Grade 12 Human Reproduction Part 6 Birth (Parturition) and Birth Control (Contraception) Flashcards

1
Q

Define birth:

A

The expulsion of the foetus, its surrounding membrane and the placenta from the uterus

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2
Q

When is the baby usually ready for birth?

A
  • Approx. 9 months after fertilization – baby ready for birth
  • Placenta is less efficient at end of gestation period
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3
Q

What is distinctive about human birth?

A

1) Baby born helpless, relatively immature stage**
* In order to successfully leave mother’s body, human pelvis is narrower, narrower birth canal – bipedal and upright
* Relatively large brain at foetal stage

2) Baby usually born head-first

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4
Q

Discuss different birth options:

A

Vaginal childbirth
* Natural (drug free)
* With pain medication

Cesarean section (C-section)
* Process
* Abdomen and uterus of mother cut open
* Baby removed from uterus
* Cut stitched up
* Rrecommended if:
* Vaginal childbirth puts mother/ baby life at risk
* Complications (awkwardly positioned baby)

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5
Q

How does birth / parturition occur?

A
  • Foetus moves into birthing position 2 – 3 weeks before birth
  • High levels of oestrogen in mother’s blood just before birth
  • This causes the hypophysis to release oxytocin (promotes contraction of the uterine wall)
  • Birth process can take from a few hours to well over a day.
    3 Stages of the Birth Process​
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6
Q

Explain stage 1 of the Birth Process:

A

Dilation of cervix
* Myometrium contracts (muscular layer) – becomes more intense & frequent
* Amnion and foetus forced towards cervix
* Causes cervix of uterus to dilate (full dilation is about 10cm)
* “Water (amnion) breaks” due increased pressure & releases amniotic fluid through the vagina

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7
Q

Explain stage 2 of Birth Process:

A

Delivery of baby
* Cervix fully dilated – baby pushed out through vagina (uterine & abdominal muscles contract)
* Umbilical cord tied & cut immediately after birth
* Becomes naval/ belly button (part still connected shrivels up)

  • Non-fused skull aids natural birth (*Flat bones of baby’s skull separated by connective tissue & not fused
    Head changes shape to be able to pass through birth canal – process called moulding
    Misshapen head of new-born returns quickly to normal )
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8
Q

Explain stage 3 of the Birth Process:

A

Expulsion of placenta – final stage
* 10 – 20 minutes after delivery
* Placenta with remaining umbilical cord detaches from uterine wall
* Afterbirth – uterine contractions forcing the placenta & co. out
* Short ( seldom longer than 15 minutes)

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9
Q

Study diagram on page 115 of your textbook to show birth of baby.

A
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10
Q

Discuss the process of breast feeding:

A
  • Mammary glands are made up of milk-secreting cells
  • Lactation - milk formation
  • Oestragen and progesterone stimulate development of milk glands and ducts
  • Prolactin, from pituitary, stimulates milk production
  • Oxytocin, from hypothalamus, causes release of milk from glands and maintains flow of milk
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11
Q

What are the advantages of breast-feeding?

A
  • Contains antibodies
  • Contains nutrients
  • Is free!
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12
Q

The Control of Human Fertility - What is birth control?

A
  • Voluntary regulation of the number of births by preventing pregnancy.
  • The prevention of fertilisation or implantation after sexual intercourse has taken place
  • Not always 100% effective
  • 100% effective when abstaining
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13
Q

List the four main methods of birth control:

A
  1. Natural methods
  2. Barrier method
  3. Chemical substances
  4. Surgical methods
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14
Q

How do contraceptives work?

A
  1. Prevent the egg from being released, which will prevent ovulation
  2. Prevent the sperm from reaching the egg, which **prevents fertilisation **
  3. **Prevent embryo implantation **or development
  4. **Other **methods
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15
Q

What natural methods of birth control exist?

A

**Withdrawel **- penis withdrawn from vagina just before ejaculation
Very unreliable method - small quantities of sperm-containing semen may be released prior to ejaculation. Ejaculation also difficult to control.

Rhythm method - Sexual intercourse restricted to SAFE days in the female’s menstrual cycle, when fertilisation is unlikely to occur = about 5 days before menstruation and 3 days after mestruation. Unsafe days 3 - 4 days before ovulation, ovulation and 3 - 4 days after ovulation.

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16
Q

To prevent sperm reaching the egg, the Barrier method is used as well as Sterilisation.

