Danger Signs childbed

December 21st, 2009 | Posted in obstetric

childbed danger Danger Signs childbed
during childbirth is a time after the delivery, but there is the danger in childbirth when,
Any sign – a sign of danger during childbirth?

Early infection childbed
After the birth occurred some significant changes such as increased formation of urine to reduce blood hemodilusi, absorption occurs several specific materials through the venous blood vessels, causing a temperature increase of about 0.5 oC is not a pathological condition or deviating from day one. Sores because labor is the entry of germs into the body, causing infection in childbed at the time. When childbirth infection is an infection, inflammation of the genitalia of all equipment during childbirth by the provisions of any cause increased body temperature exceeds 38 oC without counting the first day and successively for two days.

Clinical features common infections may be in the form:

A. Local infection
1. Swelling of episiotomy wounds.
3. Changes in local colors.
4. Expenditure pus mixed lochia.
5. Mobilization is limited because of pain.
6. Body temperature can rise.

B. General infection
1. Looks sick and weak.
2. Temperature rises above 39 oC.
3. Can decrease blood pressure and pulse increased.
4. Breathing can be increased and breathing was labored.
5. Awareness to decrease anxiety and coma.
6. Interference occurs uterine involution.
7. Lochia: smelly, festering and dirty.

Early infection predisposing factors childbed
Predisposing factors include infection during childbirth are:
1.childbirth long neglected until there is delivery.
2.action delivery operations.
3. left placental membranes and blood clots.
4. membranes broke early or at the opening was a little girl more than six hours.
5. state which can reduce the general situation, ie antepartum haemorrhage and Post Partum, anemia during pregnancy, malnutrition, fatigue and pregnant women with infectious diseases.
The occurrence of childbed Infection

Infection during childbirth are as follows:
1.Manipulasi helper: too often make checks in, a tool used less sterile.
2.Infection a hospital-acquired (nosocomial).
3. sex before birth.
4. there intrapartum infection: a long neglected labor, rupture of membranes more than six hours, there are centers of infection in the body (local infeki).

Abnormal conditions in the womb
Some abnormal uterine conditions are:
1. Sub involution uteri.
The process of uterine involution is not running as it should, so that the reduction process hampered the uterus. Cause of the sub involution uteri is infection in the endometrium, there remains the placenta and membranes, there are blood clots or uterine uteri.
2. Secondary childbirth bleeding period.
Is bleeding occurs in the first 24 hours. The reason is the occurrence of infection in the endometrium and placenta, and there are remaining membranes.
3. Flegmansia alba dolens.
Is one form of infection is about puerpuralis vein femoral vein. Clinical symptoms are:
1. Swelling of the legs.
2. White.
3. Was very painful.
4. Blood vessels appeared dam.
5Temperatur body can increase.
Abnormal conditions in the breast
Some of the abnormal situation that may occur are:
1. obstructed breast milk
Caused by a blockage in the milk line. Complaints mamae swollen, hard, and feels hot to the body temperature increases.
2. Mastitis and abscess Mamae
These infections cause fever, local pain at the mamae, compaction mamae and skin color changes mamae.
Abnormal psychological state
The 1Psikologi In childbed
Emotional changes during childbirth has many forms and variations. These conditions will gradually to normal until at week 12 after birth.
At 0 – 3 days after giving birth, childbirth the mother is at the peak of anxiety after childbirth because the pain in childbirth was felt that results in difficult mother to rest, so that women experience lack of rest during the day and insomnia at night.
At 3 -10 days after birth, usually appear Postnatal blues, usually referred to by 3th day blues. But in fact based on research done most appeared on day five. Postnatal blues is a condition where the mother has a sense of worry that excessive condition and the condition of the baby so the mother is easy to panic with little change in the conditions of his or her baby.
At 1 to 12 weeks after birth, the mother’s condition began to improve and lead to the normal phase. Returns mother’s condition was greatly affected by environmental conditions, such as the attention of the nearest family members. The better the attention given the mother’s emotional faster return to normal.
2. Depression In The childbed
Research shows 10% of mothers experience depression after giving birth and 10% of it’s all emotion unchanged. This situation lasted between 3-6 months in some cases even during the first year of life 1 baby.
Causes of depression occurs because of reaction to pain that comes during childbirth and for reasons more complex. Based on the results of research carried out shows the factors that cause depression are impaired due to career mothers have given birth, lack of attention of people nearby, especially husband and family structure changes due to the presence of infants, especially in primipara mothers.