Problem in Pregnancy

Life Style, Obesity during Pregnancy Will Affect Your Baby’s Health

Your child has diabetes? Why does it happen while you have matched the nutrition amount with the right diet? Some diabetes type 2 is affected by lifestyle which is found in unhealthy children. Do you know that the pregnancy time will also give a little part to the children? Pregnant mother who has obesity is defined in general as when she has body mass index (BMI) for more than 30. BMI is the measure of obesity which is calculated by using weight and height. About 15-20% pregnant mother has obesity. Obesity during pregnancy will raise complication for you and the baby. The fatter you are the bigger possibility to get pregnancy complication.

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When the Pregnancy Exceeds the Actual Time

When the pregnancy timeexceeds the normal time, or more than 42 weeks, as a mother you will be worried by this thing. It will be better if you consult with the obstetricians about this thing, so your doctor can determine if your pregnancy time really exceeds the actual time or if there is small mistake. Using this way, the obstetrician can decide whether the childbirth should be done or not.

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Hypertension during Pregnancy

Hypertension or high blood pressure which occurs to pregnant mother will be very dangerous to the pregnancy itself or to the mother. Hypertension or which is also known as high blood pressure occurs when the blood which is pumped by the heart has pressure increasing, so it will result more pressure which damages the arterial walls of blood vessels. One is known as having hypertension if his blood pressure is above 140/90 mmHg (It means there are 140 mmHg systolic pressure and 90 mmHg diastolic pressure). Hypertension during pregnancy often happens if the pregnant mother’s age is below 20 year old or above 40 year old, twin pregnancy, or it can also happen to first pregnancy.

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Endometriosis and Pregnancy

 Endometriosis is an abnormal condition which occurs in the layer that should protect the pregnancy cavity (endometrium). Normal condition is when the endometrium is in the uterine cavity, but in the endometriosis case, the endometrium grows in the outside of the uterus. Endometriosis often happens to organs such as ovaries, bowel, bladder, and in some conditions in the pelvic area. Even though it does not belong to deadly diseases, Endometriosis cannot be underestimated because it can affect women fertile and you will feel so much pain. If Endometriosis spreads to brain or lungs, the sufferer will get deflation of the lungs and seizures during menstruation. The abnormal pain which can be felt during menstruation becomes common complaint which happens to Endometriosis. The other common symptom is the difficulty of having a child. It happens because the Endometriosis can damage the structure of women reproduction organ and it can decrease the immune system to attack the sperm.

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Ectopic Pregnancy

Ectopic pregnancy is known as pregnancy which occurs in the outside of the uterus cavity. It is pregnancy condition where the fertilized egg could not stick on the mother’s uterus, but it sticks on other different places such as fallopian tube which is also known as oviducts, cervix, abdominal cavity, or in the ovaries. In the other words, ectopic pregnancy is a condition when the fertilized egg is not implanted in the right place, which is uterus. If the fertilized egg sticks on the oviduct, it will cause swelling and broken egg because of the embryo growth.

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Molar pregnancy - symptoms, diagnosis, and treatment


molar pregnancy

Molar Pregnancy (hydatidiform mole) is a benign tumor in the form of an abnormal pregnancy that occurs as a result of the failure to establish the fetus would be forming a membrane surface tissue (villi) that resemble grape bunch. Pregnant molars are benign tumors that form from the trophoblast (the edges of the egg cells) that have been fertilized. The tumor was attached to the uterine wall and become the placenta and the membranes that nourish the products of conception. This type of tumor may be malignant.

Medically, molar pregnancies can occur in the absence of primordial tissue (agenesis) or any changes (degeneration) system of blood flow to the primordial tissue at gestation week 3 to week 4. Other causes are the continuing flow or circulation without going to the fetus, resulting in increased production of trophoblast cell fluid. Pregnant molar can also be caused by abnormalities of sex kromsom substance.

