Tips and Tricks for successful exclusive breastfeeding

Exclusive breastfeeding is breastfeeding without additional food or other beverages, it is recommended until the baby is 6 months of age. Once the baby reaches 6 months of age, it was time to give complementary feeding. Breastfeeding should continue to be given to children at least 2 years of age, could be even longer if the baby and the mother still wanted.

Preparation for the baby of course important for all parents. Nine months baby raised in the mother's womb and of course all the best will be prepared, including nutrition. Various opinions that come from family and sometimes the environment actually cause confusion or doubt, particularly the efforts of exclusive breastfeeding in infants. To realize success in breastfeeding the baby, there are some tips and tricks that can be done by the Indonesian Doctors Association (IDAI) are taken from the World Health Organization recommendations. The following tips:

1.      Convinced that breast milk is best for babies, mothers, and families.

As the baby grows and develops in the uterus, breast milk has also been prepared in accordance with the gestational age of the mother. Breast milk contains ingredients that are very easily digested and absorbed by the baby, even though premature babies. Substances contained in the breast milk is needed to support growth and development, especially in the golden period of the first 2 years of a child's life. The presence of antibodies (antibodies) also can not be found in any foods other than breast milk, so babies who were exclusively breastfed shown to be more resistant to infectious diseases.

Many advantages are also obtained for breastfeeding mothers such as the effects of natural family planning (with certain conditions; consult your obstetrician), the return of the uterus to its original size more quickly, as well as increased immunity due to increased antibody production. Breastfeeding also strengthen the inner relationship between mother and child that would be the desire of every parent.

For families, exclusive breastfeeding is certainly more economical because there are no costs to be incurred to obtain the best nutrition for babies. Plus, breastfeeding does not require special preparation tools making it more efficient and also reduces the risk of infection due to poor hygienic milk preparation.

2.      Learn the basic techniques of breastfeeding.

When confidence in breastfeeding is established, then the first step would be breastfeeding easier and lighter. Furthermore, mothers can learn a few things that can help make breastfeeding go smoothly.

Consider the condition of the mother, baby, and breast health.

Conditions mother is sick, tired, or lack of confidence can interfere with exclusive breastfeeding. Make sure the mother is in good health and provide family support entirely on the mother to breast feed exclusively. Healthy breast normally feels comfortable and will increase confidence that the mother's milk production more smoothly. Doubts can arise when a mother feels her breasts problematic, for example, are not prominent nipples or breasts are too small. To get rid of any doubt, the mother and family should know the process of breast milk production and expenditure.

Early initiation of breastfeeding and rooming

Early initiation of breastfeeding (IMD) and rooming is another attempt to do exclusive breastfeeding for the success of the program. Mothers and babies can undergo if both IMD in shape. Perform skin contact between mother and baby as soon as possible by putting the baby in the mother's chest immediately after birth for at least 1 hour.

Rooming-in is the process of infant care with the mother in the same room after childbirth. It is necessary that the mother can breastfeed whenever the baby wants. Rooming-in will also help mothers achieve optimal psychological conditions to be successful breastfeeding.

Correct positioning and attachment

Find the most comfortable position for breastfeeding mothers. Embrace your baby as close as possible and expose the baby to the breast with a straight body position. Baby's whole body should be facing the mother's chest and abdomen, not only his face. Baby's ears will appear parallel to the shoulders and nose close to the breast. Excitatory reflex suction the baby by touching the corner of her lips. When the baby's mouth is wide open, enter the black area around the nipple (areola) as much as possible into the baby's mouth. Good attachment will occur when the baby's mouth is wide open with the upper and lower lip folded out. Infant feeding is said to be effective when he slowly sucking, rounded cheeks, and occasionally stopped to swallow milk.

3.      Evaluation of growth and development of the baby and give solid foods from the age of 6 months What if the baby cries and the mother constantly worry whether enough milk? Remember, not only because of the baby crying hungry. Babies will cry when he feels uncomfortable (too hot, cold, pain), lonely, to be picked up, and so forth. Breast milk can be considered if the baby urinate 6 times or more a day. Periodically consult the baby to the nearest health services. When the weight gain according to age, it proved enough breast milk to the baby's mother. In addition to growth, do not forget to always assess the development of the baby.

Harmful substances circulating in Baby Care Products

Many harmful substances circulating in Baby Care Products

The Washington Post launch of the existence of hazardous substances harmful to health are contained in half a child more special shampoo products on the market.

