Question 40 / 41:  Outline the 4 stages of human parturition in reference to pregnancy and labour.
Phase 0: Quiescence. Most=36 weeks of gestation. Hormones=progesterone, prostacyclin

Phase 1: Preparation for labour (activation). Uterotrophins= prostaglandins, oxytocin receptor, relaxin. Uterus is changing. Stage of Braxton-Higgs contractions.

Phase 2: Active labour (stimulation). Uterotonins= oxytocin, prostaglandins. Escalates rapidly under Ferguson reflex.

Phase 3: Involution. Uterotonins=oxytocin, prostaglandins. Uterus contracts down. Large womb is closed up. Tissue remodelling.

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Endocrinology (Test)

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