Childbirth Flashcards

0
Q

Effect of CRH

A
  • stimulates fetal adrenal glands to secrete cortisol
  • increase E/P ratio
  • myometrial contractions
  • maturation of fetal organs
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1
Q

Placenta hormones

A
  • produces large quantities of CRH

- increases E/P ratio

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2
Q

Birth process summary

A

Stage 1(effacement), stage 1(early dilation), stage 1(transition), stage 2(expulsion)

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3
Q

Stage 1 effacement

A
  • contractions of 30-60sec with intervals of 5-20 min
  • prosteglandins soften cervical tissue
  • mucus plug dislodged and bloody show happens
  • bursting of amniotic sac
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4
Q

Stage 1 early dilation

A

contraction of 60 sec with intervals of 1-3 min

-cervical dilation of 7cm

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5
Q

Stage 1 transition

A
  • final phase of stage 1 labor
  • 60-90 sec contractions with 1 min intervals
  • fetus descends into pelvic basin
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6
Q

Stage 2 expulsion

A
  • Episiotomy may e performed if necessary
  • crowning
  • baby rotates
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7
Q

Stage 3 expulsion of placenta

A

after birth, next contractions push placenta

-contractions inhibit uterine blood flow

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8
Q

Ectopic pregnancy

A

when implantation occurs outside of uterus

1) tubal pregnancies
2) abdominal pregnancies

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9
Q

Tubal pregnancy

A
  • when implantation occurs in oviduct

- can be very dangerous

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10
Q

Abdominal pregnancies

A
  • when implantation occurs in the gut, mesenteries, or ovaries
  • result in fetus death, surrounded by calcium
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11
Q

Human Chorionic Gonadotropin(hCG)

A
  • produced by cells that come from the chorion(cytotrophoblast)
  • stimulates secretion of estrogens and progesterones by placenta
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12
Q

Placenta Previa

A

condition where placenta is lying unusually low in the uterus, covering the cervix. puts mother at risk for heavy bleeding

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