{"id":34981,"date":"2018-09-14T17:43:04","date_gmt":"2018-09-14T09:43:04","guid":{"rendered":"https:\/\/www.columbiaasia.com\/malaysia\/?post_type=health-article&#038;p=34981"},"modified":"2025-05-20T11:25:44","modified_gmt":"2025-05-20T03:25:44","slug":"nak-bersalin-anak-kembar-ketahui-risiko-masa-process-kelahiran-september-14-2018","status":"publish","type":"health-article","link":"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/nak-bersalin-anak-kembar-ketahui-risiko-masa-process-kelahiran-september-14-2018\/","title":{"rendered":"Nak Bersalin Anak Kembar, Ketahui Risiko Masa Process Kelahiran September 14, 2018"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"34981\" class=\"elementor elementor-34981\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d5a03a4 e-con-full e-flex e-con e-parent\" data-id=\"d5a03a4\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1c95c4d elementor-widget elementor-widget-text-editor\" data-id=\"1c95c4d\" 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>Kandungan kembar adalah dalam kategori kandungan berisiko tinggi dan perlu dipantau doktor pakar sepanjang kehamilan dan kelahiran. Bagaimana untuk merancang kelahiran kandungan kembar?<br \/><br \/>Menurut Dr Sharina Mohd Razali, Pakar Perbidanan dan Sakit Puan, Columbia Asia Bukit Rimau mengenai persediaan yang perlu dilakukan dan proses kelahiran bayi kembar.<br \/><br \/>\u201cBiasanya doktor akan berbincang dengan pesakit akan cara kelahiran dan menyarankan kaedah kelahiran yang sesuai situasi kehamilan. Kira-kira enam daripada 10 kandungan kembar akan lahir secara pembedahan caesarean,\u201d kata Dr Sharina.<br \/><br \/>Idealnya kandungan kembar harus dipantau oleh pakar sakit puan dan seeloknya kelahiran di hospital yang mempunyai kemudahan seperti NICU ( Neonatal Intensive Care Unit) kerana kandungan kembar berisiko tinggi untuk bersalin awal.<\/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-ba7b96e elementor-widget elementor-widget-spacer\" data-id=\"ba7b96e\" 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\t\t<div class=\"elementor-element elementor-element-bcd3503 elementor-widget elementor-widget-image\" data-id=\"bcd3503\" 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-nak-bersalin-anak-kembar-ketahui-risiko-masa-process-kelahiran-01.jpg\" class=\"attachment-large size-large wp-image-34991\" alt=\"\" srcset=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/05\/health-articles-nak-bersalin-anak-kembar-ketahui-risiko-masa-process-kelahiran-01.jpg 500w, https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/05\/health-articles-nak-bersalin-anak-kembar-ketahui-risiko-masa-process-kelahiran-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 class=\"elementor-element elementor-element-3e06d87 elementor-widget elementor-widget-spacer\" data-id=\"3e06d87\" 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-dffb56b elementor-widget elementor-widget-text-editor\" data-id=\"dffb56b\" 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><strong>Sejak dulu lagi, telah menjadi praktis biasa oleh semua pakar sakit puan untuk menggalakkan kelahiran secara normal sekiranya kembar pertama berada pada kedudukan kepala di bawah<\/strong><br \/><br \/>Walaubagaimanapun, pakar-pakar mempunyai pendapat yang berbeza dan pakar di luar negara mungkin mempunyai pendapat berlainan tentang cara terbaik menyambut kelahiran kembar berdasarkan kajian yang dilakukan di negara berkenaan.<\/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-ea3b561 elementor-widget elementor-widget-spacer\" data-id=\"ea3b561\" 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-42a89ae elementor-widget elementor-widget-heading\" data-id=\"42a89ae\" 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\">Bolehkah dilahirkan secara normal?<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1720cb7 elementor-widget elementor-widget-text-editor\" data-id=\"1720cb7\" 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>Kelahiran secara normal boleh dilakukan dengan syarat kandungan atau ibu tersebut adalah;<\/p><ol><li>Kembar tidak lebih daripada dua dan bukan kembar bercantum\/siam (conjoint twin).<\/li><li>Kedudukan bayi yang sesuai untuk kelahiran- kembar pertama mestilah berada dalam kedudukan kepala berada di bawah(kedudukan kepala kembar kedua begitu penting kerana kebanyakan masa kedudukan mereka akan berubah selepas kelahiran kembar pertama)<\/li><li>Ibu tidak mempunyai komplikasi tekanan darah tinggi yang berbahaya (pre eclampsia)<\/li><li>Ibu tidak mempunyai penyakit kronik yang lain seperti Penyakit Jantung<\/li><li>berat bayi melebihi 2kg<\/li><li>kandungan bukan pramatang<\/li><li>tiada komplikasi \u2018growth restriction\u2019 pada bayi (bayi terlalu kecil)<\/li><li>tiada growth discordant (satu bayi terlalu kecil berbanding dgn kembarnya)<\/li><li>kedua dua bayi sihat ( tiada Fetal compromise or abnormal<\/li><li>Sejarah kelahiran caesarean atau pembedahan lain ke atas rahim sebelum ini (kerana boleh meningkatkan risiko uterine rapture).