What are the stages of parturition?
Parturition consists of three stages: 1) The dilation stage, where the cervix dilates to allow the baby to move into the birth canal. 2) The expulsion stage, where the baby is delivered through the birth canal. 3) The placental stage, where the placenta and membranes are expelled.
What is the role of hormones in parturition?
Hormones play a crucial role in parturition, with oxytocin facilitating uterine contractions, estrogen increasing uterine sensitivity to oxytocin, and prostaglandins aiding the cervix's dilation. Additionally, progesterone levels decrease to allow labor progression. Cortisol from the fetus also triggers labor by promoting the release of these hormones.
What are the signs that parturition is about to begin?
Signs that parturition is about to begin include regular contractions becoming more frequent and intense, the passing of the mucus plug (bloody show), rupture of the membranes (water breaking), and lower back pain. Additionally, there may be increased pelvic pressure and cervical dilation.
How long does the process of parturition typically last?
The process of parturition, or labor and delivery, typically lasts between 12 to 24 hours for first-time mothers and may be shorter, averaging 6 to 8 hours, for women who have given birth before.
What complications can arise during parturition?
Complications during parturition can include prolonged labor, fetal distress, umbilical cord prolapse, shoulder dystocia, and excessive bleeding (postpartum hemorrhage). Other issues may involve infection, uterine rupture, and placental abnormalities, such as placental abruption or placenta previa. These complications may require medical interventions like cesarean delivery or assisted vaginal delivery.