Describe dilation stage, expulsion staage and after birth point
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1. Dilation stage :
Uterine contractions begin
from top, forcing the baby towards the cervix.
Contractions are accompanied by pain caused
by compression of blood vessels. Oxytocin
induced uterine contractions become stronger
and stronger due to stimulatory reflex. As the
baby is pushed down in the uterus, its head
comes to lie against cervix. Cervix gets dilated.
The vagina also shows similar dilation.
This stage of labour can normally last upto
few hours. It ends in rupturing of amniotic
membrane of foetus.
2. Expulsion stage :
The uterine and abdominal
contractions become stronger. In normal
delivery, the foetus passes out through cervix
and vagina with head in forward direction. It
takes 20 to 60 min. The umbilical cord is tied
and cut off close to the baby’s navel.
3. After birth :
After the delivery of the baby
the placenta separates from the uterus and
is expelled out as “after birth”, due to severe
contractions of the uterus. This process happens
within 10 to 45 minutes of delivery.