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Pregnancy and Childbirth. Objectives: Pregnancy and Childbirth. Describe the physical and emotional changes a woman typically goes through Identify the importance of good prenatal care and the important elements Identify the contributors to infertility
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Objectives: Pregnancy and Childbirth • Describe the physical and emotional changes a woman typically goes through • Identify the importance of good prenatal care and the important elements • Identify the contributors to infertility • Describe the process of labor and delivery • Describe ways of preparing for a healthy postpartum period • Define key terms
Deciding to Become a Parent • Physical health and age • Financial circumstances • Relationship with your partner • Education, career and child care plans • Emotional readiness • Social support • Personal qualities • Philosophical or religious beliefs
Preconception CareMale and Female • Pre-existing medical conditions • Prescription drug/OTC drug use • Prior pregnancy or delivery problems. • Age • Smoking, alcohol or other drug usage • Diet/ Folic Acid • Family history of genetic disorders
Conception/Fertility • Conception is the fertilization of a women’s egg by a man’s sperm • Fertilized egg is called a zygote • Egg not fertilized disintegrates within 24 hrs • Millions of sperm in ejaculate (Between 120 and 600 million sperm with each ejaculation) • Sperm release an enzyme to soften outer layer of egg • Egg and sperm each carry 23 chromosomes
HS 200 Continue with calendar entries • Thurs, Oct. 26- Wellness Worksheet S7 • Tues, Nov. 7- Last day to turn in 12-Step Review(may complete 12-step review OR community activity/meeting) • Thurs, Nov. 9- Last day to accept service learning projects (REQUIRED FOR ALL STUDENTS) Are you paying attention to your mind chatter?
Women Blocked fallopian tubes Pelvic Inflamm. Disease Endometriosis Hormonal imbalance Uterine Growths Allergic responses to sperm Smoking Alcohol Toxic chemicals or radiation Men Low sperm count Poor motility Blocked passageways Toxic substances Smoking Drugs Testicular injury Infections Birth defects High Temperatures Infertility Affects about 10% of U.S. Couples
Not just viewed as the “woman’s problem” anymore….. • 35% of cases attributed to the male Most common reason is inability to produce adequate numbers of healthy sperm Chronic alcohol abuse reduces the ability of the male to produce normally formed sperm cells.
The Wives of Henry VIII ( 1491-1547
The 6 Wives of Henry the VIII • Divorced~ Beheaded~ Died~ Divorced~ Beheaded~ Survived
Key Terms • Embryo: Weeks 2-8 • Fetus: Week 9 - Birth • Placenta: Organ through which fetus receives nourishment • Umbilical cord: Cord connecting placenta and fetus • Amniotic Sac: Pouch enclosing and protecting fetus
Diagnosing Fetal Abnormalities • Ultrasound • Amniocentesis • Chorionic Villus sampling (CVS) • Triple marker screen (TMS)
Basics of Prenatal Care • Regular medical checkups • Blood tests • Nutritious diet /Prenatal Vitamins (folic acid) • Avoidance of alcohol, tobacco, other drugs, and any infections that may harm the fetus • Reasonable exercise • Preparation for childbirth Physically / Emotionally
Complications • Ectopic pregnancy • Spontaneous Abortion, or miscarriage • Preeclampsia/eclampsia • Low-birth Weight (LBW) • Infant Mortality • SIDS
Choices in Childbirth • Who is going to assist with delivery? Discuss Birth Plan in advance • Where is the baby going to be delivered? • Who will be present at the birth?
Labor and Delivery • 3 Stages of Labor • Entire process 2-36+ hours
Stage 1 • ◊ Cervical Effacement and Dilation • ◊ Contractions- Every 15-20 minutes for 30 seconds • ◊ Mucus plug is expelled and amniotic sac may • rupture. • ◊ Last part of First Stage: • TRANSITION
Stage 2- Expulsion • Baby slowly pushed into birth canal • Baby squeezes through pelvis • Head is usually delivered first • Umbilical cord is cut
Stage 3: Delivery of Placenta • 5-20 minutes after birth • Apgar Scale of the Baby • Cesarean deliveries
Postpartum Depression • affects 10-15% of women any time from a month to a year after childbirth. Less than 1% of new mothers—women develop postpartum psychosis. Paranoia~ Irrational Thoughts Hospitalization often indicated National Institute of Mental Health
Causes are thought to be:The dramatic hormonal shifts that occurduring pregnancy The Chemical changes in the brain that resultThe dramatic lifestyle changes and round-the clock- care required after the birth of a baby. Guilt, shame, isolation, and her depressed state often keep her from getting the help needed. Postpartum Depression is common and treatableCall NIH at 1-866-615-6464 for assistance, support, further info.
What might have happened if Andrea Yates had received the medical help and support needed? • Noah- 7, John-5, Luke- 3, and Paul- 2, Mary- 6 months
Support the new moms you know! • Offer to watch the baby or siblings • Help with household chores, shopping,etc. • Check in regularly