<\/li><\/ol>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e177a56 elementor-widget elementor-widget-spacer\" data-id=\"e177a56\" 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-78d16d1 elementor-widget elementor-widget-image\" data-id=\"78d16d1\" 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-nak-bersalin-anak-kembar-ketahui-risiko-masa-process-kelahiran-02.jpg\" class=\"attachment-large size-large wp-image-34992\" alt=\"\" srcset=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/05\/health-articles-nak-bersalin-anak-kembar-ketahui-risiko-masa-process-kelahiran-02.jpg 500w, https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/05\/health-articles-nak-bersalin-anak-kembar-ketahui-risiko-masa-process-kelahiran-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 class=\"elementor-element elementor-element-34e2215 elementor-widget elementor-widget-spacer\" data-id=\"34e2215\" 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-ecbbe74 elementor-widget elementor-widget-heading\" data-id=\"ecbbe74\" 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\">Kelahiran secara normal berisiko<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5e863d0 elementor-widget elementor-widget-text-editor\" data-id=\"5e863d0\" 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>Kelahiran normal bagi kembar memerlukan kedudukan kepala bayi pertama di bawah.<br \/><br \/>Sekiranya kedua dua kepala bayi berada di bawah, bayi kedua akan dilahirkan pada kontraksi seterusnya selepas kelahiran bayi pertama<br \/><br \/>Sekiranya bayi kedua pula melintang ( prosedur External Cephalic Version (ECV) atau Internal Podalic Version (ICV) perlu dilakukan untuk menukar posisi menjadi songsang (breech)\/ kepala dibawah(cephalic). ICV adalah sangat berisiko tinggi dan jarang jarang dilakukan pada masa kini.<br \/><br \/>Adalah penting untuk memastikan bayi berada dlm keadaan longitudinal\/memanjang dan tidak melintang. Sekiranya bayi kekal melintang, bayi terpaksa dilahirkan melalui pembedahan Caesarean.<br \/><br \/>Namun, perlu diketahui kelahiran kembar secara normal haruslah dilakukan dengan kehadiran doktor pakar yg berpengalaman kerana banyak komplikasi boleh berlaku seperti cord prolapse (tali pusat terkeluar dan bayi boleh lemas) dan fetal distress (bayi lemas).<\/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-70208f8 elementor-widget elementor-widget-spacer\" data-id=\"70208f8\" 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-0e605e4 elementor-widget elementor-widget-image\" data-id=\"0e605e4\" 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-nak-bersalin-anak-kembar-ketahui-risiko-masa-process-kelahiran-03.jpg\" class=\"attachment-large size-large wp-image-34993\" alt=\"\" srcset=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/05\/health-articles-nak-bersalin-anak-kembar-ketahui-risiko-masa-process-kelahiran-03.jpg 500w, https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/05\/health-articles-nak-bersalin-anak-kembar-ketahui-risiko-masa-process-kelahiran-03-300x176.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 class=\"elementor-element elementor-element-81362bf elementor-widget elementor-widget-spacer\" data-id=\"81362bf\" 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-e3cc84d elementor-widget elementor-widget-heading\" data-id=\"e3cc84d\" 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\">Keselamatan janin<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a81f259 elementor-widget elementor-widget-text-editor\" data-id=\"a81f259\" 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>Antara sebab utama doktor mengesyorkan ibu untuk melahirkan secara pembedahan caesarean ialah keselamatan kedua-dua bayi dan untuk mengelakkan keadaan retained second twin ( bayi kedua kekal dalam keadaan melintang) atau bayi kedua lemas kerana kesukAran memantau kedua dua bayi semasa dalam proses bersalin<br \/><br \/>Kontraksi rahim merupakan satu bentuk\u00a0<em>stress<\/em>\u00a0kepada bayi dan boleh mengakibatkan bayi lemas.