Healthy Life and Medical Experience

It seems that the connection between coffee and pregnancy may not be as simple as most people have always believed. A few recent studies show that drinking moderate amounts of coffee during late pregnancy may not be as bad for you as we’d thought. On the other hand, there seems to be a definite link between coffee and infertility.

Drinking coffee during pregnancy has been one of those automatic no-nos for a very long time, so a study released in January by the British Medical Journal may come as a surprise. Researchers studying the effects of drinking coffee during pregnancy found that “coffee in moderation is safe during pregnancy”. But is it really?

The effects of coffee during pregnancy is extensively researched – and the results of the various studies into the effects of caffeine and coffee on pregnant women, fertility and the development of the growing baby are contradictory at best. This latest study suggests that women who take in less than 300 mgs of caffeine per day are not endangering their babies. That’s widely been reported as ‘about the same amount of caffeine as three cups of coffee’ – and that’s where things get sticky. Is that a cup of home brewed drip coffee? An espresso at your favorite coffee bar? A sixteen ounce latte? A cup of instant? Each of those has a different amount of caffeine – and it’s not always easy to guess which coffee drinks are the most loaded with caffeine.

There’s one more reason to cut back on coffee and tea during your pregnancy, whether it’s caffeinated or not. These beverages contain compounds called phenols that make it harder for your body to absorb iron. This is particularly important because many pregnant women are already low on iron. If you drink coffee or tea, have it between meals so it’ll have less of an effect on your iron absorption.

Coffee is one, of course. The amount of caffeine in a cup of coffee varies widely, depending on the type of bean, the brewing method, and how strong it’s brewed. And your serving size depends on the size of the coffee cup.

To cut your caffeine intake, though, you’ll need to be aware of other sources, like tea, soft drinks, “energy” drinks, chocolate, and coffee ice cream. Caffeine also shows up in herbal products and over-the-counter drugs, including some headache, cold, and allergy remedies.

Another study in Denmark back in 2003 found that women who drank more than eight daily cups of coffee during pregnancy increased their risk of miscarriage or stillbirth by as much as 300%. The researchers suspected that the reason may be that caffeine constricts the blood vessels, meaning that less blood gets through the placenta to the developing baby. They also suggested that the caffeine in coffee may directly affect the baby, whose developing system is far more sensitive to caffeine than the mother’s. Other studies suggest that up to five daily cups of coffee during pregnancy is safe for your baby.

According to most medical experts, the bottom line on drinking coffee during pregnancy is this: pregnant women should reduce their intake of caffeine during pregnancy to about the amount found in 1 to 2 cups of coffee a day.

What about decaffeinated coffee and pregnancy?

There’s far less research into decaffeinated coffee and pregnancy. Since caffeine is the major culprit in the ill effects of drinking coffee during pregnancy, it stands to reason that during pregnancy decaf coffee is fine. There’s no suggestion that decaf has any ill effects on pregnancy at all. In other words, if you must drink coffee during pregnancy decaf coffee is the way to go. Caffeinated coffee should be limited to no more than one to two cups of coffee per day.

There’s one more reason to cut back on coffee and tea during your pregnancy, whether it’s caffeinated or not. These beverages contain compounds called phenols that make it harder for your body to absorb iron. This is particularly important because many pregnant women are already low on iron. If you drink coffee or tea, have it between meals so it’ll have less of an effect on your iron absorption.

Coffee is one, of course. The amount of caffeine in a cup of coffee varies widely, depending on the type of bean, the brewing method, and how strong it’s brewed. And your serving size depends on the size of the coffee cup.

To cut your caffeine intake, though, you’ll need to be aware of other sources, like tea, soft drinks, “energy” drinks, chocolate, and coffee ice cream. Caffeine also shows up in herbal products and over-the-counter drugs, including some headache, cold, and allergy remedies.

Bubbles. Butterflies. Gas. These are all words used to describe what a baby’s first movements feel like to a mother.

Quickening is defined as the first time you feel your baby move. This is a long anticipated event in every pregnancy.