List the options under the** BARRIER method:**

A
  • Male condom
  • Female condom
  • Cervical cap
  • Diaphragm
  • Intra-uterine device (IUD)
17
Q

To prevent ovulation, the PILL is an effective contraceptive. Explain.

A
  • Pill contains two hormones - oestrogen and progesterone.
  • Prevent pregnancy by inhibiting ovulation and thus fertilisation.
  • One of the most commonly used.
  • Very reliable if taken daily
  • Not suitable for all women.
  • Does not protect against STDs.
    *
18
Q

One way to prevent the sperm from reaching the egg is through SERGICAL methods e.g. STERILISATION. Explain.

A
  • Usually permanent.
  • It does not affect the reproductive physiological processes and is not harmful.
  • Is cheap.

Male sterilisation - VASECTOMY - Sperm duct is cut, preventing sperm from being expelled. Sperm made is broken down and absorbed back into body.

Female sterilsation - Tubal ligation. Fallopian tubes tied off which prevents egg and sperm meeting.

19
Q

What is the condom used for?

A
  • A barier device used during sexual intercourse.
  • Reduce probability of pregnancy
  • Reduce probability of spreading sexually transmitted infections (STI’s) such as gonorrhoea, syphilis, HIV
  • Get male and female condom
20
Q

What is the male condom?

A
  • Thin rubber sheath that fits over erectile penis
  • Capturing sperm in the female and thus fertilisation of the ovum
  • Excellent and reliable method - especially if combined with spermicide.
  • Prevents pregnancy of female
  • Provides protection against sexually transmitted diseases (STD’s) e.g. HIV Aids
21
Q

What is the female condom?

A
  • Resembles an elongated balloon and is larger than male condom
  • Captures sperm and prevents them entering cervix and fertilising the ovum
  • Lines the vagina and also covers part of hte external vulva - provide some protection against STD’s
22
Q

What is the cervical cap?

A
  • Small, flexible rubber structure that is interserted before intercourse
  • Fits over cervix and prevents entry of sperm
23
Q

Another method to prevent sperm from reaching egg is a diaphragm. What is a DIAPHRAGM?

A
  • Shallow, bendable cup
  • Placed over the cervix before sex and left in palce for at least six hours after sex
  • Prevents sperm from reaching egg
  • Moderately effective.
  • Effective if used with spermicide.
24
Q

What is SPERMICIDE?

A
  • Chemicals that kill sperm.
  • Creams, foams and gels - put in vagina
  • Often used with condoms
  • Not effective if used on own - use with condoms.
25
Which contraceptive mehtods are used to prevent implantation?
* Intrauterine devices (IUD's) * RU 486 (mifepristone) * Morning After Pill (MAP)
26
How does MAP work as a contraceptive?
* Morning After Pill * Course of pills e.g. Ovral 28 * Must be strated within 72 hours of unprotected intercourse * **Oestrogen-Progesterone combination confuses the normal hormonal signals** * Thus either fertilisation is prohibited or fertilised egg cannot implant.
27
What is an **IUD **and how does it work as a contraceptive?
* Small object made of plastic, copper or stainless steel. * Inserted into the uterus. * Some are T shaped - Copper T * Must be placed by qualified health worker * Some secrete hormones that affect the endometrium and prevent implantation * **Prevents implantation of the blastocyst ** * Recommended for women who have already given birth * Very reliable BUT do not protect against STD's * Needs replacing every 5 years (depending on device)
28
Why do some religions not accept IUDs?
* Fertilisation has already occurred. * IUD prevents implantation * Prevention of implantation is seen as termination of life
29
What is RU486 / MIFEPRISTONE?
* Pill taken within first 7 weeks of pregnancy * **Blocks action of progesterone so that if implantation has occurred, the endometrium will disintegrate resulting in miscarriage. ** * Success rate of 96% * 98% no side effects
30
What are other contraceptive devices?
Injectables - every three months. Natural methods such as withdrawel and rhythm method.
31
What is the INJECTION and why is it recommended for teenagers?
* **Contains progesterone.** * **Hormone will prevent ovulation and increase the thickness of the cervical mucus to block sperm from getting to the uterus. ** * Two injections - Depo Provera (lasts 12 weeks) and Nur Isterate (lasts 8 weeks) * Teenagers? **Easy **- for forgetful teenagers - not a daily task. * BUT dont protect against STD's
32
Which contraceptive methods are used to prevent sperm from reaching the egg, for males?
1. Vasectomy 1. Condom
33
Which contraceptive methods are used to prevent sperm from reaching egg, for females?
1. Tubal ligation 1. Female codom 1. Spermicide 1. Diaphraghm
34