Conception, Pregnancy, & Childbirth Flashcards

1
Q

Does sex have any correlation with self-esteem?

A

yes !

Sexual Self-Esteem: feelings that we have as a sexual being

based on : sexual experience, the meaning of sex to us etc.

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2
Q

Biology of Pregnancy

A

Key points in Fertilization & Implantation:

  • Ovulation, 12-24 hour window it has to fertilized or it will disintegrate. u can get pregnant even after these 12-24 hours has passed as sperms live inside the body for 48hr up to 8 days
  • Sperm follow chemical signal of the egg
  • **Zona Pellucida: **thin gelatinus layer surrounding the egg - it protects the egg (important)
  • Hydraluronidase: enzyme that secreaded from the sperm while they around the egg which allows them to break down the zona pellucida so they can fertilize it
  • Capacitation(important): the penetration of the sperm where he goes through the zona pellucida is called capacitation

-when an sperm gets in the egg is locked in and no other sperm can get in

  • Implantation: zygot travels through the fallopian to the uterus
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3
Q

Biology of Pregnancy

A
  • Obstacles to fertilization(that the sperm encounters)

Acidity of vagina: because of that kills many of the sperms

Some are deformed: they cant swim properly

Swimming against currents of fallopian tube

Wrong fallopian tube(one of the tube will have an egg and the other wont)

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4
Q
  • Zygote – fertilized egg
A

– Travels down the fallopian tube

– Cell division begins ~36 hours after conception

– Implantation occurs 5-7 days later
in the uterus

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5
Q

Embryo

A
  • 2-8 weeks
  • The various organs of the body differentiate themselves out
    of these layers
    -The ectoderm will form the nervous system and the skin.
    -The endoderm differentiates into the digestive system
    -. The muscles, skeleton, connective tissues, and
    reproductive and circulatory systems derive from the mesoderm.

cephalocaudal order; that is, the head develops first, and the lower body last

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6
Q

Fetus

A
  • 8 weeks until birth
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7
Q

Improving Chances of Conception

A

Track ovulation by basal body temperature
(temperature will be slightly lower before ovulation and slightly higher the day after ovulation)

Time/track intercourse right at ovulation or 1-2 days before

Maintain sperm count: have the sperm ejaculated 2-3 times during the week ovulation

Gravity: the women being on the botton position

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8
Q

Signs of Pregnancy

A
  • Presumptive signs = missed period, breast tenderness,
    nausea, more frequent urination, fatigue

**Missed period + 2 others **= 67% probability of pregnancy

Probable signs: 80-95% correct
HCG: is a fluid from the placent which will be detected by a home preganancy test

Hegar’s sign: softenin of the lower part of the uterus. a gynolagist is able to test this . this happers by week 7

** Positive signs**: this includes fetul heart beat,featal movment etc

 calculates the fetus due date Nagele’s rule: the first date of the last menstual period - 3 months + 1 week + 1 yr (due date usualy revised in the first ultrasound)

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9
Q

Emotional Reactions

A
  • Wide variation
  • Positive emotions
    – Hoped to be parent: excitement and anticipation

– “Characteristically optimistic” adapt well

– Sense of wonder

– Pregnancy as transition into adulthood

– Social support correlated with psychological and physical well-being

  • Negative emotions

– Fears, anxieties, concerns about pain of childbirth

– Declining body image

– Worry about health

– Lack of an identity (besides “pregnant person”)

  • Pregnancy during stressful events
    – Increased risk of premature delivery & low birth weight
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10
Q

preganacy during covid

A

-stresses : economics but also just simple stress

-depression

-some women got infected while pregnant - iplacent wasnt form properly,still births, premature births

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11
Q

The Impact of Maternal Prenatal Stress Related to
the COVID-19 Pandemic during the First 1000
Days: A Historical Perspective

A

simmilar to other stressfull times

-ice storm 1990 : poorer cognitive abilities and lower body mess

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12
Q

1st Trimester

A

1st trimester = the first 12 weeks

where the placenta,cord,amniotic fluid starts do develop: it provides nutrients and oxigen, temperature mentainace and protection to the fetus

organs and neuron system are already startin to develop

most rapid development

Physical Changes in Pregnant Person

breast swelling
frequent urination
bowel irregularity
vaginal discharge it increases
nausea
fatigue

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13
Q

Miscarriages

A
  • Miscarriage (fetus death before 20 week)
  • Preterm delivery: babies that are delivered when they are only 37 weeks(normally 40 weeks)
  • Estimated up to ½ of all fertilized eggs are lost before
    person knows they are pregnant
  • 15-20% of people who know they are pregnant experience miscarriage(quiet common)
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14
Q

