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Parturition and Lactation
Dr. Sara Sadiq
(MBBS, M.Phil)
Parturition
• Means birth of the baby
• Toward the end of pregnancy, uterus becomes progressively more
excitable.
Onset of labor  Hormonal Factors
• Progesterone: Inhibits uterine contractility
• Estrogen: stimulates uterine contractility.
• Oxytocin: increases uterine contractions
• Fetal hormones: oxytocin, cortisone, prostaglandin
• Prostaglandins: dilation and softening of the cervix
increase uterine contractions
Onset of labor  Mechanical Factors
• Stretch of the Uterine Musculature
• Stretch or Irritation of the Cervix
• Strong uterine contraction and pain from the birth canal cause neurogenic
reflexes from spinal cord that induce intense abdominal muscle contractions
Braxton Hicks Contractions
• Weak and slow rhythmical contractions during pregnancy
• Become progressively stronger toward the end of pregnancy
Positive feedback
Stretch of the cervix by fetal
head increases contractility
The Stages of Labor
Lactation
• Producing and Releasing Milk
Hormonal Effects On Lactation
• Estrogen: growth of ductile system
• Progesterone: development of lobule-alveolar system
• Both Estrogen and Progesterone inhibit milk production
• Prolactin stimulate milk production
• Oxytocin  "Milk let-down" reflex
• Maternal & fetal ACTH: stimulates lactogenesis
Oxytocin and Prolactin Regulation
• Oxytocin levels increase due to suckling of the breast by the infant
• In addition, sight, sound, or thought of the infant can also increase
oxytocin levels, causing milk ejection
• Prolactin release is also increased by suckling of the breast by the
infant (but not by audiovisual stimuli)
• Prolactin secretion
• inhibit secretion of GnRH by the hypothalamus
• Decreasing LH/FSH
• SUPPRESSION of the female ovarian cycles in nursing mothers
Breastfeeding  Infant Health Benefits
• COLOSTRUM
• Small amount for the immature digestive system
• ‘paints’ the digestive tract
• Low fat for easy digestion
• Contains mothers antibodies which boost infants’ immune system
• Acts as a laxative to ease passage of meconium
Breastfeeding  Infant Health Benefits
• Provides immunologic protection while the infant’s immune system
is maturing
• Antimicrobial agents
• Anti-inflammatory agents
• Immunomodulating agents
• Decreased infection rates
• Increased IQ rates  Contains long chain polyunsaturated fatty
acids that help the infant’s brain development
Breastfeeding  Mother Health Benefits
• Less postpartum bleeding
• More rapid uterine involution
• Weight loss
• Decreased premenopausal breast cancer rates
• Decreased ovarian cancer rates
• Lactational amenorrhea
Parturition & Lactation

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Parturition & Lactation

  • 1. Parturition and Lactation Dr. Sara Sadiq (MBBS, M.Phil)
  • 2. Parturition • Means birth of the baby • Toward the end of pregnancy, uterus becomes progressively more excitable.
  • 3. Onset of labor  Hormonal Factors • Progesterone: Inhibits uterine contractility • Estrogen: stimulates uterine contractility. • Oxytocin: increases uterine contractions • Fetal hormones: oxytocin, cortisone, prostaglandin • Prostaglandins: dilation and softening of the cervix increase uterine contractions
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  • 5. Onset of labor  Mechanical Factors • Stretch of the Uterine Musculature • Stretch or Irritation of the Cervix • Strong uterine contraction and pain from the birth canal cause neurogenic reflexes from spinal cord that induce intense abdominal muscle contractions
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  • 7. Braxton Hicks Contractions • Weak and slow rhythmical contractions during pregnancy • Become progressively stronger toward the end of pregnancy
  • 8. Positive feedback Stretch of the cervix by fetal head increases contractility
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  • 10. The Stages of Labor
  • 11. Lactation • Producing and Releasing Milk
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  • 13. Hormonal Effects On Lactation • Estrogen: growth of ductile system • Progesterone: development of lobule-alveolar system • Both Estrogen and Progesterone inhibit milk production • Prolactin stimulate milk production • Oxytocin  "Milk let-down" reflex • Maternal & fetal ACTH: stimulates lactogenesis
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  • 16. Oxytocin and Prolactin Regulation • Oxytocin levels increase due to suckling of the breast by the infant • In addition, sight, sound, or thought of the infant can also increase oxytocin levels, causing milk ejection • Prolactin release is also increased by suckling of the breast by the infant (but not by audiovisual stimuli) • Prolactin secretion • inhibit secretion of GnRH by the hypothalamus • Decreasing LH/FSH • SUPPRESSION of the female ovarian cycles in nursing mothers
  • 17. Breastfeeding  Infant Health Benefits • COLOSTRUM • Small amount for the immature digestive system • ‘paints’ the digestive tract • Low fat for easy digestion • Contains mothers antibodies which boost infants’ immune system • Acts as a laxative to ease passage of meconium
  • 18. Breastfeeding  Infant Health Benefits • Provides immunologic protection while the infant’s immune system is maturing • Antimicrobial agents • Anti-inflammatory agents • Immunomodulating agents • Decreased infection rates • Increased IQ rates  Contains long chain polyunsaturated fatty acids that help the infant’s brain development
  • 19. Breastfeeding  Mother Health Benefits • Less postpartum bleeding • More rapid uterine involution • Weight loss • Decreased premenopausal breast cancer rates • Decreased ovarian cancer rates • Lactational amenorrhea