Beruflich Dokumente
Kultur Dokumente
I. Introduction
II. Effects of Hormones
III. Weight Gain
IV. Changes in Organ Systems During Pregnancy
a) Digestive and Urinary System Changes
b) Circulatory System Changes
c) Respiratory system changes
d) Urinary system
e) Integumentary System Changes
V. Physiology of Labor
VI. Stages of Childbirth
Summary
I. Introduction
II. Effects of Hormones
III. Weight Gain
IV. Changes in Organ Systems During Pregnancy
a) Digestive and Urinary System Changes
b) Circulatory System Changes
c) Respiratory system changes
d) Urinary system
e) Integumentary System Changes
V. Physiology of Labor
VI. Stages of Childbirth
I. Introduction
• Pregnancy lasts 280 days (40 weeks)
• Divided in three trimesters – 14/28/40
I. Introduction
II. Effects of Hormones
III. Weight Gain
IV. Changes in Organ Systems During Pregnancy
a) Digestive and Urinary System Changes
b) Circulatory System Changes
c) Respiratory system changes
d) Integumentary System Changes
V. Physiology of Labor
VI. Stages of Childbirth
II. Effects of Hormones
Roles of Hormones
1. Maintain pregnancy
• Estrogen/Progesterone/hCG
Estrogen Actions:
• Suppresses FSH/LH
Relaxin Actions:
• Increases elasticity of the symphysis pubis and ligaments
Progesterone Actions:
• Suppresses FSH/LH
hCG Actions:
• Secreted by throphoblast – from day 8 of fertilization
(positive pregnancy test)
• Survival of corpus luteum
Breast Cancer!!
Breast development
Summary
I. Introduction
II. Effects of Hormones
III.Weight Gain
IV. Changes in Organ Systems During Pregnancy
a) Digestive and Urinary System Changes
b) Circulatory System Changes
c) Respiratory system changes
d) Integumentary System Changes
V. Physiology of Labor
VI. Stages of Childbirth
III.Weight Gain
Singleton pregnancy
• BMI <18.5 kg/m2 (underweight) – Weight gain 28 to 40 lb (12.5 to 18.0 kg)
• BMI 18.5 to 24.9 kg/m2 (normal weight) – Weight gain 25 to 35 lb
(11.5 to 16.0 kg)
• BMI 25.0 to 29.9 kg/m2 (overweight) – Weight gain 15 to 25 lb (7.0 to 11.5 kg)
• BMI ≥30.0 kg/m2 (obese) – Weight gain 11 to 20 lb (5 to 9.0 kg)
Twin pregnancy
• BMI <18.5 kg/m2 (underweight) – No recommendation due to insufficient data
• BMI 18.5 to 24.9 kg/m2 (normal weight) – Weight gain 37 to 54 lb
(16.8 to 24.5 kg)
• BMI 25.0 to 29.9 kg/m2 (overweight) – Weight gain 31 to 50 lb (14.1 to 22.7 kg)
• BMI ≥30.0 kg/m2 (obese) – Weight gain 25 to 42 lb (11.4 to 19.1 kg)
III.Weight Gain
Contributors to Weight Gain During Pregnancy
Blood 1.4 4
• Constipation
I. Introduction
II. Effects of Hormones
III. Weight Gain
IV.Changes in Organ Systems During
Pregnancy
a) Digestive and Urinary System Changes
b) Circulatory System Changes
c) Respiratory system changes
d) Integumentary System Changes
V. Physiology of Labor
VI. Stages of Childbirth
Changes in Organ Systems During Pregnancy
b. Circulatory System Changes
• Anatomical changes:
– Heart displaced left and upward and rotated on
its long axis
• Physiological changes
– Systemic vascular resistance is decreased
– Mean arterial pressure is decreased
– Heart rate is increased
– Cardiac output is increased
Changes in Organ Systems During Pregnancy
b. Circulatory System Changes
Coagulation:
Hypercoagulability!
• ↑ factor I, II, III, VII, IX, XII
• ↓ fibrinolysis
I. Introduction
II. Effects of Hormones
III. Weight Gain
IV.Changes in Organ Systems During
Pregnancy
a) Digestive and Urinary System Changes
b) Circulatory System Changes
c) Respiratory system changes
d) Integumentary System Changes
V. Physiology of Labor
VI. Stages of Childbirth
Changes in Organ Systems During Pregnancy
c. Respiratory system changes
I. Introduction
II. Effects of Hormones
III. Weight Gain
IV.Changes in Organ Systems During
Pregnancy
a) Digestive and Urinary System Changes
b) Circulatory System Changes
c) Respiratory system changes
d) Integumentary System Changes
V. Physiology of Labor
VI. Stages of Childbirth
Changes in Organ Systems During Pregnancy
e. Integumentary System Changes
I. Introduction
II. Effects of Hormones
III. Weight Gain
IV. Changes in Organ Systems During Pregnancy
a) Digestive and Urinary System Changes
b) Circulatory System Changes
c) Respiratory system changes
d) Urinary system
e) Integumentary System Changes
V. Physiology of Labor
VI. Stages of Childbirth
V. Physiology of Labor
Childbirth typically occurs within a week of a woman’s due
date (39/40weeks – 42 weeks)
STAGES OF CHILDBIRTH:
I. Cervical Dilation
II. Expulsion
III. Delivery of placenta
IV. Postpartum/Afterbirth
V. Ph
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of
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V. Physiology of Labor
Stage I of childbirth
I. Cervical Dilation
• For birth to occur the cervix must fully dilate to
10 cm wide
• Longest stage of labor (6-12 hours) – varies
widely
• Typically they rupture at the end of dilation stage
in response to excessive pressure;
– Amniotic membranes rupture before onset of labor in
12% of patients;
V. Physiology of Labor
Stage II of childbirth
IV. Afterbirth
• Starts immediately after delivery of the placenta
• Uterine contractions continue for several hours after
birth
• Uterus returns to its pre-pregnancy size = INVOLUTION
• Breastfeeding starts
• Uterine contractions limit blood loss during
delivery of the placenta and immediately
afterbirth
• Postpartum discharge for up to 1-2 weeks – LOCHIA =
endometrial lining, erythrocytes, debris