CAUSES OF ONSET OF LABOR 

CAUSES OF ONSET OF LABOR 

  • In a woman when  pregnancy reach  at term and  why a pregnant woman feels labor  pain and how contraction started and delivery occur
  • When fetus matures at term of pregnancy fetal hypothalamus get activated and Release CRH( corticotropin releasing hormone)
  •   This corticotropin releasing hormone stimulates fetal pitutary gland .
  • Due to stimulation of CRH fetal pitutary gland secreate ACTH( Adrenocorticotropic hormone)
  • This ACTH stimulate fetal adrenal glands.
  • Due to stimulation of ACTH fetal adrenal gland secreate cortisol and dwhydroepiandrosterone sulphate.( DHEAS)
  • DHEAs go to the placenta and converted to oestrogen.
  • Cortisol go to placenta and placenta secreate estrogen and Prostaglandin.
  • Prostaglandin secret from decidua, fetal membrane, amnion and chorion and from placenta.
  • Here estrogen secreation increase and progesterone secreation decrease.
  • Due to this estrogen and progesterone ratio alter .
  • This rise in estrogen level stimulates maternal pitutary gland to release oxytocin.
  • High level of estrogen increase oxytocin receptor in myometrium
  • High level of  estrogen cause secretion of Prostaglandin.
  • Due to oxytocin and Prostaglandin labor pain  starts  due to uterine contraction.

These are all steps why labour pain starts in pregnancy.

 

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