Some moms can feel their babies move as early as 13-16 weeks from the start of their last period. These first fetal movements are called quickening and are often described as flutters. It may be difficult to determine whether this feeling is gas or your baby’s movements, but soon you will begin to notice a pattern. First-time moms may not feel these movements as early as second-time moms. Some moms, especially those in their first pregnancy, may not feel movement until 18-20 weeks. Remember that each woman and each pregnancy is different, so you may not feel movement as early as another woman. There is a broad range of when the first detection of movement can be felt, ranging from 13-25 weeks.

Why does my baby move?

As your baby is continuing to develop he/she will stretch and flex his/her limbs. As you get further along in your pregnancy, you will begin to feel more obvious movements, such as kicking, punching, and rolling. Your baby may also move as he/she responds to noise or to your emotions. If your baby finds a position that you are in to be uncomfortable, he/she may also begin to squirm. Certain foods you eat could also cause your baby to be more active, and you may notice that he/she follows a sleeping/waking cycle.

How often should my baby move?

As you get further along in your pregnancy, you will need to keep track of how often your baby moves each day. Sometime in the third trimester you may notice that your baby’s movements are more frequent and vigorous and occur in a regular pattern. Though movements are still regular, they may decrease after week 32 because the baby is bigger and more restricted in the uterus.

Beginning with week 28, it is beneficial to begin counting your baby’s movements. It calls fetal kick counts.  This will help you to identify potential problems and can also be a great bonding experience between you and your baby. Using a kick count chart can be very helpful. When counting your baby’s movements choose the same time each day. It might be easiest to lie on your left side and record how long it takes to feel 10 movements. 

What should I do if I don’t feel my baby moving?

If you have been keeping a chart of your baby’s movements and you notice a significant deviation in the pattern, contact your health care provider. If you do not feel 10 movements within 2 hours, try again later that day. If you still do not feel 10 movements within 2 hours, you should contact your healthcare provider.

Have you imagine that someday you will do a water birth? As this article said that a water birth is exactly what it sounds like, giving birth to your baby underwater. For some of the same reasons you might soak in a warm bath after a hard day, you might be interested in laboring in a warm bath. Warm water decreases your hormone levels, blood pressure, the amount of pain you feel, and adrenalin, the “fight or flight” hormone responsible for making your stress level skyrocket and your blood pressure rise, all while increasing endorphin production, which inhibits pain. Since your perception of pain is influenced by your anxiety level, the amount of pain you experience while bathing also ebbs. You can imagine why that might be appealing while giving birth.

But there are other reasons having your baby underwater might make sense for you. A lot of the discomfort associated with labor is caused not by your baby’s movement within you, but by the pressure gravity puts on your skeleton, abdomen, and breasts. Water eliminates the power that gravity has over your body and allows many positions to be much more comfortable. Water can also work on your body parts to make them more cooperative. It encourages your cervix to dilate and makes your perineum more elastic, which means that it’s less likely to tear. If it does tear, it’s less likely that the tear will require a great number of stitches or an episiotomy. The warm water (between 90 and 101 degrees) can also make your contractions more efficient by increasing the blood supply to your uterus.

The humidity and moistness of the air coming off the water can ease your breathing. With your breathing eased, the pressures on your body lessened, your stress level lowered, and your pain decreased, you can expend all your energy laboring. Water births have been associated with faster delivery and less blood loss, though evidence supporting these claims, like most claims about water birth, is more anecdotal than scientific at this point.

Many people believe that water delivery is easier on babies as well. Water equalizes the pressure on your baby, allowing optimal blood and oxygen flow during birth, and it has been credited with correcting minor malpresentations, like a misaligned head. Water is also said to be a gentle introduction for your baby to the world outside your womb. Most midwives and doulas can help you prepare for a water birth at home or at a birthing center, and most newer hospital units have birth tubs available that you can climb into at will. Waterproof fetal monitors are even available so that you can enjoy the benefits of both our technological age and this age-old method of pain relief. If you are going to use water as an alternative to an epidural, wait until you are dilated by at least five centimeters and in transition (when you need the most pain relief), and climb in.

