Ummi & Family

Jadual Gaji Kakitangan Awam 2012

2012-02-02T09:00:00.000-08:00

BERDASARKAN PEKELILING GAJI 2012, BERIKUT NI TARIKH PEMBAYARAN GAJI KAKITANGAN AWAM PADA TAHUN 2012

JANUARI - 16/1/2012 (ISNIN) - TAHUN BARU CINA PADA 23 DAN 24 HB JAN
FEBUARI - 23/2/2012 (KHAMIS)
MAC - 22/3/2012 (KHAMIS)
APRIL - 25/4/2012 (RABU)
MEI - 23/5/2012 (RABU) - PESTA MENUAI 30 DAN 31/5
JUN - 25/6/2012 (ISNIN) - PESTA GAWAI 1 DAN 2HB JUN
JULAI - 25/7/2012 (RABU)
OGOS - 13/8/2012 (ISNIN) -HARI RAYA PUASA 19 DAN 20HB OGOS
SEPTEMBER -25/9/2012 (SELASA)
OKTOBER -22/10/2012 (ISNIN) -HARI RAYA HAJI 26 HB OKT
NOVEMBER -6/11/2012 (SELASA) - 13 HB OKT DEEPAVALI
DISEMBER - 18/12/2012 (SELASA) -KRISMAS 25 DIS

Gerai MBFPC (Rakan Pembimbing Menyusu Sabah) akan dibuka!!

2011-12-08T00:25:00.000-08:00

Assalamualaikum dan Salam Sejahtera, InsyaAllah pada 18 Disember ini pihak MBFPC (Malaysian Breastfeeding Peer Counselor, Sabah) akan membuka Booth atau Gerai di Lot Parking Giant Inanam di Kolombong.Buat ibu2, bakal2 ibu, Warga Sabahan khususnya di sini saya mengalu-alukan kedatangan anda ke tapak gerai kami nanti- untuk mengetahui sebarang info tentang penyusuan susu ibu dan apa juga yg berkaitan dgn susu ibu boleh lah bertandang ke gerai MBFPC nanti ya (Pelbagai aktiviti akan diadakan di sana nanti)

Top Ten Tips For Car Boot Sale Sellers

2011-11-27T05:28:00.000-08:00

Hmm ni kira tajuk kategori baru hehe, saja ummi letak info ni cari idea macamana mau bukak booth sales almaklum ni pertama kali, so jom kita baca tip-tip berguna ni yek :)

Top Ten Tips For Car Boot Sale Sellers - 'Booters'
Click on the mini-menu below to view the car boot sale tips

Arrive Early
Arrive early to give yourself time to set up and get organised.
Note: Most boot sales have early buyers who may mob your car whilst you unload looking for bargains or valuable antiques. The Cheltenham Racecourse Boot Sale and Stratford-upon-Avon Racecourse Boot Sale open their doors to sellers at 6am.
Take Plenty of Change - 'Float'
Many buyers will not have the right money, will one buyer paying with a £10 note for a 50p item clean you out of change? Also you may have to haggle, and it's always best to be able to take the right money or you may feel obliged to drop your price further to make the sale.
Be Prepared to Haggle...
Learn the ancient art of haggling! Punters love to get a reduced price, let them think they're getting an amazing discount by pricing your goods accordingly.
Use Pricing Labels
If you have a large number of things to sell then price them with sticky labels. It will help you remember the prices, and provide a good starting point to haggle from, you can also put up a sign saying all prices are O.N.O. ( Or Nearest Offer ).
Be Prepared for ALL Weather Conditions
Always take an umbrella and coat for yourself, no matter what the weather looks like when you leave the house! Think about how you're going to protect your goods, a clear sheet of plastic will protect against the rain and still allow the Punters to see what you're selling.
Take a Display Table
Always try to display your items on a table, they will be nearer to the Booters eyes and allow them to pick up and examine them more easily. Only display shoes or outdoor items on the floor, and always put a sheet down. If you are selling clothes try to hang them up if possible, it's easier to leaf through hangers than to rummage through piles.
[back to top]
Presentation is Everything
Once you have your table, floor sheet, & clothes hangers, try to display your goods in a way that shows them off as well as possible, and people can inspect easily. Presentation really is everything.
Attract Booters with a 'Bargain Box'
A 'Bargain Box' will attract in customers looking for a bargain, once you've got them interested, sell them something more expensive. Also if you've got a load of rubbish that isn't worth anything you can give it away from your 'Bargain Box'.
Be Security Conscious
At ALL times be Security Conscious. Put your cash safe ( Best in a money bag around your waist ). Don't have valuables lying on a table, or on your car seat or boot. If you have expensive items for sale, always keep them near and clearly visible to you.
Be aware one unscrupulous person could spoil your day.
Sell Yourself!
Last but not least, Smile and be pleasant to your passing customers, it makes all the difference.

Have a Good Day Selling
http://www.racecoursebootsale.com/

Ifwat 6 bulan

2011-10-30T09:37:00.000-07:00

Avent steamer and blender

Lama jugak ummi tidak menjenguk ke sini, dek sibuk di website dotcom ummi yg satu lagi. Website ummi tu kena hack...itu lah yg membuatkan ummi berlama-lama di sana, sampai tidak sempat mengemaskini blog ini. Ekceli alhamdulillah Ifwat ummi sudah pun enam bulan, dan sudah mula makan. Untuk Ifwat ni Ummi agak mudah sedikit menyediakan makanannya sebab ummi ada pembantu yg memudahkan kerja (dalam gambar) ianya sangat mudah - kita steam makanan tu lepas tu kita blend, gerenti tidak sampai setengah jam pun!! hehe

ok kat bawah ni pula gambar baby ifwat 5 hari sebelum umurnya genap 6 bulan pada 21 oktober 2011

ifwat dalam ssc snuggbaby

grr...sejuk dalam bilik kat homestay di kundasang

sempat lagi kena dukung ngan akak yg dari semenanjung masa pg naik canopy ;)

kakak sofwa dan kakak kaisah yg kepenatan mendaki bukit..fuhhhh ;)

Diet for a healthy breastfeeding mom

2011-10-15T18:18:00.000-07:00

Highlights

Many new moms wonder what breastfeeding means for their diet. You probably don't need to make any major changes to what you eat or drink while you're nursing, though there are a few important considerations to keep in mind:

Eat a well-balanced diet for your health

Video

How to use a breast pump

Learn about the different types of breast pumps, the basics of how they work, and the right way to use a breast pump.

One of the wonders of breast milk is that it can meet your baby's nutritional needs even when you're not eating perfectly. (However, if you eat a diet that's too low in calories or that relies on one food group at the exclusion of others, this could affect the quality and quantity of your milk.)
Just because your baby won't be harmed by occasional dietary lapses on your part doesn't mean that you won't suffer, though. When you don't get the nutrients you need from your diet, your body will draw on its reserves, which can eventually become depleted. Also, you need strength and stamina to meet the physical demands of caring for a new baby.
Many moms feel extra hungry while breastfeeding, which makes sense – your body is working around the clock to make breast milk for your baby. Eating small meals with healthy snacks in between (the way you may have done during pregnancy) is a good way to keep your hunger in check and your energy level high.

Don't count calories

Breastfeeding Problem Solver

Find solutions to a variety of breastfeeding challenges, including nipple pain, low milk supply, and more.

There's no one-size-fits-all answer to how many calories you need to consume as a nursing mom. As a general guideline, most women who are breastfeeding will need about 200 to 500 calories more than moms who aren't – which would mean a minimum of 2,000 to 2,700 calories per day.
Instead of counting calories, follow your hunger as a guide to how much you need to eat.
The exact amount will depend on a number of individual factors, such as your weight, how much exercise you get, how your metabolism works, and how much you're breastfeeding.

Aim for slow and steady weight loss

While some new moms find the weight just seems to fall off while they're breastfeeding, others don't lose much. It all depends on your body, your food choices, your activity level, and your metabolism.
The best plan: Lose your pregnancy weight gradually. Count on taking ten months to a year to return to your pre-pregnancy weight.
And don't even think about trying to lose weight by dieting until two months after your baby is born. A reduced-calorie diet in the first couple of months could zap your energy and hurt your milk supply.
Most women can safely lose 1.5 pounds per week by combining a healthy diet with moderate exercise. Losing weight more rapidly than this can pose a danger to your baby because rapid weight loss releases toxins that are normally stored in your body fat into the bloodstream – and into your milk.
A sudden, large drop in your calorie intake can affect your milk supply – so don't do any one-day diets for quick weight loss! If you're losing more than 1.5 pounds a week after the first six weeks, you need to take in more calories.

