3.

FISIOLOGI PERSALINAN NORMAL

It takes quiet myometrium conditions to

the development of the fetus, . However, at
the moment of delivery, uterine smooth
muscle contraction will begin to show activity
interspersed with relaxation. it depends on
maintaining tranquility uterine progesterone
until parturition.

Normal Partus Mechanism

there are three important mechanisms in
normal delivery
1. Mothers strenght and His
2. circumstances of birth path
3. state of the fetus itself

Normal Delivery Phase

stage 1: starts at the beginning of the contraction
frequency, intensity, and duration sufficient to
cause thinning and opening of the cervix
stage 2: begins when the opening of the cervix is
complete (10cm)
stage 3: immediately after birth and ends at birth
the placenta
stage 4: the birth of the placenta until 2 hours
after childbirth

Biochemical Changes in Pregnant

Women when Entering the Labor
Process
softening and ripening the cervix
development gap junctions between the
myometrium cells
increase in the number of oxytocin receptors
in the myometrium
increase in the number of contraction
receptors on the myometrium to uterotonin

Uterotonin prostaglandin
oxytosin
angiotensin II
arginin vasopresin
bradikinin

Delivery Activity

Diferensiensi uterine activity

Change the shape of the uterus
Additional styles on delivery
Flattening of the cervical (obliteration)
Discharge of amniotic fluid
The release of the placenta
separation amniokorion
Extruding placenta