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PATHOPHYSIOLOGY: (NORMAL SPONTANEOUS DELIVERY)

HOST
ENVIRONMENT
Female

AGENT
Unknown

Therapeutic Environment

Fertilization
(Union of sperm and ovum)

Zygote - Unicellular
(Intermingling of haploid paternal 23 X or Y and maternal 23 X chromosomes)
Series of Mitotic Cell division Cleavage
(In 24 hours become two cell organism)
Morula enters the uterus on the 3rd day through peristaltic movement
Separate into two parts by fluid from the uterus on the 4 th day

The outer layer gave rise to the placenta.


The inner layer gave rise to the embryo.
(trophoblast)
(embryoblast)
blastocytes attaches to endometrium on the 6th day.
Implantation

Embryonic development begins during second week continues through the eight
week
Fetal Development is from ninth week to birth

3 stages
Vaginal Delivery

Newborn baby via


Medical - Surgical Management:

st

*1 stage increase in cell number and with


Elaboration of cell products.
Signs & Symptoms:
*2nd stage morphogenesis/includes mass cell movement.

feel more cramps and increased back pain


*3rd stage differentiation of maturation of physiologic process
Loss of mucus plug
Lightening
Rupture of membranes
Consistent contraction

with IVF #1 D5LR iL + 10 u


oxytocin @ 30gtts/min
Diet as tolerated
Medications: Cefuroxime 500mg ,
Mefenamic Acid 500mg , Multi
Vitamins + FeSO4 1 cap , Vita A
50,000 IU 4 caps SD
Encourage breastfeeding
Perineal Care
Kegels Excercise

Complications:

Post partum infection


Excessive bleeding after delivery
Hemorrhoids
Breast problems
Post-partum depression
Incontinence