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发表于 2008-7-18 18:53
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Birth and baby; Steve Parker " z1 e6 p7 w/ I/ k
DK Eyewitness Human Body 11-01-2004 ]2 y3 |: b3 b7 Y2 A4 z' D
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1 g7 L; f* z; z$ P0 UIn theory, the process of childbirth is relatively sim-ple. The neck, or cervix, of the mother's uterus, which is tightly closed during pregnancy, relaxes and widens (dilates). The uterus muscles begin to tense and shorten in waves called contractions, which become more frequent and powerful. This stage is called labor – aptly named, since it is hard work for mother and baby. Gradually the contractions push the baby through the dilated cervix and along the vagina to the outside world. This is stage two, delivery. It is followed by stage three, afterbirth, when the placenta emerges. In practice, childbirth experiences vary. Sometimes the labor is slow, or the baby becomes stuck. Methods used to "help" the birth have ranged from the ineffectual to the barbaric. The surgical Caesarean delivery is named after Roman Emperor Julius Caesar (100-44 BC), supposedly born this way. In the past it was usually carried out if the mother died. Only this century have mother and baby had a reasonable chance. The medical speciality of childbirth is obstetrics, from the Latin obstare. This means to "stand opposite," referring to the midwife who stood near the mother, and helped her through the event.% B8 y. {; b) h& [9 Z1 D
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Mother and her newborn child 8 Z0 [- r0 _+ k3 s2 |$ ^4 `/ G
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The minutes and hours soon after birth are very important for mother and new baby. They quickly learn to recognize each other, particularly by scent, a sense which is deeply rooted in the emotional parts of the brain. The human mother-baby bond is extremely powerful, as it is even in wild animals.
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Ready to leave ' [) S2 Z5 `+ [% q. q( Z
8 `7 |% K" L& j. B0 u3 Y) eNine months after fertilization, the full-term baby is ready to leave the warm, watery darkness of the uterus. Most babies rest head down so that they emerge through the birth canal with the widest and roundest part first – the head. The rest of the body then follows easily and slips out. Other positions, or "presentations," such as buttocks-first (breech) or shoulder first, are more likely to have complications.
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: J6 A1 U: O* |) H& f% e* KThe birth canal
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* J& F& i5 U: v: | H$ O/ jThe baby passes through the large central hole in the mother's pelvis, or hip bones. This is much broader than the hole in a man's pelvis, to accommodate the shape of the baby's head. The pelvic joints and ligaments, particularly the pubic symphysis between the two pubis bones, stretch slightly to make the hole larger.9 X: q w) |7 [1 k/ A- t
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Surgical delivery ^6 k; z u# r' O
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In a Caesarean delivery, or Caesarean section, the baby emerges through an incision, or cut, made through the mother's skin, abdomen, and uterine muscles. These days this O p e r ation is very safe, and leaves only a small scar on the mother's lower abdomen. Caesareans are performed for a number of reasons. The baby may be stuck in the birth canal and growing distressed, or at risk from lack of oxygen.
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The afterbirth
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8 _, s& W' H& j/ r+ v$ q% N5 {After the baby is born, the placenta comes away from the lining of the uterus, and it is delivered in the same way, which is why it is usually known as the "afterbirth." The baby is linked to the placenta by the umbilical cord, along which blood flows in between baby and placenta. During pregnancy, the placenta brings together the baby's blood and the mother's blood, so that they are separated only by an extremely thin membrane. Oxygen and nutrients to help the baby grow pass from mother's blood to baby's blood, while the baby's wastes, like urea and carbon dioxide, move in the opposite direction for disposal.
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$ L. z7 G4 ]: B; k( P" I, OBaby's milk : W1 P6 S0 S0 a3 ~+ d8 V
* H0 _6 ~" h. H% w! }The word "mammal" comes from the presence of mammary glands in the female of the species. These make milk, or lactate, to nourish the baby. The human mammary glands are in the breasts on the chest. Each contains about 20 lobes, which are clusters of milk-mak-ing lactiferous glands. During pregnancy and after birth the glands enlarge and produce milk, which flows along lactiferous (milk) ducts, and oozes from the nipple. When the baby sucks at the nipple, this stimulates milk to flow from the breasts. |
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