Miscarriages

A
  • Most caused by chromosome problems in fetus(genetic issues)

Other possible causes:
- alchool,tabacco
- obisidity
- infection
- hormonal problems
- - sometimes the body attacks the fetus

  • Risk of miscarriage increases with age
    – Beginning by 30, greater between 35-40, highest after 40
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15
Q

Miscarriages(symtoms,tratment,preventions)

A

Possible symptoms
– Low back or abdominal pain (dull, sharp or cramping)
– Clot passes through vagina
– Vaginal bleeding

Treatment
– Important to be examined to ensure no tissue remaining in uterus otherswize it can cause infection

Prevention(not always preventable)
– Early prenatal care
– Detect and treat illness
– Avoid environmental hazards

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16
Q

Miscarriages: Psychological Effects

A

50% of pregnant people suffer elevated levels of anxiety,
depression, and grief

Risk factors for phychological effects:
* History of psychiatric illness
* Childlessness
* Lack of social support
* Poor relationship adjustment
* Prior pregnancy loss

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17
Q

2nd Trimester

A

risk of miscarege goes drasticly down by the second trimester

2nd trimester = weeks 13 to 26

  • child become sensitive to light and sound
  • movment
  • imature organs
  • Physical Changes in Pregnant Person
     decreased symptoms
     constipation, nosebleeds
     expanding belly
     fetal movements
    edema (water retention)
     breasts fully developed (colostrum)

Psychological Changes in Pregnant Person
 Calm, well-being, pride, excitement, maternal responsiveness

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18
Q

3rd Trimester

A

3rd trimester = weeks 27 to 38

Physical Changes in Pregnant Person
 uterus is large and hard
 symptoms from pressure on organs
 aware of fetal activity(kicking,hiccups)
 awkwardness
Braxton-Hicks contractions(false contraction),not painfull
 engagement of head - the head drops into the pelvis - uncourftable

Psychological Changes in Pregnant Person
 Impatience, concerns: health of baby & delivery

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19
Q

How frequent to Braxton Hicks
contractions get as you approach labour?

A

usually last 30 sec

comes in irregular times different then labour because they are not close together or shorter

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20
Q

Attitudes Towards Pregnancy

A

Attitudes depend on context

– Michelle Hebl (2007) field study & survey study

  • condition 1 :sent a pregnant women to the store to get something from it
  • condition 2 : sent a pregnant women to the store to apply for a job in it

-pregnant women experienced more rudness when they were applying for the job then getting something from the store

  • pregnant women experience over the top frindness when getting things from the store
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21
Q

Attitudes Toward Pregnant People

A
  • Some studies show that visibly pregnant women are judged as being less committed to their jobs, less dependable, less authoritative, more emotional, and more irrational than otherwise equal, non- pregnant female managers (2007)

is this still true?

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22
Q

Maternal Bias in the Workplace
(2022)

A
  • Formal Bias
    – Compensation (wage penalties)
    – HR policies and procedures (hiring, advancement,
    promotion)
    -**less formal bias **
  • Interpersonal Bias
    – Devaluation from colleagues
    – Changes in relationships at work
    -** interpersonal bias still around**
  • Internalized Bias(the pregnant womens bias about themselves)
    – Maternal body (“there is no place for a pregnant body in the workplace”
    – Role (“a good mother prioritizes motherhood, not work”)
    -still happens
23
Q

laws that protect women from bias/discrimination

A

The Canadian Human Rights Act (Canada; prohibits discrimination related to pregnancy)

The Pregnancy Discrimination Act (USA)

24
Q

Teen Pregnancy:Gaby Rodriguez’s “Pregnancy Project”

attitudes in teen pregnancy

A
  • the attitude is very negative for teens as (well as older adults)
25
Q

Teen Pregnancy in Canada

A
  • Teen pregnancy rates and teen abortions declined 36.9% from 1996 to 2006
  • Was 44/1000 in 2007, 30/1000 in 2017

Why?
- negative attitudes
- contraceptive avalibility
- sex education
- want to persue careers

  • Lowest rates of teen pregnancy

– PEI and NB & NL

  • Highest rates of teen pregnancy
    – MB , NT, and NU
26
Q

Prenatal Care

A

 Medical

 Nutrition

 Exercise

27
Q

Effects of Drugs on Fetus
(teratogens)

A

 Alcohol
- fetal alcohol spectrum disorder:
umbrella term covering all outcomes associated with any amount of alcohol exposure in utero