Washington Post cites the results of a survey conducted by a medical laboratory, and the results confirmed the presence of traces of chemicals that can cause cancer known company specialized in products of children, such as Alformalheid and dioxins which cause cancer cells.

Earlier this year the company announced a special product of the child has removed much of the chemical from baby care products that do not cause pain in the eyes, foam soap and even fragrances used for baby's skin from their products. Washington Post warns parents to be more careful with the security of their child care products.

Before buy baby care products, it is worth examining the label to ensure the product is completely safe. Here is a list of hazardous materials that could be there in baby care products:

Hydrogenated Cottonseed Oil 
Although it sounds natural, made ​​from cottonseed oil cottonseed, actually contain harmful chemicals such as mercury, arsenic, lead and pesticides. All of it, according to the Environmental Working Group, entered into the cotton seed for planting, where farmers use pesticides and other chemicals to eradicate pests.

Sodium Stearoyl Lactylate

Be careful if you read the ingredients on the product label. Although derived from conventional vegetable oils such as soybean or palm oil, sodium stearoyl lactylate suspected as a trigger irritation to the baby's skin that causes skin redness and itching if overused.

Benzoic Acid

In some tests, Benzoic Acid or Acid Benzoate is proven secure in the industry standard, but in fact in contact with baby's skin, benzoic acid can cause allergies and irritation. Additionally, if stored too long, benzoic acid can be transformed into benzene which is carcinogenic or cancer-causing.

Cetearyl Alcohol

Environmental Working Group set cetearyl alcohol as irritants. In addition, if inhaled or exposed to the eye, cetearyl alcohol can also harm

Perfume
Body fragrance scented baby powder and milk is fun, but if you want to give your baby other fragrances should select a totally natural, like from flowers. Because the use of any perfume in infants can lead to allergies, dermatitis, and respiratory disorders.

Source: www.eramuslim.com dan www.life.viva.co.id

Tips and Trick Giving powder for the baby

Giving baby powder is common in the community and of course has become a tradition for the baby to be given a good powder after a shower, after defecation and urination. Many people who do not know how the baby care should be particularly true in the delivery of baby powder. The habit is an old habit that many parents still make a habit of his baby, one example is the provision of powder on the Newborn.

Currently keep in mind, you should not need to give the powder to the entire body after bathing baby. Actually fine powder inhalation risk infants and then enter the lungs so that it can interfere with breathing for baby. But if you want to give baby powder, then you should use a soft sponge and simply just put a thin layer in the groin, crease below the knee, hands, armpits, and neck to avoid irritation or prickly heat.

Many bad habits such as sowing was applied baby powder after urination and big on genitals and buttocks crease. Sowing the powder is not recommended, because it can accumulate dirt on baby's genital area mixed with sweat which can cause blisters or irritation on baby's skin. Baby skin pores are still very vulnerable and sensitive, therefore it is necessary air circulation especially in the folds, buttocks, and genitals, so as not to cause rashes and redness. Every baby is doing urinate or defecate, then simply wipe the area with cotton wool soaked in warm water, then dry with a soft towel. Do not sow powder, if you want, just taped a thin layer using a sponge to keep the baby's skin is not moist. Then the baby's skin will remain intact, clean, and healthy.

In addition, the provision of baby powder should not choose just any baby powder because it could be allergic to the existing content of the powder. So, select powder suitable for baby's skin, if the baby's body looks rosy after using the powder immediately replace it with another powder / liquid powder.

