The Birth Process
The process of childbirth is divided into two stages. During the 1st stage, called the dilatation stage, the uterine cervix opens. When the cervix is fully dilated (10 cm), the 2nd stage starts called the expulsion stage.
The mother has to expend a great deal of energy in order to deliver her baby by normal vaginal birth. If the delivery takes a long time, the energy levels of both the mother and baby drops noticeably.
Due to the friction between the vagina and the baby, it does not glide out easily eventhough the baby is surrounded by sebum (vernix caseosa) and amniotic fluid which is sometimes insufficient. During the expulsion stage, the vaginal tissue or the perineum may tear spontaneously. This occurs in 45% of all births. The midwife or obstetrician will try to prevent uncontrolled tearing by making a cut in a safe direction. However, it is not always possible to prevent tearing
Proses Kelahiran Bayi
Proses kelahiran bayi terbahagi kepada 2 peringkat. Semasa di peringkat pertama, ataupun dikenali sebagai ‘’dilation stage’ dimana serviks anda akan terbuka. Peringkat kedua ataupun expulsion stage pula akan bermula apabila serviks anda terbuka sepenuhnya sehingga 10 cm.
Untuk proses kelahiran normal, si Ibu sangat memerlukan tenaga yang banyak. Namun, jika proses kelahiran tersebut berpanjangan, tenaga kedua-duanya iaitu si ibu dan juga bayi akan semakin berkurangan.
Semasa proses kelahiran, bayi akan diselaputi oleh amniotic fluid dan juga sebum (vernix caseosa). Terdapat geseran diantara vagina dan bayi anda, dan bayi akan mengalami kesukaran utnuk keluar melalui saluran peranakan disebabkan geseran tersebut.
Semasa di peringkat kedua (expulsion stage), tisu vagina ataupun perineum ibu mungkin akan terkoyak tanpa disengajakan. Kejadian ini biasa berlaku dalam 45% proses kelahiran. Kebiasaannya, bidan ataupun ahli obstetrik akan cuba menghalang kejadian tersebut terjadi dengan melakukan sedikit potongan. Namun, koyakan perineum masih lagi boleh berlaku. onk�؆AQ