Symptoms similar to molar pregnant women who are pregnant normal, such as: missed period, nausea, vomiting, and so on. Examination pregnancy test also gave positive results. But the difference is, the molar was not pregnant there are signs of fetal movement, uterine appear larger than the actual gestational age, and discharge the liquid bubbles like grapes along with vaginal bleeding.

Through the radiologic examination or x-ray does not look any fetal bone, but something like a honeycomb or a snow storm. Similarly, an ultrasound will produce a picture similar to a snow storm and did not reveal any signs of fetal heart rate. In molar pregnant, HCG levels will rise higher than normal levels of HCG in pregnancy.

Response pregnant molars can be done by issuing mola (evacuate), then do follow-up monitoring (follow-up). In women of fertile and still wanted to have children, spending mola can be done by curettage or suction curettage. A week after the first curettage, curettage repeated again performed to ensure the uterus is completely clean. Whereas in older women or children who are not wanted, to do removal of the uterus (hysterectomy).

At follow-up monitoring (follow-up) was conducted to monitor and evaluate the condition after the evacuation, whether clinical, laboratory and radiological. Surveillance continued with HCG examination conducted once a week so that the levels of HCG became negative. If the level of HCG is negative, it is still necessary examinations for three consecutive weeks to ensure the HCG levels remain negative. Further examination HCG levels once a month for six months. If further investigation shows that HCG levels still remain or even increase, the need chemotherapy.

Patients molar pregnant women advised not used until the completion of further scrutiny. For women who do not have children, it is recommended using contraception to delay pregnancy for one year, whereas for non-pregnant for two years.

To determine whether your pregnancy is normal or did abnormalities, in this example, pregnant molar, recognize the signs and you should regularly check their pregnancy to the midwife or obstetrician.




Miscarriage - causes and signs


cause of miscarriageMiscarriage is one of the most feared by pregnant women. The thought of the presence of the baby, cute little baby when miscarriage already gone over. Compounded by pain, stress, and even trauma haunts pregnant women who had a miscarriage.

Therefore, let us know about what is a miscarriage, what causes it and how the signs of this miscarriage. In order to know about the ins and outs of miscarriages, miscarriages are expected to be avoided. Miscarriage is defined as the discharge of the fetus or premature labor before being able to live. The risk of miscarriage has a percentage of 15% - 40% of pregnant women, and 60-75% of miscarriages occur before the age of 3 months of pregnancy. However, the number of events or risk of miscarriage decreases in gestational age over 3 months.

Occurrence Cause Miscarriage 

The factors that cause a miscarriage are:

  • Abnormalities in the fetus due to chromosomal abnormalities, which occur during the process of fertilization. As a result, the embryo is formed and issued defective body. 
  • Maternal abnormalities, such as abnormalities in hormonal system (prolactin can is too high or too low progesterone), the immune system, chronic infections, and serious illness suffered by the pregnant mother.
  • Abnormalities in the uterus. The most common abnormality is the presence of myoma (a tumor of muscle tissue) that can interfere with the growth of the embryo. Other abnormalities include a uterus is too weak to be able to withstand the weight of the developing fetus. Pregnancy in a uterus that is too weak usually can only last until the end of the first trimester. 
  • Other causes are infection, such as TORCH virus, HIV, Hepatitis, etc.
  • Miscarriage can also be caused by lifestyle. Women who have smoking habits, consume alcohol, obesity or underweight can have a hormonal disorder that results pregnancy disorders. 

Signs of Miscarriage 

Before the miscarriage actually happens, usually there are some signs that indicate that something is not right in the pregnancy. The signs of a miscarriage are:

· Bleeding

Bleeding is the most common sign. Bleeding can occur only in the form of patches lasting until bleeding. Sometimes there is a section of the torn tissue that comes out with the blood. For example, part of the uterine wall tissue is torn or torn amniotic sac.

