Sectio Caesaria ( SC )

SECTIO CAESARIA

Caesarean surgery is only done if there is congestion on normal delivery or if there are problems during delivery which can threaten the life of the mother and fetus . Circumstances which require a caesarean section , for example, fetal distress , birth canal closed placenta ( placenta previa totalis ) , meacet delivery , maternal hypertension ( preeclampsia ) , a baby in a breech or transverse position , as well as bleeding before delivery.

In some circumstances , this action can be planned caesarean section or decided far in advance. This operation is called an elective caesarean section . This condition made ​​where doctors found no medical problems in the mother or the mother has a disease , so it is not possible for a normal delivery . For example, maternal diabetes , HIV / AIDS , or heart disease , can be done by elective caesarean or emergency (emergency ) . Mean elective surgery done with careful planning long before the time of delivery . While emergency caesarean meant to do when labor is in progress , but as a state of emergency caesarean section should then be done .

Planned Caesarean section ( elective )
At a planned caesarean section ( elective ) , caesarean section was planned well before the scheduled delivery by considering the safety of both mother and fetus . Some circumstances be considered to be elective caesarean section , among others :

1. Fetus with breech presentation : Do caesarean section in breech fetus at first pregnancy , suspicion of the fetus cukp labor bottlenecks that can occur ( feto PELPIC disproportion ) , fetuses with his head thrown back ( deflection ) , fetuses with umbilical cord winding , or a fetus with feet presentation .
2. Twin pregnancies : At the bottom of a twin pregnancy fetal presentation seen whether the head , buttocks , or transverse . Vaginal delivery is still possible if the percentage is second fetus heads . However , thought to doing the first caesarean section in cases of fetal / bottom in addition to the presentation of the head. on ultrasound also see whether each fetus has its own amniotic sack separate , or they just have one amniotic sack . In the case of twin pregnancy with fetal amniotic only have one bag , the risk to each hook / concerns with each other going higher , so need to do caesarean terencana.Pada multiple pregnancy with fetal number more than two ( eg 3 or more ) , it is advisable to perform planned caesarean section .
3. Placenta previa : means the placenta is covering the cervix and below . Because before birth the fetus gets oxygen and food supply , it is not possible placenta as media suppliers birth / first separated from the fetus because it can lead to fetal death . The placenta consists of a lot of blood vessels , the location of the placenta covering the birth canal , is very prone to bleeding . If the contraction of the uterus , the part of the placenta is rich in blood vessels will detach and cause severe bleeding that can threaten the life of the fetus and the mother .
4. Maternal medical conditions : pre-eclampsia , diabetes ( diabetes mellitus ) , herpes , HIV / AIDS , heart disease , chronic lung disease , or tumors of the uterus ( myomas ) are the size besaratau cover birth canal , cysts that block fetal descent , as well as a variety of other circumstances are the things that lead to a cesarean section is preferred .
5. Problems in the fetus : Mass in fetuses with oligohydramnios ( amniotic fluid bit ) or fetuses with developmental disorders .

Caesar Opereasi Emergency ( Emergency )
The definition of an emergency cesarean section if the operation is carried out when the delivery process has been going on . This had to be done because there are problems in the mother and fetus . Some of the circumstances that forced an emergency caesarean section , among others :

• Obstructed Labor

This situation can occur in the first phase ( phase lilatasi ) or second phase ( when you push ) . If obstructed labor in the first phase , the doctor will give a drug called oxytocin to strengthen contractions of the muscles of the uterus . Thus the cervix can open . There are other techniques , which break the amniotic membrane or give cairaan intrafena if you are short infusion fluids / dehydration . If in ways that did not work , then it will do a cesarean section .
If labor stalled in the second phase , the doctor must decide soon whether assisted delivery with forceps or vacuum or caesarean section should be done immediately . Things into consideration to proceed with a vaginal delivery ( assisted ) or cesarean section , depending on the decrease in the bottom of the fetal head dikes , levees state capital , and the presence or absence of gravity on the fetus .
Obstructed labor is a common cause of cesarean section . Some reasons are taken into consideration is no longer effective contractions , the fetus is too large while a narrow birth canal mother , and fetal head position which allows the withdrawal tadak with vacuum or forceps .

