Pregnancy outside the uterus - an ectopic pregnancy mediknya term - is a condition in which the fertilized egg will attach to and grow outside the womb. Usually characterized by pain that is the main complaint on disturbed ectopic pregnancy (100 percent).

Dr. Yandi Jayaprana, spat of Glory RSIA Budi said, the cause is largely unknown. A more realistic approach is to identify the predisposing factors of ectopic pregnancy. Several abnormalities and damage to the oviduct a role in ectopic pregnancy are:

1. Mechanical factors that prevent or hinder the journey of the fertilized ovum to the uterus.

2. Infection of the fallopian tube (salfingitis).

3. Cause tubal mucosal folds, which may limit the fallopian tubes and form pockets of dead-end. Infection also reduces its vibration (tubal mucosa cilia) that implantation in the lining of the fallopian tubes resulting zygote disturbed. Incidence 12.8 percent after an infection, 35.5 percent after two infections and 75 percent after three times of the infection. Infections cause the majority of ectopic pregnancies are bacteria Chlamydia trachomatis.

4. Tubal adhesions after post-abortion infection or infection during childbirth, infections of the appendix (appendicitis) that tertekuknya tuba and lumen narrowing caused.

5. Growth abnormalities of the fallopian tubes resulting in anatomical abnormalities.

6. Previous ectopic pregnancy. In a previous ectopic pregnancy ectopic pregnancy is 15-20 percent. After two ectopic pregnancies, the risk for subsequent ectopic pregnancy increased 32 times.

7. History of previous tubal surgery, or improvement of tubal patency and tubal sterilization failure.

8. A history of recurrent abortion induction. This relates to the incidence of tubal infection.

9. Tumors, such as the uterus and fallopian tubes wombs stimulate ovarian cysts.

Ectopic Pregnancy Causes Increased incidence

1. Increased prevalence of tubal infection due to venereal disease that damages the surface of the oviduct (fallopian tube mucosa) causes.

2. Tubal surgery that failed.

3. Induction of abortion that is causing the infection. The most common cause of an ectopic pregnancy is damage to the fallopian tube mucosa that travel egg (ovum), which is fertilized in the womb inhibits section. Tubal mucosal damage was ever caused by an infection.

Risk Factors

Some risk factors such as infertility, infection of the genitals, more than one sexual partner, smoking, showering (cleaning Miss V), sexual intercourse at a young age (<18 years). Location of ectopic pregnancy Among the many sites that ectopic pregnancy can occur, most located in the tube which is 98.3 percent of all ectopic pregnancies. Ectopic tubal pregnancy outside the abdominal pregnancy is 1.4 percent, 0.15 percent and 0.15 percent of ovarian pregnancy, cervical pregnancy. Facts on Ectopic Pregnancy 1. More than 10,000 ectopic pregnancies reported in the United States, which is 2 percent of all pregnancies. Although the death of an ectopic pregnancy were significantly decreased during the last 30 years, an ectopic pregnancy is still the number one cause of maternal mortality in the first trimester of pregnancy. 2. The incidence of ectopic pregnancies has increased dramatically over the last 20 years is probably due to the increasing incidence of pelvic inflammatory disease (PID) or inflammation of the pelvic organs and better diagnostic capabilities. In contrast, mortality rates decreased due to the improvement of diagnostic and treatment facilities.

Pregnancy health check

After a normal birth does not mean that mothers do not return to the doctor obgin. Because normal childbirth, a lot of complaints. When and how it will work, let us follow the next review!

What is checked?

"Normal postpartum health check is a check made to see Moms condition after childbirth," Dr. Anita Arju, spitting up of mother and child hospital Hermina Depok go.

Your doctor will evaluate (compare) the state of pregnancy, the birth of postpartum. Research in the form:

1. Evaluate the condition mothers after childbirth process

The issue of breast milk (milk), bladder, bowel movement, the condition of the uterus, vagina, blood, childbirth and the condition of the perineum (the area between the vagina and rectum) - usually occurs during the tears childbirth.