Include a variety of healthy foods

Variety and balance are key to a healthy diet. A balanced diet – which means eating a mix of carbohydrates, protein, and fat at meals – will keep you feeling full longer and supply the nutrients your body needs. Complex carbs like whole grains and cereals and fresh fruits and vegetables not only provide more nutrition than processed starches and sugars, they provide longer-lasting energy.
Variety across all food groups is important so you can get all the vitamins you and your baby need over time. So mix it up – try to eat something today that you didn't eat yesterday.

Choose good fats

When it comes to fat, think mono- and polyunsaturated fats – "healthy fats" like canola oil, olive oil, and fatty fish like salmon, as well as avocado, olives, nuts, and seeds. Limit saturated fats and avoid trans fats, both of which are considered unhealthy. They show up in high-fat meats, whole milk, tropical oils (such as palm kernel and coconut), butter, and lard. Saturated fats and trans fats are both listed on the nutrition facts label.
In addition to being bad for your diet, your intake of these unhealthy fats can alter the fat composition of your breast milk and aren't good for your baby's health. They can decrease the production of omega-3s, long-chain polyunsaturated fats that are important for infant growth and development.
While we don't know the long-term effects of unhealthy fats on infant cardiovascular health, we do know that in adults they've been shown to negatively affect heart health by raising levels of LDL (bad cholesterol), lowering HDL (good cholesterol), and increasing signs of inflammation as well as boosting the risk of heart attack and death from heart disease.

Take extra steps to avoid contaminants

It's a good idea to try to minimize your exposure to contaminants in your food (and your environment) while you're nursing. Pesticides and insecticides and other chemicals that you ingest can make their way to your breast milk. Although research is ongoing, we know that environmental chemicals could have an impact on your baby's long-term health. Here are some tips for limiting your exposure:

Eat a variety of foods. If you eat large quantities of one food – and it happens to be high in pesticides – your intake of pesticides will be higher than if that food is one of many you eat.
Know which fruits and vegetables are highest in pesticides and choose organic options or wash them very well or peel them. The "dirty dozen" that tested highest for pesticides as of 2010, according to the Environmental Working Group, were celery, peaches, strawberries, apples, blueberries, nectarines, bell peppers, spinach, cherries, kale/collard greens, potatoes, and imported grapes. The fruits and vegetables that tested lowest in pesticide residues were onions, avocado, sweet corn, pineapple, mangos, sweet peas, asparagus, kiwi, cabbage, eggplant, cantaloupe, watermelon, grapefruit, sweet potato, and honeydew melon.
Choose produce that's in season in your area, and purchase local produce when you can. Produce that travels long distances often has more pesticides.
Choose lean meats, and remove the skin and extra fat before cooking. Chemicals are stored in fat.
Consider drinking filtered water while breastfeeding. While the EPA requires that all tap water meet certain standards, small amounts of many chemicals are found in tap water.

Eat fish - but be picky

It's important to eat a variety of sources of protein while you're nursing – including fish. The American Heart Association recommends fish for a heart-healthy diet.
Some fish (especially cold water fish) also contain DHA and EPA, omega-3 fats that play an important role in brain and eye development that continues during your baby's first year. (Your baby will get these omega-3s from your breast milk.)
Not only does DHA help your baby, but it helps you too. One study found that moms who have lower breast milk levels of DHA, as well as lower seafood consumption, are more likely to develop postpartum depression.
Eat up to 12 ounces of most types of fish and seafood per week, including salmon, shrimp, lake trout, tilapia, catfish, crab, pollack, and scallops. However, some types of fish contain contaminants that can be harmful to pregnant and nursing women and children.
The Environmental Protection Agency and U.S. Department of Agriculture advise not eating four specific types of fish because they contain high levels of mercury: shark, swordfish, king mackerel, and tilefish. Solid white or albacore tuna tends to be higher in mercury than other types of canned tuna. If you eat solid white or albacore tuna, limit your intake to 6 ounces per week.
Other experts and advocacy groups are even more cautious, expanding the list of fish to avoid. Read more about eating fish when you're breastfeeding.

Go easy on the alcohol

If you time it right, an occasional drink probably won't cause your breastfeeding baby any harm, but in general you may want to hold off on drinking alcohol while you're breastfeeding. Alcohol does enter your breast milk, and having as little as one drink may affect your milk letdown reflex.
Studies show that babies consume less milk in the four hours after Mom consumes an alcoholic beverage. Babies may become drowsy and fall asleep more quickly after their breastfeeding mom drinks alcohol, but they also sleep for a shorter amount of time. (And of course heavy drinking will render you unable to safely care for your baby.)

If you're going to enjoy an occasional alcoholic beverage, keep in mind that it takes two to three hours for your body to eliminate the alcohol in one serving of beer or wine. Specific time frames depend on your size and how much you drink, of course, but the more you drink, the longer it takes – which means that you might want to time that toast for right after a feeding session.
Alcohol isn't stored in breast milk – instead, the level increases and decreases just as it does in your bloodstream – so "pumping and dumping" (using a breast pump to empty your breasts and then throwing out the collected milk) serves no purpose.
Drink water with your alcoholic drink, and eat before or while you drink, to help lower the amount of alcohol in your blood and your milk.

Drink plenty of water and limit caffeine

When you're breastfeeding, your body needs about 16 cups of total fluid a day (this includes fluid within the foods you eat, like fruits and vegetables). There's no need to keep a tally of your liquid intake, though. A good rule of thumb is to drink to thirst – that is, drink whenever you feel the need. If your urine is light colored, it's a good sign that you're well hydrated.
Speaking of fluids, it's okay to have your morning cup of coffee while breastfeeding if you like, but don't overdo it. A small amount of caffeine winds up in your breast milk. It can accumulate in your baby's system because he can't easily break down and excrete it.
Most experts suggest that nursing moms limit their consumption of caffeine (including coffee, tea, soft drinks, energy drinks, chocolate, and coffee ice cream) to no more than 300 mg per day, which is about as much as you'd get in a 12-ounce cup of coffee. Check out our caffeine chart to see how much caffeine is in popular beverages and foods.

Consider the flavors of what you eat and drink

Most nursing moms can eat a wide variety of foods while nursing – including spicy foods – without any objection from their baby. In fact, some experts suggest that babies enjoy a variety of flavors in their breast milk. Eating your favorite foods while you're nursing gives your baby a "taste" of your diet and may help him be more accepting of different foods once he starts eating solids.
But some moms swear that certain foods – like broccoli, cabbage, Brussels sprouts, dairy products, chocolate, citrus, garlic, or chili pepper – make their breastfed baby gassy or irritable. If your baby seems consistently uncomfortable after you eat a particular food, then by all means avoid it to see if your baby is happier.
In rare instances, your baby may be allergic to something you've eaten. If this is the case, you may see a reaction on his skin (rash or hives), in his breathing (wheezing or congestion), or in his stools (green or mucousy).

