Be Carefull With Your Blood Sugar Levels During Pregnancy

Diabetes  simply means you have abnormally high levels of sugar in your blood. When you eat, your digestive system breaks most of your food down into a type of sugar called glucose. The glucose enters your bloodstream and then, with the help of insulin (a hormone made by your pancreas), your cells use the glucose as fuel. However, if your body doesn't produce enough insulin – or your cells have a problem responding to the insulin – too much glucose remains in your blood instead of moving into the cells and getting converted to energy.

What  is Gestational Diabetes? It is a type of diabetes that is triggered by changes in the body's metabolism and hormone levels in the mother's body that occur because of the pregnancy. So many pregnant women who experience gestational diabetes or type 2 diabetes mellitus during pregnancy. Moreover the general public to consume carbohydrates, rice as a staple food. Babies in pregnant women with diabetes tend to have the large despite pregnancy was not enough, so the risk to be born early but his organs are not mature enough.
This is a type of diabetes that some women get during pregnancy. Between 2 and 10 percent of expectant mothers develop this condition, making it one of the most common health problems of pregnancy.

It is important for you to to monitor blood sugar levels during your pregnancy. Pregnant mother  should perform routine screening examinations. What should be done in order to keep blood sugar levels normal is by injecting insulin therapy, keeping a low sugar diet and light exercise regularly as recommended by your doctor. During pregnancy, the doctor will continue to monitor the development of the fetus on a regular basis. After the baby is born, the blood sugar levels will be evaluated to see the baby's body's ability to regulate blood sugar levels without the help of her mother's insulin. Likewise, the mother will continue to be monitored until 3 months after delivery.

Arithmia Cordis, Pregnancy With Cardiovascular Abnormalities

Pregnancy with congenital heart called arithmia cordis, which is an irregular heart rhythm. A fetal arrhythmia occurs in about 1-2% of all pregnancies. A fetal arrhythmia is simply an abnormal heartbeat and can be classified as one of three types.

Tachycardia means that the heart is beating too fast. Brachycardia means the heart is beating to slow. An irregular heartbeat means that the heart is experiencing extra or skipped beats. A fetus' heart rate should be between 120 and 160 beats per minute to be considered normal and healthy.

Symptoms are, even felt before marriage is often fainted when fatigue. During pregnancy should be arranged so as not to restrict the activities of fatigue and fainting as well as make the heart rhythm becomes chaotic, because it will affect the fetal growth process.

The risk of  heart disease is the occurrence of additional workload on the heart of the capital. Because when a pregnant mother, there will be an increase of about 30% of blood volume to be pumped around the body the heart of the mother and fetus should be able to reach the body.

The doctor will assess the extent to which pregnancy affects maternal heart problems-and, conversely, the extent to which maternal cardiac abnormalities affect the growth and development of the fetus. It also needs to consider the impact of the drugs the mother used to help regulate heart rhythm, to the fetus.

If the drug is consumed will affect the growth and development of the fetus, even at risk of disability, the drug should be replaced with a very mild type of risk. Furthermore, continued careful monitoring to determine the point of peak load capacity of heart that has not been tolerated, and would endanger the mother's life. At this point the doctor will do the surgery to stop the heart’s load of the pregnant mother. 

In some cases,  arrhythmia will go away on their own. It will  not create any long-lasting effects for the baby. However, some fetal arrhythmias can reveal true health complications such as structural problems in the heart, heart disease, infections or exposure to alcohol, tobacco or drugs in utero. It is better for you to get  Doppler and ultrasound exams. It  can detect a fetal arrhythmia during your pregnancy. Because fetal arrhythmias can cause fetal distress or fetal death because the baby can not breathe well.

The wrong Habit of Pregnant Mother

 Weight gain during pregnancy sometimes can not be controlled It is  generally caused by lifestyle and not proper. Some of new habit  of pregnant mother must be reconsidered.

Fill the fridge.

Before getting  pregnant, you have intended to improve your diet. So the spirit of fulfilling the fridge with groceries milk, pure fruit juice, fruit and vegetables, cheese, meat and get rid of foods that are considered "bad", eg rainbow cake sprinkled with sugar.  Actually It's okay to fill the fridge with healthy foods. But  you must store normal amount of food. The addition of maternal calorie needs about 300 calories / day, which can be obtained from a sandwich or a glass of milk. Put so many foods in the refrigerator could encourage eating more than needed.

The Diet.

