastfeeding to the baby lost at all. Working is not a reason to discontinue the provision of exclusive breastfeeding for the fruit of the heart. Besides given directly, ie with the small breastfeeding, breastfeeding can also be provided in a manner not directly provide ASI perah.
Asi perah
Therefore, knowledge about how to squeeze, store and provide breastfeeding perah This should be the mother. Clinic Laktasi St Carolus Hospital, Jakarta, suggested that breastfeeding mothers prepare perah at least two days before starting to work and leave the baby. ASI should diperah every three hours because of the production susu akan often overflow if issued.
ASI can diperah basically through three ways, namely using the hand, the tool manually, or use the electric pump equipment. However, when viewed from the economic and practicality, with a hand squeeze breastmilk is superior than the other two-way and can do so at any time without the help of tools, except a clean vessel to accommodate breastfeeding.
Any way you choose, hygiene factors must be fixed. Milk before breastfeeding, wash your hands with soap and water to clean and provide a clean container closed and sterile to accommodate breastfeeding. Then, a little breastmilk perah ago oleskan hilt and on the areola due to breast milk contains substances antibakteri.
During the early-period, the mother does not need to despair if the amount of breastmilk is not as much as you want. Because, to be skilled squeeze the ASI and take exercise. Therefore, mothers should practice around breastfeeding milk a week before returning to work. During the work, breastfeeding mothers milk is recommended as two to three times in a quiet environment.
Vessel to accommodate breastfeeding perah should be made of material that is easily sterilized, such as a bottle or cup is made of a meeting of plastic or glass, hold cooked in boiling water, and has a wide mouth so that the ASI diperah can ditampung easily. When breastfeeding is not directly given, ensure safe storage of contamination and provide the label on each container milking breastfeeding perah.
ASI akan perah if given less than six hours on the baby, breastfeeding is not necessary stored in the refrigerator. Success in KIAT breastfeeding, mothers are advised not to store breastmilk at room temperature more than three or four hours. ASI perah hold six to eight hours at room bersuhu rooms, 24 hours in a flask containing ice cubes, 48 hours in the refrigerator and three months in the freezer.
Before given to the baby, breastfeeding is first melted frozen and placed in the room with the room temperature. Then, the vessel containing ASI soaked in warm water before given to the baby. Breastfeeding should be provided with a cup or spoon that breastfed babies can suck up little by little. After the given breastmilk, the baby held in a vertical position so that saltpeter.
Giving breastmilk perah with spoons or cups should be provided for others, not the mother concerned. This is to maintain consistency so that the baby does not upset the hilt. In addition, the remaining susu baby that is not spent should not be frozen or stored in order to re-risk infants fell ill from the avoid diarrhea.
In addition to the implementation of management, lactation should also be accompanied by all parties in order to support the efforts of exclusive breastfeeding for six months can be successful. Family attitudes determine breastfeeding success, especially her husband, helping with household tasks that mothers who breastfeed do not fatigue, and help guarantee the energy security of the small left when working.
There is a "work for my mother" who support the process of lactation in the workplace, working mothers also make it easier to give exclusive breastfeeding for six months. For example, by providing space for breastfeeding or milk and breastfed infant care, breastfeeding mothers the opportunity to give milk or breastfeeding every three hours.
Although the natural process, the ability to provide breastfeeding mother does not come suddenly. There are a series of processes which give a smooth contribution in the provision of breastfeeding, from the physical and mental preparation of prospective mothers. The early breast fed baby, the more quickly and smoothly the process of breastfeeding poppet.
Quality and quantity of breastmilk production also need to be guarded so that the physical and mental development of infants can be optimal. How, among other mengonsumsi with nutritious food, especially vegetables, drink fluids, rest, and often enough breastfeeding, and breast massage. If rare disusukan, production decreased ASI akan feared.
To meet the needs nutrisinya, World Health Organization (WHO) recommends that newborn babies get exclusive breastfeeding (no extra anything) for six months. For, according to the Chairman of the Association Physician Children DKI Jakarta Indonesia (IDAI Jaya) dr Badriul Hegar SpA (K), breastfeeding is the best natural nutrition for infants with the most appropriate nutritional contents for optimal growth.