If progress slows, get out and move around to stimulate labor or try different positions like kneeling, squatting, sitting, and lying outstretched. You may want to get out of the water again to deliver, or you may want to stay until after birth. Your baby does not take their first breath until their face comes in direct contact with the air, so as long as you bring your baby out of the water as soon as they are born, they may enjoy the quick swim to the surface.

Alhamdulillah..sekarang kehamilanku udah masuk 18 minggu. Itu artinya sudah trimester kedua, zona aman…Tapi koq masih suka mual dan rasanya mulutku terasa pahit ya? Mmmmh nggak apa-apa deh bayanganku udah wajah baby-ku aja, jadi segala rasa nggak enak akan aku lewati dengan senang dan ikhlas…

19 April 2009

Waktu periksa tiba! Katanya usia kehamilan  minggu ini jenis kelamin janin udah terlihat, jadi nggak sabar. Seperti biasa, ngantri sampe 3 jam. Pfuih! Capeknya…Nggak ada kasur empuk ya..biar bisa tidur gitu, hehehe…

Akhirnya..my turn.  Duuh gemesnya lihat baby-ku bergerak lincah. Kata dokter aktif banget. Iya sih..keliatan tuh. Tapi..tunggu dulu. Kata dokter plasentanya di bawah, bu. Duh..apalagi ini? Emang kenapa dok, kalo di bawah? Artinya plasenta menutup jalan lahir, yaa..parno lagi nih. Tapi kata dokter sih masih 90%  untuk bisa normal. Artinya itu plasenta masih bisa “pindah”. Jadi nggak semangat lagi nih liat jenis  kelamin baby-ku…

Kenapa ya, setiap abis periksa selalu dapet PR dari dokter? Sekarang aku mesti cari referensi lagi banyak-banyak tentang plasenta previa. Nah menurut beberapa sumber kenapa plasenta bisa ‘pindah’ karena  scara sederhana, rahim berbentuk segitiga terbalik, atau bisa juga dibayangkan seperti daun waru (clover) terbalik dengan tangkai di bawah. Bagian “tangkai” ini berbentuk seperti tabung atau corong (dikenal sebagai leher rahim) dengan ujung terbuka (dikenal sebagai mulut rahim).          

Normalnya plasenta terletaki bagian fundus (bagian puncak/atas rahim), bisa agak ke kiri atau ke kanan sedikit, tetapi tidak sampai meluas ke bagian bawah apalagi menutupi jalan lahir.

Patokan jalan lahir ini adalah ostium uteri internum (disingkat OUI, yaitu mulut rahim bila dilihat dari bagian dalam rahim). Kalau dilihat dari luar – dari arah vagina – disebut ostium uteri eksterum.

Placenta-previa artinya “plasenta di depan” (previa=depan). Artinya, plasenta berada lebih “depan” daripada janin yang hendak keluar. Angka kejadiannya sekitar 3-6 dari 1000 kehamilan.

Terhadap jalan lahir ada 4 kemungkinan jenis plasenta previa :

1. Placenta previa totalis, bila plasenta menutupi seluruh jalan lahir. Pada posisi ini, jelas tidak mungkin bayi dilahirkan per-vaginam (normal/spontan/biasa), karena risiko perdarahan sangat hebat.

2. Placenta previa partialis, bila hanya sebagian/separuh plasenta yang menutupi jalan lahir. Pada posisi inipun risiko perdarahan masih besar, dan biasanya tetap tidak dilahirkan melalui per-vaginam.

3. Placenta previa marginalis, bila hanya bagian tepi plasenta yang menutupi jalan lahir. Bisa dilahirkan per-vaginam tetapi risiko perdarahan tetap besar.