Keep taking your vitamins

It's a good idea to continue taking your prenatal vitamin while you're breastfeeding – at least for the first month or so. After that, you can switch to a regular multivitamin and mineral supplement or stay on your prenatal vitamin, depending on your individual needs. (You can discuss this with your healthcare provider at your first postpartum visit.)
A supplement doesn't take the place of a well-balanced diet, but it can provide some extra insurance, especially on those days when taking care of your new baby keeps you from eating as well as you'd like.
In addition to your prenatal vitamin or multivitamin, consider the following supplements:
Calcium: While your prenatal vitamin or multivitamin may have small amounts of calcium, you'll need some supplemental calcium if you're not eating at least three daily servings of calcium-rich foods (like milk and other dairy products, canned fish, or calcium-fortified foods like cereals, juices, soy and rice beverages, and breads).
The recommended dose for women before, during, and after pregnancy is 1,000 milligrams (mg) daily. Don't exceed 2,500 mg daily from all sources. Exceeding this safe upper limit can lead to kidney stones, hypercalcemia, and renal insufficiency syndrome. It can also interfere with your body's absorption of iron, magnesium, phosphorus, and zinc.
Vitamin D: Vitamin D is important for bone growth and overall health. It helps your body absorb calcium, and research suggests it may also reduce the risk of osteoporosis, high blood pressure, cancer, diabetes, and several autoimmune diseases.
Sun exposure helps your body produce vitamin D, but many women don't get enough sun (especially in the winter and with the use of sunscreen) to make adequate amounts – and experts feel the small amount found in food might not be enough. The best way to know whether you've been getting enough vitamin D is to have your blood tested.
While you're breastfeeding, the National Academy of Sciences recommends that you receive 200 IU (5 micrograms) of vitamin D daily. The Academy also states that the 400 IU contained in many postnatal vitamin supplements is not excessive. (In fact, many experts believe these recommendations are low, and the Academy is in the process of reviewing its vitamin D guidelines. Bruce Hollis, professor of pediatrics at the Medical University of South Carolina, who has researched vitamin D needs, recommends that lactating women take a supplement of 6,000 IU of vitamin D daily, for example.)
By the way, because breast milk doesn't supply an adequate amount of vitamin D, the American Academy of Pediatrics recommends that breastfed babies (either exclusively breastfed or those drinking less than 17 ounces of formula daily) receive a supplement of 200 IU (5 micrograms) of vitamin D each day too. Talk to your baby's doctor about a vitamin D supplement.
Vitamin D is important for bone development and the prevention of rickets in children. Experts think that getting enough vitamin D in childhood may also help prevent the development of certain conditions, like osteoarthritis, later in life.
DHA: The DHA content of your breast milk depends on your diet, particularly on whether you eat fish. So if your diet doesn't regularly contain a few servings of cold water fish every week, or other foods containing DHA (like specialty eggs containing DHA or other DHA-fortified foods), you might consider a supplement.
The Society for the Study of Fatty Acids and Lipids (a group of experts who deal with the health effects of dietary fats) recommends 200 mg of DHA per day during pregnancy and lactation.

Daily food and meal plans for breastfeeding moms

Chart of daily food group servings for breastfeeding moms.
Sample meal plans for breastfeeding moms.
(sumber: babycenter.com)

SnuggBaby ssc..will be mine..insyaAllah

2011-10-10T04:45:00.000-07:00

Layan gambar ja dulu ssc ni da on the way ke Beaufort :)

Dandy Damask Black on Black Nox

Gambar terbaru Baby 'Ifwat

2011-10-09T00:04:00.000-07:00

tengok lampu bha hehe

senyum sama baba nya lah tu hehe tukang amik gambar :)

angan2 mo drive ni ummie hehe

kakak kaisah, cacau botol ku hehe

hihi ehm..landing time..

Agak lama juga ummi tidak letak gambar anak-anak kan?, haa ni lah gambar terbaru ifwat, masa ni umurnya 5 bulan seminggu

Nursing During Pregnancy and Tandem Nursing

2011-10-01T09:25:00.000-07:00

Nursing During Pregnancy and Tandem Nursing

by Anne Smith, BA, IBCLC

The AAP (American Academy of Pediatrics) recommends exclusively breastfeeding your baby for the first six months of life, with no solids or supplements, and continuing to nurse throughout the first year of life and beyond. During the period of exclusive breastfeeding, it is very unlikely that you will become pregnant. However, as more and more mothers recognize the advantages of long-term nursing and natural weaning, more of them will become pregnant while they are nursing their baby.

The mother facing the decision of whether to wean or continue nursing during her pregnancy often has mixed emotions, and may get conflicting advice from friends, family, and health care providers. The most common concern is whether continuing to breastfeed will put the expected baby at risk in some way. There is no evidence to suggest that nursing while pregnant endangers the fetus during a normal pregnancy. If a mother has previously delivered a premature baby, develops signs of pre-term labor, or is carrying multiples, there is concern that a hormone released during lactation (oxytocin) may stimulate contractions and trigger a premature labor. In these special situations, mothers are often advised to wean their older child. Research suggests that the uterus is not receptive to hormonal stimulation from oxytocin until around 24 weeks gestation, so it is generally safe to consider nursing until about 20 weeks, even in these special situations. There is almost never a need to wean abruptly during pregnancy.

The mother who is deciding whether to continue nursing during her pregnancy has several factors to consider: her medical history, her physical and emotional comfort level, the nursing child's age, and his need to nurse. If the pregnancy is progressing normally, then the decision of whether to continue to breastfeed is more an individual 'parenting' decision rather than a 'medical' decision.

There is no evidence that nursing during a pregnancy will cause miscarriage during the early months. Miscarriage occurs spontaneously in about 16-30 percent of all pregnancies, so it will sometimes happen while a mother is nursing. The nursing mother should not add the burden of guilt to the pain of losing a baby to miscarriage.

Nursing during pregnancy will not deprive the fetus of essential nutrients, and will not create a harmful "drain" on the mother's body. During pregnancy, it is always important to eat nutritiously, gain weight appropriately, and get adequate rest. A well-nourished mother should have no problem providing enough nutrients for both her unborn baby and her nursing child. Breastfeeding provides several opportunities each day for the expectant mother to take breaks and rest while her toddler nurses or naps.

Due to hormonal changes, most mothers will experience some degree of nipple soreness during pregnancy, which can make nursing very uncomfortable. Nipple soreness is the most common reason given for weaning during pregnancy. The soreness usually is most pronounced during the early months of pregnancy. Since the cause of the soreness is hormonal, there is no real treatment other than time. Some mothers find relief by reducing the time the baby spends at the breast, limiting nursing sessions to nap and bed-time, and others find that reminding the toddler to "open wide" while latching on may reduce soreness.

During pregnancy, most mothers' milk supply will decrease due to hormonal changes. During the second trimester, the milk will begin to change to colostrum. Both the quantity and the taste of the milk change dramatically during this time, and many babies will wean themselves when the milk changes. If you are nursing a baby younger than 6 months when you become pregnant, you will need to carefully monitor his growth and weight gain, and supplemental feedings may be necessary. Older babies who are eating solids will usually show an increased appetite for other foods as your milk supply decreases.

Some babies don't seem to care whether they are getting a lot of milk when they nurse. That's where the emotional component of breastfeeding becomes a factor. Babies vary in their need for oral satisfaction, physical contact, closeness to mother, and willingness to have those needs met in ways other than nursing.

Some toddlers continue to find breastfeeding very important all the way through the pregnancy and after the birth of the new baby as well. Nursing siblings who are not twins is called "tandem nursing". In our culture, this concept is unusual, although other in many other cultures it is a common practice. It is not unusual to have mixed feelings about nursing during pregnancy or tandem nursing. Negative feelings are common, due to physical discomfort and fatigue, as well as feeling "touched out" after nursing for so many months. For the mother who finds herself resenting the older baby's demands, and has difficulty focusing enough attention on the new baby, weaning may be the best choice. She should try to wean gradually, nursing the new baby when the toddler is occupied with other things, and substituting special activities and snacks for nursings. Dads can be a big help with this process.

When they choose to tandem nurse, many mothers find that a unique closeness develops between their nursing siblings. Sharing at the breast can reduce the jealously and sibling rivalry that often accompanies the arrival of a new baby.

Because the older child is receiving nourishment from foods other than breastmilk, the newborn should be allowed to nurse first, ensuring that he gets lots of colostrum. Nursing a toddler can help relieve engorgement. Because the toddler will nurse more vigorously than the infant, the mother may find that she produces an oversupply of milk. If this occurs, and the newborn chokes when attempting to nurse, she may want to let the toddler nurse briefly before putting the new baby on the breast. Within a short period of time, the milk supply will adjust to the needs of the two siblings, just as it would if the mother were nursing twins or triplets. The two nurslings can be fed at the same time, or separately - whatever works best for you.

There are no special concerns about hygiene. The nipple secretes an enzyme that reduces bacterial counts, and breastfed babies are born with immunities to most germs found in their home environment. Most germs involved in common illnesses are contagious for days before symptoms appear, so tandem nursers have been exposed by the time you know one of them is ill. If you are dealing with a serious illness, one that is very contagious, or thrush, you may want to limit each child to one breast temporarily.

Sometimes a toddler who was weaned before the new baby's arrival will decide that he wants to nurse again. Often a discussion of how he used to nurse, but now he's a "big boy" and can eat grown up food, will suffice. If he is insistent about it, it is probably best to let him try. Most of the time toddlers who have weaned have forgotten how to nurse, and will lose interest quickly. Allowing him to nurse until he feels more secure about his new position in the family can be a good idea.

