Tyseer al-sabeel in Qura'n ( labor ) After the end of the uterine incubation period of the fetus , it becomes able to live outside the uterus without any health problems that could endanger his life . This means that duration of pregnancy has been ended and indicates coming out of the uterus becomes a must. Allah – the Almighty – Said : " …and We cause what We want to settle in the wombs ( to be created ) till an appointed time, then We bring you out (of uterus) as babies,…" ( Surah Al-haj , 22 : Ayah 5 ) ; " Then We placed it in a place of settlement (qarar) , firmly fixed (makin) * For an appointed time " (Surah Al-Mursalat ,77 : Ayhat 21 & 22). It clear from these verses that Qura'n has pointed to the fact that pregnancy has a specific well-known period of time. Qura'n also has pointed out to the process of parturition or labor , Allah – the Almighty – Said : "Then He made the way ( the path to leave womb) easy (for him) " (Surah Aba'sa, 80: Ayah 20). Thus , Allah – the Almighty – Had made the passage of the fetus from the uterus , at the time of delivery, easy and smooth. How ?? When we go back to anatomy of the birth canal in its normal position , it will be appreciated that it is a narrow difficult path to the passage of a baby , however , during the process of delivery , several factors interact together to make the passage of the fetus an easy process ; these factors include : 1. Relaxin: A hormone which is secreted by the ovaries and placenta, and which loosens the ligaments of the pelvic joints and softens the cervix. 2. Uterine contractions: These begin in the upper uterine segment which is composed of the active contracting muscle tissue which supplies the force necessary to push the baby through the thin passive lower uterine segment. 3. Amniotic sac: With each uterine contraction, the membranes , which are filled with amniotic fluid , bulge as a bag of water through the cervix and facilitate its dilatation. After the membranes rupture, the membranes provide a smooth slippery surface on which the fetus can glide down. 4. Mechanism of labor : The fetus changes its position as it passes through the irregularly shaped pelvic cavity. There are 5 steps in the normal mechanism of labor : descent, flexion, internal rotation, extension, and external rotation. Stages of labor : The process of labor passes in three successive stages : 1- Uterine contraction and cervical dilatation : the cervix of the uterus gradually dilates and the uterus contracts to push the baby outside the uterus . It lasts 12-16 hours in primigravida and 6-7 hours in multigravida. 2- Delivery of the baby : could occur during one uterine contraction and my extend up to 2 hours. The head comes out first , that is 3 times greater than vaginal canal before labor, followed by the rest of the body, then the baby starts to breathe and may cry . 3- Delivery of the placenta : this is the shortest stage that lasts 5- 15 minutes after baby delivery , the uterus continues its contraction to minimize uterine bleeding after delivery of the placenta. Thus , the baby comes out of the uterus after Allah – the Almighty – Had Made an easy path for him to leave the uterus as reported in Qura'n : "Then He made the way ( the path to leave womb) easy (for him) " (Surah Aba'sa, 80: Ayah 20). It is Allah Who Had created all these amazing things , Allah – the Almighty – Said : " …And it is He who created all things, and ordered them in due proportions. ( Surah Al-Furqan ;25 : Ayah 2) ; Allah – the Almighty – also Said : "Surely We have created everything according to a measure." (Surah Al-Qamar ; 54 : Ayah 49 ).
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