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Conceiving Children Contraceptive risk taking increases with Drug and alcohol use Low self esteem Fear of alienating partner by asking for cooperation with birth control Indications of pregnancy (common during first trimester) Breast tenderness Nausea and vomiting Human Chorionic Gonadotropin (HCG) in blood test Fatigue Miscarriages Majority in first trimester 10% to 20% of pregnancies end in miscarriage Early miscarriages may appear as heavier than usual menstrual flow Stages of labor First stage of labor First stage • “Bloody show” • Uterine contractions • Ruptured amniotic sac (Water breaks) Second stage Birth of child Third stage Placenta Cesarean section Performed when • Fetal distress during labor • Feet or bottom presents first First trimester abortions Have little effect on subsequent fertility or pregnancy Infertility 50% of infertility = male factors • Due to Smoking Alcohol abuse Environmental toxins 50% of infertility = female factors Other reasons for infertility STD’s (M&F) Blocked tubes (M&F) Low sperm count Low sperm motility Lack of ovulation Infertility-Fertility drugs Infertility treatments Artificial insemination In vitro Fertilization GIFT (Gamete intrafallopian transfer) ZIFT (Zygote intrafallopian transfer) ICSI (Intracytoplasmic sperm injection) Artificial insemination Semen introduced into woman’s vagina,cervix, or uterus In Vitro fertilization Fertilizing egg in dish Placed into uterus GIFT (Gamete intrafallopian transfer) Sperm and ova placed directly into fallopian tube ZIFT (Zygote intrafallopian transfer) Egg fertilized in dish Placed into fallopian tube ICSI (Intracytoplasmic sperm injection) http://www.inciid.org/icsi.html Single sperm injection Abortion rates Abortion RU486 Birth defects (Chorionic Villus Sampling) Sexual activity during pregnancy Sexual activity and orgasm may continue as desired until labor begins Sexual interest progressively declines over the nine months Amniocentesis Fluid around the fetus is removed to check for birth defects