Pregnancy and Childbirth Chapter 5 1 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 Chapter 5 2 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 Chapter 5 3 Preconception Care Male 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 Chapter 5 4 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 Chapter 5 5 Chapter 5 6 Chapter 5 7 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? Chapter 5 8 Pregnancy and Childbirth Chapter 5 9 Infertility Affects about 10% of U.S. Couples Men Women Low sperm count Blocked fallopian tubes Pelvic Inflamm. Disease Poor motility Endometriosis Blocked passageways Hormonal imbalance Toxic substances Uterine Growths Smoking Allergic responses to Drugs sperm Testicular injury Smoking Infections Alcohol Birth defects Toxic chemicals or radiation High Temperatures Chapter 5 10 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. Chapter 5 11 The Wives of Henry VIII ( 1491-1547 Chapter 5 12 Chapter 5 Catherine of Aragon 1485-1536 13 Anne Boleyn 1505-1536 Chapter 5 14 Jane Seymour 1509- 1537 Chapter 5 15 The 6 Wives of Henry the VIII Divorced~ Beheaded~ Died~ Divorced~ Beheaded~ Survived Chapter 5 16 Protect Your Fertility! Chapter 5 17 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 Chapter 5 22 Diagnosing Fetal Abnormalities Ultrasound Amniocentesis Chorionic Villus sampling (CVS) Triple marker screen (TMS) Chapter 5 27 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 Chapter 5 28 Complications Ectopic pregnancy Spontaneous Abortion, or miscarriage Preeclampsia/eclampsia Low-birth Weight (LBW) Infant Mortality SIDS Chapter 5 29 Choices in Childbirth Who is going to assist with delivery? Discuss Birth Plan in advance Where is the baby going to be delivered? Who Chapter 5 will be present at the birth? 30 Labor and Delivery 3 Stages of Labor Entire Chapter 5 process 2-36+ hours 31 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 Chapter 5 32 Stage 2- Expulsion Baby slowly pushed into birth canal Baby squeezes through pelvis Head is usually delivered first Umbilical cord is cut Chapter 5 33 Stage 3: Delivery of Placenta 5-20 minutes after birth Apgar Scale of the Baby Cesarean deliveries Chapter 5 34 P. 98 Text Chapter 5 35 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 Chapter 5 37 Causes are thought to be: The dramatic hormonal shifts that occur during pregnancy The Chemical changes in the brain that result The 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 treatable Call NIH at 1-866-615-6464 for assistance, support, further info. Chapter 5 38 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 Chapter 5 39 Support the new moms you know! Offer to watch the baby or siblings Help with household chores, shopping,etc. Check in regularly Chapter 5 40 Protect your Fertility! Chapter 5 41