Selasa, 13 Februari 2007

Penting untuk bumil yang mau melahirkan

Dari www.breastfeeding.com


Sayangnya dulu waktu hamil belum well informed masalah beginian.. jadi Thole sempat campur formula selama 2bulan (90% ASI, 10% formula).. setelah itu ..SAY NO TO FORMULA!!


Happy reading..


Birth



Non-medicated birth (if possible)
.


Have a birth with as little medical intervention as possible.  Medication can cause your newborn to be sleepy, and to not be interested in nursing early and often.  But breastfeeding is still possible even after a cesarean.


Nurse your baby as soon as possible..


Babies have a period of alertness during the first hour after birth, and display a strong sucking reflex that is not as strong again until approximately 40 hours later.  Nursing soon after birth with help your uterus contract by stimulating the release of oxytocin.  This first time at the breast is a time to introduce your baby to the breast.  Don 't force things or try to practice everything you've read or learned.  Some babies will just nuzzle and lick the breast at first, and others will latch right on.  Sucking in frequent bursts and pauses is the typical pattern for the first few hours and often the first few days.

The vast majority of newborns can be put to breast within minutes of birth. Research has shown that, given the chance, babies only minutes old will often crawl up to the breast from the mother’s abdomen, and start breastfeeding all by themselves.  This process may take up to an hour or longer, but the mother and baby should be given this time together to start learning about each other.  Babies who "self-attach" run into far fewer breastfeeding problems.  Incidentally, studies have also shown that skin to skin contact between mothers and babies keeps the baby as warm as an incubator.


Latch on & Positioning.


The trick to breastfeeding is getting the baby to latch on well.  A baby who latches on well, gets milk well.  A baby who latches on poorly has difficulty getting milk, especially if the supply is low.  A poor latch is similar to giving a baby a bottle with a nipple hole which is too small-the bottle is full of milk, but the baby will not get much.  When a baby is latching on poorly, he may also cause the mother nipple pain. And if he does not get milk well, he will usually stay on the breast for long periods, thus aggravating the pain.

A proper latch is crucial to success.  This is the key to successful breastfeeding. Unfortunately, too many mothers are being "helped" by people who don’t know what a proper latch is.  If you are being told your two day old’s latch is good despite your having very sore nipples, be skeptical, and ask for help from someone who knows.


Before you leave the hospital, you should be shown that your baby is latched on properly, and that he is actually getting milk from the breast and that you know how to know he is getting milk from the breast.  If you and the baby are leaving the hospital not knowing this, get help quickly.  For a real look at positioning and latch-on, visit our image collections:








Latch OnLatch OnPositioningPositioning and Nursing Holds


Room in.
.


The mother and baby should room in together.  There is absolutely no medical reason for healthy mothers and babies to be separated from each other, even for short periods.  Health facilities which have routine separations of mothers and babies after birth are years behind the times, and the reasons for the separation often have to do with letting parents know who is in control (the hospital) and who is not (the parents).  Often bogus reasons are given for separations.  One example is the baby passed meconium before birth.  A baby who passes meconium and is fine a few minutes after birth will be fine and does not need to be in an incubator for several hours’ "observation".


There is no evidence that mothers who are separated from their babies are better rested.  On the contrary, they are more rested and less stressed when they are with their babies.  Mothers and babies learn how to sleep in the same rhythm.  Thus, when the baby starts waking for a feed, the mother is also starting to wake up naturally.  This is not as tiring for the mother as being awakened from deep sleep, as she often is if the baby is elsewhere when he wakes up.


The baby shows long before he starts crying that he is ready to feed. His breathing may change, for example.  Or he may start to stretch. The mother, being in light sleep, will awaken, her milk will start to flow and the calm baby will be content to nurse.  A baby who has been crying for some time before being tried on the breast may refuse to take the breast even if he is ravenous.  Mothers and babies should be encouraged to sleep side by side in hospital.  This is a great way for mothers to rest while the baby nurses.  Breastfeeding should be relaxing, not tiring.


No artificial nipples..


Artificial nipples (bottle or pacifier) should be avoided, if possible. There seems to be some controversy about whether "nipple confusion" exists.  Babies tend to take whatever method gives them a rapid flow of fluid and may refuse others that do not.  Thus, in the first few days, when the mother is producing only a little milk (as nature intended), and the baby gets a bottle from which he gets rapid flow, he may  prefer the rapid flow method.

Nipple confusion includes not just the baby refusing the breast, but also the baby not taking the breast as well as he could and thus not getting milk well and /or the mother getting sore nipples.  Just because a baby will "take both" does not mean that the bottle could not having a negative effect.  Also of note, the use of pacifiers can cut down on milk production.  When using a pacifier, the baby can spend too much time with rubber in his mouth and not enough time with your breast.


