Predisposing Factor: almost 2 years C Age of Baby Boy X’s Drinking alcoholic beverages mother: 17 years old Poor prenatal check-up Maternal stress
Due to maternal stress HPA (Hypothalamus-Pituitary-
Adrenal Axis) become activated
Corticotropin releasing hormone is being released by
adrenal glands
Increased prostaglandin Increased levels of
availability in utero-placental dehydroepiandrosterone tisues (DHEA)
Uterine contraction Stimulation and activation of cervical and abdominal
and spotting of blood contraction
Labor begin
First Stage of Labor
Latent Phase (Dilatation and 20 – 40 seconds contraction Signs and Symptoms of Prematurity: Effacement) 0 – 3 cm cervical dilatation Weight: 1,450 grams that lasts for 6 hours in Appearance: thin, smooth, shiny nullipara skin with wrinkled features Jaundice Active Phase Presence of lanugo all over the 40 – 6o seconds contraction body 4 – 7 cm cervical dilatation Soft pliable-ear cartilage that last for 3 hours in Minimal creases in the soles and nullipara palms Few scrotal rugae Transition Phase Second Stage of Every 2-3 minutes of Labor contraction every 60 – 90 (Delivery of the Baby) seconds AOG – 34-35 8 – 10 cm maximum cervix weeks dilatation