1. Pregnancy Pre-Natal to Post-Partum

2. 3 Stages  Zygote  Embryo  Fetus

3. Zygote  Begins with fertilization of the egg  Where are eggs fertilized?  Rapid Cell Division  Approximately 2 Weeks  Ends when implanted in uterine lining

5. Embryo  3-8 Weeks After Conception  What is conception?  Body Parts Start to Form  Rests in the Amnion  Filled with Amniotic Fluid  Umbilical Cord joins Embryo to Placenta

7. Fetus  9 Weeks After Conception till Birth  Increase in Size  Systems begin to Function  Filled with Amniotic Fluid  Age of Viability: 22-28 Weeks  What is viability?

8. Knowledge Check!  What stage begins at fertilization?  Stage where the umbilical cord attaches embryo to placenta?  Age of Viability?  Zygote  Embryo  22-28 Weeks

9. Foods to Avoid While Pregnant  Raw Meat (rare or under-cooked)  Most Fish (Salt Water/Ocean Fish)  Deli Meat  Processed Meat- bye bye hotdogs!  Raw Milk and Dairy Products  Raw Vegetable Sprouts  Alcohol and Caffeine

10. Great Foods to Make Mom and Baby Happy  Eggs  Salmon  Beans  Sweet Potatoes  Popcorn  Walnuts  Dark Leafy Veggies  Lean Meat  Fruits  Veggies  Greek Yogurt  Whole Grain

11. Knowledge Check!  Why are some ocean/saltwater fish bad for mom and baby?  What are some examples of good foods for mom and baby?  Mercury content  Beans, Leafy Greens, Nuts, Fruits, Veggies

12. The First Trimester

13. The First Month  Embryo is about 1/10” long  Heart is the size of a poppy seed  What mom feels:  Tender breasts, frequency of urination, fatigue, nausea, smell sensitivity, headaches, mood swings, dizzy or faintness

15. 2nd Month  Embryo is about 1” long  Toes are slightly webbed, visible veins  Heart divides into right and left chambers

17. 3rd Month  Embryo/Fetus is about 3” long  Longer fingers and toes  Umbilical Cord connects fetus to placenta  Bones begin to harden  Skin and fingernails grow  Spontaneous Movement

18. 3rd Month  What Mom Feels:  All the stuff from before…but sometimes worse. May experience outbreaks of acne.  Weight gain is typically not noticeable in the first trimester.

19. Miscarriage  15% of pregnancies are lost during the first trimester  Loss of pregnancy before 20 weeks

20. Knowledge Check!  How many pregnancies end in miscarriage during 1 st trimester?  True/False: Spontaneous movement begins in the first trimester  What happens to the heart during the first trimester?  15%  True  Divides into right and left chambers

21. The Second Trimester

22. 4th Month  Fetus is about 4.5” long  Female babies are developing their eggs; prostate gland develops in males  Hair begins to grow  Roof of the mouth is formed  Sex can be seen at 13-14 weeks  Heartbeat can be clearly heard

24. 5th Month  Fetus is about 6.5” long  Fine downy hair covers the body  Skin is covered in greasy substance that is a protectant  If female, uterus forms  What Mom Feels:  Movement!

25. 6th Month  Fetus is about 8” long  Bone marrow starts making blood cells  Taste buds form  Eyelashes and Eyebrows develop  Baby can hear you!  What Mom Feels:  More Movement! Sometimes develops colostrum (tiny drops of early milk)

27. 7th Month  Fetus is about 9” long  Develops more and more fat  Eyelids fused together until 28 weeks  What Mom Feels:  Back pain  Stretching of the tummy skin

28. Knowledge Check  True/False: Sex of the baby can be determined 13-14 weeks in.  True/False: Baby can not hear your voice during the 2 nd trimester  Baby is how long by the end of the 2 nd trimester?  True  False  9”

29. The Third Trimester

30. 8th Month  Fetus is about 11” long  If male, testes begin descending to scrotum  What Mom Feels:  Back pain  Sleepiness  Sore Legs- Vericose Veins  Stretch Marks ):  Hair will be fuller and healthier! (:

32. 9th Month  Fetus is about 12.5” long  Pupils constrict and dilate  Fatter and less wrinkled skin  What Mom Feels:  Problems holding in urine while sneezing or coughing

33. Fetus and Addictions  Alcohol  Nicotine  Caffeine Take some time: Water Project  What can happen?  Difficulty with tone and movement  Reactivity to Stimuli  Problems staying in a single state  Nervous system problems

34. 10th Month  Fetus is about 18-22” long  Fetus has firm grip  Weighs 7-8 pounds (average)  What Mom Feels:  Cervix Dilation  Pain  Frequent Urination

35. Knowledge Check!  True/False: Testes descend during 3 rd trimester if baby is male  Mom often has troubles with _____________ during this trimester.  Baby is approximately _____” long and ________lbs. (on average)  True  Bending over, holding in urine, sleeping  18-22”, 7-8 lbs.

36. Child Birth Labor and Delivery  Stage 1: starts when uterus contracts, ends when cervix is 10 cm dilated  Stage 2: baby is pushed down the birth canal  Stage 3: placenta is expelled

38. Birthing Approaches  Classes provide info about pregnancy and birth  Teach pain control/management through breathing, imagery and coaching  Mothers who attend classes feel more positive about labor and birth

40. Knowledge Check!  True/False: Stage #1 of labor ends when your water breaks.  What is stage #4 of labor and delivery?  Mothers who do NOT attend birthing class feel this way during labor  False  Trick Question- only 3 stages!  Negative, or experience more pain

41. Complications  Anoxia- lack of oxygen  c-section  Premature and small-to-date infants  Premature is better than small-to- date  Breech  Feet first  Stillborn or Late Miscarriage

43. Knowledge Check!  What is breech?  What is miscarriage? When does it happen?  Which is better, premature or small-to-date?  Baby is feet first  Losing the baby before 20 weeks  Premature

44. Newborn Babies  APGAR  Activity  Pulse  Grimace (Irritability)  Appearance (skin color)  Respiration  Newborns should sleep on their back to help against SIDS  Half of newborn sleep is REM  4 Primary States  Alert Inactivity, Waking Activity, Crying, Sleeping

46. After Child Birth Post Partum Depression  50% of all moms feel irritation, resentment, or cry often  10-15% feel more severe post- partum depression  Affects warmth and enthusiasm of mothering

47. Knowledge Check!  What does APGAR stand for?  What is SIDS?  How many women experience post-partum depression?  Activity, Pulse, Grimace, Appearance, Respiration  Sudden Infant Death Syndrome  50% or 1/2