There is no specific schedule which can be applied to the provision of breastfeeding on the baby. So, the mother must be ready at any time, breastfed babies need. Consequently, if the capital required to return to work outside the home full of babies before age six months, the provision of exclusive breastfeeding can not be run properly.
So, Akida M Widad, Teacher Staff Department of Chemistry University of Surakarta Muhammadiyah menuturkan in his article, a number of countries to give a respite to the pregnant women and birth. In the UK a pregnant mother giving birth and can get 40 weeks leave. In Denmark, the mother obtained leave four or eight weeks before birth and 14 weeks after birth plus 10 days leave to care for the baby.
In Indonesia, according to government policy, most companies implement a policy giving birth to leave only three months. Therefore, despite a national campaign of exclusive breastfeeding for six months Dicanangkan, in reality it is difficult for mothers who work outside the home. Physical and mental condition of tired after working all day has impeded the smooth production of breastmilk.
Nevertheless, it does not mean that working mothers the opportunity to give exclusive breastfeeding to the baby lost at all. Working is not a reason to discontinue the provision of exclusive breastfeeding for the fruit of the heart. Besides given directly, ie with the small breastfeeding, breastfeeding can also be provided in a manner not directly provide ASI perah.
Asi perah
Therefore, knowledge about how to squeeze, store and provide breastfeeding perah This should be the mother. Clinic Laktasi St Carolus Hospital, Jakarta, suggested that breastfeeding mothers prepare perah at least two days before starting to work and leave the baby. ASI should diperah every three hours because of the production susu akan often overflow if issued.
ASI can diperah basically through three ways, namely using the hand, the tool manually, or use the electric pump equipment. However, when viewed from the economic and practicality, with a hand squeeze breastmilk is superior than the other two-way and can do so at any time without the help of tools, except a clean vessel to accommodate breastfeeding.
Any way you choose, hygiene factors must be fixed. Milk before breastfeeding, wash your hands with soap and water to clean and provide a clean container closed and sterile to accommodate breastfeeding. Then, a little breastmilk perah ago oleskan hilt and on the areola due to breast milk contains substances antibakteri.
During the early-period, the mother does not need to despair if the amount of breastmilk is not as much as you want. Because, to be skilled squeeze the ASI and take exercise. Therefore, mothers should practice around breastfeeding milk a week before returning to work. During the work, breastfeeding mothers milk is recommended as two to three times in a quiet environment.
Vessel to accommodate breastfeeding perah should be made of material that is easily sterilized, such as a bottle or cup is made of a meeting of plastic or glass, hold cooked in boiling water, and has a wide mouth so that the ASI diperah can ditampung easily. When breastfeeding is not directly given, ensure safe storage of contamination and provide the label on each container milking breastfeeding perah.
ASI akan perah if given less than six hours on the baby, breastfeeding is not necessary stored in the refrigerator. Success in KIAT breastfeeding, mothers are advised not to store breastmilk at room temperature more than three or four hours. ASI perah hold six to eight hours at room bersuhu rooms, 24 hours in a flask containing ice cubes, 48 hours in the refrigerator and three months in the freezer.
Before given to the baby, breastfeeding is first melted frozen and placed in the room with the room temperature. Then, the vessel containing ASI soaked in warm water before given to the baby. Breastfeeding should be provided with a cup or spoon that breastfed babies can suck up little by little. After the given breastmilk, the baby held in a vertical position so that saltpeter.
Giving breastmilk perah with spoons or cups should be provided for others, not the mother concerned. This is to maintain consistency so that the baby does not upset the hilt. In addition, the remaining susu baby that is not spent should not be frozen or stored in order to re-risk infants fell ill from the avoid diarrhea.
In addition to the implementation of management, lactation should also be accompanied by all parties in order to support the efforts of exclusive breastfeeding for six months can be successful. Family attitudes determine breastfeeding success, especially her husband, helping with household tasks that mothers who breastfeed do not fatigue, and help guarantee the energy security of the small left when working.
