Unit 2, SAC 1 Flashcards
Germinal Stage (prenatal)
0-2 weeks
Cells divide,
Chromosomes decided
Starts at fertilisation and ends at implantation
Implantation begins around day 5 and ends at around days 10-12
Embryonic Stage (prenatal)
3-8 weeks
Most critical stage because most internal systems and organs are formed.
Starts at implantation and ends at eighth week.
Cells start taking on specialised roles. Eg. Heart, skin, bone.
Placenta forms
Heart begins to beat
Foetal stage (prenatal)
9-40 weeks Systems fully developed and working Placenta fully functioning Sex organs start taking shape Reflexes Response to light and sound
Teratogens
anything in the environment of the embryo that can cause defects in development.
Eg. Tobacco smoke, alcohol, medication, drugs, xrays, raw fish and some diseases like measles.
Perinatal mortality:
Relates to the death of babies before birth and up to 28 days after birth.
The main cause: congenital abnormalities (birth defects), spontaneous preterm birth: (labour begins without medical intervention between 20th to 37th week) and unexplained antepartum death.
Prenatal morbidity
Most causes of morbidity among unborn babies goes Undiagnosed until after birth, as a result no data is available relating to health status in prenatal stage.
Neural tube defects
A casing that encloses the brain and spinal cord during the embryonic stage. Edges of neural tube fuse together in about 3rd week of pregnancy. Neural tube defect is when this does not fuse together completely.
Down syndrome
A condition caused by a chromosomal abnormality. There are 3 chromosomes on the 21st pair instead of the usual two.
Maternal mortality
Relates to death among pregnant women where the cause of death is attributed to the pregnancy itself.
Causes: cardiovascular conditions, and haemorrhage.
Maternal morbidity
Conditions can occur during pregnancy including gestational diabetes, mental health issues, pre-eclampsia and ectopic pregnancy.
Gestational diabetes
Characterised by high blood glucose levels. Usually goes away after pregnancy, but can return during subsequent pregnancies.
Mental Health
Depression is a significant cause of ill-health among pregnant women. This can lead to self harm and increased risk of maternal morbidity.
Pre-Eclampsia
Characterised by hypertension, protein in the urine and fluid retention, that leads to swollen hands, feet and face.
Ectopic pregnancy
When the embryo implants elsewhere in the mothers reproductive system other than the uterus.
Process of fertilisation:
Sexual Intercourse:
- Sperm enters vagina
- Sperm swim up cervix
- Swim through uterus
- Into Fallopian tubes
- If egg is present, sperm race to break through membrane
- Genetic material from sperm and ovum combine to make a single cell called a zygote
IVF:
- Injection of hormones
- Extraction of ova
- Fertilisation
- Incubation
- Implantation
Biological determinant (prenatal) Genetics:
Genes that a child inherits from their biological parents have a significant impact on the child’s health and individual human development.
Plays a role in: sex of baby, development of genetic conditions, rate and timing of development in the uterus.
Biological determinants: prenatal
Concerned with the body’s cells, tissues organs and systems, and how they function.
Genetics, genetic conditions, chromosomal abnormalities
Behavioural determinants: prenatal
Related to the behaviours and choices of the parents, both before and during pregnancy.
Eg. Maternal nutrition status, parental smoking, alcohol and drug use during pregnancy, vaccination.
Behavioural: alcohol use (prenatal)
Alcohol can interfere with fertility. Consumption of alcohol can cause harm to unborn child. When it is consumed, it crosses the placenta from the mothers blood to the baby’s. Alcohol can harm he development of the nervous system, ie) brain.
Can also cause low birth weight, heart defects and small facial features.
Physical environment (prenatal)
A pregnant women’s surroundings can impact on the health and development of her unborn baby. Eg, tobacco smoke in home and access to health care
Physical environment (prenatal) Tobacco smoke in the home
Increases risk of passive smoking among pregnant women. (Breathing in other peoples smoke)
It can cause spontaneous abortion, ectopic pregnancy, birth defects, perinatal mortality, asthma etc.
Social determinant (prenatal)
The society in which the mother lives and the social factors that impact on her life, will contribute to the health and development of her unborn baby.
Eg. Parental education, parental income, parental health and disability, and access to health care.
Social determinant (prenatal) Parental education
An educated parent can mean the parent has knowledge of health behaviours, which then can increase the chance of parents caring for themselves which promote the health and development of their unborn baby. Being vaccinated, consuming correct nutrients, and avoiding teratogens are more likely to occur if parent is educated. Can also mean more employment opportunities: generating higher income
Determinants that act as risk and or/ protective factors in relation to Gestational Diabetes
Biological: women who have predisposition to type 2 diabetes are at higher risk of developing gestational diabetes. Advancing age is also a risk factor. Body weight can also increase/decrease risk.
Behavioural: food intake can impact body weight, which then is a risk factor for diabetes. Same with exercise.
Physical environment: women who live near health care can be educated about it, and then can have loans to reduce risk.
Social: education is the key to avoid it. Having a high income can cause the mother to afford these resources.