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MECHANISMS OF LABOR

DESCENT
-involves the entrance of the greatest biparietal diameter of the fetal head to the pelvic inlet. Caused by: pressure of amniotic fluid, contraction of abdominal muscles, extension and straightening of fetus.

FLEXION
As the fetal head moves deeper into the pelvis, it meets resistance from either the cervix, pelvic floor or walls of the pelvis. This causes head to flex so that the chin is brought in close contact with the chest.

INTERNAL ROTATION
When the head reach the level of the ischial spines, it rotates from the transverses diameter to anteroposterior diameter so that its largest diameter is presented to the largest diameter of the outlet.

EXTENSION
The forces of uterine contractions, pushing effort of the mother and the resistance of the pelvic floor cause the head to extend towards the vaginal opening. As the head extend, the chin is lifted up and, then, it is born.

EXTERNAL ROTATION
When the head comes out, the shoulder which enters the pelvis in transverse position turns to anteroposterior position for it to become in line with the anteroposterior diameter of the outlet and pass through the pelvis.

EXPULSION

When the head is born the shoulder and the rest of the body follows without much difficulty.

DFIRE ERE
Vaginal Childbirth (Birth)[1].wmv

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POST-TEST
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involves the entrance of the greatest biparietal diameter of the fetal head to the pelvic inlet. largest diameter is presented to the largest diameter of the outlet the head extend towards the vaginal opening. turns to anteroposterior position for it to become in line with the anteroposterior diameter of the outlet the chin is brought in close contact with the chest.

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Caused by pressure of amniotic fluid largest diameter is presented to the largest diameter of the outlet. Caused by resistance from either the cervix, pelvic floor Caused by pushing effort of the mother shoulder and the rest of the body follows

ANSWERS
1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

Descent Internal rotation Extension External rotation Flexion Descent Internal rotation Flexion Extension expulsion

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