Pregnant Again? No No ....Not Yet

Bila taknak, memang sangat ngeri yer. In denial sangat nak buat UPT, malam tido tak lena kepala sakit2 fikir betui ke ni pegnen, saya taknak lagi, sian nengok anak yadayadayadayada. Yang penting sian dgn diri sendiri sbb tak mampu nak buat semua tu lagi. Heheee..kan? Alah suma couple yang dah kawin akan ada rasa camni bila belum ready lalalala.

Camna nak hindarkan diri nih. Harini kita bincang2 bicara orang dewasa hiks...sesama kita belajar yer.

Very important Mr.Condom  - If you do you stand a good chance of getting pregnant without any protection!

Don't miss a daily contraceptive pill - It is advisable to use condoms and the pill together. However, if you do just use the pill you will risk pregnancy if you forget to take one or more. If this happens, you must use condoms and the pill for the rest of the pill cycle.

Don't take your daily contraceptive pill at irregular times - This lowers the effectiveness of the pill so you should always take it at the same time each day.

IUD - Small, "T-shaped" device inserted into the uterus to prevent pregnancy, Safe, effective, and long lasting.

Implanon - A matchstick-sized rod that is inserted in the arm to prevent pregnancy, Safe, effective, and convenient

Shot (Depo Provera) - A shot in the arm that prevents pregnancy. Safe, effective, and convenient. Easy to get with a prescription. Lasts for three months 

Diaphragm - A shallow silicone cup inserted into the vagina to prevent pregnancy.Safe, effective, and convenient. Lasts up to two years 

Fertility Awareness-Based Methods - Charting your fertility to help prevent pregnancy. Safe and convenient. Kalau tak peyed takblh buat yer.


Breastfeeding - Using breastfeeding as birth control can be effective for six months after delivery only if a woman. does not substitute other foods for a breast milk meal, feeds her baby at least every four hours during the day and every six hours at night, has not had a period since she delivered her baby.




Lepastu, kena ingat yang ni jugak.... 




Don't think pulling out before ejaculation can prevent pregnancy - Treat Mr.P like a loaded gun... it's always dangerous, so protect it with a condom at all times or take pill.

Don't think that it's OK to rub an unprotected Mr.P around the outside of a Ms.V - It's still possible for some sperm to get inside.

Don't leave a Mr.P inside too long after ejaculation - It is always best to withdraw straight after ejaculation as a common cause for condoms coming off inside is when Mr.P has gone down and the condom is no longer a tight fit.

And finally...

Never underestimate the power of sperm... a small drop of semen carries enough sperm to fertilise! woot wooot. Rasa2 mcm condom, breastfeeding, inconsistent pills taken blh sebabkan pegnen yer. Oleh itu gunalah kaedah calendar pastu campo dgn yg atas2 tu. Ayuh berjaga2 hihihihi.


notes for other birth control can be read also from here .



Sue!

Why Csection?Yang Pasti Bukan Suka2

Czer lagi & lagi dan lagi. Saja buat topik ni sbb ada sekelompok manusia yang berfikiran agak tak terbuka & ayat kasarnya, agak jahil. Masih ada lagi yang berpendapat orang yang czer nih saja suka2, takde nikmat beranak biasa..ntah2 byk dosa tu yg tak bley beranak. ish apa lah. Kalau kat spital gomen, memang bukan priority dorang tuk buat czer ni. Bayangkan, sangat costly, dorang pun takde la ngek sangat elok2 normal nak paksa czer yang bayar less than rm250 jer walhal costnya dlm 6k-7k yer dgn equipment & kepakaran doctor yg digunakan dlm OT tu. 


Boleh juga refer topik yang hampir sama kat sini  "what-to-expect-when-u-deliver-baby" tuk apa yang perlu dijangkakan bila nak beranak. 


Okay, Ilmu time!!!..

Cesarean delivery - also known as a C-section - is a surgical procedure used to deliver a baby through an incision in the mother's abdomen and a second incision in the mother's uterus.

Yerlah, belah tang perut, dan dibuat kat bikini line tu macam gambar kat atas.

