Dr. Binarwan Halim, SpOG

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Dr. Binarwan Halim, SpOG

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2 masa kritis tumbuh kembang  tumbuh kembang otak :

Masa kritis pertama  sejak hari ke-8 kehamilan s/d akhir minggu ke-7  pembentukan berbagai organ vital janin, termasuk sistem saraf pusat dan otak

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Masa kritis kedua  Minggu ke-8 s/d kelahiran  periode penyempurnaan proses tumbuh kembang organ tubuh yg telah dibentuk pada periode sebelumnya

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In the first half of Pregnancy, babies mostly want to be leff alone.

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might actually be the baby’s way of making his mother SLOW DOWN !

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Morning sickness : makes

 an expecting mom

stick to a bland boring

 diet keep

 a woman away from physical activity thatmight be risky to her developing baby.

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 A study shows that 21% of children whose mothers suffered from major nausea and vomiting during pregnancy scored 130 or more points on a standard IQ test, compared to only 7% of kids whose mothers had no morning sickness

Why?

 We don’t know for sure yet. Whatever the reasons, baby goes to great lengths to get his mother to leave it alone.

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 Minggu ke-10 kehamilan, pertumbuhan otak ↑↑ dgn cepat

 Otak sudah bisa menerima & mengirimkan pesan

 Minggu ke-19 pada otak janin sudah terdapat jutaan syaraf motorik

Babies begin to perceive and process a great deal of

sensory information

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After the sixth month, your baby can smell the perfume you wear, and she can detect the garlic on the pizza you just ate

But what can MOTHER actively do to help her baby while she’s still in the womb???

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I. GAIN JUST RIGHT WEIGHT

Mother’s pregnant, so mother need to eat more food.

And if mother don

 ’t overdo it,

mother will grow a smarter baby.

Why? Your baby’s IQ is a function of her brain’s size

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Ibu

✓ memerlukan asupan kalori sebesar 2200 kal/hari pada 13 minggu 1 (trimester 1)

Selama

✓ trimester 2 & 3, ibu hamil memerlukan tambahan 300 kal/hari

In Fact…

IQ rises with birth weight, up to 3,6 kg

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Namun

✓ , makan ↑↑↑ TIDAK berarti menambah kesehatan janin, sebaliknya BB ibu berlebihan  risiko :

 Mengalami hipertensi & diabetes

 Infeksi pasca persalinan  banyaknya pembuluh darah yang tersumbat & lipatan- lipatan lemak pada lapisan kulit

 Plasenta yang berfungsi menyuplai O₂menyempit karena lemak  menghambat suplai nutrisi & oksigen kepada janin

merusak sel-sel otak janin  kecerdasan ↓↓

 Janin mengalami gangguan paru-paru / terlahir obesitas

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Ibu yang kekurangan BB juga memiliki risiko :

 Pertumbuhan bayi terhambat

 Ancaman kelahiran prematur

 Risiko cacat bayi

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2. EAT THE RIGHT TYPES OF FOOD

The best pregnancy diet is a bit boring

Eating a balanced meal, with a heavy emphasis on fruits

and vegetables, is probably still the best advice for pregnant women.

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Pickled okra



Baby talcum powder



Dust



Crushed ice



Dirt



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Asupan nutrisi  faktor penting untuk perkembangan otak anak :

➢ DHA Omega 3  Perkembangan otak.

Konsumsi Omega-3 terutama pada trimester III min.300 mg/hari Sumber utama DHA  ikan laut/ konsumsi suplemen Omega-3 (Nature EPA Omega-3 Plus)

 Researchers recommend that pregnant women eat at least 12 ounces of fish per week.

 That provides you with essential Omega-3s, which aid cellular

development

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➢ Asam folat  Penelitian menunjukkan as. Folat  membuat janin lebih kuat.

