PATHOPHYSIOLOGY

PHYSIOLOGY OF PUFT CESAREAN DELIVERY

Release of FSH by the anterior pituitary gland

Development of the graafian follicle

Production of estrogen (thickening of the endometrium)

Release of the luteinizing hormone

Ovulation (release of mature ovum from the graafian follicle)

Ovum travels into the fallopian tube

Fertilization (union of the ovum and sperm in the ampulla)

Zygote travels from the fallopian tube to the uterus

Implantation

Development of the fetus/embryo & placental structure until full term

PRELIMINARY SIGNS OF LABOR

Lightening (descent of the fetal wherein head into the pelvis) softer like

Braxton Hicks Contraction Ripening of the cervix (false labor) >begin and remain irregular >1st felt abdominally earlobe >pain disappears with ambulation >do not increase in duration and intensity >do not achieve cervical Dilatation (Goodells Sign the cervix feels consistency of the

TRUE LABOR

Uterine Contractions Membranes

>increase in duration amniotic sac) and intensity >1st felt at the back & radiates to the abdomen >pain is not relieved no matter what the activity >achieve cervical dilatation

SHOW
(pink-tinge of blood, a mixture of blood and fluid)

Rupture of
(rupture of the

Failed to progress labor (due to previous cesarean birth, cervical arrest, cervical atrophy)

increase risk for fetal distress (meconium staining, hypoxia)

Increase risk of fetal death

Emergent cesarean delivery (the incision made on the lower part of the abdomen)

Expulsion of the fetus

Expulsion of the placenta (accompanied by bloodless approximately 1000-1500 mL)