Sometimesthere areparts ofthe torntissuethatcomeoutwithblood

·  Stomach cramps or spasms

This signfeelsa bit likecramps early in the coming months. This cramping usually lasts over and over long periods of time. Cramps or spasms can also occur in the pelvic area.

·  Pain in the Lower Abdomen

Pain in the lower abdomen occurs in a long time. Besides in the abdomen, the pain can also occur at the bottom of the pelvis, groin and genital area. This pain occurs within a few hours to several days after bleeding symptoms.


The Dangerous Signs of Pregnancy, Birthing Process and Childbed


The dangerous sign of pregnancy is when there are signs which show something unusual whether from the mother or the baby which can cause dangerous condition. If it is happening to you, you should go to the hospital right away to get hospital emergency treatment. Most mothers can deliver their baby normally. On the hand, 15 up to 20 among 100 pregnant mothers are suffered from pregnancy period, birthing process and childbed.

It can be an unpredictable disruption. For that reason, it is a must for you to know those dangerous signs. It is very important to know the signs so you can go to the doctor right away to safe your life and your baby.

There are 10 dangerous signs you need to know, those are:

If you are suffered from eating disorder and vomiting problem frequently

It is a normal condition if you are suffered from vomiting in 1 up to 3 months of pregnancy period. In fact, this condition will be gone after 3 moths of pregnancy period. The problem appears when the problem doesn’t stop and even happen frequently. In this condition, you will be weak and even limp. Definitely, this condition is very dangerous for you and your baby.

If your weight doesn’t increase

This is concerning to the fact that most of pregnant mothers will be gained weight around 9kg up to 12kg. It is a common thing because your fetus and your body are developed. Commonly, your weight will be increased in the 4 months of pregnancy period up to delivering time. If you weight doesn’t increase in the end of 4 months of pregnancy period or less than 45 kg in the end of second trimester, there is a possibility that there is a problem in the development of the fetus. Even, it might dangerous for the fetus. It seems that you are lack of nutrients or suffered from health problems such as chronic cough or malaria. It is a must for you to treat those diseases first.


Bleeding commonly happens in the birthing line. Bleeding can be happened in the pregnancy period, birthing process, and childbed. Definitely, it is one of dangerous sign of pregnancy which can cause dead for the mother and the baby.

  1. Bleeding through the birthing line before 3 months of pregnancy can be caused by miscarriage. You have to go to the doctor right away. In several cases, fetus can be helped. If it is not, you need to take further treatment to keep your health.
  2. Bleeding through the birthing line along with chronic abdominal pain. It happens if you don’t get menstrual period around 1 or 2 months. Definitely, it is very dangerous. Your life can be threatened and it is a must for you to go to the hospital for further treatment.
  3. 7 up to 9 months bleeding problem will be a problem for you even it is only a little blood. Definitely, it is also dangerous for your baby. It is better for you to go to the hospital for further treatment.
  4. High level of bleeding 1 hour after delivering the baby is very dangerous. In fact, it is one of causes of death for pregnant mother. This condition leads you to death less than 2 hours. Absolutely, you have to be treated intensively.
  5. Bleeding in childbed period (in 42 days after delivering the baby) frequently. Commonly, it is followed by bad smell and fever. It is also a dangerous sign and you have to go to the doctor for further treatment.

Swelling in your hand face, dizzy, and strain

It is a normal condition if you are suffered swelling in less than 6 months of pregnancy period. It will be a problem if the swelling is followed by high blood pressure and dizziness. If you let this condition without any kind of treatment, you can be strain. This condition is known as exclamation or poisonous in pregnancy.

This condition leads to death whether for the mother and the baby. If you are suffered more than one symptom it means you have to go to the doctor right away for further treatment.

There is no movement from the fetus

In the normal condition, you can feel the movement of the fetus especially in 4 or 5 months of pregnancy period. Then, you will feel the movement recently. A healthy fetus will move constantly. It will be a problem if your fetus doesn’t show any movement up to 12 hours. Just go to the hospital for further treatment.