4. Low-lying placenta (plasenta letak rendah, lateralis placenta atau kadang disebut juga dangerous placenta), posisi plasenta beberapa mm atau cm dari tepi jalan lahir. Risiko perdarahan tetap ada, namun bisa dibilang kecil, dan bisa dilahirkan per-vaginam dengan aman, asal hat-hati.

Diagnosa ini mulai dipastikan sejak kira-kira umur kehamilan 26-28 minggu, dimana mulai terbentuk SBR (Segmen Bawah Rahim). Dengan terbentuknya SBR, leher rahim yang semula masih berbentuk seperti corong pojok kanan atas), akan mulai memipih, untuk nantinya saat menjelang persalinan mulai membuka (sudah biasa mendengar “pembukaannya sudah berapa cm” begitu kan?)

Dari perubahan inilah bisa terjadi plasenta “berpindah” atau lebih tepatnya bergeser secara relatif menjauhi jalan lahir, seolah-olah bergerak ke atas. Itulah sebabnya, sebelum masuk trimester terakhir, sekitar 28 minggu/7 bulan, dibiarkan saja dulu asal tidak terjadi perdarahan yang tidak bisa dikendalikan. Diharapkan nanti setelah 7 bulan, beruntung bisa “pindah” ke atas seperti penjelasan sebelumnya.

Tentu saja, penilaian paling optimal dan menentukan adalah saat mendekati persalinan, untuk memastikan benar-benar dimana posisi plasenta. Itulah mengapa, keputusan cara persalinan bisa berubah di menit-menit terakhir.

Begitu pula, jangan lantas menyebut bahwa diagnosa placenta-previa pada usia kehamilan muda dianggap “positif palsu”.

Apa sih sebabnya terjadi kelainan tempat plasenta ? Bisa karena kelainan bawaaan pada bentuk rahim, adanya tumor rahim, atau bekas operasi sebelumnya yang meninggalkan jaringan parut di rahim. Bisa sebabnya faktor rahim : kehamilan ganda/kembar, ada kelainan bawaan rahim. Tidak ada hubungannya dengan saat hamil naik turun tangga atau banyak jungkir balik misalnya.

Tindakan ditentukan oleh jenis plasenta previanya. Biasanya ditunggu sampai sekitar 7 bulan untuk memastikan benar dimana posisi plasenta. Karena itu, walau Ibu hamil tidak “nungging”, kalau dasarnya memang bukan tipe previa ya tetap akan “bergeser” ke atas.

Risiko dari kelainan posisi ini, paling utama tentu perdarahan. Perdarahan bisa terjadi menjelang/saat persalinan. Ini dihindari/diantisipasi dengan penentuan cara persalinan operatif.

Bisa terjadi perdarahan saat mulai terjadi pembentukan segmen bawah rahim, dimana ada bagian plasenta yang “robek” oleh pergeseran jaringan di sekitar mulut rahim. Bila ini terjadi, yang terganggu adalah kesejahteraan janin, dan bisa juga memicu persalinan prematurus.

Bisa juga terjadi perdarahan oleh tekanan kepala janin saat mulai memasuki segmen bawah rahim sebagai persiapan menuju persalinan.

Apa yang menjadi faktor risiko plasenta-previa?

1. Wanita lebih dari 35 tahun, 3 kali lebih berisiko.
2. Multiparitas, apalagi bila jaraknya singkat. Secara teori plasenta yang baru berusaha mencari tempat selain bekas plasenta sebelumnya.
3. Kehamilan kembar.
4. Adanya gangguan anatomis/tumor pada rahim sehingga mempersempit permukaan bagi penempelan plasenta.
5. Adanya jaringan parut pada rahim oleh operasi sebelumnya. Dilaporkan, tanpa jaringan parut berisiko 0,26%. Setelah bedah sesar, bertambah berturut-turut menjadi 0,65% setelah 1 kali, 1,8% setelah 2 kali, 3% setelah 3 kali dan 10% setelah 4 kali atau lebih.
6. Adanya endometriosis (adanya jaringan rahim pada tempat yang bukan seharusnya, misalnya di indung telur) setelah kehamilan sebelumnya.
7. Riwayat plasenta previa sebelumnya, berisiko 12 kali lebih besar.
8. Adanya trauma selama kehamilan.
9. Kebiasaan tidak sehat seperti merokok dan minum alkohol.

