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Reproduction

Introduction to Reproduction

QuestionAnswer
Reproduction The process by which human beings produce a new individual
Populations at Risk -Impoverished populations (d/t poor or no prenatal care, access to healthcare) -Adolescents (d/t more likely for impaired nutrition, anemia, infections, depression, social isolation, preeclampsia, premature birth)
Individual Risk Factors -Biophysical factors -Psychosocial factors -Sociodemographic factors -Environmental Factors
Biophysical Factors -Multigravida -Inherited disorders -ABO incompatibility -Chromosomal -Diet & weight - Genetics -Gestational diabetes -Preeclampsia
Psychosocial Factors -Smoking -Caffeine -Alcohol -Drugs -Spousal abuse - Addictive lifestyle -Maternal psychological status
Sociodemographic Factors -Low income -Inadequate prenatal care -Age <15 and >35 -Marital status -Urban vs. rural -Race/ethnicity -Parity
Environmental Factors -Pollution -Radiation -Chemical exposure -Bacterial and viral infections -Drugs (OTC and illicit) -Stress -2nd hand smoke
Religious Impacts -Amish women may not want to be vaccinated against Rubella -Seven day Adventist exclude dairy from their diets -Jehovah's witness refuse blood products -Muslims participate in all day fasting during Ramadan
Stages of Fetal Development -Preembryonic Stage (fertilization through 2nd wk) -Embryonic Stage (3rd wk - 8th wk) -Fetal Stage (end of 8th wk until birth)
Preembryonic Stage The ovum is multiplying cells and implanting into the uterus
Embryonic Stage This is the most sensitive stage for teratogenicity as the organs are developing at this stage d/t exposure like alcohol, tobacco, radiation, and sources of infection
Fetal Stage The fetus grows 1.5% per day and is less susceptible to congenital malformation since major organs have already started to form
Functions of the Placenta -Serving as the interface between the mother and fetus -Making hormones -Protecting the fetus -Removing waste products (CO2) from the fetus -Inducing the mother to bring more nutrients to the placenta
Hormones Produced by the Placenta -HcG -Human placental lactogen (hPL)
Umbilical Cord -Begins to form at 5 wks -Contains 1 large vein and 2 small arteries -Wharton's jelly surrounds to prevent compression -At term should be 22 in long and about 1 inch wide
Role of Amniotic Fluid -Helps maintain fetus body temp -Permits symmetric growth -Cushions fetus from trauma -Allows umbilical cord to be free of compression -Promotes fetal movement
Fetal Circulation -Blood from the placenta to and through the fetus then back to placenta -Three shunts : Ductus venosus (connects umbilical vein to inferior vena cava), Ductus arteriosus (connects pulmonary artery to aorta), Foramen ovale (opening between R and L atrium)
Created by: NikkiLeigh83
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