Fetus disposition

In the normal condition, the head of your baby is at the bottom of uterus. The position is in the spine. During the delivering process, the head will go down and enter the pelvis. There is a condition known as disposition. Of course, you have to go to the hospital for further treatment. The fetus disposition is including:
1. Breech: the head of the baby is at the top of uterus
2. Latitude: the position of the baby is transverse within the uterus
If during the delivering process you see the other parts of the body, it means you have to go to the hospital immediately.

Premature rupture of membrane

Commonly, the membrane will be rupture during the delivering process. Later, you will feel heartburn and mucus along with blood. The color of the membrane is yellow and clear. If the membrane is rupture before the time, you can be easily infected. Of course, it is very dangerous for you and your baby. It is a must for you to go to the doctor for further treatment.

Long period of delivering process

The delivering process is from the time you feel the heartburn. The process has to be done less than 12 hours. Commonly, it will be faster for your next child.

If the baby doesn’t come up after more than 12 hours it is known as long period of delivering process. The doctor will give you some actions. The action is to prevent you from bleeding and infection problem.

The disease of pregnant mother which affected pregnancy

The development of the fetus is determined by the condition of the mother. If you have specific chronic disease it means the fetus will get the impact.
Those diseases are including
1. Heart disease: irregular heart pulse, breathing problem while doing your regular activities.
2. Chronic anemia: pale, dizzy, and weak.
3. Tuberculosis: chronic cough, eating disorder, weight loss, swelling at night.
4. Malaria: high fever regularly, pale and weak
5. Genital tract infection: whitish and pain around genital area.
If you are suffered from those diseases, it means you go to the doctor for further medication.

High fever in childbed period

If you are suffered from high fever in childbed period (in 42 days after delivering process) more than 2 days along with bad smelly mucus it means you are suffered from birthing line infection. In this condition, the line is still bleed and definitely it is very dangerous for you. Go to the doctor to get further treatment.


The Warning Signs During Pregnancy


There are several Warning Signs During Pregnancy it might cause health problems. If you still want to keep your pregnancy, it is better to consult to the doctor frequently. Moreover, you also need to go to the doctor when it is the time to birth the baby. You also need to know more about the dangerous sign of pregnancy, birthing process, and childbed.

Pregnancy need to be watched if it is the same with the information below:

If the age of the mother is less than 20 years old
It is better to avoid pregnancy in this age because mostly your uterus and pelvis is not grow perfectly yet. As the result, the birthing process will be too long and it is very dangerous for you. Moreover, it seems that a girl under 20 years old is not ready yet to be a mother and taking care of her baby.

If the age of the mother is more than 35 years old

It is better not to pregnant in this age because of your health condition. Moreover, the possibility to have a disable baby is higher. The birthing process is taking too long and the risk of bleeding is higher.

If you already have 4 children or more

This is because of the condition of your uterus. In fact, the more you birthing your baby, the weaker your uterus. The problem happens if you already have 4 children. As the result, you will be suffered from the pregnancy period, birthing process and childbed. Mostly, you will be suffered from bleeding problem.

The birthing period less than 2 years

It is important to notice the birthing period. In this case, your health and uterus are not fully recovered yet. If you force to pregnant, the fetus can’t develop well, long period of birthing process and even bleeding problem.

If your height is less than 145 cm

The problem of having height less than 145 cm with pregnancy is about the narrow pelvis. If you have a narrow pelvis, it means the birthing process will be very difficult. For those who really want to pregnant with this condition, it is better to consult to the doctor first.

If you have upper arm circumference less than 23.5 cm

It is necessary to watch this condition because there is possibility that you are suffered from lack of energy or nutrient. Commonly, the baby will have low weight problem. Even, you also need to face the risk of undeveloped fetus problem.

