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Keri Kosier Jessica Osborne Kelly Sainz Chelsea Stone Group 5 Chapter 20 The Beginning of the Life Cycle Lesson 1 Childbearing-aged Women at Jupiter Medical Birthing Suites Development Through Pregnancy • First Trimester- Month 1 thru 3 • Second Trimester- Month 4 thru 6 • Third Trimester- Month 7 thru 9 First Trimester Source: http://pregnancy.about.com/cs/ultrasounds/l/bluspic1aaaah.htm Month 1 Baby Embryonic Development Embryo - cluster of developing cells following implantation. Placenta - blood-rich tissue sac holding the embryo Umbillical Cord – tube for nutrients to pass from mommy to baby Mommy Cessation of menstrual cycle Baby Month 2 Bones and Muscles form, brain develops Digestive organs Face, eyes, ears, limbs Heart beating for a month Baby known as fetus Mommy Breasts swell “morning sickness,” fatigue Frequent urination Month 3 Baby Liver, kidneys Mommy Full, firm, achy breasts Sex organs Eyes lids, nostrils, mouth, lips, teeth buds Major body systems working 2-4 lbs total weight gain Abdomen enlargement Uterus = size of orange Second Trimester Source: http://pregnancy.about.com/cs/ultrasounds/l/bluspic2acaaaac.htm Month 4 Baby Mommy Gender is noticed Increased appetite Facial features clearer Hands & feet wellformed Brisk movement More emotional Discomforts gone Month 5 Baby 8-10 in. long Lanugo forms (wax-like coat to protect skin) Heart beats hard Fingernails and toenails formed Month 5 Mommy Pregnancy is obvious Fetal Heart heard via stethoscope 10-12 lbs total weight gain Month 6 Baby Eyelids open Taste buds on tongue Weighs 1.5 - 2 lbs 8 – 10 in. long Breathing begins Month 6 Mommy Baby’s movements are strong 10 – 12 lbs. total weight gain Third Trimester Source: http://pregnancy.about.com/cs/ultrasounds/l/blusindex.htm Month 7 Baby Cries weekly, sucks thumb Eye lids separate Baby active, then rests Vernix develops Mommy Posture affected by ↑ weight and size Month 8 Baby Lanugo shed, vernix present 2 – 3 lb weight gain Settles into head-down position Startled movement 14 – 16 in. long Mommy Back aches, leg cramps, shortness of breath 18 – 20 lbs total weight gain Fetal kicks felt Month 9 Baby Full growth Mommy Easier to breath due to fetus dropping into pelvis rate ↑ Slowed movement due to cramped space Descends into pelvis, prepares for birth Uterus size = small watermelon Braxton-Hicks contractions Total wt. gain = 24-30 lbs ~Overview of Development~ Complications & Risks • Miscarriage: spontaneous abortion • Stillbirth: birth of a death fetus – alcohol use (FAS), drug use, disease-causing organisms such as herpes, HIV/AIDS, food additives, toxins, aspirin and some antibiotics Caring for Yourself! Regular doctor visits Prenatal vitamins (folic acid) Avoid alcohol and drug use Ample and quality rest Exercise sensibly Drink plenty of water Eating for two now! Recommended classes (childbirth, Lamaze, sibling) Lack of Prenatal Care Low birth weight Shorter gestational period Unrecognized deformities, diseases and conditions Emotions • Fear • Depression • Apprehension • Anxiety Birth of Your Baby!! -Stages of Delivery• Stage 1: Dilation – must be at 10 cm for delivery – “Water Breaking” first sign on labor Stage 2 • Passage through birth canal (delivery) Stage 3 • Afterbirth – Contractions continue for up to 15 minutes to delivery the placenta, known as the afterbirth. Source: http://www.uen.org/Lessonplan/preview.cgi?LPid=3982 The Apgar Test A – Activity P – Pulse G – Grimace (facial expression, reflexes) A – Appearance (color) R – Respiration • performed right at delivery and minutes after Resources for Expectant Mothers • Community resources include hospitals, walk-in clinics, doctors offices • Government resources include county health departments. • Others: March of Dimes, Planned Parenthood