Tandem nursing is not for everyone. If it is not working out well, mothers should wean the older child without feeling guilty about it. It is important to give the older baby lots of extra cuddling and attention so that he knows that although he is losing the comfort and security of the breast, he is not losing his mother's love.

If a mother does choose to tandem nurse, she can find it very gratifying for everyone involved. Knowing that she nursed her baby until he outgrew the need is a very rewarding feeling, and can result in increased security and self-esteem in the child who weans when he is ready to move on to the next stage of his development, and not just because his mother became pregnant.

----

About the Author: Anne is an International Board Certified Lactation Consultant and La Leche League Leader with nearly 25 years experience working with nursing mothers. As a mother of 6 breastfed children, she has lots of firsthand experience in addition to technical knowledge. For information on a wide variety of breastfeeding topics, as well as quality nursing products, visit her website at www.Breastfeeding-Basics.com.

LAM- The Lactational Amenorrhea Method

2011-09-24T19:22:00.000-07:00

What is LAM?

The Lactational Amenorrhea Method (LAM)

When is LAM no Longer Effective?

Family Planning for the Breastfeeding Woman

Breastfeeding Habits that Improve LAM

Frequently Asked Questions about LAM

The Lactational Amenorrhea Method (LAM)

It is a well known fact that breastfeeding suppresses a woman's fertility in the early months after delivery. However, many women do not feel comfortable relying on breastfeeding as a form of birth control because they have been told it is unreliable, or perhaps because they know someone who became pregnant while breastfeeding.

The Lactational Amenorrhea Method (LAM) was created to allow women to safely rely on breastfeeding as a family planning method. Based on scientific research, the method uses three measures of a woman's fertility: 1) the return of her menstrual period, 2) her patterns of breastfeeding, and 3) the time postpartum.

Who can use LAM?

A woman can use LAM if:

1. her menstrual period has not returned since delivery (Bleeding or spotting during the first 56 days is not considered menstrual bleeding.) AND

2. she is breastfeeding her baby on demand, both day and night and not feeding other foods or liquids regularly (Occasional tastes of foods or other liquids are permitted, but they should never replace a feeding at the breast.) AND

3. her baby is less than six months old.

When all three of these conditions exist, she has less than a two percent chance of becoming pregnant. However, the woman is encouraged to begin using a complementary family planning method when any of the three conditions changes, or whenever she chooses.

Scientific studies conducted around the world by the Institute for Reproductive Health and other organizations have proven that when used correctly, LAM is an effective, safe, convenient short-term way for breastfeeding women to delay pregnancy.

Study/Date	N	Efficacy (%)	Pregnancies (#)
Chile*/1989	422	99.5	1
Ecuador*/1993	330	99.8	2
Pakistan**/1995	391	99.4	1
Philippines**/1996	485	99.0	2
Multicenter*/1996	519	98.5	5

* Study conducted by the Institute for Reproductive Health.
** Study conducted by Family Health International.

When is LAM no longer effective?

A woman who chooses to rely on LAM should be advised that the method is short-term (up to six months) and is no longer effective when any one of the three criteria changes.

The LAM user should be counseled to use another contraceptive method for continued protection when:

1. Her menstrual periods return.
Menstrual bleeding is the most important indicator of fertility. After the initial 56 days postpartum, two consecutive days of bleeding/spotting or the woman's perception that her period has returned, whichever of the two comes first, should be considered an indication that fertility is returning. A woman can ovulate before her period returns, however, studies indicate this rarely occurs when the woman is breastfeeding intensively and less than six months postpartum. OR

2. She begins feeding her baby other liquids or foods regularly, or her baby sleeps through the night.
Ovulation is suppressed in the breastfeeding woman as the baby suckles at the breast. When the baby begins taking other foods or liquids she/he generally suckles at the breast less, thus reducing the fertility-suppressing effect of breastfeeding. This is also true when the baby begins sleeping through the night--long intervals between breastfeeds (more than four hours during the day and six hours at night) should be avoided. OR

3. Her baby is older than six months.
At about six months the baby should begin eating other foods as their nutritional needs change at this time. Usually the baby will breastfeed less when this happens, thus, LAM becomes less effective.

Any one of these changes will reduce LAM's high efficacy. At this time, the LAM user should be counseled about complementary family planning methods that do not interfere with breastfeeding.

Medical conditions when LAM would not be advisable
Medical conditions that affect the use of LAM are few. Generally, the conditions listed below make breastfeeding inadvisable, which in turn makes LAM use impossible.

LAM should not be used under the following conditions:

Specific infant metabolic disorders.
Maternal use of mood-altering drugs.
Maternal use of reserpine, ergotamine, antimetabolites, cyclosporine, bromocriptine, radioactive drugs, lithium, or anticoagulants.

LAM usually is not recommended under the following conditions, except on the basis of careful clinical judgement, taking into account the severity of the condition and the availability and acceptability of other methods:

AIDS or confirmed HIV+. The HIV virus can be passed through breastmilk. According to the World Health Organization, if a safe alternative to breastfeeding is available and affordable, a woman who is HIV+ or has AIDS should be informed of the risks of breast and bottle feeding.

Active tuberculosis. Tuberculosis does not spread through breastmilk but through direct contact with the mother. If the mother has an active case of tuberculosis, breastfeeding increases the risk of infection due to the frequent and intimate contact with the infant.

This page was adapted from the original web site of the Institute for Reproductive Health, a project funded by the United States Agency for International Development (USAID) under the terms of Cooperative Agreement DPE-3061-A-00-1029-00. Information (photos excluded) and publications may be reproduced, adapted, and disseminated without permission, provided the Institute for Reproductive Health is acknowledged and the material is distributed free of charge, or not for profit.

The LAM section was originally developed by Shirley Coly

Photograph on this page by Noureddine El-Warari.

(source: http://www.waba.org.my/resources/lam/ )

Perjumpaan Kumpulan Ibu Menyusu Sabah kali Pertama

2011-09-24T18:13:00.000-07:00

Ummie paste gambar saja dulu ya, keletihan baru balik KK tadi, ni pun dapat dari facebook geng SGSIS (Support Group susu ibu Sabah) iaitu Aima dan saya dapat foto ni dari facebook, terima kasih ya Aima sebab sudi tagged kaka. Ha ni kenalan ummi yg sudah bertukar 'status', bah jan dulu bingung ya :) , MAKSUDNYA DARI STATUS KENALAN ONLINE SUDAH TUKAR KENALAN OFFLINE hihi :)

Nursing Tips for the Large Breasted Mother

2011-09-21T05:55:00.001-07:00

Here are some suggestions that I have found helpful:
(Source: http://www.breastfeedingbasics.com/html/Large_Breasted_Tips.shtml )