 Before pregnant you have to manage your diet that makes you feel healthy, fit, and body weight maintained. When you got pregnant, your doctors may suggest to stop the diet and replacing it with a standard healthy diet. But you must know that a big change in diet can lead to health problems and weight gain that you can not control. Keep eating normally , but give more attention to the adequacy of all the necessary nutrients for pregnant women. But if there are indications of deterioration in conditions, such as get weaken so often, weight does not increase, or your  doctors said that you have deficiencies of certain nutrients, it is must for you to change diet needs.

Cold Water Myth

Some people believe that  drinking a lot of water, especially cold water can make  pregnant women and their babies fat. There is also the myth of the cold water will solidify the fat body to become fat. As a result, many pregnant women choose to limit their drinking. Do not want to drink is wrong habits. Drinking water does not make fat except the water added with sweeteners. Insufficient drinking water will lead to dehydration. Dehydration in pregnancy is not only harmful to the mother, but also the fetus.

Is "Kicking" A Sign That Our Baby Will Grow Into Active Child?

Experiencing fetal movement in our stomach is so wonderfull. It is one of the special gift from God given to us as a woman, and specially the chosen one.  This experience is also limited in our lifetimes. So don’t waste this moment, feel and enjoy that kick! It is a very special kick.

As a pregnant mother we all must know that sometimes between 18-25 weeks into pregnancy, we  will begin to feel movement. If it is our first pregnancy, it may occur closer to 25 weeks, and for second or third time moms, it may occur closer to 18 weeks.

According to the American College of Obstetricians and Gynecologists (ACOG) is ideally women feel fetal movement at least 10 movements in 2 hours. In general, the movement is perceived in a shorter period of time.  But keep in mind, that the fetus in the womb can sleep well. So that in this situation when we do not feel fetal movement. However, the fetus should not sleep more than 4 hours

Strong or weak of fetal movements of the fetus depends on which one moves and maternal perceptions. For example, the movement of the baby kicking or leg twisting in pregnancy at term would be perceived as a strong movement by the mother. Conversely hand movement or fingers would be perceived as weak by the movement of the mother.

In general, the fetus moves more active at night around  09:00 to 01:00 PM. So you must wake up because of this movements.  Mother's perception of the strength or weakness of fetal movement depends maternal sensitivity in assessing fetal movement, the amount of amniotic fluid or fat thickness. Amniotic fluid also affect the strength of the maternal fetal movements felt. When we have a slight amount of amniotic fluid,  we will feel fetal movement more strongly, whereas if the amount of amniotic fluid is much, mothers usually feel less fetal movement. The truth needs to be considered not a strong or weak movement of the baby, but how often / frequency of  our baby's movements.

We often feel that  the fetus kick again and again,  is it  the sign that he will grow into an active child? Fetal movement did show a good development of the central nervous system and muscular system bones during in the womb. Fetal movement and activity can predict behavior and mental and motor development of the infant after birth. However, the movement during pregnancy does not mean if the function of organs at birth was perfect. Movement of the fetus felt by the mother, although the fetus with congenital anatomical organ or genetic disorders.

Fetal Kick Counting, Monitoring The Movement of Your Baby

From the number of fetal kicks per day, you can detect the health of the baby. Fetal kick count is important, since counting  fetal movements or kicks is one method that can be used to estimate the health and well-being of the fetus. This method can be done at any time and anywhere. When pregnant women feel fetal movement, while it also increases maternal attachment between the mother and fetus.

Do we have, as pregnant mother  to count fetal kicks?  Every  pregnant mother  should count each day. Calculations can be done since the age of 28 weeks (7 months) until delivery. Counting fetal movements especially recommended in pregnancy high-risk areas such as maternal gestational diabetes mellitus, gestational hypertension or preeclampsia, fetal and more likely to be small. But  pregnancies with no risk factors is recommended also.

 The fetus begins to move from the age of 7-8 weeks. But a new movement felt by the mother at 16-24 weeks of gestation, depending on the number of previous pregnancies, fat thickness and position of the placenta. When the position of the placenta in the front or the mother's womb with a thick fat, then the mother will feel fetal movement less frequently. Mothers with a first pregnancy are generally slower to recognize fetal movements compared to mothers with pregnancy to two or three.

When you  do monitoring for 2 hours and did not feel fetal movement, done in ways that can stimulate fetal movement. Then do the monitoring return for 2 hours. If  you feel no motion at least 10 times, check the condition of the fetus to the doctor. The doctor will perform tests such as ultrasound and kardiotokografi to assess fetal wellbeing.

But you must note that the fetal movement will decrease in the third trimester of pregnancy (32-41 weeks). This is due to the fetus room to move around more limited due to the larger fetus. In general, the fetus is not moving around, but the movement of the extremities kick  or head and  butt.

