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PENYEBAB PERSALINAN Apa yang menyebabkan persalinan belum diketahui benar,yang ada hanyalah teori-teori yang komplek antara

lain dikemukakan factor-faktor humoral, stuktur rahim , sirkulasi rahim, pengaruh tekanan pada syaraf, dan nutrisi. 1. Teori penurunan hormon: 1-2 mg sebelum partus mulai terjadi penurunan kadar hormone esterogen dan progesteron. Progesterone bekerja sebagai penenang otot-otot polos rahim dan akan menyebabkan kekejangan pembuluh darah sehingga timbul his bila progesterone turun. 2. Teori placenta menjadi tua. Akan menyebabkan turunnya kadar esterogen dan progesteron yang menyebabkan kekejangan pembuluh darah hal ini akan menyebabkan kontraksi rahim. 3. Teori distensi rahim: rahim yang menjadi besar dan meregang menyebabkan iskemia otot-otot rahim. Sehingga mengganggu sirkulasi utero-plasenter. 4. Teori iritasi mekanik: dibelakang serviks terletak ganglion servikale (fleksus frankenhauser). Bila ganglion ini digeser dan ditekan misalnya oleh kepala janin, akan timbul kontraksi uterus. 5. Induksi partus (induction of labour) partus dapat pula ditimbulkan dengan jalan: Gagang laminaria: beberapa laminaria dimasukkan dalam kanalis servikalis dengan tujuan merangsang fleksus frankenhauser. - Amniotomi: pemecahan ketuban. - Oksitosin drips: pemberian oksitosin menurut tetesan per infuse.

CAUSING OF LABOR What causing of labor not yet true known, there is only theorys which complexity, for example told by humoral factors, gracious stucture, gracious circulation, influence of pressure at nerve, and nutrision. 1. Theory of degradation hormone: 1-2 mg before partus take its rise degradation of rate of hormone and esterogen and progesteron. Progesterone work as a tightener of artless muscles of womb and will cause vein twitch so that arise his when progesterone go down 2. Theory of Oldly Placenta. Will be cause to go down rate of esterogen and progesteron causing twitch vein of this matter will cause gracious contraction 3. Theory of Distensi gracious: womb becoming big and stretch to cause gracious muscles iskemia. So that bother utero-plasenter circulation. 4. Theory of Iritasi mechanic: behind located serviks of ganglion of servikale ( fleksus frankenhauser). When this ganglion shifted and depressed for example by foetus head, will arise uterus contraction 5. Partus Induction (labour of induction) partus earn is also generated by way of hilt of Laminaria: some laminaria packed into servikalis kanalis with a purpose to stimulate frankenhauser fleksus Amniotomi: resolving of ketuban Drips Oksitosin: giving of oksitosin according to drop per infuse.