Selain placenta previa, ada juga perdarahan akibat solusio plancentae. Terjadi bila penempelan plasenta di tempat yang normal tetapi terlepas dari dinding rahim. Penyebab terlepas bisa karena perubahan anatomis/tumor pada rahim, karena tali plasenta pendek sehingga tertarik oleh gerakan janin, atau karena daya dukung plasenta memang sudah sangat berkurang, sehingga rapuh.

Akibatnya terjadi perdarahan. Secara mudah, pada placenta previa perdarahan tidak diikuti nyeri perut. Tetapi pada solusio plasenta, perdarahan diikuti nyeri perut yang hebat.

Karena itu, posisi plasenta adalah salah satu hal yang penting diperiksa saat menjalani USG. Dan aku jadi lebih menyadari bahwa USG tujuan utamanya bukan untuk mengetahui jenis kelamin.

The title is quoted from Angelina Jolie  that said pregnancy is “great for the sex life” to US magazine. Below full article from MSNBC.

Just a month before her twins were born, Angelina Jolie boasted to Us Magazine that pregnancy is “great for the sex life. It just makes you a lot more creative. So you have fun, and as a woman you’re just so round and full.” Her statement prompted one pregnant friend of this column to grumble about how life is wickedly unfair if Angelina Jolie gets to be Angelina Jolie and also gets to enjoy great sex during pregnancy while many other women are having trouble keeping down lunch.

Well, some people really do have great sex during pregnancy. Some people also have lousy sex, or no sex, and are miserable about it. But many of those miserable people don’t have to be miserable, say experts, and sex, or at least intimacy, can be helpful to parents and baby alike.

As one Polish study put it, “research makes it evident that experiencing sexual satisfaction by pregnant women improves their self-esteem, facilitates [the] mutual relationship between partners and tightens the marital bond.”

But sometimes, says Armin A. Brott, author of “The Expectant Father: Facts, Tips and Advice for Dads-to-Be,” men and women aren’t sure what to expect when she becomes pregnant, nor how their mate might be feeling about everything from body image to desire.

“There is lot of second guessing that goes on about sex during pregnancy,” says Brott, who has talked to “thousands” of men on the topic of pregnancy. “As soon as a woman begins to notice her body change, lots of guys say ‘She is self-conscious about her body. She is not feeling good. I will leave her alone.’ But at the same time many women find their growing bodies to be somewhat erotic and may be more into having sex than before. But she says to herself ‘He does not find my changing body much of turn on any more.’ So they both back off a little bit even though they both may be turned-on by her body.”

Ups and downs in the bedroom
Study after study shows that most women go through a somewhat predictable trajectory of desire during pregnancy. Libido drops during the first trimester, often rises during the second, and then falls off precipitously in the third. The reasons are pretty obvious.

“You can imagine making love and suddenly having to get up to vomit,” Brott says, not uncommon during the first trimester. But things usually settle down during the middle three months before some significant discomfort can take over — often requiring new and sometimes challenging positions — during the last three.

UCLA reproduction researcher Dr. Kari Sproul surveyed 30 women (divided into two groups of infertility patients and non-infertility patients) for a 2004 study and found that the non-infertility patients had intercourse 6.6 times per month before the pregnancy, 3.8 times per month in the first trimester, 4.3 in the second, and 3.1 in the third. The infertility patients, perhaps reflecting heightened concern after their struggle to become pregnant, had intercourse less than once per month during the first trimester, 1.3 in the second and .07 in the third.

Subsequently she surveyed the women in both groups using a measurement called the Female Sexual Function Index and found that while desire remained virtually unchanged from the first trimester compared to the third, some physical indicators, especially lubrication, dropped significantly. On a scale ranging from 2 to 36, overall sexual satisfaction by the third trimester was 18.92, which isn’t too bad, Sproul says, all things considered.