➢ Karbohidrat  sumber tenaga

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➢ Protein  bahan pembangun tubuh ibu dan janin

➢ Mineral dan vitamin  mengoptimalkan proses pertumbuhan dan perkembangan

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➢ Kalsium  mengoptimalkan pertumbuhan tulang dan gigi janin

 melindungi ibu dari osteoporosis Sayuran

➢ dan buah berwarna  kaya vitamin & mineral, pigmen warna dalam sayuran & buah  menjaga suasana hati dan mengatur bahan kimia alami seperti serotonin, agar terhindar dari stress yang dapat mempengaruhi kecerdasan janin

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Hati

➢ & produk hati  mengandung vitamin A dosis ↑↑↑

Vitamin A dalam dosis > 20.000, 50.000 IU/hari  kelainan teratogenik (menyebabkan cacat pada janin)

Makanan

➢ mentah atau setengah matang  risiko toksoplasma (seafood, daging)

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➢ Kafein yang terkandung dalam kopi, teh, coklat, kola dibatasi 200 mg perhari  menimbulkan insomnia (sulit tidur), refluks, dan ↑↑ frekuensi berkemih

➢ Susu / produk susu yang tidak dipasteurisasi , termasuk keju lunak seperti brie, camembert, feta, roquefort, yang disinyalir mengandung bakteri Listeria  menyebabkan pendarahan atau keguguran

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➢ Telur mentah atau makanan yang mengandung telur mentah  ↑↑ resiko flu burung dan bakteri berbahaya

➢ Rokok  mengganggu penyerapan dari vitamin B & C serta asam folat  menyebabkan bayi lahir dgn BB rendah, ↑↑ risiko

keguguran, & kematian bayi segera setelah melahirkan

Perokok pasif juga memiliki efek yang sama dengan yang aktif

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Alkohol

➢  gangguan mental pada janin

Wanita hamil yang minum wine > 1½ gls/ hari  mengalami hambatan perkembangan janin & beresiko melahirkan bayi prematur & cacat hampir 25%

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The type of food you eat is as important as the amount you eat

So, mother need enough food, but not too much,

and mother need the right types of food, but not too little

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3. AVOID TOXIC STRESS

Toxic stress during pregnancy  may change the temperament of your child. Infants become more irritable, less consolable, when mom is continually stressed.

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 Stress can even shrink the size of baby’s brain

 Certain types of stress can lower your baby’s IQ an average of 8 points

 That can be the difference between “average IQ” and

“bright normal.”

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On top of all that, STRESS can inhibit the baby’s future motor skills, ability to concentrate, and stress-response system

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TAKE BACK CONTROL

For optimal development of your baby’s brain, exist in a less-stressed environment, especially in the last few months of pregnancy.

For some, that means gathering the courage to exit a bad situation. For others, that means general stress relief.

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4. EXERCISE JUST THE RIGHT AMOUNT

.

Why ?

 Fit women have to push less during labor !

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That painful phase of labor, where you have to do a lot of pushing, lasts an average of 27 minutes for fit women.

Physically unfit women have to push for almost an hour, studies show-some far longer.

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Because of that, a fit mom has a better chance of having a smarter baby-one best able to mobilize his or her IQ-than an unfit mom.

Caution: Too much

Strenuous exercise can cause baby to overheat, which can restrict blood flow to your baby’s brain

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 Moderate

 Regular

 Aerobic

 Exercise

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 For most women, that means keeping your heart rate below 70% of its maximum rate, then slowing things down as the due date approaches.

max rate: 220 beats / min, minus your age

Swimming is one of the best forms of exercise in later stages in pregnancy.

Among its many benefits (it’s gentler on the joints,

for one), the water dissipates excess heat away

from the womb.

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Darn it: 30 minutes or more of moderate exercise

per day. That’s what the American College of

Obstetricians recommends

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• Mengajak bicara

Berbicara dengan suara lembut, supaya buah hati mengenal suara ibu yang penuh kasih sayang. Ajak juga buah hati untuk mengenal suara ayahnya, dengan meminta sang ayah berbicara di dekat

perut Ibu

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• Mendongeng

dengan demikian buah hati mengenal berbagai kosa kata baru meskipun sang bayi masih ada di dalam kandungan dan belum tahu artinya.

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• Bernyanyi

Nyanyian seorang ibu dipercaya bisa menenangkan hati anak.

Namun tentu saja, bernyanyilah lagu-lagu yang menenangkan hati, bukan lagu-lagu yang nge-rock

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Mengelus-elus perut

 menstimulasi kecerdasan anak

Berdoa

lakukan sambil mengucapkan doa- doa Anda (tidak hanya di dalam hati)  menstimulasi kecerdasan spiritual anak

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