Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Chapter 9 Obstetrics and Neonatology

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Chapter 9 Lesson

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-3 Objectives  Identify organs and structures relating to pregnancy.  Define and spell the word parts related to obstetrics and neonatology.  Define, pronounce and spell disease and disorder terms related to obstetrics and neonatology.  Define, pronounce and spell surgical and diagnostic terms related to obstetrics and neonatology.

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-4 Obstetrics and Neonatology  obstetrics: branch of medicine that deals with childbirth and the care of the mother before and after birth  neonatology: branch of medicine that deals with the diagnosis and treatment of disorders of the newborn

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-5 Terms Relating to Pregnancy  gamete: mature germ cell  ovulation: expulsion of a mature ovum  conception or fertilization: beginning of pregnancy  zygote: cell formed from the union of the sperm and ovum  gestation, pregnancy: development of a new individual from conception to birth

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-6 Terms Relating to Pregnancy (cont’d.)  implantation: embedding of the zygote in the uterine lining  embryo: unborn offspring from implantation to end of second month of pregnancy  fetus: unborn offspring from beginning of the third month of pregnancy until birth

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-7 Terms Relating to Pregnancy (cont’d)  amniotic sac: membranous bag that surrounds the fetus before delivery  chorion: outermost layer of the fetal membrane  amnion: innermost layer of the fetal membrane  amniotic fluid: fluid within the amniotic sac  placenta, or afterbirth: grows on the wall of the uterus during pregnancy; allows for nourishment

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-8 Ovulation, Fertilization, and Implantation

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-9 Development of the Fetus

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-10 Human Male Fetus at 68 Days (47 mm) A, Right; B, front; C, left.

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-11 Combining Forms of Obstetrics and Neonatology  amni/o, amnion/o  chori/o  embry/o  fet/o, fet/i  gravid/o  lact/o  nat/o  omphal/o  par/o, part/o  puerper/o

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-12 Combining Forms Commonly Used in Obstetrics and Neonatology  cephal/o  esophag/o  pelvi, pelv/o  prim/i  pseud/o  pylor/o  terat/o

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-13 Prefixes  ante-, pre-  micro-  multi-  nulli-  post-

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-14 Suffixes  -amnios  -cyesis  -e  -is  -partum  -rrhexis  -tocia  -um  -us

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-15 Word Parts with Similar Meanings Word PartMeaning nat/obirth par/o, part/obear, give birth to, labor, childbirth puerper/ochildbirth -partumchildbirth, labor -tociabirth, labor

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-16 Four “-rrh” Suffixes Suffix MeaningChapter -rrhea flow, discharge 4 -rrhagia rapid flow of blood 5 -rrhaphy suturing, repairing 6 -rrhexis rupture 9

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-17 Clicker Question Which two of the following word parts mean pregnancy? a) gravid/o and -cyesis b) part/o and -partum

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-18 Obstetric Disease and Disorder Terms Built from Word Parts  amnionitis  chorioamnionitis  choriocarcinoma  dystocia  embryotocia  hysterorrhexis  oligohydramnios  polyhydramnios

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-19 Obstetric Disease and Disorder Terms Not Built from Word Parts  abortion  abruptio placentae  eclampsia  ectopic pregnancy  placenta previa  preeclampsia

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-20 Abruptio Placentae

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-21 Placenta Previa

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-22 Ectopic Pregnancy

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-23 Neonatology Disease and Disorder Terms Built from Word Parts  fetal alcohol syndrome  microcephalus  omphalitis  omphalocele  pyloric stenosis  tracheoesophageal fistula

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-24 Clicker Question The correct labeling of the diagram is a) omphalocele b) omphalcele

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-25 Neonatology Disease and Disorder Terms Not Built from Word Parts  cleft lip and palate  Down syndrome  erythroblastosis  fetal alcohol syndrome (FAS)  esophageal atresia  gastroschisis  respiratory distress syndrome (RDS)  spina bifida

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-26 Esophageal Atresia

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-27 Obstetric Surgical Terms Built from Word Parts  amniotomy  episiotomy

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-28 Obstetric Diagnostic Terms Built from Word Parts  Diagnostic imaging  pelvic sonography  Other  amniocentesis  amnioscope  amnioscopy

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-29 Ultrasound Image showing the forearm of the fetus s, skinline; m, muscle; w, wrist; h, hand.

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-30 Amniocentesis

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Chapter 9 Lesson 9.2

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-32 Objectives  Define, pronounce and spell complementary terms related to the female reproductive system.  Interpret the meaning of abbreviations related to obstetrics and neonatology.  Interpret, read and comprehend medical language in simulated medical statements and documents.

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-33 Complementary Terms  amniochorial  amniorrhea  amniorrhexis  antepartum  embryogenic  embryoid  fetal  gravida  gravidopuerperal  intrapartum  lactic  lactogenic  lactorrhea  multigravida  multipara (multip)  natal

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-34 Complementary Terms (cont’d.)  neonate  neonatologist  neonatology  nulligravida  nullipara  para  postnatal  postpartum  prenatal  primigravida  primipara  pseudocyesis  puerpera  puerperal  teratogen  teratogenic  teratology

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-35 Complementary Terms Not Built from Word Parts  breech presentation  cephalic presentation  cesarean section (C/S, C-section)  colostrum  congenital anomaly  fertilization  in vitro  lactation  lochia  meconium  midwife  midwifery  obstetrician  obstetrics  parturition  premature infant  puerperium  quickening  stillborn

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-36 Clicker Question Antepartum and postpartum refer to (the): a) birth b) mother

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-37 Abbreviations  CS, C-section  DOB  EDD  FAS  LMP  LNMP  multip  NB  OB  primip  RDS

Copyright © 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-38 Read Medical Terms in Use Jane Anne is a 34-year-old gravida 2 para 1 woman. Her LMP was April 20, 20xx. The EDD is January 2, 20xx. The obstetrician prescribed folic acid to prevent spina bifida. The patient’s first pregnancy was complicated by preeclampsia and a breech presentation, which required a cesarean section. Pelvic sonography showed a single female fetus with normal development. She went on to deliver a healthy baby 3 days before her expected delivery date.