• Fetal Distress

When the fetus is stressed , he will lack of oxygen . On clinical examination tanpak that fetal heart rate decreases . Normally , during the contraction of the fetal heart rate decreased slightly , but will return to his native prekwensi , if :

1. Umbilical cord prolapse : if the cord out through the mouth of the womb , he can pinch, so the blood and oxygen supply is reduced kejanin . This situation is dangerous if the fetus is abnormal vaginal birth , cesarean section requiring immediate action .
2. Hemorrhage : If you experience heavy bleeding due to placenta separates from the uterus , or for any other reason , then it should do a cesarean section .
3. Stress fetal weight : If the fetal heart rate dropped to 70x per minute , then a cesarean section should be done immediately . Normal fetal heart rate is 120/160x per minute .

Healing process

On the first day after birth , if necessary , you are given the drug in low doses . Some doctors will allow you to start eating solid in the first 24 hours . Those that wait until you pass gas ( fart ) which indicates that the gut is functioning normally .
On the second day , you will feel uncomfortable in the abdomen . This happens because the digestive organs are back to normal after beraktipitas got painkillers that stop aktipitasnya .
Healing each mother is different depending on the durability and the effects of drugs used . If during the monitoring of your condition is stable , then the doctor will let you go home . Do not forget to return control medicine , approximately after two weeks.

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Benefits Delivery Normally ( Partus Normal )

NORMAL CHILDBIRTH

Although painful , many mothers who fight for a normal delivery . In the opinion of some people with a normal delivery , a woman had to be a woman completely. But , behind that opinion , a normal delivery it also has many benefits for both mother and baby .  

 

Here are some of the advantages a normal delivery :

• Faster recovery. During labor , the struggle of mothers who will give birth to normal may be more severe than those delivered through the operation . However , the process of childbirth is completed , the mother who gave birth to normal will undergo the process of recovery is much faster . Do not be surprised if at least six hours after giving birth , the mother has been " forced " and was able to walk alone anywhere . According to the story of the woman who gave birth to normal , postpartum recovery process much faster .

• Free Moving Quickly. Because it did not undergo major surgery and stitches are much like that experienced by mothers who give birth through the operation , the woman who gave birth to normal more quickly able to move freely . A day after giving birth , the mother who gave birth to normal was able to walk and move freely without the need to feel the pain of stitches from surgery that has not dried . The advantage is that you can more quickly so take care of yourself and your baby establish a stronger bonding with the newborn baby .

• Inner bonding has Stronger. During childbirth , the mother and baby in the womb are both struggling . For this reason, women who deliver vaginally have a stronger bond with his son . Through MRI test , found that sensitivity that governs emotion and motivation in the brain of the mother who gave birth to normal , the figure was higher . Because this is what makes the mother who gave birth normally to be more responsive to the cry of a baby .

• Easier IMD. Still related to the bond , normally babies born more and more interested in doing Early Initiation of Breastfeeding or IMD . Because the bond that already exists between the new mother with a strong and her baby , they are so easy to work together doing breastfeeding for the first time . As already known , the first time for breastfeeding mothers and babies not as easy as it looks and requires patience and cooperation of both parties .

• Healthier Babies. Useful addition to the mother , normal delivery also has many benefits for babies . Much research is clear on this , one of them is going to have a baby lungs stronger because at birth through the vagina , there is the process of transporting oxygen to body tissues baby . That's what causes babies born through normal processes have a lower risk of disruption . They say that babies born normally would have a higher power struggle since has been struggling to be born from the womb of his mother .

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The Importance of Exclusive Breastfeeding ( ASI Eksklusif )

ASI

Exclusive breastfeeding is breastfeeding ( breast milk ) as early as possible after birth , given no schedule and no other food was given , although only water , until the baby is 6 months old . After 6 months , babies begin to be introduced to other foods and still be breastfed up to two years old baby .

Babies who are exclusively breastfed tend to be more frequent breastfeeding her than giving the baby milk formula . Newborns usually every 2 to 3 hours breastfed by his mother . Increasing age , time or distance between breastfeeding will increase as the capacity of their stomachs become larger . In contrast , a newborn who only know the formula to start drinking milk formula approximately every 3 to 4 hours during the first few weeks of life .We know that breast milk has a million benefits to the growth and health of babies . Because breast milk is the best and most complete nutrition . Unique nutrition causes milk has the advantage that would not be on any kind of formula . Here are some of them :

