A

Labor lead to Full

cervical dilatation General Urinary
Internal Exam, Blood
stained finger with
cervical dilatation
Ultrasound cervical
Full Cervical performed on
length = 2.3cm with
effacement hastened October 23, 2019
25% Y-shaped
performed on October by short cervix
23, 2019

Fetal expulsion

Due to prematurity of body

systems, fetal death resulted.

Manifested signs & symptoms

Examination
performed

Laboratory results
 Agent:

HOST Maternal Stress

Environment
 Female
 33 years old  Home located in a
 G2P1101 Hypothalamus, pituitary, adrenal axis subdivision
 20 6/7 weeks secreted hormones  Stressful work
AOG (Corticotropin releasing hormone, environment as a
 Stressed from acetylcholine, Norepinephrine, cortisol) teacher
work

Increased placental levels of

corticotropin releasing hormones

Increase of fetal stress hormones

(Corticotropin releasing hormone,
Acetylcholine, Cortisol)

High fetal cortisol levels lead to decreased

progesterone formation and increased
prostaglandin levels
Abdomen had
uterine
contractions Prostaglandin Rupture of
noted on caused pre term membrane leads to
October 23, onset of labor and leakage of amniotic
2019 contractions fluid

Ultrasound result
Continuous leakage Amniotic fluid SVP=0
A lead to performed on October
anhydramnios 23, 2019