Find a nursing bra that really fits. Small- breasted women don't need as much support as larger breastfed women, so finding a supportive bra is more of a priority for the mother with larger breasts. Breast size will increase during pregnancy, but by the last trimester, the majority of prenatal growth has occurred and that is a good time to purchase nursing bras. It is impossible to predict exactly how much larger your breasts will get when your milk comes in, but you can estimate that you will be a size or two larger in both cup and band size. It may help to get a back extender to use during the latter stages of pregnancy or the early stages of engorgement, because this can easily be removed as your size changes. Your ribcage expands during the last months of pregnancy, and the extender may help make you more comfortable during this stage. Start out with only a couple of bras, and invest in more once the initial engorgement has subsided and you reach your long-term nursing size. Good nursing bras are expensive, and you don't want to end up investing in a drawer full of bras that don't fit anymore after the first couple of weeks of nursing. You should try to avoid under-wire bras if possible (they can press against breast tissue and cause problems with plugged ducts and mastitis) as well as tight athletic bras. Bras that are too loose can also cause problems for large breasted women. The best option for obtaining a comfortable, supportive bra is to have it fitted by a professional, but this isn't always possible. Many maternity stores don't carry a large range of sizes, so you may have to order one instead. Plan to order far enough in advance to allow time for returns if the fit isn't' just right. The best online resource I have found for nursing bras is birthandbaby.com. Go to the home page and look under "breastfeeding". Click on "nursing bras" and you will go to the family resources page. They have an excellent selection of bras in a wide range of brands and sizes, along with detailed information about how to fit and order the bras.
Experiment with different positions. The traditional cradle hold is the most popular position, but the football hold generally works better for women with larger breasts. In this position, the baby is tucked under your arm and you have better control of the baby's head as he latches on, as well as more freedom of arm movement. Be sure to use lots of pillows to bring the baby up to your level, rather than having to lean over him. You also want to support your back with pillows as well. Raising your knees with a footstool also helps (Medela's Nursing Stool is ideal for this). It is difficult to learn how to position your baby by reading a book, so spend some time at La Leche League meetings if you have the opportunity. You'll get the chance to see real live babies in action in a comfortable situation where only other mothers are present. Medela has an excellent video called "Breastfeeding Your Baby: A Mother's Guide: Positioning" that shows a variety of nursing positions. It's available from many LLL group libraries, and in our area, Blockbuster Video offers it free as a public service. You may find it useful to "practice" different positions before your baby arrives, using a baby doll or stuffed animal. While this isn't the same as nursing a real live wiggly baby, it can give you an idea of how to use pillows for support, and help you get a feel for which positions might be most comfortable for you.
Make sure to support the breast while nursing. Using the "C" hold is often effective. The optimal C hold involves using your outside hand (the one on the same side you're nursing from) to support your breast. Put your palm gently under the breast, with your thumb curved around the top and side, forming a "C". Be sure to keep your finger and thumb well behind the areola, because if your fingers are in the way, your baby can't compress the milk sinuses effectively. This can cause soreness as well as keeping him from obtaining the hind milk that he needs to grow. Some mothers find that rolling up a washcloth and placing it under the breast during the feeding provides extra support. You may need additional support only while you are getting the baby latched on, or you may need to support the breast throughout the entire feeding. Once your baby is older and has better muscle control, you may find that you don't need as much support as you do in the beginning.
Pay careful attention to latch on. You need to make sure that your baby takes a good portion of the areola (the dark area surrounding the nipple) into his mouth, and not just the nipple. Milk is stored behind the areola in pockets (lactiferous sinuses) and the baby has to compress these pockets in order to breastfeed effectively. Babies have tiny little rosebud mouths, and if your areola is large (some are the size of a saucer), then you need to make sure he opens wide (like a yawn) before you pull him in to you to latch on. Most of the areola should be covered, but it's not necessary for him to take all of it in his mouth.
Gently massage your breasts while you are nursing. Large breasted women have more tissue that can become engorged or lumpy, and massage can help insure that the milk ducts are being emptied adequately.
Set up a nursing station in the areas where you will be spending a lot of time (usually bedroom and living room). Get all the supplies you will need together so you don't have to move once you get settled: pillows, diapers, wipes, change of clothes, towel or cloth diaper for leaks or spit up, nursing pads, change of crib bedding, bottle of water, remote control, book to read, etc. A comfortable recliner is a wonderful investment. You will spend many hours nursing in it, and you deserve to be as comfortable as possible!
Try to find a way to nurse while you are sleeping with your baby. Newborn babies nurse a LOT during the night, and you will get a lot more rest if you can learn to nurse comfortably while lying down. Many mothers find this the most difficult position to master, but in my experience, large breasted women find it easier than women with small breasts. The article on "Nursing After a Caesarean Section" has info on nursing lying down, and so does the Medela video.
Nursing discreetly in public can be challenging for all mothers, but especially for women with larger breasts. If the football hold works best for you, you can use your diaper bag to rest the baby on (instead of a pillow). The article "Nursing Discreetly" has more tips on how to nurse in public without drawing a crowd. I personally have strong feelings about nursing mothers not feeding their babies in bathrooms, and there are lots of other options if you feel the same way. You have to do whatever is comfortable for you personally, but it is possible to nurse when you are out and about if you learn some basic tips to make it easier.
Good breast hygiene is important, because women with large breasts are more likely to have problems with skin irritation or infections due to the folds of skin underneath their breasts. Many skin problems such as yeast and heat rash are aggravated by moisture, and the area under the breast is prone to these infections. Wash your breasts daily with water (not soap) and dry them thoroughly, paying special attention to the area underneath the breast. You may want to use your hair dryer on the cool setting to make sure the area is completely dry, especially during warm weather.
Many people make the assumption that mothers with large breasts will make more milk, have more oversupply problems, and leak more than the average woman. This is simply not true. Some women produce more milk and some leak more than others, but it isn't related to the size of the breasts. If you do experience a problem with an overabundance of milk, see the article on "Oversupply: Too Much Milk" for some solutions.
If you choose to use a breast pump, you should be aware that the breastshields and flanges (the funnel shaped pieces that fit over your nipple/areola) are designed for the "average" sized breast. Women with very large breasts or areolas may need a larger flange. Medela makes a PersonalFit flange kit that comes with two different size flanges for larger breasts, and this makes it possible for women with all sizes and shapes of nipples to pump comfortably and efficiently.

Nursing a baby can present special challenges for the mother who is amply endowed, but with preparation and practice, there is no reason why you can't have a very successful breastfeeding experience regardless of the size or shape of your breasts.

Baru nak join..Insentif tunai untuk setiap trafik ke blog denaihati

2011-09-20T02:45:00.000-07:00

Hai pa kabar semua, untuk pengetahuan kawan tiba2 pulak ummi ada hati mau menjoin YG INI INSENTIF TUNAI UNTUK SETIAP TRAFIK KE BLOG DENAIHATI haa ni lah ceritanya sesaja menjoin, mau memeriahkan blog ku ini, sambil meriah sambil2 lah juga mau dapat wang komisyen :). Kalau ada kawan-kawan yang berminat (untuk yg ada blog lah ya) apa salahnya kan? caranya mudah saja

Kalau ada sesiapa yg sudah join Nuffnang tu haa sama lah konsepnya, antara syarat yang ditetapkan oleh pihak DENAIHATI ialah seperti berikut:-

PERTAMA: Insentif ini untuk 10 blog yang memberi top link referrer mengikut pengiraan

KEDUA: Insentif ini akan dibayar setiap bulan bermula 1/7/2011 sehingga 31/12/2011.

KETIGA: 1 trafik yang disumbangkan ke blog denaihati akan dibayar RM0.02. (wah ni yg best kalau 1000 trafik yg kita sumbangkan leh dapat rm20, kalau 3000 trafik dapatlah kita rm60 dan begitulah selanjutnya :) )

apa-apa pun pada sesiapa yg mempunyai blog tu haa apa lagi, jom lah join sambil berblog tu sambil dapat duit kan.

apa pun kalau kengkawan masih tak faham bolehlah berkunjung ke SINI

Darah Tinggi Semasa Hamil

2011-09-16T10:47:00.000-07:00

Tekanan darah tinggi adalah salah satu sebab mengapa wanita hamil dimasukkan ke hospital. Hypertension bermaksud tekanan darah tinggi manakala hypotension pula bermaksud tekanan darah rendah. Hypotension adalah normal semasa mengandung semasa awal dan pertengahan kehamilan dan sesuatu yang tidak perlu dirisaukan.

Kenapa Tekanan Darah Tinggi Merbahaya?

Punca utama mengapa wanita mengalami darah tinggi semasa hamil ialah disebabkan satu keadaan yang dinamakan pre-eclapmsia yang boleh menjurus kepada ECLMAPSIA, satu penyakit darah tinggi yang sangat serius. Pre-eclampsia dan eclampsia adalah salah satu punca utama kematian ibu dan bayi semasa hamil. 5-10% wanita yang mengandung anak sulung akan mengalami eclampsia.

Jenis-jenis Darah Tinggi

Penyakit darah tinggi kronik

Ia adalah penyakit darah tinggi yang wanita alami semasa wanita masih belum hamil lagi. Ia lebih kerap berlaku kepada mereka yang berusia dan wanita tersebut mungkin mempunyai sejarah keluarga yang juga mempunyai darah tinggi.
Penyakit darah tinggi kronik mungkin boleh mmenjadi lebih teruk sewaktu lewat kehamilan dan selalunya doktor akan memberikan pauntauan yang teliti terhadap tekanan darah selepas trimester kedua. Beberapa jenis ubat darah tinggi yang digunakan agak selamat semasa hamil dan selalunya doktor akan menukar ubat yang biasa dimakan sebelum hamil kepada yang lebih sesuai untuk wanita hamil.

