PARTURITION

(PROSES
KELAHIRAN)
NANDA AGUS PRASETYA (RAS)

PROGRAM PENDIDIKAN DOKTER SPESIALIS I

RSSA/ FAKULTAS KEDOKTERAN
UNIVERSITAS BRAWIJAYA
MALANG
2016

Proses Kelahiran

Proses Kelahiran

Perubahan Hormonal

Perubahan Hormonal

Hormonal changes

Perubahan Hormonal

Parturition
Proses Kelahiran

Perubahan Mekanik

Mekanisme Umpan Balik

Positif

Inisiasi Persalinan

Baby moves
deeper into
mothers birth
canal

Figure 16.19, step 1

Initiation
of Labor
Inisiasi
Persalinan

Baby moves
deeper into
mothers birth
canal

Pressoreceptors
in cervix of
uterus excited

Figure 16.19, step 2

Initiation
of Labor
Inisiasi
Persalinan

Baby moves
deeper into
mothers birth
canal

Afferent
impulses to
hypothalamus
Pressoreceptors
in cervix of
uterus excited

Figure 16.19, step 3

Initiation
of Labor
Inisiasi
Persalinan
Hypothalamus sends efferent
impulses to posterior pituitary,
where oxytocin is stored

Baby moves
deeper into
mothers birth
canal

Afferent
impulses to
hypothalamus
Pressoreceptors
in cervix of
uterus excited

Figure 16.19, step 4

Initiation
of Labor
Inisiasi
Persalinan
Hypothalamus sends efferent
impulses to posterior pituitary,
where oxytocin is stored
Posterior pituitary releases
oxytocin to blood; oxytocin
targets mothers uterine
muscle

Baby moves
deeper into
mothers birth
canal

Afferent
impulses to
hypothalamus
Pressoreceptors
in cervix of
uterus excited

Figure 16.19, step 5

Initiation
of Labor
Inisiasi
Persalinan
Hypothalamus sends efferent
impulses to posterior pituitary,
where oxytocin is stored
Posterior pituitary releases
oxytocin to blood; oxytocin
targets mothers uterine
muscle
Uterus responds
by contracting
more vigorously
Baby moves
deeper into
mothers birth
canal

Afferent
impulses to
hypothalamus
Pressoreceptors
in cervix of
uterus excited

Positive feedback
mechanism continues
to cycle until interrupted
by birth of baby

Figure 16.19, step 6

Phases
of parturition
Fase
Persalinan

18

Aktivitas Uterus Selama

Kehamilan
Inhibitors
Progesterone
Prostacycline
Relaxin
Nitric Oxide
Parathyroid
hormone-related
peptide
CRH
HPL

Uterotrophi
ns

Uterotonin
s

Estrogen
Progesterone
Prostaglandins
CRH

Prostaglandin
s
Oxytocin

Involutio
n
Oxytocin
Thrombin

Quiescence
Phase 0

Activation
Phase 1

Stimulatio
n
Phase 2

Involutio
n
Phase 3

Fase Kelahiran

Phases
of parturition
Fase
Kelahiran

Phases
of parturition
Fase
Kelahiran

Fase Proses Kelahiran

Mekanisme Proses
Kelahiran

Fase Persalinan

Fase Persalinan

Penipisan dan Dilatasi

Serviks

Fase Persalinan

Figure 16.20 (1 of 3)

Fase Persalinan

Fase Persalinan

Figure 16.20 (2 of 3)

Tahap Persalinan

TAHAP PERSALINAN

Figure 16.20 (3 of 3)

BAYI LAHIR

TERIMA KASIH