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People who do not have children by choice are called |
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Release of ovum into fallopian tube |
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Joining of the egg and sperm |
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Pregnancy is not established until about |
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two weeks after conception when the zygote implants into the uterine wall. |
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Fertilized egg moving down the fallopian tube |
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Developing zygote upon entering the uterus and before implantation |
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A blastocyst that has implanted into the uterine wall |
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Organ that develops on uterine wall joining embryo and mom’s biological systems, nourishment, oxygen and waste products |
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22” in length containing one large vein and two arteries transporting nutrients, oxygen and waste between mom and embryo. |
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Initial 8 weeks following fertilization Highest risk of miscarriage |
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Resembles a tadpole or tiny shrimp Arm and leg buds appear Heart starts beating Size of the eraser on a pencil |
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About an 1” Fingers , toes and facial features visible (more human appearance) Heart divides into chambers |
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Fetus ~3” Finger and toes nails are present Starts moving, but can’t be felt be mom Vital organs and muscles are formed and function by 10th week |
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Risk of miscarriage decreases Mom feels movement (quickening) |
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Movement increases (kicking, sucking, swallowing) ~20 tooth buds develop More defined fingers and toes Sex can be determined ~6-7” long and ~6-7 ounces |
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Increased activity (rolls, flips and somersaults) Wake and sleep cycle Eyelashes and lids appear 8-10 in” and ~1lb |
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Skin is red and wrinkled Eyes open and close Lungs are “breathing” Hears sounds 11-14” and 1.5-2lbs Good chance of survival if premature |
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Taste buds developed Sucks thumb Responds to external sounds Fat layers |
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Rotates to head down position Brain grows quickly All organs except for lungs are nearly fully developed Skull bones are flexible and not yet connected ~18” and 4-6lbs |
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Lungs develop fully and ready to breathe air Skin is pink and smooth Turns and settles head down Activity decreases 18-22” and 6-9lbs |
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Implants somewhere other than uterus 97% in fallopian tube High risk for rupture of fallopian tube |
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The loss of an embryo or fetus during first 20 weeks |
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Any delivery of a normally formed infant that occurs less than 37 weeks after conception (pregnancy is 40 weeks) |
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Leading cause of fetal death in U. S |
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___ weeks minimum viability (__% survival rate) |
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Developmental difficulties |
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Cognitive, attention and motor skill deficits Less alert and slower visual skills |
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A physical abnormality or a dysfunction of metabolism that is present at birth and results in physical or mental disability. |
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Any outside agent, drug, microbe, chemical or radiation that has the potential to cause fetal abnormality. |
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Teratogens are ingested by pregnant women through |
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eating, smoking and injecting |
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Embryonic and fetal testing |
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Tests used to screen for genetic or physical defects of the embryo or fetus |
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spina bifida and down syndrome |
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Three types of scanning exams |
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Ultrasound, 3D ultrasound and MRI exams |
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(sample of fluid from sac) –second trimester, generally done at age 35 or older moms |
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Chorionic villus sampling |
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(sample of placental tissue) |
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A small tube is inserted through the cervix to extract the contents of the uterus, including the endometrium lining and embedded embryo. |
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Dilation and Evacuation (D & E) |
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Performed after first trimester. Cervix is dilated and a vacuum tube is inserted to remove the fetus and most of the remaining contents of the uterus. A curved surgical instrument (curette) is inserted to scrape the lining of the uterus to free additional tissue |
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Uses specifically targeted drugs to terminate a pregnancy Midepristone Methotrexate combined with misoprostol |
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Psychological and Emotional Experience of abortions |
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Fewer than 1% suffer severe short or long term negative psychological outcomes Primary emotion is relief, possible guilt, shame, sadness and concern |
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Contractions “the show” or the “plug” Water breaking |
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stage one labor Lasts about ___ hours for first time moms and __ those who have given birth before |
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Uterus begins to contract to push the fetus down towards the cervix Cervix dilates or “softens” as pressure is applied from the uterine contractions (10 cm “fully dilated) Head become visible through cervix, usually face toward spine |
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Contractions become more frequent Abdominal pressure Become active participant in labor (bear down and push) Heads appears first, followed by one shoulder then the other, baby emerges quickly after that Cord is cut |
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Examination by nurse, doctor or midwife (APGAR) |
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Appearance, Pulse, Grimace, Activity and Respiration |
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Placenta is expelled from the body |
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“Baby Blues” Postpartum Depression Postpartum Psychosis |
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Failure to conceive for 12 consecutive months despite persistent attempts. |
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Approximately ___-___% of couples are infertile |
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Inability to conceive a second child |
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Semen analysis Hysterosalpingogram |
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Intrauterine Insemination |
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injecting sperm directly into the uterus (:50) |
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ova extracted and fertilized in dish and placed into the uterus three days later. Three to five are transferred increasing odds of a pregnancy and multiples |
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Gamete Intrafallopian Transfer (GIFT) |
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Eggs are retrieved and mixed with sperm in lab and both are transferred to the fallopian tube for fertilization. |
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Zygote Intrafallopian Transfer (ZIFT) |
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harvesting and fertilizing an ova in lab, fertilizing and transferred to fallopian tube. |
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Intracytoplasmic Sperm Injection |
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single sperm cell from man is injected directly into the harvested egg resulting in a zygote that is then transferred to the uterus. (:45) |
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freezing embryos and transferring them into the uterus when pregnancy is desired. |
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Assisted reproduction has a ____% failure rate |
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___-___% of assisted reproduction end in multiple embryos |
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