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Schematic Diagram of Pathophysiology Modifiable Factors: -stress -fatigue caused overworking -strenuous works
Non-Modifiable Factors: -decreased level of progesterone -aging pf placenta -oxytocin release -prostaglandin cascade -fetal adrenal maturation -engagement of the presenting part
Onset of Labor
Uterine contractions that result to cervical dilatation
decidua produces prostaglandin E2 and interleukin-8
increase in uterine activity
decrease synthesis of collagen
increase in production of MMP
PRETERM PREMATURE RUPTURE OF MEMBRANES wound Second Stage of Labor healing mediate (cardinal movements of the fetus) d by the uterusback backto Mother level of hormones clotting Third Stage to prepre-pregnant back to normal systems back active bleeding factors Postpartum episiotomy Birth of pregnant of Labor infant state to normal
separation and expulsion of placenta