1. Fertility
The gift of Life

2. Timing Ovulation – 1 day before and upto 3 days after How to find out?
Breast tenderness
Increased basal body temp
Vaginal discharge
Cervical changes

3. How to chart

4. Factors affecting secretions
Infections including STD
Excitement
Lubricants
Douching
Breast feeding
Menopause
Medication including contraception

5. Contraception
Abortion – extreme, moral issues, chemically or surgically induced
IUD – copper or plastic loops 96-98%
Hormones – combination or single – 99%
Condoms – male/female – 98%
Barriers – diaphragm, cervical cap – 95%
Date aware, withdrawal – natural
Permanent – vasectomy, tubal ligation

6. Escape clauses

7. Where what how

8. Pregnancy Fertilization – sperm meets oocyte Zygote – 42 chromosomes
Embryo – freely floating
Blastocyst – 100 cells
Implantation within 7-14 days – placenta
3rd week – placenta fully functional
Foetus – 8th week - humanoid

9. Making a baby

11. Hormone levels

12. What changes? Bone and ligament in pelvis
Hormonal – increased progestrone, oestrogen, cortisol, HPL – increases GH and Insulin
Blood – increased volume, slow venous return, decreased albumin
Resp rate inc with dyspnoea in later part
GI – nausea, heartburn, constipation
Kidney – urine inc qty and freq, weak bladder
Cervical – inc blood flow, muscle mass, softening

13. Growth of foetus

14. Just before the show

15. Labour 36-41 weeks, Braxton-Hicks, show – release of mucus and blood
Stage 1 – contractions regular, painful, cervix fully dilated
Stage 2 – bearing down, pushing, head descends, not longer than 1-2 hrs, baby out
Stage 3 – expulsion of placenta, bleeding
Stage 4 – first 4-6 hrs after delivery, monitoring, breast-feeding

16. Stages of labour

17. Menopause End of menstrual cycles, no more eggs 2 years without period
Hot flushes, weight gain, dryness, emotional changes