“We inferred that even though during pregnancy there is a decline in the frequency, the actual function or quality of intercourse does not change,” Sproul explains.

Hitting the baby on the head
Though women are often depicted as the crazy ones during pregnancy (think Lucille Ball ordering Ricky out to get sardines and ice cream) men are sometimes the irrational ones. Men can feel as if they are being watched by their future offspring, or that they will hurt the baby usually by hitting it with their penis.

Such worries are unfounded. It would be virtually impossible for any man to bonk Junior on the head or poke his eye out with that thing, for example, because the penis would have to be very, very long and even then it’s unlikely to bother the baby. (Sorry, men.)

But, says Sproul, research has proven that “the chances of doing something to the baby is small,” and that unless the pregnancy is fraught with complications like bleeding or contractions, there is no reason not to have sex and enjoy orgasms throughout the pregnancy if both partners feel like it.

Almost as important as what’s going on in her body is what is going on inside his brain.

As Brott says, some men find their pregnant lovers very desirable, and some do not. Some do at first and then don’t later. And for some, a pregnant woman is practically a fetish. But often his desire, or lack thereof, have little to do with her body. As one journal article bluntly states it: “Pregnancy represents a life crisis …”

Putting on the moves or building an extra bedroom?
Brott says many men are terrified of being able to financially handle the new responsibility. They worry about their mate’s health. They start thinking about home additions. None of which is conducive to hot libido. Surprisingly, men can also be surprised at the fact sex led to a pregnancy in the first place. (Apparently, it is one thing to take a sex ed class and know how it all works, and quite another to actually be half the equation.)

“They sometimes think ‘I could not be the father,’” Brott says. “They think it is impossible that they have done something so powerful.”

More from Sexploration

But a rich sexual life during pregnancy is possible by doing what Sexploration always begs readers to do: Talk. First, make your health care provider address sex during pregnancy. Ask questions. Then talk to your lover. “People who have the habit of communicating about sex will be much more communicative during pregnancy, too,” Brott believes. “They need to have those conversations, like ‘I am finding you turn me on now. What do you think?’ as opposed to second guessing and imagining you know what somebody else is thinking.”

This will help after the baby arrives, too. When attention is divided, downtime nonexistent and both parents are exhausted, sometimes all anybody needs to hear is “I love you and you are amazingly hot, but I have spit-up running down my spine. Maybe tomorrow, after ‘Teletubbies’?”

