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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