csunlba.org – An episiotomy is an incision made to widen the vagina so the doctor’s birth becomes more fluent.
This is to keep the vaginal tear as a result of irregular birth encouragement. Sometimes it is also easier for doctors to speed up delivery, such as babies hard to get out.
How is this done?
Usually the doctor or midwife who performs the process that will perform an episiotomy. Episiotomy is performed when:
- The vagina does not stretch enough to allow the baby out
- The baby is estimated to be too large, usually over 4 pounds
- Tang forceps and vacuum devices typically must be used to assist birth
- When monitoring results indicate that the baby is not expected to get sufficient oxygen supply and must be born with a fast
- The vagina begin to tear when the baby’s head began to emerge
- If the baby’s shoulders transverse
How to do an episiotomy?
When the baby’s head is driven by the contraction of the mother started out through the opening, the drug began to be injected into the mother’s perineum (area between anus and vagina). Cuts made along between 5 to 7.5 centimeters. And after the baby is born and the placenta also has been out, the incisions will be stitched back.
Episiotomy done to prevent tearing of the vagina and more irregular during the birth. This incision will heal again (though time consuming). Opening and tear unbridled possible because the stretching is not necessary because the contractions are not controlled. Torn out of control can result in:
- Urinary incontinence, where the mother is not able to hold urination
- Prolapsed bladder, the bladder down into the vaginal wall
- Prolapsed rectum, large pockets of water down into the vagina
Episiotomy could avoid the problem.
csunlba.org – Postpartum depression is a form of depression that occurs in women after childbirth, usually occurs within the first 6 weeks. Depression is a condition that is medically able to make sense of maternal feelings of sadness and despair.
What happened?
Depression is a disorder in the brain. The researchers believe that there is a chemical element known as an involved neurotransmitter. Nerve pulse causes the release of neurotransmitters from one nerve cell to nerve cell to another and so on. This release enables each cell interact. A little or a lot, this neurotransmitter comes explore and contribute to the occurrence of depression. Several types of neurotransmitters are believed to be associated with maternal depression include dopamine, serotonin, and norepinephrine.
What are the causes and risks?
Many theories predict the cause of depression, partly due to the following reasons:
- Postpartum Pain
- Treatment postpartum, among others, antibiotics and other drugs (eg for acne)
- Changes in brain chemistry
- Heredity
- Changes in hormonal
- Lack of sun exposure
- Stress
- The pattern of negative thinking
Risk factors of depression in general include:
- Abuse of alcohol
- Drug abuse and dependence
- Pressure of work
- Personal history related to suicide attempts
- History of family stress and personal
- Stress
Hormonal changes during pregnancy and childbirth contribute to the mother to get baby blues. While caring for a baby can aggravate the condition. Physical exhaustion, lack of sleep, excessive expectations and social isolation or lack of socialization can be for the emergence of the baby blues.
Poisoning in pregnancy: preeklamsia and eklamsia is together. This disease can occur in pregnancy or during pregnancy or birth. Intoxication in pregnancy has become a leading cause of death in these moments. Therefore we must be aware of this disease to know more about the poisoning of pregnancy to avoid the risk of death.
This poisoning of pregnancy usually occurs in the first pregnancy, multiple pregnancies or when pregnancy is more than four times. will be a severe preeklamsia – eklamsia. The process will increase with the aging of the age of the matrix.
The causes of preeclampsia and eklamsia
preeklamsia and eklamsia as pregnancy poisoning is caused by several factors:
• pregnancy or first child for the first experiment, especially in young mothers.
• Expansion of the uterus or excessive distension of the uterus.
• The existence of diseases, to accompany the pregnancy, such as diabetes or obesity.
• pregnancy in maternal age over 35 years carried out.
The symptoms of preeclampsia
Early symptoms of poisoning occur during pregnancy, an increase in blood pressure, swelling is beginning, with swollen feet, and the second is the failure of urine and protein in urine.
These symptoms are:
• Swelling is more serious, sometimes to an inflammation in all parts of the body.
• The volume of urine and a little more effort than ever before.
• The incidence of severe headaches, especially in the front.
• The appearance of a sensation of pain in the gut.
• The disturbances occur in the eye for vision is blurred.
• Sometimes there is a feeling of nausea, vomiting.
If the condition is not treated immediately, leading to an attack or as eklamsia. Immediately on the doctor doing the exam. Keep regular check-ups and more severe. The most important part is to implement the Council may, with your doctor or midwife, with the discomfort of this disease, offers will be overcome as quickly as possible.
Depth scene eklamsia
If nothing is done, it will show symptoms of poisoning after eklamsia of pregnancy.
1) The invasion of the stage (or the initial level is called the aura)
• Keep in 30-35 seconds.
• Hand shook hands and eyelids.
• The eyes in an open state, with a blank look.
• The head turned to the right and left.
2) The tonic phase
• the duration is between 20-30 seconds.
• All rigid body in which the rigid face, hands clutching the circumstances, the legs bent inward, not breathing, cyanosis of the face to see, even when the tongue is bitten.
3) Phase-Klonik
• the duration is between 1-2 minutes.
• Development of tonic-Klonik seizures.
• Muscle contraction is fast.
• The mouth opened and closed, the tongue may be bitten.
• The wide-open eyes.
• Boca eliminates foam.
• The face is congestion and cyanosis.
• Patients may fall, causing additional injuries.
• After setting the Klonik spasms loses, the patient is conscious and breathing such as snoring.
4) Coma Stadium
• the duration lasts a few minutes to several hours.
• Sometimes in the middle of consciousness, the emergence of new attacks, and finally, the patient remained in a coma.