Alhamdulillah, akhirnya kesampaian juga hamil anak kedua ini. Tapi ketika pertama kali mengetahui kehamilan ini, shock juga sih. Karena aku gak ada prepare apa-apa. Pra konsepsi sih udah dijalanin, tapi itu dulu, dua tahun lalu. Tapi belum ada hasil. Makanya tahun ini sebetulnya gak ada rencana apa-apa, just let it flow aja. Eh, gak tahunya malah dikasih rezeki tahun ini. Senang sekaligus was-was, karena aku kan selama ini naik motor. Khawatir nanti kenapa-napa sama kehamilanku ini. Adikku dulu waktu hamil jadi plasenta previa gara-gara sering bawa motor. Tapi tetap senang banget, karena ini moment ini udah lama ditunggu-tunggu. Si abang juga emang udah siap ternyata punya adik lagi.
Periksa pertama tanggal 7 Januari 2009 (owya, haid terakhir aku tanggal 9 Desember 2008), karena di tanggal ini pas aku tes hasilnya positif. Deuuh, saking excitednya gak tunggu seminggu dua minggu langsung meluncur ke dokter kandungan!
Pas di USG ternyata belum kelihatan, dan dokter ternyata     mengasumsikan  haid terakhir aku bukan tanggal 9 Desember, tapi haid terakhir di bulan Nopember 2008. Yawdah sepakat deh dok.
Berhubung gak kelihatan, aku disuruh kembali dua minggu lagi.
Tanggal 21 Januari aku dateng lagi. Dag dig dug juga nih. Kelihatan gak ya? Ternyata gak kelihatan, sodara-sodara!. Duuh..gimana nih?
Kata dokter, mestinya di usia kandungan 7 mingguan (dihitung dari 19 Nopember 2008) janin udah nampak, bahkan jantungnya juga sudah berdenyut. Ini dua-duanya enggak.
Blighted ovum, begitu kata dokter. Apa pula itu?
Fakta ini mau tidak mau memaksa aku cari tau, browsing tentang blighted ovum (aku gak mau nyerah begitu aja, karena kan baru satu dokter aja yang bilang begitu). Gak sampe hitungan menit, begitu keyword aku ketik di search engine,langsung aja artikel-artikel tentang BO muncul. Ini nih kurang lebih isinya :” BO itu artinya janin tidak berkembang”. Penyebabnya beragam :
1. Genetik
Ini adalah faktor utama. Bukan faktor keturunan, melainkan dari sperma atau sel telur. Dalam hal ini kualitas dan kuantitas sperma serta sel telur tidak baik sehingga saat penyatuan keduanya hasilnya tidak berkembang secara prima.
Menurut Anita, hal ini biasanya mengarah ke blighted ovum. “Yang jelas, kalau bicara tentang blighted ovum, kita bicara juga tentang kualitas dan kuantitas. Faktor ini bisa berulang dan bisa tidak, tergantung ada masalah produksi sperma dan sel telur atau tidak,” ungkapnya. Penyebab kualitas sperma dan sel telur macam-macam, tergantung dari produksi “pabriknya” (sel telur dari indung telur dan sperma dari produksi spermanya).
Jadi, otomatis gangguan dari proses pembentukan itu bisa bermacam-macam dan tidak bisa dipastikan, dari faktor higienis atau infeksi. Bisakah dicegah? “Susah. Karena sel telur dan sperma sudah ada sejak kita di kandungan ibu. Gangguan-gangguan itu muncul begitu kita lahir.”
2. Infeksi TORCH
Infeksi disebabkan oleh toksoplasma, rubella, CMV atau cito megalo virus, herpes simplex I dan simplex II. Dalam hal ini yang dilihat adalah reflek di tubuh kita, yaitu terbentuknya antibodi terhadap kuman dan virus ini. Jika diasumsikan bermasalah harus segera diterapi. Sebaiknya pemeriksaan ini dilakukan sebelum hamil agar tidak menganggu kondisi si ibu.
3. ACA (anticardiolipin) atau pembekuan
Terbentuknya faktor pembekuan yang menyumbat pembuluh-pembuluh darah yang arahnya ke janin sehingga akhirnya pertumbuhan janin terhenti.
Step selanjutnya? Yup! tanya dokter yang lain. Dengan maksud ingin menghibur hati. Siapa tau di klinik tempat aku periksa alatnya lagi error. Jadi mesti ke Rumah Sakit besar nih, biarpun biayanya juga besar juga. Gak apa-apa, demi si dedek yang belum ketahuan ini.
Akhirnya, tanggal 23 Januari aku periksa lagi. Duuh, nunggu antrian lama juga. Maklum dokternya most wanted banget, dan udah konsekuensi pilih periksa sama bu dokter ini (aku pinginnya dokter perempuan soalnya, biar gak risi).
Finally, dipanggil juga. Setelah prolog yang lumayan panjang, tibalah waktu USG. Kata dokter, untuk lebih memastikan, harus terlihat kantung kehamilannya dulu. Bari si baby.
Kelihatan gak ya…? Ups! Apa tuh kedap-kedip kayak kunang-kunang? Ya Allah, ternyata si dedek. Akhirnya muncul juga… Panjangnya 1,23 cm dan usianya 7 minggu 3 hari. Duuuh senangnya.
Alhamdulillah, ternyata Allah SWT udah percaya sama aku dengan amanah yang Dia kasih. Aku janji akan menjaga baik-baik amanah ini. Doakan ya….