There is a "work for my mother" who support the process of lactation in the workplace, working mothers also make it easier to give exclusive breastfeeding for six months. For example, by providing space for breastfeeding or milk and breastfed infant care, breastfeeding mothers the opportunity to give milk or breastfeeding every three hours.
Exclusive breastfeeding for the Children
Happiness and pride felt by the mother is not measurable if successful breastfeeding baby, pregnant, especially after the first child. For, water susu aka breastfeeding mother is the perfect food for babies. The key to the success of breastfeeding is the feeling of love, perseverance, patience, self confidence, along with the application of good management of lactation.
A number of new mothers who have babies forced to confess to provide because susu formula should work again. ASI Production also decreased because fatigue after working all day. In addition, many of them is broken in breastfeeding, as the baby would not breast fed, the channel stopped breastfeeding.
"The work is not the reason for us to stop breastfeeding," said Upik, private sector worker in central Jakarta. Since the beginning, he was determined to give breastfeeding exclusively for six months to the baby. This aims to increase the resistance of the small body from various diseases.
In order to keep breastfeeding despite not give directly, he always squeeze breastmilk using the electric pump twice during the work in the office. "Because the office does not have room to squeeze breastfeeding, I had to squeeze a small room in the breastmilk that is rarely used," he said.
ASI perah is inserted in the vial and stored in the refrigerator in the office. To keep the storage container or pump breastmilk tool, it also saves the sterilizer in the work place. "ASI perah is usually for the next day," he said.
During almost six months age, children are given food start of ASI. "I actually want to continue to provide breastmilk, but I would like to own enggak, pengin can have additional food. So, now he is forced to be susu formula. In fact, I was still breastfeeding smooth, not dry," said Upik.
Meanwhile, Ny Lia, Serpong residents who work in the area Palmerah, Jakarta, is proud that the third son menuturkan get exclusive breastfeeding for at least six months. This is based desires so that the three children to grow flowers optimal, not easily hurt and intelligent. "Buktinya, the third child I rarely sick. Most only have a cold, it was quickly recovered," he said.
For that, he was breastfed milk every day with the use of as many as two to three times in his office. ASI perah is then stored in the ice layer in the bag and placed in two refrigerator. "Children only get my first breastfeeding until the age of six months because I can trigger again. Adiknya But both got breastmilk until almost a year," said Lia.
A number of new mothers who have babies forced to confess to provide because susu formula should work again. ASI Production also decreased because fatigue after working all day. In addition, many of them is broken in breastfeeding, as the baby would not breast fed, the channel stopped breastfeeding.
"The work is not the reason for us to stop breastfeeding," said Upik, private sector worker in central Jakarta. Since the beginning, he was determined to give breastfeeding exclusively for six months to the baby. This aims to increase the resistance of the small body from various diseases.
In order to keep breastfeeding despite not give directly, he always squeeze breastmilk using the electric pump twice during the work in the office. "Because the office does not have room to squeeze breastfeeding, I had to squeeze a small room in the breastmilk that is rarely used," he said.
ASI perah is inserted in the vial and stored in the refrigerator in the office. To keep the storage container or pump breastmilk tool, it also saves the sterilizer in the work place. "ASI perah is usually for the next day," he said.
During almost six months age, children are given food start of ASI. "I actually want to continue to provide breastmilk, but I would like to own enggak, pengin can have additional food. So, now he is forced to be susu formula. In fact, I was still breastfeeding smooth, not dry," said Upik.
Meanwhile, Ny Lia, Serpong residents who work in the area Palmerah, Jakarta, is proud that the third son menuturkan get exclusive breastfeeding for at least six months. This is based desires so that the three children to grow flowers optimal, not easily hurt and intelligent. "Buktinya, the third child I rarely sick. Most only have a cold, it was quickly recovered," he said.
For that, he was breastfed milk every day with the use of as many as two to three times in his office. ASI perah is then stored in the ice layer in the bag and placed in two refrigerator. "Children only get my first breastfeeding until the age of six months because I can trigger again. Adiknya But both got breastmilk until almost a year," said Lia.
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