Ferguson Reflex in Labor

Study sheet excerpt

Course Outline

  1. Ferguson Reflex Mechanism
  2. Role in Labor

1. Ferguson Reflex Mechanism

Key Concepts & Definitions

  • Ferguson reflex : Wikipedia — A positive feedback reflex initiated by pressure-induced stretching of the internal cervix or vaginal walls during labor, ultimately increasing uterine contractions until delivery.

Essential Points

  • The Ferguson reflex proceeds from mechanical stretch detection by sensory neurons, transmission through the dorsal horn and anterolateral columns to the brain, hypothalamic stimulation of the posterior pituitary, oxytocin release, and myometrial contraction. — Wikipedia

  • The contractions produced by oxytocin further increase cervical pressure, reinforcing the reflex in a self-sustaining positive feedback loop until delivery occurs. — Wikipedia

Memory Hook

Cervical stretch → oxytocin release → stronger contractions → greater stretch

2. Role in Labor

Key Concepts & Definitions

  • Fetal ejection reflex : The involuntary process in which powerful uterine contractions can expel the baby without active pushing by the mother when conditions are optimal.

Essential Points

  • During labor, the density of oxytocin receptors in the uterus can increase dramatically, making the uterus highly responsive to oxytocin.
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Quiz preview

1. What effect does increased uterine oxytocin-receptor density have during labor?

2. How can uterine contractions contribute to fetal expulsion without active maternal pushing?

3. How do oxytocin-induced contractions sustain the Ferguson reflex until delivery?

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Flashcards preview

What initiates the Ferguson reflex during labor?

Pressure-induced stretching of the internal cervix or vaginal walls.

What type of feedback is the Ferguson reflex?

A positive feedback reflex.

Which part of the nervous system detects mechanical stretch in the Ferguson reflex?

Sensory neurons detect mechanical stretch.

What hormone is released due to hypothalamic stimulation in the Ferguson reflex?

Oxytocin is released.

How do oxytocin-induced contractions affect cervical pressure?

They increase cervical pressure further.

What sustains the Ferguson reflex until delivery?

A self-sustaining positive feedback loop.

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The quiz contains 5 multiple-choice questions with detailed corrections and explanations for each answer. Ideal for testing your knowledge and identifying gaps.

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