CLC Chapter 2 Conception, Pregnancy, and Childbirth Flashcards
Family Pluralism
Recognition of many viable types of family structures
How has the experience of pregnancy and childbirth changed?
- Increased availability to information
- Much more likely to be employed
- More likely to be unmarried
- More cultural diversity
- New technology/pharmaceutical interventions
Chromosomes
Genetic instructions coded in each cell
Genes
Segments of DNA that contain the codes producing particular traits and dispositions
Germ Cell
Ovum or sperm, contains 23 chromosomes, half of the 46 present in each parents cells
Genotype
Array of genes, each person’s is unique (unless identical twins)
Phenotype
Observable traits
Sex chromosomes
Determines sex
Sex-linked trait
Gene on one sex chromosome that doesn’t have a counterpart on the other sex chromosome (ex. red/green color blindness)
Recessive genes
Expressed only if responsible gene is present on each chromosome of the relevant pair
Dominant genes
Expressed if one or both paired chromosomes have the gene
Interactive genes
When genes on a chromosome give competing, yet controlling messages, both messages may be followed to varying degrees
Genetic Counseling
- Gives information and advice to guide decisions of persons concerned about heredity abnormalities,
- Goal is to help prevent, cure or ameliorate various diseases or disorders as well as inform decisions about conception, pregnancy and childbirth
Types of abortion procedures
- Medical abortions (nonsurgical)
- Instrumental or surgical evacuations
- Intrauterine instillation
Infertility
The inability to create a viable embryo after one year of intercourse without contraception
Gestation
Fertilized ovum becomes a fully developed infant (40 weeks)
Gestational age
Calculated from date of beginning of woman’s last menstrual period
Fertilization age
Measured from time of fertilization, approximately after the beginning of the last menstrual period
First trimester
From zygote to embryo to fetus
Second Trimester
Most rapid period of brain development; quickening
Third trimester-
Maturity and weight gain of fetus
Indicators of labor
- Lightening, the descent of the fetus to the mother’s pelvis
- Braxton hicks contractions
3 stages of labor
1 - Cervix things and dilates, amniotic fluid released
2- Delivery
3- Placenta, Amniotic fluid, and membrane delivered
Optimal age range of childbearing
20-35 years old
Premature birth
Birth occurring before 37 weeks gestation
Low birth weight
3.3-5.5 pounds account for 8.2 of preterm births
Neonatology
Care of critically ill newborns
Fetal Alcohol Spectrum Disorders
Alcohol abuse during pregnancy
Doula
Lay-women who are employed to stay with the woman through the entire labor
HIV and child birth
Women with HIV who take antiretroviral (ARV) medication and refrain from breastfeeding reduce the risk of transmitting the disease to less than 1%