FINAL Flashcards
(82 cards)
biology of pregnancy
- Egg and sperm unite while egg is in fallopian tube. Fertilized egg continues in tube to uterus.
- six days old implants in uterus lining, if not then sloughed off as period
- After it implants in tissue lining, placenta develops
Placenta
connected to the growing embryo, its an organ that allows oxygen and nutrients to pass from the mother to the embryo. The placenta also helps transport the embryo’s waste products back to the mother’s system. This amazing organ even manufactures hormones. By the end of her pregnancy, a woman’s estro- gen and progesterone levels are much higher than they were before her pregnancy
typical emotional reactions to pregnancy, both positive and negative (5)
• Positive Emotions:
- Wonder and awe
- Social approval
- Transition into adulthood
- Sense of attachment
- Anticipation
- Change
- Fears & anxieties
- Self-image and attractiveness
- Health issues
- Loss of identity
What are the common factors influencing a woman’s response to pregnancy? -4
- Physical reaction (morning sickness)
- Planned pregnancy
- Relationship with baby’s father
- Economic status
Hebl et al. (2006) study investigating attitudes toward pregnant women, including the concepts of hostile and benevolent sexism.
Pregnant women going to retail store. Half of the women applied and the other half she was shopping. Attitudes depend on context
- Results: Hostile sexism shown to pregnant job seeker; Benevolent sexism shown to pregnant gift buyer; People likely to help a pregnant woman
what is the association between maternity clothes and social status?
The expensive, high-status stores placed maternity clothes near the lingerie and loungewear. This arrangement suggests an image of feminin-ity, delicacy, luxury, and privacy. In contrast, the less expensive, low-status stores placed maternity clothes near the uniforms and the clothing for over- weight women. This placement implies that pregnant women are fat, and they have a job to do.
3 stages of labor
- Labor begins when uterus starts to contract strongly
1. contracts every 5 mins. dilation of cervix increases to 10cm lasting from few hours to at least a day
2. last few mins to several hours. Contractions move baby to vagina. when woman encouraged to push they report most positive part of labor. also strong feelings of pressure and stretching. stage ends when baby is born
3. lasts less than 20, anticlimax. uterus continues to contract which separate placenta from ueterin wall. then expelled. levels of estro and proestro drop
Doula
a woman experienced in childbirth who provides support to family through labor/delivery becoming more common
- What is a cesarean section delivery? how common?
2. What controversy surrounds the use of C-sections?
- incision thru stomach and into uterus. 30% of all deliveries in US
- health risks for mom and babe/ traumatic exp/more negative perceptions about baby
- increase bc more conveint
characteristics of natural childbirth? - 8
- Education about pregnancy/childbirth in order to reduce fear and dispel myths
- Relaxation techniques and exercises designed to strengthen muscles
- Controlled breathing techniques, which distract attention away from pain of contractions
- Social support throughout childbirth, usually baby’s father or close friend of the mother
- Health care providers should encourage women’s sense of empowerment during childbirth
- Labor shouldn’t be artificially induced simply for convenience
- Woman is encouraged to move around during labor and to sit upright during delivery
- Anesthesia not used, unless desired or necessary
negative factors of reality of motherhood- 10
• Negative Factors
- Child care is physically exhausting
- Approx 35% of infants in US are born to women who aren’t married
- Fathers help less with child rearing than mothers had expected
- For several weeks after childbirth, women may report that they feel leaky, dirty coping with after birth discharges; vaginal and uterus pain reported
- New mothers seldome have training for tasks of motherhood; often report feeling incompetent
- Pregnant women often have vision of the glowing cuddly baby. In reality, babies dont smile until they are about 2 months old; many babies are fussy
- Mothers of newborns have little contact with other adults
- Romantic partner may feel neglected
- Women feel disappointed in themselves because they dont match the standards of the perfect mother
- Mother’s are often blamed for their childs problems
positive factors of reality of motherhood -6
- Sense of own strength
- Interactions with their children
- Look at world from new viewpoint
- Develop new aspects of personality
- Sense of unity and the feeling of family
- Intimate, caring relationships that develop with children
issues surrounding motherhood and women of color
- asians
- avg number of children woman have in lifetime
- exps differ from americans
- WOC who were mothers more likely than whites to be employed full time
- WOC missing from mags idealizing mothers
- network of extended family very important for low income moms
- horrified at being examined by male when pregnant
- smaller than expected 2.1 for White and Black women, 2.3 for Asian women, 2.5 for Native Americans, and 2.8 for Latina women.