Supplements of water, sugar water, or formula are rarely needed. Most supplements could be avoided by getting the baby to take the breast properly and get the milk that is available.  If you are being told you need to supplement without someone having observed you breastfeeding, ask for someone to help who knows what they are doing.

Remember that milk production is a supply and demand situation.  If your baby is being given a supplement, he is not stimulating your milk supply, and your milk supply will decrease.  The best supplement is your own colostrum.  It can be mixed with sugar water if you are not able to express much at first.  Formula is hardly ever necessary in the first few days.



Formula samples and literature are not gifts!.


Free formula samples and formula company literature are not gifts. There is only one purpose for these "gifts" and that is to get you to use formula.  It is very effective, and very unethical, marketing.  If you get any from any health professional, you should be wondering about his/her knowledge of breastfeeding and his/her commitment to breastfeeding.  "But I need formula because the baby is not getting enough!".  Maybe, but, more likely, you weren’t given good help and the baby is simply not getting your milk well.  Get good help.  Formula samples are not help.

Kamis, 08 Februari 2007

Selasa, 06 Februari 2007

Hari ini genap 9 bulan




Horeeeee...


Hari ini thole genap 9 bulan. So far.. perkembangannya cukup bagus. Ini kira-kira perkembangannya:


Motorik: Merangkaknya ngebut, berdiri sendiri dengan pegangan tembok atau apa aja yang bisa buat pegangan.. kabel nglewer juga ayoh aja buat pegangan. Bisa berdiri dengan bertumpu satu tangan, merambat 3-5 langkah, buka tutup jendela kamar hehehe, menengok kalau dipanggil namanya, sudah mengenal mana mama papanya, tertawa khas kalo emaknya dah ngeluarin tangki.. xixixixi.. bisa bilang papapapapa,dadadada, suka cari tantangan.. merangkak melewati badan emak bapaknya, kaki2 kursi juga dibuat lompatan.. pernah nih kejebak di kolong meja makan hehehe..berulang kali jatuh tapi tetep ngga kapok n ga pernah nangis walo jidatnya ampe biru.. hehehe..


Emosional: Mulai bisa mengekspresikan emosinya. Teriak kalo keinginannya dipenggak (duh bahasa indonya apa ya.. pokoke kalo dilawan keinginannya getu deh..). Bisa geleng kepala kalo mau bilang "nggak mau".


Gigi: belum numbuh satupun!!!!!!


Makan: Mulai agak kasar.. kadang nasi tim mau.. tapi kadang sering juga diemut.. kalo dikasih alus cepet banget habisnya. Karbohidrat: Beras putih, beras merah, jagung, oatmeal. Sayuran: bayam, wortel, oyong, buncis,sawi putih, brokoli, kembang kol, terong ungu, labu siam, labu parang, kacang hijau, kacang panjang. Protein: tahu, tempe. Daging/Ikan: Ayam, daging sapi, ikan tuna, udang, mujair, ikan salmon. Buah: pisang (favorit niih), apel kukus, pir kukus, pepaya, alpukat.


Kira-kira.. itu deh perkembangan yang udah ditangkap emaknya.. Dari bulan ke bulan ada perkembangan yang cukup berarti. Alhamdulillah.. thole juga tumbuh sehat.. Terima kasih Allah.


Baby is always amazing...

Selasa, 23 Januari 2007

Salah guna cytotec (oh my God..)

SEMARANG- Di Indonesia, Cytotec banyak dipergunakan untuk berbagai keperluan, terlebih untuk wanita hamil. Padahal obat tersebut terlarang dikonsumsi wanita sedang mengandung. Meski berdasar literatur Cytotec belum dimasukkan dalam daftar obat untuk kehamilan, tetapi obat ini sudah lama dipergunakan misalnya, disalahgunakan untuk aborsi.

Ahli kebidanan dan penyakit kandungan, Prof dokter Untung Praptohardjo SpOG mengatakan, pemerintah semestinya melakukan pengawasan terhadap penyalahgunaan obat ini. "Saya menilai pengawasan pemerintah sangat minim dan susah diharapkan.

Kasus aborsi ilegal yang dilakukan dokter Kokok Hadyanto yang mencuat ke permukaan beberapa waktu lalu, baru salah satu kasus. Mungkin masih banyak yang lainnya," ungkap ayah dengan empat anak yang pernah mengajar di Fakultas Ilmu Kedokteran Undip sejak tahun 1962 hingga tahun 2005 ini, dalam keterangan persnya di Gedung Perkumpulan Keluarga Berencana Indonesia (PKBI) Jateng, Sabtu (12/8).