Actually  fetal breech or transverse can be detected from the kick.  When pregnant mothers especially feel the movement of the feet or hands below the navel and the fetal head or butt on the left or right side of the abdomen possible transverse fetal position in the back of the uterus (fundus). In breech fetus, the mother will feel the round and hard in the top of the uterus (fundus) and fetal movement was mainly felt at the bottom.

If you do not feel fetal movement, you do not  need to worry if you do not feel it at the age of 20 weeks. The following  are what  affect how quickly you can feel your baby kick.
     *  Your body weight.
    * The location of the placenta.
    * The number of pregnancies you have.  In  second pregnancy you will  feel quickly because you've ever felt it before.

A Good Preparation for More Smoothly Childbirth Process

The birthing process is a struggle. But with a good preparation, it can be more smoothly process. I’m very sure we all want it! So what are the preparation?!...

1. Prepare your Baby "Glide".
The position of your baby must be ready "glide" - head down – position make childbirth process easier. Since the 34th week of pregnancy, do this kind of exercise, kneeling on the floor, bent over with resting on fitness ball or chair, so that the knees lower than your butt and help the baby "dropped".
2. Up and down stairs.
When the stomach is distended, and you feel lazy to go up and down stairs. In fact, if do it carefully, up and down the stairs will give you great benefit to help the fetus down the birth path.
3. Keep Healthy!
Consume a balanced nutritious diet, drink milk, supplement from the your doctor, get well rest, but please, don’t be lazy to do exercise. If you are healthy and fit, you can go through the delivery process in shorter time.
4. Perineum massage.
Since the 34th week of pregnancy, you must get massage on your perineum - the area between the vagina to the anus, so that the region is more flexible, ready to open and stretch, thus reducing tearing risk during the labor. Use massage oil of wheatgerm or sweet almond. Perform the massage before taking a bath in the morning and afternoon.
5. Childbirth at Home. In the modern country, this method became habit again. It is because the advantages. The pregnant mother whose pregnancies were not troubled will feel more familiar with the atmosphere of the house so it's quieter at birth. But if you have any doubts to go childbirth at home, you must try to find the best hospital in town.

A Trend of Caesarean Section For Childbirth

Caesarean section delivery of a fetus is a way to make an incision on the front wall of the abdomen or the vagina, or hysterotomy  for the delivery of a fetus from the womb. It also said that Caesarean section is moving fetus from the uterus through an incision made in the abdominal wall and uterus operation is arguably not a small operation, plants sometimes required as an alternative to giving birth for the mother and baby.

Recently this method becomes a  trend in pregnant mother as their preference of delivery method. Though caesarean section should be done if there are medical indications such as:

1. The location of the placenta is too low, blocking the birth canal (placenta previa)

2. Babies deprived of oxygen

3. Fetus and pelvic shape disproportionately

4. Pre-eclampsia

5. Women experience high blood pressure

Beyond these conditions, there are some other conditions that the reason for the action taken caesarean section (although many experts also say these conditions could still be delivered  normally), namely:

1. Babies in the breech and the condition is the first pregnancy

2. The baby was too small and weak body, so it is not able to survive through natural childbirth

3. Some cases, the mother who was once given birth via caesarean section to undergo surgery again

When diopeasi section, you will be sedated (anaesthetized). Usually only be done under local anesthetic by injection anesthesia yng done. Usually right in certain locations of the vertebral column. After that it will be made an incision approximately 20 cm below the abdomen, just above the pubic bone.

Furthermore, the uterus is opened and the baby will be removed through the incision. After the placenta is delivered, the doctor will sew up the incision again. All this process takes between 20 to 30 minutes.

The pain will usually arise after surgery. The doctor will prescribe pain medication as prescribed refiners, so you'll be able to rest. The drug is a type of drug that will go into effect on colostrum and milk. That means you can directly feed the baby. If there is no problem, the next 4-5 days you are allowed to go home.

Is there a risk of cesarean section? Sure there are. The main risk for the mother is bleeding during and after delivery, and infection in the scar. However, now caesarean generally runs smoothly. Your doctor will monitor your progress during and after surgery to prevent any further complications.

Note: 

1.       A hysterotomy (also known as an emergency abdominal rescue in cases of shoulder dystocia) is an incision in the uterus, commonly combined with a laparotomy during a caesarean section. Hysterotomies are also performed during fetal surgery.  

2.       Pre-eclampsia or preeclampsia is a medical condition in which hypertension arises in pregnancy (gestational hypertension) in association with significant amounts of protein in the urine.

Source: Wikipedia

http://en.wikipedia.org/