Pathophysiology

Modifiable Factors: Non-Modifiable Factors:

-stress -decreased level of progesterone
-fatigue caused -aging pf placenta
overworking -oxytocin release
-strenuous works -prostaglandin cascade
-fetal adrenal maturation
-engagement of the presenting part

Onset of
Labor

Uterine contractions

Cervical dilation and effacement

Try breathing
Go for a walk Change
Relaxation
technique positions

PRETERM PREMATURE
RUPTURE OF MEMBRANES

Second Stage of Labor

(mechanism of labor)
 Transition Do presence of
contraction
phase

Third Stage
of Labor

Birth of infant

active bleeding
separation and
expulsion of placenta
Postpartum

episiotomy level of hormones

uterus back
to pre- back to normal
pregnant
state
wound
healing systems back
mediate to normal
d by the
clotting
factors

Mother back to
pre-pregnant
state