  • fetal alcohol syndrome(the worst):a small brain, small eye openings, and joint, limb, and heart malformations. Perhaps the most serious effect is intellectual disabilit

 Smoking:low birth weight;
cardiovascular anomalies; conditions involving arteries, veins, or the heart; and asthma

 Marijuan

-viruses can transfer to the baby

28
Q

Birth Defects

A
  • Amniocentesis involves inserting a fine tube through the pregnant woman’s abdomen and
    removing some amniotic fluid, including cells sloughed off by the fetus, for analysis, although it cannot detect all defects.(high chances of miscarrage)
  • Chorionic villus sampling (CVS) is an alternative to amniocentesis for prenatal diagnosis of genetic defects major problem with amniocentesis is that it cannot be done until the second trimester of pregnancy; Chorionic villus sampling, in contrast, can be done in
    the first trimester of pregnancy, usually around 9 to 11 weeks postconception.
29
Q

Sex During Pregnancy

A

Current medical advice
- is safe

Changes in sexual behaviour
- decline in first trimester
- increse in secondary trimester
- decrese in third trimester

30
Q

What About postpartum sexual
function?

A
  • Pregnancy and postpartum are a vulnerable time for couples sexual lives
  • Changes to sexual function (desire, arousal, lubrication, pain) are common after having a baby
  • Greater sexual distress, lower relationship satisfaction, and
    more depressive symptoms are more likely to experience
    persistent problems with postpartum sexual function

-most people return to their sexual life after 3 to 6 months

31
Q

The Father’s Experience During Pregnancy

A
  • Some research on fathers, very little research on other relationship types
  • Couvade syndrome - ‘‘sympayhic syndrom’’ -

-changes in hormons

  • Couvade ritual- make sounds like suffer pain a long with wife
  • Psychological changes for fathers in Canada - way more involved today in canada, increse maturity
32
Q

Birth: Beginning of labour

A

Mucous plug discharge:plug in the cervix

Ruptured membranes: water braking (just 10% of people)

Increased Braxton-Hicks contractions

33
Q

First Stage of Labour

A

Effacement(thin out the cervix

Dilation of cervix(10cm)

Length: 2-24 hours

12-15 hrs 1st pregnancy,

8 hrs. 2nd + pregnancy

Contractions (become more intese, and more close apart)

  • The final dilation of the cervix from 8 to 10 cm (3 to 4 in.) occurs during the transition phase
34
Q

Second Stage Labour

A
  • cervix is already fully dialleted

Head into birth canal

Length : minuts to hours

Urge to push

Crowning ( top of head of the baby is visible

Episiotomy(controversial ): slit is made between the vigina and the rectum when the baby requires extra room to exit

First breath

35
Q

Third Stage Labour

A

Placenta detaches

Afterbirth expelled(placenta,menbrane fluid) - few minuts to an hour

-stiches would be made here if an tering or episiology had occured

36
Q

Caesarean Section (C-section)

A

C-section surgical procedure used for delivery
– Baby’s head is too large
– Person’s pelvis is too small
– Baby is breech or transverse
– Cervix is not dilating
– Person is nearing exhaustion
Placenta previa: placenta is too close to the cervix(it risks disrupting the placenta

About 31.7% of births in Canada in 2022(higher then other western countries)

c-section is increasing
- older people are having children
- more fetus monorting can detect when the fetus is in distress
- some people just ask for it

c-section are more risky

37
Q

Cesarean Births

A

Certain risks higher after C-section
– Infection of bladder or uterus
– Injury to uterus(can cause infertility)
– Injury to baby(rare)

  • C-section rates can be reduced when hospitals adopt appropriate precautions increses more labour support
38
Q

Childbirth Options

A
  • Trauma-informed care: emphasizing informed conset,support during preganacy and labour, pregnant women have power over their choices

Prepared Childbirth
– Education
– Relaxation
* Lamaze method: teaches relaxation and reduce tension it helps with pain
-Lamaze training is associated with a
shorter length of labour and less pain

39
Q

Childbirth Options

A
  • Doula: women that is present during birth that provides emotional support (not medical) - people who use dulas have shorter labours, healthy babies
  • Midwives: registered medical professional no different the gynacologists, sometimes even more experience(generally rate people rate their experience most positively
  • provide care even after birth
  • -longer visits
  • Anesthetics can use natural methods or medical methods
  • epidural block : numbs the body from the waist down
  • home birth seems to be more relaxing then hospitals, midwives can come to their house
  • only if their is low risk pregnancy
40
Q

