Exam 4: Parturition Flashcards

(26 cards)

1
Q

Parturition

A

Process by which uterus delivers the fetus and placenta

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2
Q

Labor

A

Associated with rhythmic contractions of the uterine smooth muscle

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3
Q

Stages of parturition

A
  1. Resumption of myometrial contractions and cervical maturation- triggered by release of progesterone block
  2. Expulsion of the fetus- abdominal muscles provide main strength of contractions
  3. Expulsion of placental tissues- due to myometrial contractions
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4
Q

Effects of fetal corticoids

A

Convert progesterone to estradiol

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5
Q

Effects of fetal stress

A

Increased fetal ACTH
Fetal Cortisol

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6
Q

Effects of fetal cortisol

A

Decreased Progesterone
Increased Estrogen

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7
Q

Effects of progesterone and estrogen in the ovary

A

Relaxin –>
Cervical dilation

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8
Q

Effects of progesterone and estrogen in the uterus

A

^ PGF2a
^ PGE
^ Oxytocin receptors

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9
Q

Effects of PGF2a

A

Luteolysis
Myometrial contractions
–>
Ferguson’s reflex

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10
Q

Effects of PGE

A

Cervical dilation

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11
Q

Effect of cervical dilation

A

Ferguson’s reflex
By presence of fetal head against the cervix

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12
Q

Effect of Ferguson’s reflex

A

Oxytocin release

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13
Q

Effects of oxytocin release

A

Bind oxytocin receptors
Stimulate PGF2a synthesis/release
More myometrial contractions
+
Abdominal contractions
–>
Delivery

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14
Q

Puerperium

A

Time elapsing from parturition to normal resumption of estrus cycles

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15
Q

4 events of uterine involution

A

Occurs during puerperium
Decreased uterine size & volume
Expulsion of lochia
Endometrial repair

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15
Q

4 phases of puerperium

A
  1. Myometrial contractions & release of lochia
  2. Endometrial repair
  3. Resumption of estrous cycles
  4. Expulsion of bacterial contamination
16
Q

Dystocia

A

Difficult parturition

17
Q

3 causes of dystocia

A

Fetus of large size
Abnormal positions of fetus
Multiple births in monotocous species

18
Q

Tocolysis

A

Stop myometrial contractions
Drug: Terbutaline

19
Q

Drugs to induce parturition

A

Corticosteroids- ruminants (can lead to retained placenta in cows)
PGs- mares & goats
Oxytocin- used to drop placenta and shrink uterus

20
Q

4 adaptations of fetal circulation

A
  1. Complete oxygenation of blood in placenta
  2. Ductus venosus (in liver)
  3. Ductus arteriosus (aorta to pulmonary artery)
  4. Foramen Ovale (hole between left and right atria)
21
Q

What is the major problem in all species in premature birth
What can be given to help

A

Inflation of the lungs
Steroids

22
Q

Surfactant factor

A

Produced by lungs to decrease surface tension to allow lungs to inflate

23
Q

What does colostrum provide

A

Passive immunity

24
How long is colostrum effective
24 hours
25
Why is colostrum no longer effective after 24 hours
Acidification of stomach which denatures antibodies