Tekanan darah tinggi disebabkan oleh kehamilan (PIH)

Ia terjadi cuma semasa hamil dan hilang sebaik sahaja wanita melahirkan. Sebahagian kecil dari wanita ini akan mengalami eclampsia tetapi agak sukar untuk menentukan siapa yang lebih berisiko. Juga segelintir mereka yang mengalami PIH ini akan mendapat mendapat tekanan darah tinggi akhirnya semasa lebih berusia.

Pre-eclampsia (PE)

Pre-Eclampsia(PE) adalah penyakit yang unik semasa hamil. Ia bukan sahaja penyakit yang melibatkan tekanan darah tinggi malahan ia akan memberi kesan kepada buah pinggang, otak dan organ-organ penting yang lain dalam badan.
Buah pinggang merupakan organ yang pertama mendapat komplikasi dari penyakit ini. Cara untuk mengetahui yang penyakit tersebut dalam peringkat yang agak serius ialah dengan membuat ujian air kencing. Sekiranya terdapat banyak protin didalam urin bermakna wanita sudah mendapat pre-eclampsia. Semakin banyak protin yang terdapat dalam urin semakin teruk keadaan pesakit tersebut.
Sekiranya PE tidak dirawat dengan segera, ia akan menjadi serius dengan cepat dan eclampsia akan berlaku. Ini terjadi apabila wanita mula mendapat sawan. Sekiranya tekanan darah menjadi terlalu tinggi dan dia belum melahirkan, kemungkinan besar bayi juga akan mendapat komplikasi dan mungkin boleh meninggal didalam rahim. Terdapat juga risiko stroke terhadap ibu sekiranya tekanan darah tidak dapat dikawal.

Penyebab Pre-Eclampsia

Ia tidak diketahui bagaimana penyakit ini terjadi. Banyak hormon yang terlibat tetapi penyebab sebenar masih menjadi tanda-tanya. Tetapi pakar perubatan mendapati ia mungkin berkaitan dengan uri. Pakar mendapati, uri tidak membentuk secara normal dengan salur darah tidak menjadi nipis dan lembut sebagaimana yang sepatutnya.
Pembentukkan uri yang tidak normal boleh berlaku seawal 18-20 minggu kehamilan. Terdapat juga darah beku, menyebabkan salur darah tersumbat didalam uri dan ini menjelaskan kenapa bayi wanita yang mempunayai pre-eclampsia lebih kecil dari biasa. Buat masa ini terdapat banyak penyelidikan sedang dijalankan untuk mengetahui punca sebenar mengapa ia terjadi dan bagaimana ia boleh dicegah.

Apa yang menyebabkan PE lebih kerap terjadi?

Keadaan berikut boleh diri anda lebih berisiko untuk mendapat PE tetapi perlu diingat, ia boleh terjadi kepada sesiapa sahaja.

Ia sering terjadi kepada kandungan sulung
Mempunyai PE pada kandungan sebelumnya
Berumur kurang dari 20 atau lebih dari 35
Migrane
Mempunyai ahli keluarga dekat keluarga yang mempunyai PE
Mempunyai hypertension kronik
Terlalu kurus
Terlalu rendah
Kandungan kembar
SLE
Kandungan molar

Di bulan-bulan terakhir kehamilan, wanita hamil mungkin akan mengalami masalah kesukaran tidur, tidak selesa dan bangun ditengah malam.
Kerana disebabkan berlakunya perubahan fizikal dengan perut yang semakin membesar, ramai wanita yang sebelumnya tidak mengalami kesukaran tidur diawal mengandung, mendapati mereka tidak mendapat tidur yang diakhir kehamilan.
Banyak masalah yang boleh menganggu tidur seperti:

Kaki kejang
Sukar untuk bernafas
Sering buang air kecil diwaktu malam
Bayi yang terlalu aktif, yang sering menendang pada bahagian ibu yang sensitif
Susah untuk menukar posisi badan semasa tidur disebabkan oleh bayi yang semakin membesar
Sakit belakang terutamanya pada bahagian bawah tulang belakang
Mengigau lebih dari biasa
Mimpi ngeri yang sukar dilupa
Merasa risau tentang kelahiran yang bakal mendatang
Bimbang tentang bayi samada ia normal atau tidak
Semua ini adalah masalah yang biasa terjadi semasa mengandung

Bagaimana saya boleh mendapat tidur yang selesa?

Sekiranya anda mendapat kekejangan pada kaki, tekankan kaki anda pada dinding atau berdiri pada kaki yang kejang boleh mengurangkan kekejangan. kekurangan kalsium boleh menyebabkan kekejangan berlaku lebih kerap, jadi pastikan anda mendapat cukup kalsium, seperti dengan meminum susu. Jantung yang selalu berdebar mungkin disebabkan oleh kekurangan darah (anemia). Pastikan anda memberitahu doktor tentang masalah ini dan mendapat suplemen zat besi yang secukupnya
Posisi yang terbaik untuk tidur semasa mengandung ialah dengan berbaring secara mengiring dengan lutut separuh membengkok. Ini membolehkan jantung anda bekerja dengan lebih baik kerana darah lebih senang mengalir ke jantung.
Sekiranya anda mengalami sakit belakang, cuba membuat experimen dengan meletakkan lebih bantal semasa berbaring. Seperti satu bantal dibawah perut, satu dicelah kedua kaki, satu bantal yang padat pada bahagian bawah belakang, atau satu bantal lagi pada bahagian kepala.
Selalu bangun untuk membuang air kecil diwaktu malam adalah biasa, kerana bayi yang semakin membesar semakin memberi tekanan pada pundi kencing, ini memang tidak dapat dielakkan tetapi, dengan mengurangkan minum air sebelum anda masuk tidur mungkin boleh membantu.
Kurangkan meminum miniman bercafin seperti teh, kopi dan minuman bergas kerana buah pinggang akan memproses lebih air kencing. Cuba tidur secara mengiring.
Sekiranya anda merasa tidak selesa pada bahagian ari-ari, anda mungkin mengalami jangkitan kuman pada bahagian pundi kencing. Jumpalah dengan doktor untuk pemeriksaan lanjut.
Sekiranya ketakutan tentang kelahiran yang membuatkan anda merasa sukar tidur, sertailah kelas antenatal. Disini anda akan diberitahu tentang apa yang akan berlak semasa proses bersalin dan senaman yang perlu untuk membantu anda bersalin. Ia juga satu tempat untuk anda bertanyakan soalan
Berbincanglah dengan doktor sekiranya anda merasa takut. Perasaan takut tentang keadaan anak anda semasa lahir adalah sangat biasa.

Apa yang perlu saya lakukan sekiranya saya masih tidak dapat tidur?

Ingat, pil tidur memang tidak digalakan tetapi sekiranya sudah tiada jalan lain, ia tidak merbahaya sekiranya ia tidak mebuatkan anda merasa letih. Daripada duduk diatas katil tanpa berbuat apa-apa, adalah lebih memberikan kepuasan untuk bangun dan membuat sesuatu yang memberi berfaedah.
Bacalah buku, mendengar muzik, melayari internet, mandi, menonton TV atau menjahit. Selepas membuat sesuatu yang memberikan kepuasan, anda akan merasa lebih senang untuk tidur.
Banyak wanita yang mendapat menafaat dari senaman ringkas dan mendengan muzik yang menyenangkan. Sekiranya anda merasa letih disiang hari, cuba tidur sekejap.
Sekiranya anda masih tidak dapat tidur, jumpalah doktor yang dapat menolong anda.

(sumber: http://portal.alamhamil.com/)

Al-Kisah tali pusat bayi baru lahir..

2011-09-10T02:07:00.000-07:00

A Cord of Three Strands...

Ummi dapat artikel ni dari sumber ini ianya ada perkaitan dengan pelahiran anak-anak Ummi yg mengalami ABO jaundis cerita berkenaannya di sini . Dan masa anak kedua kaisah lahir dengan ABO jaundis tidak terlalu lama (5 hari di wad dan pemeriksaan di klinik 2 or 3 kali - tidak sampai umurnya sebulan) berbanding adiknya Ifwat yg sangat lama tempoh ABO Jaundisnya (10 hari di wad dan pemeriksaan di klinik ibu dan anak mencecah umurnya sebulan!) - so kaitannya dengan menyegerakan pemotongan tali pusat bayi yg baru lahir atau sebaliknya- ummi jumpa artikel ni dan mahu menyimpannya - jawapan yg ummi cari ada di sini)- di artikel bawah ini.

Posted by Nicole D

The umbilical cord is an amazing object!