Natural Childbirth

A
  1. Continuity of care with midwife
  2. Becoming educated
  3. Learning relaxation techniques
  4. Learning controlled breathing
  5. Social support
41
Q

Myths About
Motherhood/Parenthood

A
  • Motherhood is completely happy and satisfying
  • Being a mother is a woman’s ultimate fulfillment
  • New mothers will feel perfectly component due to
    her “natural” mothering skills
42
Q

The Reality of Parenthood

A

Negative Factors:

– Child care is exhausting
– 35% of babies in USA are born to unmarried women
– Fathers usually help much less than expected
– Post-birth pain in vagina, uterus, and breasts
– New mothers often feel incompetent
– Expectations different than reality
– Little contact with other adults
– Father may feel neglected by mother
– New mothers feel they don’t live up to “perfect mother stereotype”
– People blame mothers for infants behaviour

43
Q

Reality of Parenthood

A

Positive Factors:

– Women report increased sense of their own strength

– Parenting can be fun and interesting

– Identifying and developing ability to nurture

– Fathers/partners express admiration and affection for their partner

– Enjoy watching baby develop new skills

– More abstract than negative factors(concrete)

44
Q

Role of the Partner

A

Excitement, pride

Role in pregnancy

Same concerns as person who gave birth

Concerns re: being present at birth

45
Q

Having Children

A

Pronatalist view( want to have a child) vs. choice to be child free

46
Q

Postpartum Issues

A

Physical changes

Drastic drop in levels of Estrogen & Prostrageron

Psychological changes:
Blues, postpartum depression,postpartum phychosis(10-20%)

Attachment happens over time

Postpartum sexuality
* infection is easier to happen during afterbirth , thats why they should wait until 6 week to have sex
* some people feel pain
* problems in lubrification

47
Q

Breast Feeding

A

Colostrum: a few days before the delivery colostrum is secred (not milk!), high in protein

Milk after 2-3 days
stay high during brest feeding Prolactin- hormone that produces milk?
Oxytocin- hormon that reacts to skin contact

  • recommended for babies to drink only brest milk during their first 6 months

benefits of brestfeeding for the mother:
-women recovery is quicker when they brestfeed
-it delayes ovulation
-reduces negative moods and stress
it reduces brest cancer

48
Q

pregnancy-Related Problems

A
  • ectopic pregnancy (misplaced pregnancy) occurs when the fertilized egg implants somewhere other than the uterus.

causes : STI like chlamidia, IUD (contraceptive)

  • molar pregnancy is a mass of abnormal tissue inside the uterus.

caused by : either by fertilization of an ovum with no genetic information or when two sperm fertilize the same egg.

  • Pregnancy may cause a woman’s blood pressure to rise to an abnormal level. Pregnancy induced hypertension

serious conditions:
(1) hypertension: elevated blood pressure alone
(2)pre-eclampsia: to elevated blood pressure accompanied by generalized edema
(3) eclampsia.

The combination of hypertension and proteinuria(protein in the urine). is associated with an increased risk of fetal death

common with tennagers

D (Rh) Incompatibility
During childbirth, mixing can occur between the mother and fetus, and the blood of a D+ baby causes the formation of antibodies in a D−
woman’s blood.

During the next pregnancy, some of the woman’s blood enters the fetus andthe antibodies attack the fetus’s red blood cells.

The baby may be stillborn, severely anemic, or developmentally delayed.

49
Q

Infertility

A

Infertility
* Refers to inability to conceive or inability to impregnate a person (after a 1 )

sterial : an absolute factor that dont allow them to have children

sucess in getting pregnant when infertile
20% 1 mo., 50% 6 mo., 80% 1 year

Causes of infertility
40% female, 40% male

50
Q

causes of infertality

A

women:
* Pelvic inflamatory diseas
* problems with ovulation

men:
* problems due to sti
* low sperm caount
* sperm not being good swimmers

-the women might be allergic to the mens perm

51
Q

Infertility

A

Solutions

timing, frequency & positions of intercourse

fertility drugs

assisted insemination(sperm)

sperm donor

in vitro fertilization(zygot)
-more likely to low birth weight and congenital abnormality

surrogate mother/pregnancy

-embryo transfer(embryo in another women to the one that will be pregnant/phebe

52
Q

Psychological aspects of infertility

A

Daniluk (2001) “emotional roller coaster”

53
Q

Does female orgasm help with fertility?

A

with orgasm fluid is retain better (sucking up the sperm)

54
Q
A