<br \/><br \/>Kadangkala adalah sukar untuk memantau (monitor) kembar kedua kerana kedudukannya yg mungkin berada dia belakang kembar pertama. Sekiranya ada kesukaran ini, sesetengah doktor pakar akan mencadangkan kelahiran secara pembedahan Caesarean<\/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-3f374ee elementor-widget elementor-widget-spacer\" data-id=\"3f374ee\" 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-391d815 elementor-widget elementor-widget-heading\" data-id=\"391d815\" 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\">Pemilihan Hospital mesti mempunyai ciri-ciri ini<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7a72bcf elementor-widget elementor-widget-text-editor\" data-id=\"7a72bcf\" 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>Selepas mengetahui akan risiko yang boleh berlaku dalam proses kelahiran maka, ibu bapa perlu bijak merancang lebih awal dan mempertimbangkan saranan daripada doktor. Antara perkara yang perlu dipertimbangkan dalam pemilihan hospital bersalin ialah;<\/p><ol><li>Mengutamakan pemilihan hospital yang mempunyai kemudahan untuk ibu dan anak.<\/li><li>Mempunyai wad penjagaan neonatal yang mencukupi untuk menempatkan bayi yang kembar yang lazimnya lahir pada usia pramatang.<\/li><li>Bekalan darah yang mencukupi kerana kelahiran kembar mempunyai risiko tumpah darah sangat tinggi dimana rahim sukar untuk mengecut.<\/li><li>Jumlah pakar pediatrik yang mencukupi iaitu seorang bagi setiap bayi.<\/li><li>Mempunyai kemudahan teknikal yang mudah kerana kemungkinan pesakit memerlukan pembedahan caesarean secara kecemasan amat tinggi.<\/li><\/ol>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c5e2590 elementor-widget elementor-widget-spacer\" data-id=\"c5e2590\" 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-1389c75 elementor-widget elementor-widget-heading\" data-id=\"1389c75\" data-element_type=\"widget\" id=\"subtopic05\" 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\">5 Info mengenai kelahiran kembar<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bdd1acd elementor-widget elementor-widget-text-editor\" data-id=\"bdd1acd\" 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<ol><li>Bagi kandungan kembar tiga ke atas, mereka hanya boleh dilahirkan secara caeserean sahaja.<\/li><li>Biasanya bagi kandungan yang perlu dilahirkan secara caesarean, pembedahan akan dijadualkan pada minggu ke-3 hingga ke-37 atau lebih awal bergantung pada keadaan ibu dan janin dan juga bergantung kepada jenis kembar (monochorionic atau dichorionic)<\/li><li>masa untuk kelahiran kembar bergantung pada jenis kembar; seawal 32 minggu sekiranya kembar berkongsi plasenta dan berada dalam kantung amnion yg sama (monochorionic monoamniotic)<\/li><li>Kembar dua yang mempunyai dua plasenta berasingan dan berada dalam kantung amnion berbeza (selalunya boleh bersalin normal jika keadaan ibu sihat dan tiada komplikasi lain.Ini adalah jenis kembar yang paling kurang berisiko kerana kedua dua bayi mempunyai unit plasenta nya sendiri<\/li><\/ol><p><strong>Masalah \u2018retained second twin\u2019 boleh berlaku di mana bayi kedua terperangkap dalam rahim dengan keadaan songsang dan pembedahan caesarean kecemasan perlu dilakukan untuk menyelamatkan nyawa 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-d3494ef elementor-widget elementor-widget-spacer\" data-id=\"d3494ef\" 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-74bd023 elementor-widget elementor-widget-text-editor\" data-id=\"74bd023\" 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><span style=\"color: #999999;\"><em>Artikel ini disiarkan oleh <a href=\"https:\/\/www.majalahpama.my\/nak-bersalin-anak-kembar-cara-normal-pun-boleh-tapi-doktor-kata-mesti-ikut-kriteria-ini-ketahui-risiko-masa-proses-kelahiran\/\">Majalah Pa&amp;Ma, 14 September 2018<\/a><\/em><\/span><\/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>Kandungan kembar adalah dalam kategori kandungan berisiko tinggi dan perlu dipantau doktor pakar sepanjang kehamilan dan kelahiran. Bagaimana untuk merancang kelahiran kandungan kembar?<\/p>\n","protected":false},"author":2,"featured_media":34985,"template":"","topic":[158,101],"language":[137],"class_list":["post-34981","health-article","type-health-article","status-publish","has-post-thumbnail","hentry","topic-obstetrics-gynecology","topic-women","language-en"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Nak Bersalin Anak Kembar, Ketahui Risiko Masa Process Kelahiran September 14, 2018 - 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\/nak-bersalin-anak-kembar-ketahui-risiko-masa-process-kelahiran-september-14-2018\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Nak Bersalin Anak Kembar, Ketahui Risiko Masa Process Kelahiran September 14, 2018 - Columbia Asia Hospital I Private Hospital in Malaysia\" \/>\n<meta property=\"og:description\" content=\"Kandungan kembar adalah dalam kategori kandungan berisiko tinggi dan perlu dipantau doktor pakar sepanjang kehamilan dan kelahiran. 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