Sometimes a C-section is safer for you or your baby than a vaginal delivery. Your gyne may recommend a C-section if:

• Your labor isn't progressing. Stalled labor is one of the most common reasons for a C-section. Perhaps your cervix isn't opening enough despite strong contractions over several hours — or the baby's head may simply be too big to pass through your birth canal.
• Your baby's heartbeat suggests reduced oxygen supply. If your baby isn't getting enough oxygen or your health care provider is concerned about changes in your baby's heartbeat, he or she may recommend a C-section.
• Your baby is in an abnormal position. A C-section may be the safest way to deliver the baby if his or her feet or buttocks enter the birth canal first (breech) or the baby is positioned side or shoulder first (transverse).
• You're carrying twins, triplets or other multiples. When you're carrying multiple babies, it's common for one or more of the babies to be in an abnormal position. In this case, a C-section is often safer — especially for the second baby.
• There's a problem with your placenta. If the placenta detaches from your uterus before labor begins (placental abruption) or the placenta covers the opening of your cervix (placenta previa), C-section is often the safest option.
• There's a problem with the umbilical cord. A C-section may be recommended if a loop of umbilical cord slips through your cervix ahead of your baby or if the cord is compressed by the uterus during contractions.
• Your baby's head is too large for your birth canal. Some babies are simply too big to safely deliver vaginally.
• You have a health concern. Your health care provider may suggest a C-section if you have a medical condition that could make labor dangerous, such as unstable heart disease or high blood pressure. In other cases, a C-section may be recommended if you have an active genital herpes infection or another condition that your baby might acquire while passing through the birth canal. 
• Your baby has a health concern. A C-section is sometimes safer for babies who have certain developmental conditions, such as excess fluid in the brain (hydrocephalus).
• You've had a previous C-section. Depending on the type of uterine incision and other factors, you may be able to attempt a vaginal delivery after a previous C-section. In some cases, however, your health care provider may recommend a repeat C-section.

Kenapa suma orang takut sangat nak czer. Alah tipulah kalau kata sy dulu tak takut, seyesly...takut gak menggeletar2 la badan masa nak kena emergency czer tu. Okay, meh risik2 apa risiko bila kita czer ni.

Risiko pada baby

• Breathing problems. Babies born by C-section are more likely to develop transient tachypnea — a breathing problem marked by abnormally fast breathing during the first few days after birth. Elective C-sections done before 39 weeks of pregnancy or without proof of the baby's lung maturity may increase the risk of other breathing problems, including respiratory distress syndrome — a condition that makes it difficult to breathe.
• Fetal injury. Although rare, accidental nicks to the baby's skin can occur during surgery.

Risiko pada mother

• Inflammation and infection of the membrane lining the uterus. This condition — known as endometritis — may cause fever, chills, back pain, foul-smelling vaginal discharge and uterine pain. It's often treated with intravenous (IV) antibiotics.
• Increased bleeding. You may lose more blood with a C-section than with a vaginal birth. Blood transfusions are rarely needed, however. atau dengan nama lain, tumpah darah
• Reactions to anesthesia. After regional anesthesia, it's possible to experience a headache caused by a leak of the fluid around the spinal canal into the tissues of the back. Allergic or adverse reactions to the anesthetic also are possible.
• Blood clots. The risk of developing a blood clot inside a vein — especially in the legs or pelvic organs — is greater after a C-section than after a vaginal delivery. If a blood clot travels to your lungs (pulmonary embolism), the damage can be life-threatening. Your health care team will take steps to prevent blood clots. You can help, too, by walking frequently soon after surgery. Jangan manja2, pas jer kuar dari OT naik kat ward, gerak2an kaki, lepas 6jam bila dah boleh minum air, minum la slow2 dari sikit2 pastu banyak...selagi masih ada tube peepee tu..minum jer bebanyak. On the next day bila dah tak pakai tube peepee tu bangun sikit2 slow2 pastu cuba jalan2 dan offf to toilet. takyah la nak tunggu2 orang duk bantu bagai...eiiih lembik benar :p. cuba la kuatkan diri jalan...cayalah, cepat korang recover yer.
• Wound infection. An infection at or around the incision site is possible. Maka, jaga la elok2 luka tu, kasi lap bersih2, kering2..anginkan.
• Surgical injury. Although rare, surgical injuries to nearby organs can occur during a C-section. If this happens, additional surgery may be needed.
• Increased risks during future pregnancies. After a C-section, you face a higher risk of potentially serious complications — including bleeding, placenta previa and tearing of the uterus along the scar line from the prior C-section (uterine rupture) — in a subsequent pregnancy than you would after a vaginal delivery. Ini memang mungkin akan terjadi yer...esp bila tearing the uterus during pregnancy. kita akan tau ni sbb rasa sakit tak hingat mcm terbukak perut tu. Biasanya doctor akan advise to be admitted and cecepat beranak :)

Jangan risau, tidaklah sengeri yang digambarkan, belah perot jer pun hihihihihi. InsyaAllah takde apa2 yer, dua2 selamat, Allah kata Kun fayakun. Bila tengok budak yang kuar macam kat bawah sure syahdu jer..alhamdulillah. :)

Ok dah habis topik czer...heheeee bosan kan?

Sue!