- postpartum period
- postpartum blues
- prevelance
- 0 to 6 weeks after birth
- most common, short lasting changes in mood that occur during first 10 days; in many cultures (at least 1/2 NAmerica experience) common symptoms are crying, sadness, insomnia, irritable, anxiety lack of confidence, overwhelmed
- prob result of letdown following excitement combined with sleepiness
- postpartum depression
- prevelance
- social factors influencing
serious disorder, feelings of extreme sadness, exhaustion, sleep disturbances, despair, loss of interest in baby, guilt
- develops within 6 months of birth lasting for many months
- assoc with phy probs like nausea, backaches
- interact less with baby placing them at risk for psych probs
- affects 10-15% of women and in many cultures
- sim to depression
- lack social support, major life stress during pregnancy, low income
What are the typical attitudes toward women choosing not to have children? -called?
- college study
- child free couples
- single child families
- study of married couples
belief women should have children- called compulsory motherhood
- few decades women viewed very negatively, still somewhat negative today
- college students rated childree women more neg and would be more neg in general population
- child free couples told they are selfish and too career oritnted
- told that one child will face emotional probs
- family size not correlated with couples statification
issues surrounding infertility, including level of psychological strain? - prevalence
- factors influencing
- infertile women have
- psych strain
infertility is failure to conceive after 1 year of intercourse. 10-15% of us infertile.
- more likely to have infertile probs if they have had infections that damage repo system and poor med care
- between ages 30-40 less likely to become preg
- infertility causes higher levels of distress and anxiety
- live with constant hope of maybe next month or not yet preg resulting in feeling unsettled and caught between hopefulness and mourning
issues surrounding lesbian mothers, including the adjustment of children raised by lesbian partners.
- Lesbian mothers and hetero mothers have similar parenting styles
• Adjustment of children raised in lesbian households is similar to that of children raised in hetero households
• Most children raised by lesbians are positive about their mother’s relationships
Concerning health care and the health status of women, what are the common biases against women? - 4
- Women have been neglected in medicine and in medical research
- Gender stereotypes are common in medicine
- Medical care provided to women is often too much or too little
- Physcian patient communication patterns often make women feel powerless
What is the gender gap in life expectancy?
- mortality?
• Mortality-death rate
- women live about 5 years longer than men do
What are some of the factors that explain why women live longer?
-4
- genetic/bio factors- xx and xy
- social factors- high risk activities
- environmental factors- men often have more dangerous jobs and exposed to dangerous environments
- Women more likley to seek health care during early stages of an illness
What is the gender comparison in morbidity? Why are women at a disadvantage? - 4
Morbidity- generalized poor health or illness
- women worse
• Women are at a disadvantage because:
1. longevity- women live longer than men
2. self-report biases- more likely to report illnesses
3. rape and abuse
4. economic factors
what are the health issues for women in developing countries? - 4
Women and girls less likely to receive medical care- more likely to seek med care for son
• Inadequate nutrition and health care
• Death during pregnancy or childbirth
• Female genital mutilation
What is cardiovascular disease? What are the issues surrounding cardiovascular disease in women? -gender diff prev - ethnicity diff - ethnicity diff - reason for it?-4
- heart attacks and other disorders of the heart, as well as clots and other disorders of the blood vessels. Cardiovascular disease is the major cause of death for U.S. women.
- men more likely to have heart disease earlier but by age 75 its the same
- blacks more likely to die from it
1. men report chest pain; women report chest pain and breathlessness. Doctors may look for mail symptoms
2. men twice as likely to receive bypass
3. more research for men in cardiac probs
4. men rest after heart attack while women resume chores