Penanganan sifilis pada kehamilan

* Treponema pallidum dapat menimbulkan kelainan dan melewati plasenta (plasenta lebih besar dan pucat, tidak segar, keabu-abuan dan licin).
* Pada kehamilan kurang dari 16 minggu sifilis dapat menyebabkan kematian janin (sifilis fetalis), pada kehamilan lanjut menyebabkan kelahiran prematur atau gangguan pertumbuhan intrauterin ataupun dapat menimbulkan cacat berat (pneumonia alba Virchow, sirosis hepatis, splenomegali, pankreatitis kongenital, kelainan kulit dan osteokondritis).
* Lesi berupa ulkus, soliter, dasar yang bersih, berbatas halus, berbentuk bulat atau longitudinal dan tanpa nyeri tekan.
* Berikan salah satu antibiotika di bawah ini:
   - Benzatin penisilin 4,8 juta unit IM setiap minggu hingga 4 kali pemberian
   - Doksisiklin 200 mg oral dosis awal, dilanjutkan 2x 100  mg oral hingga 20 hari.
   - Seftriakson 500 mg IM selama 10 hari.
* Sebelum pemberian terapi pada bayi, setiap bayi dengan dugaan/terbukti menderita sifilis kongenital, hendaknya dilakukn pemeriksaan cairan serebrospinalis dan uji serologik tiap bulan sampai negatif. Berikan salah satu antibiotika berikut:
   - Benzatin penisiin 300.000 IU/kg BB per minggu hingga 4 kali pemberian.
   - Seftriakson 50 mg/kg BB dosis tunggal per hari hingga 10 hari.
* Terapkan prinsip pencegahan infeksi pada persalinan den penggunaan instrumen
* Lakukan konseling preventif, pengobatan tuntas dan asuhan mandiri.
* Pastikan pengobatan lengkap dan kontrol terjadwal
* Pantau lesi kronik atau gejala neurologik yang menyertai.

     Semoga artikel ini bermanfaat dan menjadi tambahan referensi dalam penanganan Sifilis pada kehamilan. Terima kasih ^_^

Penanganan Non Gonokokal Servisitis pada kehamilan

     Penanganan Non Gonokokal Servisitis pada kehamilan dengan memberikan asuhan sebagai berikut:

• Pada umunya disebabkan oleh Trikomonas vaginalis
• Antara 70-72% infeksi Trikomonas, tidak disertai dengan duh (sekret) pervaginam.
• Antibiotik terpilih untuk kasus ini adalah eritromisin 4 x 500mg oral selama 14 hari. Pilihan lain adalah spektinomisisn 2 x 1 g IM selama 5 hari. 
• Berikan konseling untuk pemantauan dan pengobatan tuntas
• Obati pasangannya dengan antibiotika yang sama
• Buat jadwal kunjungan ulang.

                 Semoga artikel ini bermanfaat dan menjadi tambahan referensi dalam penanganan Non Gonokokal Servisitis pada kehamilan. Terima kasih ^_^

Asuhan pada perempuan dengan Gonorea

   Penanganan dan asuhan pada ibu (perempuan) dengan Gonore adalah sebagai berikut:

•  Yang perlu diperhatikan adalah sekitar 50% infeksi gonorea tanpa disertai duh (sekret) vagina
• Komlikasi pada trimester pertama, adalah salfingitis gonoroika, salfingo-ooforitis dan Pelvioperitonitis, yang disebabkan olek bakteri yang naik dari serviks uteri ke endosalping. pada permulaan kehamil;an trimester II, bakteri dari serviks uteri tidak dapat mencapai ke daerah endosalping karena korion sudah melekat dengan desidua dan menutup kavum uteri.
• Pada masa kehamilan, berikan salah satu antibiotik di bawah ini:    

              - Ampisilin 2 g IV dosis awal, lanjutkan dengan  3x 1 g oral selama 7 hari.
              - Ampisislin + sulbaktam 2,25 g oral dosis tunggal
              - Sefriakson 500 mg IM dosis tunggal.

• Bila pada masa nifas  berikan salah satu antibiotika berikut:

               - Siproflaksasin 1 g oral dosis tunggal
               - Trimethoprim + Sulfamethoksazol (160 mg + 800 mg) 5 kaplet dosis tunggal.

• Ofthalmia nenonatorum (konjungtivitis) yang disebabkan oleh gonorea (waktu bayi mealalui jalan lahir), diobati dengan garamisin tetes mata 3 x 2 tetes dan salah satu antibiotik di bawah ini:

                - Ampisilin 50mg/kb BB IM selama 7 hari
                - Amoksisiklin + asam Klavulanat 50 mg/kg BB IM selama 7 hari
                - Seftriakson 50 mg/kg BB IM dosis tunggal

• Lakukan konseling tentang penggunaan metode barier dalam melakukan hubungan seksual selama pengobatan, upaya pencegahan lanjutan, risiko PMS terhadap ibu dan bayi yang dikandungnya/dilahirkannya.
• Berikan pengobatan yang sama pada pasangannya
• Buat jadwal kunjugan ulang dan pastikan pasien (dan pasangannya) akan menyelesaikan pengobatan hingga tuntas.

                  Semoga bermanfaat dan bisa menjadi tambahan referensii dalam penanganan Gonore pada perembuan/ ibu hamil dan nifas. Terima Kasih ^_^