Ya Allah, I Would Love To Have Same Experience Too

Topik berat sket yer, layankan ajer. Entry ni saya tujukan pada kawan2 saya & pada wanita2 yang sedang berusaha, yang dah lama berusaha, yang baru berniat nak berusaha & dah putus asa tuk berusaha untuk MENGANDUNG. Buanglah tangisan, rasa kekurangan, rendah diri & putus asa korang. Insya Allah..usahalah selagi daya. I quote 1 question & answer referred to from onislam.net, pls read carefully.

"Children, like any other worldly provision, are gifts from Almighty Allah. It is He alone who, with His unfathomable wisdom and limitless knowledge, arranges the affairs of His creatures granting to whomever He wills and withholding from whomever He wills.

A Muslim, with his belief in Almighty Allah, has to remain patient and resort to Him for all his needs. At the same time, a Muslim is required to utilize the available means while relying on his Lord for success."  

"It is not befitting for this woman to cry and grieve because she is unable to conceive. This is because the ability or inability to conceive and have children, male or female, is by the decree of Allah the Almighty. He says: (To Allah belongs the kingdom of the heavens and the earth. He creates what He wills. He bestows female (offspring) upon whom He wills, and bestows male (offspring) upon whom He wills. Or He bestows both males and females, and He renders barren whom He wills. Verily, He is All-Knower and is Able to do all things)(Ash-Shura 42: 49-50)" 

"There is, however, no harm in consulting a specialist female doctor or, if one is not available, a male doctor. It is quite possible that the reason preventing her from conceiving can be treated as in cases of blocked tubes. Likewise, her husband should also see a specialist doctor since it is possible that he be the cause of his wife not being able to conceive."

Jom kita tengok apa sebenarnya punca2 infertility. Cebuk dari wikipedia, nak summarize tak blh plak sbb nanti gist dia ilang huhuu. Kot ada yang tak paham kita sharing s caring sesama kat komen yer pastu sy boleh add balik info ni.

 

Causes in either sex (dua2 yer laki/pompuan)

• Genetic factors
  • A Robertsonian translocation in either partner may cause recurrent spontaneous abortions or complete infertility.
• General factors
  • Diabetes mellitus, thyroid disorders, adrenal disease
• Hypothalamic-pituitary factors
  • Hyperprolactinemia
  • Hypopituitarism
  • The presence of anti-thyroid antibodies is associated with an increased risk of unexplained subfertility with an odds ratio of 1.5 and 95% confidence interval of 1.1–2.0.
• Environmental factors
  • Toxins such as glues, volatile organic solvents or silicones, physical agents, chemical dusts, and pesticides.Tobacco smokers are 60% more likely to be infertile than non-smokers.

German scientists have reported that a virus called Adeno-associated virus might have a role in male infertility,though it is otherwise not harmful.Mutation that alters human DNA adversely can cause infertility, the human body thus preventing the tainted DNA from being passed on.

 

Specific female causes.

The following causes of infertility may only be found in females. For a woman to conceive, certain things have to happen: intercourse must take place around the time when an egg is released from her ovary; the systems that produce eggs and sperm have to be working at optimum levels; and her hormones must be balanced.

Some women are infertile because their ovaries do not mature and release eggs. In this case synthetic FSH by injection or Clomid (Clomiphene citrate) via a pill can be given to stimulate follicles to mature in the ovaries.

Problems affecting women include endometriosis or damage to the fallopian tubes (which may have been caused by infections such as chlamydia).

Other factors that can affect a woman's chances of conceiving include being over- or underweight, or her age as female fertility declines sharply after the age of 35. Sometimes it can be a combination of factors, and sometimes a clear cause is never established.

Common causes of infertility of females include:

• ovulation problems
• tubal blockage
• age-related factors
• uterine problems
• previous tubal ligation
• endometriosis

 

Specific male causes

The main cause of male infertility is low semen quality.

 

Combined infertility

In some cases, both the man and woman may be infertile or sub-fertile, and the couple's infertility arises from the combination of these conditions. In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance.

 

Unexplained infertility

In the US, up to 20% of infertile couples have unexplained infertility.In these cases abnormalities are likely to be present but not detected by current methods. Possible problems could be that the egg is not released at the optimum time for fertilization, that it may not enter the fallopian tube, sperm may not be able to reach the egg, fertilization may fail to occur, transport of the zygote may be disturbed, or implantation fails. It is increasingly recognized that egg quality is of critical importance and women of advanced maternal age have eggs of reduced capacity for normal and successful fertilization. Also, polymorphisms in folate pathway genes could be one reason for fertility complications in some women with unexplained infertility.

Cuba la tengok awak2 suma termasuk dalam kategori mana, cuba jumpa obyn dan bincangkan. Nanti next entry saya buat pasal cara2 nak fertile plak yer. till then.....

Alhamdulillah, my 2 little angels

"A new baby is like the beginning of all things - wonder, hope, a dream of possibilities."

Sue!