• Immunoglobulin A ( IgA ), which is widely available on colored yellowish colostrum milk that comes out first from the breast . This substance protects the baby from infection attack . IgA lining the digestive tract so that germs can not get into the blood stream and will protect the baby until his immune system is functioning properly .
• Ganfliosida ( GA ) that play a role in memory formation and function of the brain as well as the baby's brain cell connectivity tools . GA is very important for child development . When born , the baby has 100 billion brain cells that have not been connected and GA is required to connect the brain cells .
• The protein called casein and whey proteins . Protein contained in the milk is more easily digested by the body , compared with the protein derived from the milk of other mammals .
• Fat ASI consists of several types but the most essential fatty acid that is a component of all body tissues and is required for the development of cell tissue , brain , retina and nervous system . Breast milk contains polyunsaturated fatty acid chain length (long - chain fatty acid polyunsanturated or LC - PUFA ) which consists of DHA ( docosahexaneoic acid or docosahexaenoic acid ) , LA ( linoleic acid or linoleic acid ) , ALA ( alpha linoleic or alpha- linolenic acid ) and AA ( arachidonic acid or arachidonic acid )

Protective substances in breast milk

• Lactobacillus bifidus. Lactobacillus bifidus function convert lactose into lactic acid and acetic acid . This makes the second sour acidic digestive tract thereby inhibiting the growth of microorganisms such as E. coli bacteria that often causes diarrhea in infants . Lactobacillus is easy to grow rapidly in the gut breastfed babies .
• Lactoferrin. Lactoferrin is a protein that binds to iron . Useful lactoferrin to inhibit the growth of E. coli bacteria and fungus candida .
• Antibody. Breast milk contains colostrum immunoglobulin is especially secretory IgA ( sIgA ) , which is useful for the defense of the baby's body .

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How to Bathe A Newborn

BATH THE NEWBORN

Often as a new mother , baby bathing is difficult especially in the first few weeks when baby's umbilical cord has not " whistle " . Not a few medical personnel are advised not to bathe your baby in a way in flush or soaked in the tub , on this condition are advised only to wipe with washlap .

Here's how to bathe a newborn :

1. Measure the baby's body temperature using a thermometer ( normal temperature is 36.5 ' C - 37.5 ' C ) , if the body temperature within normal limits can be directly disibin baby . However, if the temperature is below normal , give baby blanket in the temperature became normal.
2. Prepare toiletries like washlap , basin of warm water , towels , diapers , clothes , gloves, legs , baby oil , sterile gauze bandage to replace the cord .
3. Slowly undress the baby , then the baby move on a towel .
   
4. Clean the baby's face with warm water then washlap ears , head , neck folds , baby bodies , backs , arms fold , fold the legs , and genital areas .
5. Baby soap lightly and gently rubbed on all the above organs .
6. Clean with washlap until no suds left .
7. Dry the baby using a towel .
8. Sterile gauze bandage dressing on baby's umbilical cord .
   
9. Apply baby oil and immediately put the clothes , diapers , gloves, legs .
10. Baby hair comb slowly .
11. Give the baby so the baby lotion fragrance .
12. Clean up equipment .

NB : replacement gauze bandage umbilical cord after the baby is finished in bath , with a wet dressing sense is not a problem .

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Cucumber For Hypertension ( Mentimun Untuk Hipertensi )

 

CUCUMBER

Cucumber or Cucumis sativus scientifict has properties that are beneficial to health . Cucumber is often used as a traditional medicine , especially in Essential Hypertension disease , because of high potassium content of cucumber . And cucumber also contains 0.65 % protein , 0.1 % fat and 2.2 % carbohydrate . Besides cucumbers also contain other beneficial substances , such as calcium , iron , magnesium , phosphorus , vitamin A , vitamin B1 , vitamin B2 and vitamin C. Uretic properties on cucumber consists of water capable of removing 90 % of the salt content in the body . Rich minerals in cucumber is able to bind salt and excreted in the urine . That is the reason why a cucumber is very good for people with hypertension or high blood pressure .

Cucumbers can be consumed directly or with the juice.

How to make cucumber juice
Ingredients :

• 2 medium cucumber
• 1 tablespoon celery
• 1 tablespoon sugar
• 1/2 cup of boiled water
• Ice cubes to taste

How to make :

1. Peel the cucumber and remove the base so that makes cucumbers bitter
2. Cut the cucumber pieces and put in blender
3. Celery can be added .
4. Blend all ingredients course with boiled water and add ice cubes to taste until smooth into juice
5. Cucumber juice is ready to be served . 

 

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