ila wela water birth
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Speaker : Jessica HarlanConsultant : Dr. Purwito Nugroho Sp.An M
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Introduction
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ILA WELA
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Anatomy
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ILA (INTRATHECALLABOUR ANALGESIA)
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Definition
ILA is a technique to reduce painduring childbirth by injecting an
analgetic agent that is injected intothe mother’s spinal space
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Spinal
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Indications
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Contraindications
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Absolut Relatif
•The patient refused
•Infection at the injection site
•Seere hypoolaemia! shoc"
•#oagulopathy or anticoagulant
therapy
•Eleated intracranial pressure
•$inimal resuscitation facilities
•Lac" of e%perience
•Systemic Infection
•Infection around the injection site
•&eurological Disorders
•'sychological disorders
•(eart disease
•$ild (ypoolaemia
•#hronic bac" pain
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'rocedure
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'rocedure
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'erform spinal injection needle in a puncture on themedial plane)
*emoe the stylet and cerebrospinal fluid +ill drip
out)
Inject local anesthetic drug +hich has beenprepared into the subarachnoid space slo+ly,-!.ml / sec0
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#omplications
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#omplications After 'rocedure
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ELA (AL!INGE"I#URAL LU$BAR ANALGESIA)
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Definition
Is a pain1free childbirth techniquesusing techniques such as epiduralanalgesia! +here the mother can dopain1free childbirth)
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Indications
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#ontraindications
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'rocedures
2) patient’s position is the same as the spinal analgesia
3) epidural needle puncture is usually done at a heightL415
4) The needle used #ra+ford or Tuohy
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5) Identify the epidural space
.) Test dose
6) 7nce belieed to be the position of theneedle or catheter is true! local anestheticinjections gradually 41.ml/41.minutes to
achiee total dose
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Co%&lications
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ater Birt'
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Definition
Water 8irth is one of the alternatiemethods of aginal deliery! +herepregnant +omen at term +ithoutcomplications soa"ing in +arm +ater,+hich is done in a bathtub or pool0
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Theory
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$ethods
'ure
Emulsion
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Tools
8irth pool
Water heater
Sterile +ater
To+el and blan"et*esuscitation tools
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Indications
o $other9s choice
o &ormal pregnancy : 4; +ee"s
o Single fetus head presentation
o &ot using tranquili
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#ontraindications
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8enefits
or $ot'er or Bab •Soothing! comforting!rela%ing)•'romotes more efficient
uterine contractions andimproed blood circulation•Lo+er high blood pressure•*educe stress1relatedhormones
•'erineum becomes moreelastic and rela%ed•*ela% mentally
•'roides an enironmentsimilar to the amniotic sac)•Eases the stress of the birth
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*is"s To The $other And 8aby
Water embolism
Water aspirations
The umbilical cord could snap
Infection8aby’s body temperature could be too high or too
lo+)
=our baby could hae sei
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THAN! *OU
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