Introduction to Pregnancy: Dr Cecelia obrien Flashcards

1
Q

Intorduction to pregnancy:

What is pregnancy?

What are the trimesters?

A

40 weeks of gestation of human in fetus develops inside uterus

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2
Q

Need to think about pregnancy in 4 parts:

A

1) Uterus
2) Placenta
3) Fetus
4) Mother

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3
Q

Explain spermatogenesis

Oogenesis? Explain

A
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4
Q

Fertilisation: Stages of maturation

What keeps the blastocyst alive while prior to implantation - corepues luteum allows for this

A
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5
Q

What is implantation?

A
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6
Q

Early embyronic development:

stages- Weeks: At what week do you starthaving all 4 limbs

A
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7
Q

What should have occured (or matured in fetus byy the end of the first simester) ?

When do fetal abnormlaities occur?

A

diagnosed at 11-13 weeks

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8
Q

Fetal abnormalities:

Outline some examples:

A
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9
Q

Uterine issues:

Need to think about around pregnancy:

Effect and outcomes:

Different shapes?

Uterine blood flow?

Fibroids?

A
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10
Q

The placenta:

Factors- effect-outcome:

Location of implantation?

Membrane integrity?

Placentation?

Interface between placenta and mother?

A

Blood flow to the placenta:

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11
Q

The mother:

Factors? Effect? Outcome?

Obesity?

Pre-existing medical conditions?

Genetic conditions?

Drugs and alcohol? Medications? infections?

A
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12
Q

What are TORCH infections:

A

Toxoplasmosis

Other

R

C

H

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13
Q

The Fetus:

Factor: effect: outcome

  • 23 pairs of chromosones + set of sex
A
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14
Q

Understanding Multiple pregnancy:

Need to understand how and why they occur:-

  • It becomes an issue when babies share the same placenta - (IUGR)
A
  • twin to twin transfusion syndrome: Need to know

*

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15
Q

What is chorionicity?

Why is it important for twins?

DC twins vs MC twins - Look at the loss rates

A
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16
Q

What is Twin to Twin transfusion syndrome?

A
17
Q

Why do we need good antenatal care?

Because the advent of hospital care- Decreased maternal death rates - from 30%

A
  • 1 in 10 develop preclampsia
  • 3 in 10 have obstructed birth - requiring
  • 2 in 10 will have decent pph
18
Q

What makes pregnancy high risk?

10-15% of pregnancies are classes as high risk.

A
19
Q

What antenatal screening is done? List 6 over course of antenatal peroid

Labor/birth/post natal

neonatal/fetal

Psychological

A
20
Q

Perinatal and maternal mortality: Facts numbers: read

A
21
Q

Antenatal visit schedule:

A
22
Q

What are the aims of antenatal care?

List 5:

A