{"id":34505,"date":"2019-03-05T14:09:04","date_gmt":"2019-03-05T06:09:04","guid":{"rendered":"https:\/\/www.columbiaasia.com\/malaysia\/?post_type=health-article&#038;p=34505"},"modified":"2025-05-20T10:26:41","modified_gmt":"2025-05-20T02:26:41","slug":"bahu-tersangkut-masa-bersalin-boleh-buat-bayi-cedera-otak-kurang-oksigen","status":"publish","type":"health-article","link":"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/bahu-tersangkut-masa-bersalin-boleh-buat-bayi-cedera-otak-kurang-oksigen\/","title":{"rendered":"Bahu Tersangkut Masa Bersalin Boleh Buat Bayi Cedera &#038; Otak Kurang Oksigen"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"34505\" class=\"elementor elementor-34505\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b92652c e-con-full e-flex e-con e-parent\" data-id=\"b92652c\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a1046a6 elementor-widget elementor-widget-text-editor\" data-id=\"a1046a6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>Bahu bayi tersangkut ketika kelahiran (shoulder dystocia) adalah antara masalah kecemasan yang boleh berlaku ketika proses kelahiran. Bayi patah tulang bahu, cedera saraf dan kurang oksigen antara risikonya.<br \/><br \/>Menurut Dr Sharina Mohd Razali, Pakar Perbidanan &amp; Sakit Puan Columbia Asia Bukit Rimau, bahu bayi tersangkut ketika kelahiran ia adalah keadaan di mana kepala bayi yang telah lahir tetapi bahunya tersangkut pada tulang pubis ibu.<br \/><br \/>Sekiranya berlaku, doktor perlu melakukan langkah kecemasan tambahan<em>\u00a0(additional manouvres)<\/em>\u00a0untuk membantu melepaskan bahu bayi yang tersangkut pada tulang pubis tersebut.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ef21846 elementor-widget elementor-widget-spacer\" data-id=\"ef21846\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container{height:100%;width:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty,.e-con>.elementor-widget-spacer.elementor-widget-empty{position:relative;min-height:22px;min-width:22px}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon,.e-con>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon{position:absolute;top:0;bottom:0;left:0;right:0;margin:auto;padding:0;width:22px;height:22px}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-97fc440 e-con-full e-flex e-con e-child\" data-id=\"97fc440\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;_id&quot;:&quot;ec7c150&quot;,&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:null,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4110683 elementor-widget elementor-widget-image\" data-id=\"4110683\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"500\" height=\"293\" src=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/05\/health-articles-bahu-tersangkut-masa-bersalin-boleh-buat-bayi-cedera-otak-kurang-oksigen-01.jpg\" class=\"attachment-full size-full wp-image-34478\" alt=\"\" srcset=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/05\/health-articles-bahu-tersangkut-masa-bersalin-boleh-buat-bayi-cedera-otak-kurang-oksigen-01.jpg 500w, https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/05\/health-articles-bahu-tersangkut-masa-bersalin-boleh-buat-bayi-cedera-otak-kurang-oksigen-01-300x176.jpg 300w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d84be54 elementor-widget elementor-widget-spacer\" data-id=\"d84be54\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5ba6149 elementor-widget elementor-widget-heading\" data-id=\"5ba6149\" data-element_type=\"widget\" id=\"subtopic01\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h3 class=\"elementor-heading-title elementor-size-default\">Risiko bahu tersangkut kepada bayi<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7814477 elementor-widget elementor-widget-text-editor\" data-id=\"7814477\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Kebanyakan masa bahu bayi boleh dilepaskan tanpa sebarang masalah tetapi dalam beberapa kes bahu tersangkut ini kadangkala boleh menyebabkan masalah kepada bayi seperti;<\/p><ol><li>Patah tulang bahu.<\/li><li>Kecederaan pada saraf.<\/li><li>Kekurangan oksigen\u00a0<em>(birth asphyxia)<\/em>.<\/li><\/ol><p>Masalah ini boleh berlaku dalam 1 dalam 150 kelahiran (0.7%) dan lebih kerap berlaku pada ibu-ibu yang menghidap penyakit kencing manis semasa mengandung. Hakikatnya ia sangat sukar diramal.