The pregnancy history

It is very important to check your pregnancy history especially if you have a problem in your previous pregnancy. The pregnancy history you need to notice is written as follow:
1. Bleeding
2. Strain
3. High fever
4. Long period of birthing process (>12 hours)
5. Caesar
6. Stillbirths


How to Avoid Miscarriage

Having children is what every married couple wants. But what can you do if the pregnancy cannot last or what is usually called miscarriage? Know what the causes are and what to do to avoid it.

What is miscarriage?
Miscarriage is pregnancy discontinuation under 20 weeks old. At that time a fetus is weighed around 500 grams. Miscarriage is tending to be sporadic or known as continuous miscarriage. Sporadic miscarriage doesn’t have any patterns and mostly is caused by chromosome abnormality, either from the egg or sperm cells. 

What causes miscarriage?
Besides chromosome abnormality, there are other factors that allegedly could be the causes of miscarriage, such as:

  • Autoimmune Disorder, a systemic lupuserythematosus (SLE) disorder and also antiphospolipid antibody (APLAs).
  • Anatomy abnormality, usually caused by uterus or cervical abnormality.
  • Infections, there are a few viruses that could cause miscarriage such as chlamydia trachomatis and nesseiria gonorrhea.
  • Environment and lifestyle.

Keep a healthy lifestyle.

Miscarriage can also be caused by lifestyle. Women that smoke, consume alcohol, obese or with weight under average, could get hormonal problems that could lead into miscarriage. There is no accurate research about stress leading to miscarriage yet.
Do not worry and there is no need to decrease your work time either, because there is no data yet about working all day could cause miscarriage.

What are the types of miscarriages?

When a woman miscarries there are a few levels and actions that are all determined by doctors. The types are:

  1. Complete abortion, where all conceptions come out. The signs are, the embryo is shaped like a fetus and comes off from the uterine wall. Usually happens in the beginning of pregnancy when the placenta is not formed yet. The fetus will come by itself from the uterus, either spontaneous or with tools. In this type of abortion usually there is no actions done. Meanwhile if the patient comes bleeding and the rest of the tissues are still visible, then a curette will be done.
  2. Incomplete abortion, the signs are some of the embryo come off from the uterine walls already and some tissues are in the cervical. For this case, if there is any continuous bleeding embryo / fetus has to be taken out.
  3. Inspient abortion, most of the tissues come down and already in the cervical, but the whole embryo is still in the uterus. In this case, the possibility to keep the pregnancy is very small.
  4. Imminent abortion, the signs are some of the embryo come off or there is bleeding behind the embryo. Because embryo is behind the uterus, it could still be saved and survive.

Signs of miscarriage
Usually before miscarriage happens, there will be a few signs. What are they?

Bleeding. The most common sign of miscarriage, could only be little spots that last for a while to bleeding.

  • Cramps, like the ones you get in period. Usually the cramps happen a few times for a while.
  • Pain in the lower abdomen. The pain is usually quite bothersome and for quite a while. Unremitting pain in lower pelvis, groin and genital area. This usually happens a few hours or even a few days after the bleeding signs.

When is the right time to get pregnant again after a miscarriage?
There is no reason to delay pregnancy, you can get pregnant anytime. Unless there are emotional problems such as miscarriage trauma, or another physical problems such as diabetes or thyroid. If your miscarriage is caused by infections (ex: toxoplasma) then your body needs time to form antibody during 6-8 weeks.
A lot of women get worried after miscarriage. Do not worry, for you who have miscarried before, then your chance to have children of your own is still high. The chance of another miscarriage is only 15%. So there is no special medication necessary. But for women who have miscarried two times until 3 times in a row, the chance of another miscarriage is bigger. For those who experience that, the doctor will take further examination to know what the cause is or the causes are. There might be a genetic disorder such as APS syndrome or thrombophilia.

Keep up a good lifestyle to avoid miscarriage.