PregnancyPre-Natal to Post-Partum

3 StagesZygote

Embryo

Fetus

ZygoteBegins with fertilization of the egg

Where are eggs fertilized?

Rapid Cell Division

Approximately 2 WeeksEnds when implanted in uterine lining

Embryo3-8 Weeks After Conception

What is conception?

Body Parts Start to Form

Rests in the AmnionFilled with Amniotic Fluid

Umbilical Cord joins Embryo to Placenta

Fetus9 Weeks After Conception till Birth

Increase in Size

Systems begin to FunctionFilled with Amniotic Fluid

Age of Viability: 22-28 WeeksWhat is viability?

Knowledge Check!What stage begins at fertilization?

Stage where the umbilical cord attaches embryo to placenta?

Age of Viability?

Zygote

Embryo

22-28 Weeks

Foods to Avoid While PregnantRaw Meat (rare or under-cooked)

Most Fish (Salt Water/Ocean Fish)

Deli Meat

Processed Meat- bye bye hotdogs!

Raw Milk and Dairy Products

Raw Vegetable Sprouts

Alcohol and Caffeine

Great Foods to Make Mom and Baby Happy

Eggs

Salmon

Beans

Sweet Potatoes

Popcorn

Walnuts

Dark Leafy Veggies

Lean Meat

Fruits

Veggies

Greek Yogurt

Whole Grain

Knowledge Check!Why are some ocean/saltwater fish bad for mom and baby?

What are some examples of good foods for mom and baby?

Mercury content

Beans, Leafy Greens, Nuts, Fruits, Veggies

The First Trimester

The First MonthEmbryo is about 1/10” long

Heart is the size of a poppy seed

What mom feels: Tender breasts, frequency of

urination, fatigue, nausea, smell sensitivity, headaches, mood swings, dizzy or faintness

2nd MonthEmbryo is about 1” long

Toes are slightly webbed, visible veins

Heart divides into right and left chambers

3rd MonthEmbryo/Fetus is about 3” long

Longer fingers and toes

Umbilical Cord connects fetus to placenta

Bones begin to harden

Skin and fingernails grow

Spontaneous Movement

3rd MonthWhat Mom Feels:

All the stuff from before…but sometimes worse. May experience outbreaks of acne.

Weight gain is typically not noticeable in the first trimester.

Miscarriage15% of pregnancies are lost during the first trimester

Loss of pregnancy before 20 weeks

Knowledge Check!How many pregnancies end in miscarriage during 1st

trimester?

True/False: Spontaneous movement begins in the first trimester

What happens to the heart during the first trimester?

15%

True

Divides into right and left chambers

The Second Trimester

4th MonthFetus is about 4.5” long

Female babies are developing their eggs; prostate gland develops in males

Hair begins to grow

Roof of the mouth is formed

Sex can be seen at 13-14 weeks

Heartbeat can be clearly heard

5th MonthFetus is about 6.5” long

Fine downy hair covers the body

Skin is covered in greasy substance that is a protectant

If female, uterus forms

What Mom Feels:Movement!

6th MonthFetus is about 8” long

Bone marrow starts making blood cells

Taste buds form

Eyelashes and Eyebrows develop

Baby can hear you!

What Mom Feels:More Movement! Sometimes develops

colostrum (tiny drops of early milk)

7th MonthFetus is about 9” long

Develops more and more fat

Eyelids fused together until 28 weeks

What Mom Feels:Back painStretching of the tummy skin

Knowledge CheckTrue/False: Sex of the baby can be determined 13-14 weeks

in.

True/False: Baby can not hear your voice during the 2nd trimester

Baby is how long by the end of the 2nd trimester?

True

False

9”

The Third Trimester

8th MonthFetus is about 11” long

If male, testes begin descending to scrotum

What Mom Feels:Back painSleepinessSore Legs- Vericose VeinsStretch Marks ):Hair will be fuller and healthier! (:

9th MonthFetus is about 12.5” long

Pupils constrict and dilate

Fatter and less wrinkled skin

What Mom Feels:Problems holding in urine while

sneezing or coughing

Fetus and AddictionsAlcohol

Nicotine

CaffeineTake some time: Water

Project

What can happen?Difficulty with tone and movementReactivity to StimuliProblems staying in a single stateNervous system problems

10th MonthFetus is about 18-22” long

Fetus has firm grip

Weighs 7-8 pounds (average)

What Mom Feels:Cervix DilationPainFrequent Urination

Knowledge Check!True/False: Testes descend during 3rd trimester if baby is male

Mom often has troubles with _____________ during this trimester.

Baby is approximately _____” long and ________lbs. (on average)

True

Bending over, holding in urine, sleeping

18-22”, 7-8 lbs.

Child BirthLabor and DeliveryStage 1: starts when uterus contracts, ends when cervix is 10 cm dilated

Stage 2: baby is pushed down the birth canal

Stage 3: placenta is expelled

Birthing Approaches

Classes provide info about pregnancy and birth

Teach pain control/management through breathing, imagery and coaching

Mothers who attend classes feel more positive about labor and birth

Knowledge Check!True/False: Stage #1 of labor ends when your water breaks.

What is stage #4 of labor and delivery?

Mothers who do NOT attend birthing class feel this way during labor

False

Trick Question- only 3 stages!

Negative, or experience more pain

ComplicationsAnoxia- lack of oxygen

c-section

Premature and small-to-date infants

Premature is better than small-to-date

Breech Feet first

Stillborn or Late Miscarriage

Knowledge Check!What is breech?

What is miscarriage? When does it happen?

Which is better, premature or small-to-date?

Baby is feet first

Losing the baby before 20 weeks

Premature

Newborn BabiesAPGAR

Activity PulseGrimace (Irritability)Appearance (skin color)Respiration

Newborns should sleep on their back to help against SIDS

Half of newborn sleep is REM4 Primary States

Alert Inactivity, Waking Activity, Crying, Sleeping

After Child BirthPost Partum Depression50% of all moms feel irritation, resentment, or cry often

10-15% feel more severe post-partum depression

Affects warmth and enthusiasm of mothering

Knowledge Check!What does APGAR stand for?

What is SIDS?

How many women experience post-partum depression?

Activity, Pulse, Grimace, Appearance, Respiration

Sudden Infant Death Syndrome

50% or 1/2