Often disregarded at birth, the most notoriety that it receives is when someone proudly exclaims "I cut the cord"!

There is so much more value to the umbilical cord than that, though, both in utero and after birth.

Normally, an umbilical cord has two arteries and one vein and, at term, is around 22-24 inches long. These are all wrapped up in a beautifully plump, purple, rich cord of three. Surrounding, insulating, and protecting everything is a substance called Wharton's Jelly. The arteries return deoxygenated, nutrient-depleted blood from babe to the placenta, where it will be reoxygenated and replenished with vital nutrients to be recirculated through the one vein back to babe again.

Wharton's Jelly is a substance that, when exposed to extreme changes in temperature, begins to expand and, as a result, occludes and collapses the vein and arteries... physiologically clamping the cord within an average of 5-20 minutes after birth. Wharton's Jelly contains a great many types of stem cells.

The umbilical cord is attached to the placenta 'on the maternal side'. The placenta (loosely translated as cake) is another amazing organ that allows for nutrient uptake, waste elimination and gas exchange via the mother's blood supply, which is then transferred to the fetal circulatory system via villi; thus, the maternal and fetal circulatory systems do not meld.

The umbilical cord is attached, on the fetal side, through the umbilicus (this will, after birth, become the navel). Within babe, while in utero, the umbilical vein continues on to the transverse fissure of the liver, where it splits. One of the two branches joins with a vein that carries blood directly into the liver. The other branch (ductus venosus) directs about 80% of the incoming blood to the left hepatic vein into the inferior vena cava, which carries blood towards the heart.

After birth, the umbilical vein and ductus venosus close up inside the newborn, becoming the round ligament of the liver and the ligamentum venosum. Part of each umbilical artery closes up while the remaining sections continue to work as part of the circulatory system.

Variations
Some of the variations that can occur with an umbilical cord include (but are not limited to):

Nuchal Cords - nuchal (neck) cords simply mean that the cord is wrapped around the neck. This occurs in about 25% of births. Most babies have no problems when born with the incidence of nuchal cord. The most common indicator of a nuchal cord is when babies heart rate (fetal heart tones or FHT) decrease during contractions, only to come back up after contractions. Rarely does this mean that a cesarean is indicated.
Single Umbilical Artery - This is occurs when an umbilical cord develops with only one artery, instead of two. Single umbilical arteries occur in about 1% of singleton and 5% of multiple pregnancies. Studies show that babies with single umbilical artery have an increased risk for birth defects. These birth defects can include heart, central nervous system and urinary-tract defects. Single umbilical artery in and of itself, though, does not mean that a baby will have a birth defect.
Knots - some knots occur when baby moves around in utero, others occur when a nuchal cord loops off of baby and into a knot. This occurs in about 1% of babies.
Cysts - the cysts are out-pockets that form on the cord. There are two types of cysts: true cysts (lined with cells and contain remnants of early embryonic material) and false cysts (fluid filled sacs that can be related to swelling of the Wharton's Jelly). Both types are sometimes associated with chromosomal or abdomenal defects. Cysts occur in about 3% of births.

To Clamp or Not To Clamp
There are good arguments that should be considered when deciding whether to immediately clamp and cut the cord or delay the procedure. A great discussion can be found here. An additional MUST READ can be found here! You will find, for better or worse, what my stance is on the issue of cord clamping by reading the information below.

"The placental blood normally belongs to the infant, and his/her failure to get this blood is equivalent to submitting the newborn to a severe hemorrhage at birth."

The newborn receives approximately 80-100cc of blood from the placenta within the first 3-5 minutes after birth. This additional blood flow opens the lungs and 'jump starts' the intestines and kidneys, preparing them for digestion and elimination.

When a newborn's cord is quickly clamped and cut, before the bolus of oxygenated blood is adequately transfused, it creates a crisis situation in some/many situations. Instead of supplying 80-100ccs of blood to the newborns intestines, survival dictates that the blood already within the newborn be directed to the heart, lungs, and brain to preserve life. Loss of needed blood results in some pathological symptoms of shock in the newborn - hypovolemia and/or hypoxia.

"Normal blood volume is not produced by a cord clamp ... Many neonatal morbidities such as the hyperviscosity syndrome, infant respiratory distress syndrome, anemia, and hypovolemia correlate with early clamping. To avoid injury in all deliveries, especially those of neonates at risk, the cord should not be clamped until placental transfusion is complete." - George M. Morley

If the cord is cut before the baby has a chance to take a few breaths in his own time, the transition to breathing will be in fear, panic, and distress. To force a newborn to breathe independent of the bodies timing (i.e. physiological clamping) is to add risk that the baby/newborn body may not be ready. In other words, creating a crisis where the child must immediately breathe - rather than allowing adequate and safe time. As long as the cord is pulsing, the newborn is receiving oxygen - why create an emergent situation?

"Early cord clamping may impede a successful transition and contribute to hypovolemic and hypoxic damage in vulnerable newborns." - Mercer JS and Skovgaard RL.

Some doctors argue that waiting to clamp and cut will put undue stress on the newborn and create complications like shock, jaundice, or other newborn complications. But, in fact, in 1993, a study by "Kinmond et al...found no increased jaundice, plethora, hyperviscosity, or polycythemia using this method. Yet fear of late clamping persists because physicians have been conditioned to believe that these complications are caused by placental over-transfusion. Cord stripping (allowing the baby to retrieve its own blood supply) has become tantamount to malpractice."

Finally, I leave you with this: who claims right to that super-rich oxygenated blood? Of course, it is the baby's right to claim.

References:
Walsh, SZ, Maternal effects of early and late clamping of the umbilical cord, Lancet, May 11, 1968
Anne Frye, CPM, Holistic Midwifery: A Comprehensive Textbook for Midwives in Homebirth Practice, Labrys Press, 1998
George M. Morley, MB., CH. B "Cord Closure: Can Hasty Clamping Injure the Newborn?", OBG Management - July 1998
Gupta R, Ramji S. Effect of delayed cord clamping on iron stores in infants born to anemic mothers: a randomized controlled trial. Indian Pediatr 2002 Feb;39(2):130-5
Mercer JS and Skovgaard RL., Neonatal Transitional Physiology: A New Paradigm, J Perinat Neonat Nurs March 2002; 15:56-75.
Mercer, J, Bewley, S, Could early cord clamping harm neonatal stabilisation, Lancet, May 9, 2009
Dr. Sarah Buckley, Gentle Birth, Gentle Mothering, One Moon Press, 2005

Mencuba resepi nasi ayam

2011-09-09T18:38:00.000-07:00

Bahan-bahan ( 6-8 orang )

Untuk rebus
-1 ekor ayam dipotong ikut suka besarnya (x potong pun boleh)
- 2 ulas bawang putih
- 2sm halia yg diketuk
Untuk perap
>1 sudu besar kicap pekat
>1 sudu besar sos tiram
>1cm halia
>2 ulas bawang putih
>sedikit kicap cair
Untuk nasi
- 5cwn beras
- 3 sudu besar butter
- 1cm halia- ditumbuk
- 4 ulas bawang putih -ditumbuk
- air rebusan ayam tadi secukupnya
- sedikit garam.
Bahan sos
> 5biji cili merah
> 5 ulas bawang putih
> 2cm halia
> 1 sudu teh cuka, garam, gula
> 1/2 cawan air
Untuk sup
@lebihan air rebusan ayam
@1 biji bawang besar kisar
@rempah sup
@garam
@daun sup yg dihiris.

Cara-cara

Ayam dipotong ikut suka besarnya (x potong pun boleh)..bersihkan dan di lumur dengan 2 ulas bawang putih yg ditumbuk dan 2sm halia yg diketuk..dan rebus hingga empuk
Toskan ayam dan perap dengan bahan-bahan untuk perap selama 15-20min. Goreng hingga garing.
Basuh beras dan toskan. Panaskan butter, tumis halia dan bawang putih hingga garing. masukkan beras, terbit bau, masukkan air rebusan ayam secukupnya dan garam. Masak seperti biasa.
Untuk sos-blendkan semua bahan diatas. boleh ditambah tomato sos/sos cili jika suka. Boleh juga dimasak sebentar (jika suka)
Untuk sup- air rebusan ayam didihkan bersama bawang besar, rempah sup, garam dan daun sup tadi.

resepi dari http://www.myresipi.com/top/detail/686

mau try dulu hari ni nanti dah siap msk baru amik gambar yek hehe

blogger droid

2011-09-08T07:05:00.001-07:00

Saja test, ok tak?