Kendati demikian, pria kelahiran Temanggung tahun 1935 ini memaparkan, kesalahan dalam penyalahgunaan obat ini bukan disebabkan si pembuat, melainkan pada si pemakai. Sebab perusahaan yang memproduksi obat itu sudah memberi peringatan efek bahayanya bagi wanita hamil.

Penasihat PKBI ini menuturkan, Cytotec sebenarnya untuk mengobati ulkus lambung yang gejalanya mirip dengan orang hamil. Obat ini berisi mesoprostol, yang memiliki tiga efek samping, yaitu diare, nyeri perut, uterotonik.

Hingga kini, tutur Untung, mesoprostol sebagai bahan induksi persalinan masih menjadi perdebatan. Karena itu, perlu dilakukan penelitian guna membandingkannya dengan obat yang sudah diakui. Induksi adalah usaha manusia untuk membuat supaya seorang ibu hamil timbul kontraksi. Dalam hal ini, pemakaian mesoprostol harus hati-hati dan pengawasan ketat.

Pemakaian berlebihan bisa menjadi hiperkontraksi yang menyebabkan kesakitan atau gawat bayi. Tidak jarang persalinan tersebut harus melalui operasi sesar. Jika penggunaan berlebihan ini terlambat diantisipasi, bisa mengakibatkan terjadinya robekan jalan lahir atau terjadi pendarahan. Karena itu, pengobatannya harus dengan histerektomi.

Bila terjadi pendarahan, keadaannya akan fatal karena pendarahan tidak bisa dihentikan walaupun dengan histerektomi. Dengan Cytotec, jaringan uterus menjadi rapuh dan sukar dijahit.

Berkenaan dengan praktik aborsi, Untung menguraikan, memang bila obat ini dimasukkan ke dalam vagina maka portio yang terkena obat ini akan menjadi lembut dan apa yang ada di dalamnya bisa keluar.

Dengan obat ini akan timbul kontraksi atau mules-mules, janin yang ada di dalamnya meninggal dan akhirnya timbul pendarahan.

"Pendarahan ini kadang-kadang sampai lama dan akhirnya harus dihentikan dengan kuret." (H30-18s)

 

                                                -----------------------------------------------------

 

Cytotec, obat ini yang diresepkan DSOGku waktu kehamilanku udah masuk minggu ke 40 tapi belum ada tanda2 kontraksi sama sekali. Waktu itu DSOG meresepkan cytotec yang katanya untuk merangsang kontraksi. Karena menurut beliau.. toh bayi sudah siap lahir.. kenapa mesti nunggu lebih lama lagi.. toh nanti sama saja. Ya sudah dirangsang saja. Ini kandungan, indikasi serta efek samping dari cytotec.

WARNINGS

CYTOTEC (MISOPROSTOL) ADMINISTRATION TO WOMEN WHO ARE PREGNANT CAN CAUSE
ABORTION, PREMATURE

BIRTH, OR BIRTH DEFECTS. UTERINE RUPTURE HAS BEEN REPORTED WHEN CYTOTEC WAS
ADMINISTERED IN

PREGNANT WOMEN TO INDUCE LABOR OR TO INDUCE ABORTION BEYOND THE EIGHTH WEEK
OF PREGNANCY (see

also PRECAUTIONS, and LABOR AND DELIVERY). CYTOTEC SHOULD NOT BE TAKEN BY
PREGNANT WOMEN TO

REDUCE THE RISK OF ULCERS INDUCED BY NON-STEROIDAL ANTI-INFLAMMATORY DRUGS
(NSAIDS) (See

CONTRAINDICATIONS, WARNINGS and PRECAUTIONS).

PATIENTS MUST BE ADVISED OF THE ABORTIFACIENT PROPERTY AND WARNED NOT TO

GIVE THE DRUG TO OTHERS.

Cytotec should not be used for reducing the risk of NSAID-induced ulcers in
women of childbearing

potential unless the patient is at high risk of complications from gastric
ulcers associated with use of the

NSAID, or is at high risk of developing gastric ulceration. In such
patients, Cytotec may be prescribed if

the patient

· has had a negative serum pregnancy test within 2 weeks prior to beginning
therapy.

· is capable of complying with effective contraceptive measures.

· has received both oral and written warnings of the hazards of misoprostol,
the risk of possible

contraception failure, and the danger to other women of childbearing
potential should the drug be

taken by mistake.

· will begin Cytotec only on the second or third day of the next normal
menstrual period.

source:
http://www.fda.gov/cder/foi/label/2002/19268slr037.pdf

 

Lihat.. ternyata obat ini benar2 dilarang digunakan (baca=dikonsumsi) oleh ibu hamil!!!!