2. Discussing the problems that arise during labor and prevent the possibility of repeated again when the next delivery

For example, a mother who was expecting her first child at the time of birth is difficult to push mistakes of the body position or posture. At the time of the audit postpartum doctor will feed into the latest incident is not repeated again at the next delivery.

3. Assess and evaluate co-morbidities that can occur during pregnancy and childbirth for not returning in subsequent pregnancies and childbirth.

For example, the disease process of diabetes because of pregnancies that resulted in a large birth weight baby or piles (pile) because the process of pregnancy and childbirth.

When is Done?

Better control of the normal postpartum obstetrician performed twice, namely:

1. A week after giving birth

Exam Centres in the area around the belly (womb) and the perineum. The uterus is checked again whether it is shrinking or not, how the state of episiotomy wounds (tears to the birth canal) or dry or not.

And usually the doctor will also ask whether there are other symptoms such as:

- bowel movement is not smooth. Usually caused by a lack of moisture and fiber, or a feeling of fear to defecate, because the pain of childbirth trauma and fear of injury torn seams. Your doctor will advise you to consume enough water to at least 3 liters per day, high protein diet (for episiotomy wound healing and the production of breast milk) and a high fiber content. But if not successful, doctors will give stimulants intestine through the anus so it does not affect breast milk.

- Pain is the perineum. This can happen due to lack of hygiene in the vaginal area. Do not be afraid to wash the perineal area clean.

- Blood childbirth a little and is accompanied by the smell. The main cause is usually due to the lack of contractions of the uterus, can occur in women who have deployed or not to breast milk directly deliver. Suction on the nipple of contractions of the uterus, so shrunk back to their pre-pregnancy size boost.

- Putting milk blisters. Usually occur because the position of the nipple is not proportional to the cavity so the baby's mouth bitten.

- Breastfeeding is not smooth, causing swelling of the breast. This usually happens in almost all new mothers. Breasts feel fuller / tension and pain that comes on the third or fourth day after birth is a sign that many starts in the milk production.

If not removed, will accumulate in the breast, the nipple ever so flat and hard to smoked baby, the breast looks red and shiny skin, maternal fever and very painful. For prevention, the baby breast milk as often as possible (on request), remove the milk by hand or pump when the production exceeds the needs of the baby. Reduce pain in the chest and applying a cold compress to reduce swelling to sort do (massage) of the breast.

- Often found in the occurrence of infections, with symptoms of fever with a temperature> 37.5 degrees Celsius, followed by complaints of pain in the troubled region. For example, the perineum, such as the perineum looks swollen, red and hot and painful, burning sensation while urinating, lokia (fluid that comes out during childbirth) who smells blood and still are common.

To prevent infection of the perineum, the trick is to wash your hands before replacing pads, always wipe from the vagina to the anus for bacteria from the anus does not transfer to Miss V, do not hesitate to wound Wash and dry with a clean, dry towel, Pat gently suture, and always the pads after urinating or defecating.

2. 40 days after childbirth

Usually the postpartum period is over and the doctor will be a series of checks, including:

- General condition, maternal weight ranged from 3.5 to 4 pounds usually be reduced - depending on maternal nutrition -, blood pressure is back to normal - except the mother has been suffering from hypertension since before pregnancy.

- Review of the uterus, or the size of the uterus has returned to normal, state of the perineum, episiotomy wound and whitish.

- Asking the production of milk, or the current or even reduced.

- Consult the use of contraception. For mothers who are not breastfeeding, menstrual cycles usually start in the next 5-8 weeks after delivery. To prevent pregnancy is discussed with a doctor about contraception that's best for the mother and husband. For mothers who exclusively breastfed, this activity can be used as a natural contraceptive method is not equipped with a baby 6 months old, my mother is not menstruating, and exclusively breastfed infants.

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