Plus-Minus of 5 POSITION maternity

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.