1. 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 3 rd week – placenta fully functional Foetus – 8 th week - humanoid

9. Making a baby

10. http://vimeo.com/73605681 http://vimeo.com/73605680 http://vimeo.com/73619069 http://vimeo.com/73638728

11. Hormone levels

12. What changes? Bone and ligament in pelvis Hormonal – increased progesterone, oestrogen, cortisol, HPL – increases GH and Insulin Blood – increased volume, slow venous return, decreased albumin Respiratory 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. Placenta Foetal tissue Protects the foetus from maternal blood pressure fluctuations Protects the foetus from maternal immune function Protects the foetus from maternal blood group conflict Protects the foetus from infection or toxic substances Point of exchange of nutrients from mother to foetus Point of exchange of wastes from foetus to mother