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2637c0b elementor-widget elementor-widget-spacer\" data-id=\"2637c0b\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8b155c8 elementor-widget elementor-widget-heading\" data-id=\"8b155c8\" data-element_type=\"widget\" id=\"subtopic02\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">7 Keadaan meningkatkan terjadinya bahu bayi tersangkut semasa proses kelahiran<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d138352 elementor-widget elementor-widget-text-editor\" data-id=\"d138352\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Oleh sebab ia sukar diramal ketika hamil, ibu-ibu yang perlu memahami siapa yang berisiko tinggi untuk mengalami bahu bayi tersendat ketika kelahiran. Dengan ini perlu mengambil langkah awal serta persediaan mental dan fizikal.<\/p><ul><li><strong>Sejarah<\/strong>\u00a0bahu bayi tersendat ketika kelahiran sebelumnya.<\/li><li>Ibu yang menghidap<strong>\u00a0kencing manis.<\/strong><\/li><li><strong>Bayi yang besar<\/strong>\u00a0dan ibu menghidap kencing manis.<\/li><li>Indeks jisim tubuh\u00a0<strong>(BMI) ibu lebih dari 30<\/strong>.<\/li><li>Kelahiran secara paksa\u00a0<strong>(indius).<\/strong><\/li><li><strong>Proses bersalin yang sangat lama.<\/strong><\/li><li>Kelahiran menggunakan<em>\u00a0<strong>ventouse\u00a0<\/strong><\/em><strong>atau forseps.<\/strong><\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-42552e0 elementor-widget elementor-widget-spacer\" data-id=\"42552e0\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6f4bc70 e-con-full e-flex e-con e-child\" data-id=\"6f4bc70\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[{&quot;_id&quot;:&quot;ec7c150&quot;,&quot;jet_parallax_layout_image&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_tablet&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_image_mobile&quot;:{&quot;url&quot;:&quot;&quot;,&quot;id&quot;:&quot;&quot;,&quot;size&quot;:&quot;&quot;},&quot;jet_parallax_layout_speed&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:50,&quot;sizes&quot;:[]},&quot;jet_parallax_layout_type&quot;:&quot;scroll&quot;,&quot;jet_parallax_layout_direction&quot;:null,&quot;jet_parallax_layout_fx_direction&quot;:null,&quot;jet_parallax_layout_z_index&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x&quot;:50,&quot;jet_parallax_layout_bg_x_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_x_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y&quot;:50,&quot;jet_parallax_layout_bg_y_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_y_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size&quot;:&quot;auto&quot;,&quot;jet_parallax_layout_bg_size_tablet&quot;:&quot;&quot;,&quot;jet_parallax_layout_bg_size_mobile&quot;:&quot;&quot;,&quot;jet_parallax_layout_animation_prop&quot;:&quot;transform&quot;,&quot;jet_parallax_layout_on&quot;:[&quot;desktop&quot;,&quot;tablet&quot;]}]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1700fea elementor-widget elementor-widget-image\" data-id=\"1700fea\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"500\" height=\"293\" src=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/05\/health-articles-bahu-tersangkut-masa-bersalin-boleh-buat-bayi-cedera-otak-kurang-oksigen-02.jpg\" class=\"attachment-full size-full wp-image-34479\" alt=\"\" srcset=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/05\/health-articles-bahu-tersangkut-masa-bersalin-boleh-buat-bayi-cedera-otak-kurang-oksigen-02.jpg 500w, https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/05\/health-articles-bahu-tersangkut-masa-bersalin-boleh-buat-bayi-cedera-otak-kurang-oksigen-02-300x176.jpg 300w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9a510b4 elementor-widget elementor-widget-spacer\" data-id=\"9a510b4\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e3cbb62 elementor-widget elementor-widget-heading\" data-id=\"e3cbb62\" data-element_type=\"widget\" id=\"subtopic03\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Dalam kecemasan, langkah-langkah ini akan dilakukan<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-20b1f26 elementor-widget elementor-widget-text-editor\" data-id=\"20b1f26\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Bagi kes kecemasan di mana ia terjadi tanpa jangkaan atau dikenali sebagai\u00a0<em>obstetric emergency<\/em>, pakar sakit puan dan bidan yang bertugas akan memberikan rawatan segera. Sekiranya berlaku bahu bayi tersendat semasa proses kelahiran,\u00a0<em><strong>red alert<\/strong>\u00a0<\/em>akan dimulakan untuk mendapat bantuan dari pasukan perubatan.<br \/><br \/><strong>Ibu akan diminta berhenti meneran<\/strong>\u00a0untuk mengelakkan kecederaan lebih teruk pada bayi.<br \/><br \/><strong>#1.<\/strong>\u00a0Doktor akan menyuruh<strong>\u00a0ibu membengkokkan paha dan lutut ke arah perut ibu<\/strong>\u00a0bagi menambah ruang vagina supaya bahu bayi boleh dilepaskan dari tulang pubis ibu. Ini dipanggil\u00a0<strong><em>Mc Roberts manouvre.