Published with Blogger-droid v1.7.4

Avatar Ayu Raudhah

2011-09-03T05:54:00.000-07:00

Saja buat avatar ni, bila sekali imbas ku rasa macam imbas si ayu raudhah pun ada hehe, mau bereksplorasi dengan avatar wajah anda? bah bulih bah sila klik sini ja BUAT AVATAR


ni 2nd time buat mcm ayu raudhah tak? hehe

ni 1st time buat

Selamat Hari Raya 2011

2011-09-02T02:52:00.000-07:00

SELAMAT HARI RAYA MAAF ZAHIR DAN BATIN

Lamanya ku tinggalkan

2011-08-05T15:24:00.001-07:00

Setelah hampir 1 bulan lebih kembali bekerja ni baru hari ni ku sempat update blog ini. Padahal memang banyak benda yang mahu diceritakan. Ada juga masalah lain seperti line internet yang 'habuk pun tarak' di tempat keja ku tidak dapat line sama sekali ( guna streamyx) kalau makin ramai pengguna xperia androidku pun x boleh dapat line. Broadband (line yg dapat di situ celcom) kawan kata line broadband pun payah mo dapat...hmmmm alahai..di rumah ja boleh beronline-sakit hati lah.

Well hari ni ummi sudah berpuasa hari ke enam.walaupun menyusukan dan memerah susu (semasa keja) dapat juga menunaikan ibadah wajib ni. C kakak pula alhamdulillah berpuasa juga cuma hari kedua dia x puasa sebab demam selsema. Hari ni pun x puasa, sebab ummi ngan baba terbangun suda jam 4.30 (lambat- jadi kelam kabut mau sahur) jadi biarlah dulu kakak sungkai hari ni kata c Baba.

Apa khabar pulak dengan Kaisah kami yg sorang itu...haiiii...aisyah sejak ada adik ni, boleh tahan juga dengan tebiatnya...

Circle this Saturday (30th July 2011) on your calendar to partay at #XPlayOpera !!

2011-07-29T02:19:00.000-07:00

Circle this Saturday (30th July 2011) on your calendar to partay at #XPlayOpera !!

da nak abis..

2011-07-12T08:55:00.000-07:00

Minggu ni adalah minggu terakhir ummi bercuti kerja (cuti bersalin), yaaa itu lah yg da mau abis tu, ya kerja tetap kerj memang bnyak yg menanti ku lepas ni. Ummi cuti berslin selama 3 bulan, alhamdulillah bersalin tahun ni dapat kelebihan selama 3 bulan ni. Sebelum ni time anak 1st dan 2nd ummi bercuti 60 hari so jumlah cuti ummi ambil untuk anak sblm ni ialah 120 hari (60 hari seorang anak) jumlah lgi dgn cuti 90 hari yg ku ambil utk anak ketiga ni so total ku sudah guna cuti bersalin sepnjang berkhidmat ni sebanyak 210 hari.Cuti bersalin sepanjang berkhidmat total ada 300 hari, so olak 210 dengan 300 hari tinggal yg tu lagilh cuti ummi kalau kiranya lah ummi bersalin lagi :) .

Berbalik pasal cuti 3 bulan, mesti ada pro dan kontra pasal cuti 3 bulan ni kan..ada yg suka, ada pulak kata boring :), bagi ummi, jawpnnya ialah suka, kenapa? ehm saja mau bercutikah?....ekceli ada yg lebih penting. Atau sebb cuti ni adalah hak kita?, memng betul, jadi suka ati lah kan mau diguna 3 bulan or nda :) . Tapi ummi mau bercuti sebab ummi mau anak ummi lama menikmati kebaikan direct feeding dari umminya..Tiada yg lebih baik dari itu,iaitu dapat memberikan perkara terbaik buat anak ummi. Mau jadi suri rumh sepenuh masa, ummi nda mampu, jadi apply cuti 3 bulan ni sajalah yg ummi boleh usahakan, agar sepanjang tempoh ini ummi dapat memberikan sepenuh kebaikan susu ibu kepada anak ummi.

Bercerita pasal kebaikan susu ibu memang banyk, dan entri ummi yg lain pun ada bercerita tentangnya. cukuplah kalau ummi katakan ummi memang bersenang hati cuti 3 bulan dapat bf anak lama-lama...alhamdulillah atas rezeki mu Ya Allah...alhamdulillah..

Update Stok..

2011-06-28T17:57:00.000-07:00

Assalamualaikum! (dengan nda ceria ;) hehe mode: happy)

hari ni bukan mau update stok kedai bah, jangan kompius ;), so ummi mau update ni bah:-

Bulan Mei campur april: (starting dekat penghujung april--of coz lah lepas bersalin 21hb april hari tu, ummi memerah seawal hari ke 7)
**19 botol x 5 oz = 95 oz

**14 botol x 4 oz= 56 oz

Bulan Jun (setakat perahan yg tadi pagi) :

**56 botol x 5 oz = 280 oz

========>> SO UNTUK REKOD UMMI (SENANG REKOD STOK SUSU PERAHAN DI BLOG..senang cari nanti hehe) TOTAL STOK SUSU IBU PERAHAN UNTUK 'IFWAT IALAH: BARU ADA 431 OZ

**Kena usaha lebih lagi ni ummi, Usaha Tangga Kejayaan!

Ummi & Family

Jadual Gaji Kakitangan Awam 2012

Gerai MBFPC (Rakan Pembimbing Menyusu Sabah) akan dibuka!!

Top Ten Tips For Car Boot Sale Sellers

Hmm ni kira tajuk kategori baru hehe, saja ummi letak info ni cari idea macamana mau bukak booth sales almaklum ni pertama kali, so jom kita baca tip-tip berguna ni yek :)

Top Ten Tips For Car Boot Sale Sellers - 'Booters'Click on the mini-menu below to view the car boot sale tips

Arrive Early

Take Plenty of Change - 'Float'

Be Prepared to Haggle...

Use Pricing Labels

Be Prepared for ALL Weather Conditions

Take a Display Table

Presentation is Everything

Attract Booters with a 'Bargain Box'

Be Security Conscious

Sell Yourself!

Have a Good Day Selling

http://www.racecoursebootsale.com/

Ifwat 6 bulan

Diet for a healthy breastfeeding mom

Highlights

Eat a well-balanced diet for your health

How to use a breast pump

Don't count calories

Breastfeeding Problem Solver

Aim for slow and steady weight loss

Include a variety of healthy foods

Choose good fats

Take extra steps to avoid contaminants

Eat fish - but be picky

Go easy on the alcohol

Drink plenty of water and limit caffeine

Consider the flavors of what you eat and drink

Keep taking your vitamins

Daily food and meal plans for breastfeeding moms

SnuggBaby ssc..will be mine..insyaAllah

Gambar terbaru Baby 'Ifwat

Nursing During Pregnancy and Tandem Nursing

LAM- The Lactational Amenorrhea Method

Perjumpaan Kumpulan Ibu Menyusu Sabah kali Pertama

Nursing Tips for the Large Breasted Mother

Baru nak join..Insentif tunai untuk setiap trafik ke blog denaihati

Darah Tinggi Semasa Hamil

Kenapa Tekanan Darah Tinggi Merbahaya?

Jenis-jenis Darah Tinggi

Penyakit darah tinggi kronik

Tekanan darah tinggi disebabkan oleh kehamilan (PIH)

Pre-eclampsia (PE)

Penyebab Pre-Eclampsia

Apa yang menyebabkan PE lebih kerap terjadi?

Bagaimana saya boleh mendapat tidur yang selesa?

Apa yang perlu saya lakukan sekiranya saya masih tidak dapat tidur?

Al-Kisah tali pusat bayi baru lahir..

A Cord of Three Strands...

Mencuba resepi nasi ayam

Bahan-bahan ( 6-8 orang )

Cara-cara

blogger droid

Avatar Ayu Raudhah

Selamat Hari Raya 2011

Lamanya ku tinggalkan

Circle this Saturday (30th July 2011) on your calendar to partay at #XPlayOpera !!

da nak abis..

Update Stok..

Top Ten Tips For Car Boot Sale Sellers - 'Booters'
Click on the mini-menu below to view the car boot sale tips