Benar2 gila dunia kedokteran sekarang.. Untung sampai sekarang Thole ngga apa-apa.. dan untung waktu itu aku juga ngga kenapa-napa.

Emang sih.. sekali minum dengan dosis seperempat pil sehari sudah bikin perut mules. Aku udah sempet minum selama 2 hari sampai akhirnya mules yang ngga tertahankan dan semakin sering itu datang di hari ketiga. Setelah akhirnya dibawa ke rumah sakit dan pembukaan ngga nambah2 selama 4jam, cytotec dimasukkan lewat vagina.. kontraksi semakin sering dan semakin kuat. Udah gitu aku masih disuruh minum air rendaman rumput fatimah yang membuatku tambah kesakitan lagi. SI bidan sampai ngeri melihatnya.. Postinganku soal gimana proses melahirkanku yang panjang bisa dibaca disini.

 

Fuh!!! Semoga dunia kesehatan kita ngga semakin gila.. Dan tugas kita sebagai konsumen adalah cari.. cari.. dan cari informasi sebanyak-banyaknya mengenai apapun masalah kesehatan. Ini bukan main-main. Beruntung aku masih bisa berhubungan dengan dunia maya (internet). Gimana dengan sodara-sodaraku yang di daerah.. yang kemungkinan browsing internet aja caranya ngga bisa!! Duh.. makin prihatin..

Kamis, 18 Januari 2007

Thole iseng.. (bapaknya yang iseng.. :D




Ceritanya pagi-pagi habis maem.. mau mandi niiih..
Biasa thole paling seneng kalo cuci tangan di wastafel sambil maen air. Nah... kali ini karna air tuk mandi belum siap.. sementara dia udah bugil.. ya udah mainan air dulu di wastafel. saking senengnya dia.. ampe bisa duduk di wastafelnya.. apalagi di depannya ada kaca.. yah makin senenglah dia.. hehehe

Ke taman safari




Desember tahun lalu Eyang putri en eyang kakung ke Jakarta sama Mba Farah (thole's niece). Udah lama nih pengen ngajak jalan2 mereka ke tempat yang agak jauhan.. ngga melulu di mal2 Jakarta. Masak udah jauh2 datang ke Semarang ngga diajak kemana-mana hehehe.. Akhirnya dipilihlan Taman Safari sebagai tempat berlibur. Ini Liburan ketiga buat Thole pergi lumayan jauh setelah acara nikahan Pakde Amin n mudik Lebaran kemarin. 2 hari sebelumnya thole flu berat.. hidung meler terus.. mata merah n rewel banget. Tapi alhamdulillah hari H pergi ke Taman Safari udah sembuh.. Ini dia sedikit hasil jepretan eyang kakungnya... (----maap ya postingnya baru sekarang.. habis akhir tahun n awal tahun dikejar deadline..hehehe..sssstttt.. males juga sih padahal.. xixixixi :D)

Minggu, 07 Januari 2007

Beli Rinso, dapat microwave!!!

Hari Sabtu lalu seperti biasa belanja bulanan ke Carefour. Sekalian belanjain voucher carefour yang aku dapat dari Budenya Thole. Biasalah belanja keperluan rumah dari sabun sampai garam.. Biasanya aku kalo ngga pakai attack ya So klin smart. Waktu udah ngambil So Klin Smart, ada SPG Rinso yang datangin aku trus nawarin


" Buk ini ada hadiah langsungnya loh.. ada dvd, mesin cuci, microwave..".


Aku jawab.."diundi yah mba?


"engga buk hadiah langsung, Ibu langsung bayar aja di kasir kosmetik trus tukar hadiahnya di konter.."


Penasaran doong.. akhirnya beli Rinso, trus bayar, trus datangin konter.. ambil undian.. sambil baca Bismillah... kubuka gulungan pelan2.. trus.. jrueeeennnnnnnnnnnnggggg..


Setengah ngga percaya aku baca M I C R O W A V E...


Haaaaaaaaaaaaaaa!!!! Si mas-nya penjaga konter langsung ambil mike n teriak...


"Haaaaaaaa.. Ibu dapat microwave..!!!" Sontak si thole nangis kejerrr karna kaget.. Aku masih plonga plongo.. bener ga sih??


Ternyata bener!! merknya cosmos lagih...!!


Akhirnya ada saatnya aku hoki..!!! Slama ini ngga pernah hoki.. ikut undian apa2 ngga pernah dapet hadiah..


Kubawa pulanglah tu microwave ke rumah dengan hati yang riang gembira.. hehehe