<\/em><\/strong><br \/><strong>#2.<\/strong>\u00a0Sekiranya\u00a0<em>manouvre\u00a0<\/em>pertama gagal, langkah seterusnya ialah\u00a0<strong>doktor pakar akan menekan pada bahagian abdomen ibu\u00a0<\/strong>iaitu pada atas tulang pubis bertujuan untuk menolak dan melepaskan bahu bayi yang tersangkut.<br \/><strong>#3.<\/strong>\u00a0Andai\u00a0<em>manouvre\u00a0<\/em>kedua gagal, doktor akan<strong>\u00a0memasukkan tangan dalam vagina dan cuba menolak bahu bayi<\/strong>\u00a0dan cuba melepaskan bahu bayi yang tersangkut.\u00a0<strong>Guntingan episiotomi akan dilakukan<\/strong>\u00a0sekiranya belum dibuat\u00a0<em>untuk memudahkan manouvre tersebut diatas.<\/em><br \/><strong>#4.<\/strong>\u00a0Akhir sekali sekiranya semua gagal\u00a0<strong>ibu mungkin akan disuruh menelangkupkan badan (o<em>n all four hands and legs<\/em>) kerana ini juga boleh membantu melepaskan bahu bayi.<\/strong><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-744e5cc elementor-widget elementor-widget-spacer\" data-id=\"744e5cc\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-37378b7 elementor-widget elementor-widget-image\" data-id=\"37378b7\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"276\" height=\"293\" src=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/05\/health-articles-bahu-tersangkut-masa-bersalin-boleh-buat-bayi-cedera-otak-kurang-oksigen-03.jpg\" class=\"attachment-full size-full wp-image-34480\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4c42776 elementor-widget elementor-widget-spacer\" data-id=\"4c42776\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-acdc88d elementor-widget elementor-widget-heading\" data-id=\"acdc88d\" data-element_type=\"widget\" id=\"subtopic04\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Ibu kencing manis pastikan gula terkawal<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-095c819 elementor-widget elementor-widget-text-editor\" data-id=\"095c819\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Masalah bahu bayi tersangkut ini sukar dielakkan kerana sukar diramal. Cara yang boleh dilakukan untuk mengelakkannya ialah dengan adalah ambil langkah berjaga-jaga jika ibu mempunyai risiko terutamanya ibu yang menghidap kencing manis.\u00a0<strong>Bersalin secara induksi boleh mengelakkan masalah ini.<\/strong><br \/><br \/>Elakkan sama sekali kehamilan yang terlebih tempoh bagi ibu yang mempunyai kencing manis.\u00a0<strong>Doktor selalunya akan mencadangkan bersalin melalui pembedahan\u00a0<em>caesarean<\/em>\u00a0jika berat bayi melebihi berat normal iaitu 4kg<\/strong>. Walau bagaimana pun risiko bahu tersangkut masih boleh berlaku pada bayi yang mempunyai berat kurang dari 4kg lebih-lebih lagi jika ibu menghidap diabetes.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-de6333a elementor-widget elementor-widget-spacer\" data-id=\"de6333a\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dcc2c35 elementor-widget elementor-widget-text-editor\" data-id=\"dcc2c35\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><em><span style=\"color: #999999;\">Artikel ini disiarkan oleh<\/span>\u00a0<a href=\"https:\/\/www.majalahpama.my\/bahu-tersangkut-masa-bersalin-boleh-buat-bayi-cedera-otak-kurang-oksigen-7-keadaaan-ini-berisiko\/\">Majalah Pa&amp;Ma, 5 March 2019<\/a><\/em><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Bahu bayi tersangkut ketika kelahiran (shoulder dystocia) adalah antara masalah kecemasan yang boleh berlaku ketika proses kelahiran. Bayi patah tulang bahu, cedera saraf dan kurang oksigen antara risikonya.<\/p>\n","protected":false},"author":2,"featured_media":34481,"template":"","topic":[160,158,101],"language":[135],"class_list":["post-34505","health-article","type-health-article","status-publish","has-post-thumbnail","hentry","topic-cardiology","topic-obstetrics-gynecology","topic-women","language-bm"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Bahu Tersangkut Masa Bersalin Boleh Buat Bayi Cedera &amp; Otak Kurang Oksigen - Columbia Asia Hospital I Private Hospital in Malaysia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/bahu-tersangkut-masa-bersalin-boleh-buat-bayi-cedera-otak-kurang-oksigen\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bahu Tersangkut Masa Bersalin Boleh Buat Bayi Cedera &amp; Otak Kurang Oksigen - Columbia Asia Hospital I Private Hospital in Malaysia\" \/>\n<meta property=\"og:description\" content=\"Bahu bayi tersangkut ketika kelahiran (shoulder dystocia) adalah antara masalah kecemasan yang boleh berlaku ketika proses kelahiran. 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