Family Planning, Pregnancy, and Birth Chapter 9 Family Planning, Pregnancy, and Birth

Chapter Outline Children by Choice Are We Ready for Children? Children Having Children Family Planning Decisions Infertility Pregnancy Birth

Factors Influencing Childbearing Decrease in infant mortality rate Postponement of parenthood Less social pressure to parent large families

Fertility Rates of Countries Nation Total Fertility Rate Germany 1.3 China 1.7 United States 2.0 Brazil 2.2 Mexico 2.8 India 3.1 Saudi Arabia 5.7 Nigeria 5.8 Total Fertility Rate in Selected Countries TABLE 9-1

Decision to Have Kids Do we want to have children? Are we healthy enough to give a child the care, attention, and love he/she needs? Can we afford to provide our child with the food, clothing, and education needed for at least the next 18 years and perhaps beyond?

Decision to Have Kids How much time do we want for just each other and for establishing a home? How much more education do we want or need for the jobs and income we want? What if we don’t get the girl (boy) we want? What if the child is disabled in some way?

Some Facts about Teen Parents Teen mothers are many times more likely than older mothers to live below the poverty level. Only half of those who give birth before age 18 complete high school (compared to 96% of those who postpone childbearing). On the average, unwed teen mothers earn half as much money and are far more likely to be on welfare.

Contraceptive is any agent used to prevent conception. Birth Control Contraceptive is any agent used to prevent conception.

Abortion Methods Dilation and Curettage (D&C): A procedure that involves dilating the cervix and scraping out the contents with a curette. Vacuum Aspiration: A procedure in which the contents of the uterus are removed by suction. Saline Abortion: A procedure in which a salt solution is injected into the amniotic sac to kill the fetus, which is then expelled via uterine contractions.

Who Has Abortions? White 46% Black 29% Hispanic 20% Protestant 37% Catholic 31% No religion 24%

Fecund: having the capacity to reproduce Fertility Fecund: having the capacity to reproduce

Infertility Infertile means that a man is not producing viable sperm, or a woman is either not producing viable eggs or has some other condition that makes it impossible to maintain a pregnancy.

Types of Infertility Primary infertility: the couple has never conceived. Secondary infertility: the couple has previously conceived, but is subsequently unable to conceive. Pregnancy wastage: the woman is able to conceive, but unable to produce a live birth.

Treatments for Infertility Artificial Insemination Egg Freezing Fertility Drugs Artificial Fertilization and Embryo Transfer (In Vitro Fertilization) Surrogate Mothers

New Ways of Creating Babies FIGURE 9-1 New Ways of Creating Babies

New Ways of Creating Babies FIGURE 9-1 New Ways of Creating Babies

Possible Signs of Pregnancy A missed period. Nausea in the morning (morning sickness). Changes in shape and coloration of breasts. Increased need to urinate.

Possible Signs of Pregnancy Feelings of fatigue and sleepiness. Increased vaginal secretions. Increased retention of body fluids.

Pregnancy Terms False Pregnancy (pseudocyesis): Signs of pregnancy occur without the woman actually being pregnant Embryo: The developing organism from the second to the eighth week of pregnancy, characterized by the differentiation of the organs and tissues into their human form Fetus: The developing organism from the eighth week after conception until birth

Pregnancy Terms Umbilical Cord: A flexible cordlike structure connecting the fetus to the placenta and through which the fetus is fed and waste products are discharged Placenta: The organ that connects the fetus to the uterus by means of the umbilical cord

Birth Defects Congenital Defect: A condition existing at birth or before, as distinguished from a genetic defect Genetic Defect: An abnormality in the development of the fetus that is inherited through the genes, as distinguished from a congenital defect

Causes of Congenital Problems Drugs Infectious Diseases Smoking Alcohol Rh Blood Factor

Rh Blood Factor Rh factor: An element found in the blood of most people that can adversely affect fetal development if the parents differ on the element (Rh negative versus Rh positive)

Controlling Birth Defects Diet Amniocentesis Ultrasound in Obstetrics Fetoscopy

Technology in Pregnancy Ultrasound: Sound waves are directed at the fetus that yield a visual picture of the fetus; used to detect potential problems in fetal development Fetoscopy: Examining the fetus through a small viewing tube inserted into the mother’s uterus

Natural Childbirth In natural childbirth the parents have learned about the birth process and participate in exercises such as breathing techniques to minimize pain and, therefore, the use of drugs.

Different Experiences Natural Childbirth Rooming in Alternative Birth Centers Home Births

Quick Quiz

1. Signs of pregnancy occurring without the woman actually being pregnant is called Amniocentesis Pseudocyesis False Pregnancy Both b and c

Answer: d Signs of pregnancy occurring without the woman actually being pregnant is called pseudocyesis or false pregnancy.

2. The developing organism from the eighth week after conception until birth is a Fetus Embryo Placenta Congenital defect

Answer: a The developing organism from the eighth week after conception until birth is a fetus.

3. The Rh Factor is Examining the fetus through a small viewing tube inserted into the mother’s uterus An element found in the blood of most people that can adversely affect fetal development if the parents differ on the element A condition existing at birth or before, as distinguished from a genetic defect An abnormality in the development of the fetus that is inherited through the genes, as distinguished from a congenital defect

Answer: b Rh factor is an element found in the blood of most people that can adversely affect fetal development if the parents differ on the element (Rh positive versus Rh negative).