man and a woman united in legitimate marriage, and capable of fulfilling the conditions for the conception of a new human person.
Human Reproduction is any form of sexual reproduction resulting in the conception of a child, typically involving sexual intercourse between a man and a woman.
Risk Factors That Will Lead to Genetic Disorders: Abnormalities in genes Environmental exposures Specific substances Inheritance
Genetic Disorders are physical defects or illnesses that are caused by problems in your bodys genetic code
Common Tests for Determination of Genetic Abnormalities:
Blood and saliva Pregnancy tests Ultrasound Amniocentesis Chorionic villi sampling (CVS) Percutaneous umbilical blood sampling Common Genetic Disorders: Downs Syndrome is characterized by delayed physical and mental development Sickle Cell Anemia is a hereditary disorder that is passed down from both parents Tay Sachs Disease is a devastating illness that causes severe mental and physical incapacity Phenylketonuria (PKU) a genetic disorder that affects children who have parents who carry the PKU genetic defect Fragile X Syndrome is caused by a defect in one of your babys X chromosomes
SCREENING OF THE PREGNANT WOMAN 1. First-Trimester Screening Blood tests to estimate the risk of Down syndrome are done at about 11 to 14 weeks of pregnancy These tests involve measuring levels of pregnancy-associated placental protein A (produced by the placenta) and beta-human chorionic gonadotropin in a pregnant womans blood
Ultrasonography is done to measure fluid- filled space near the back of the fetuss neck (called fetal nuchal translucency) Abnormal ultrasound measurements indicate an increased risk of down syndrome Abortion, if desired, is safer when done earlier
2. Second-Trimester Screening Ultrasonography can do the following: Confirm the length of the pregnancy Locate the placenta Indicate whether the fetus is alive It is done before chorionic villus sampling and amniocentesis Important markers : (pregnant womans blood are measured) Alpha-fetoprotein a protein produced by the fetus Estriol this hormones precursors are produced by the fetus Human chorionic gonadotropin a hormone produced by the placenta Inhibin A a hormone produced by the placenta 3. Triple and Quad Screening: Measuring estriol, beta-human chorionic gonadotropin plus alpha-fetoprotein is called triple screening, inhibin A may also be measured - --- measuring these four markers is called quad screening Triple or quad screening is done around 15 to 20 weeks of pregnancy Combining 1 st and 2 nd Trimester Screening: Combination of 1 st trimester and 2 nd trimester tests are done and results from both are analyzed together
Chorionic Villus Sampling: a doctor removes a small sample of the chorionic villi, which are tiny projections that make up part of the placenta, through the cervix between 10 12 weeks of pregnancy Amniocentesis: offered to women over 35 to estimate their risk of having a baby with down syndrome a sample of the fluid that surrounds the fetus (amniotic fluid) is removed and analyzed usually done at 15 weeks of pregnancy or later Percutaneous Umbilical Blood Sampling: is used when rapid chromosome analysis is needed, particularly toward the end of pregnancy when ultrasonography has detected abnormalities in the fetus
FEMALE REPRODUCTIVE SYSTEM:
External Genitalia Vulva is the collective term of female external genetalia
Pudenda is the term used to denote the external genetalia of either sex
a.Mons Pubis also called Mons Veneris, meaning mountain of venus, is a mound of fatty tissues that lies over the symphysis pubis covered by skin and at puberty is covered by pubic hair that serves as cushion or protection to the symphysis pubis
b. Labia majora large lips; longitudinal fold of pigmented skin that extends from the symphysis pubis to the perineum
Dartus muliebris responsible fro the wrinkle-like appearance of the labia majora c. Labia minora nymphae; soft and thin longitudinal fold located in between labia majora
Clitoris Greek word means key; pea- shaped composed of erectile tissues and sensitive nerve endings which is the site of sexual arousal and eroticism in females Fourchette formed by the posterior joining of the labia minora and majora which is very sensitive to manipulation, often torn during vaginal delivery; common site for episiotomy
d. Vestibule an almond shape area that contains the urinary meatus, Skenes glands, hymen, vaginal orifice and Bartholins gland
Urinary Meatus urethral opening for urination
Skenes Glands (Paraurethral Glands or lesser vestibular) - secretes small amounts of mucous which functions as lubrication during sexual intercourse or coitus - Bartholins Glands (Paravaginal or Vulvo-vaginal glands or greater vestibular) - secretes alkaline substance responsible for neutralizing the acidity of vagina to keep the sperm alive
Doderleines bacillus responsible for maintaining the acidic environment of the vagina
Vaginal Orifice external opening of the vagina Hymen membranous tissue that covers vaginal orifice
* Carunculae myrtiformes (hymenal caruncles) term for the residual tags of the torn hymen post- instrumentation, use of tampons, coitus or vaginal delivery
e. Perineum muscular structure in between vagina and anus - contains and arteries and veins that supply blood
2. Internal Genitalia a. Vagina female organ for copulation - passageway of menstruation and fetus - 3 4 inches or 8 10 cm long of dilatable canal containing rugae
Rugae - thick folds of membranous stratified epithelium which permits considerable amount of stretching without tearing
Purposes of the Vagina Receives a males erect penis and semen during sexual intercourse. Pathway through a woman's body for the baby to take during childbirth. Provides the route for the menstrual blood (menses) from the uterus, to leave the body. May hold forms of birth control, such as a diaphragm, FemCap, Nuva Ring, or female condom.
b. Uterus a hollow, thick walled muscular organ designed for the implantation, containment and nourishment of the developing fetus - varies in size, shape and weight - its functions are mainly for menstruation, pregnancy and labor Size: 1 thick x 2 wide x 3 long Shape: * Non-pregnant: pear shape or inverted avocado * Pregnant: ovoid
Weight: * Non-Pregnant; 50 60 g * Pregnant: 1000 g * 4 th stage of labor: 1000 g * 2 weeks after delivery: 500 g * 3 weeks after delivery: 300 g * 5 6 weeks after delivery; 50 60 g
Three Portions of the Uterus * Fundus upper cylindrical layer * Corpus/body - upper triangular portion Isthmus called the lower uterine segment during pregnancy - it the portion that joins the cervix to the Corpus * Cervix lower cylindrical layer - lowest and narrowest end of uterus
Muscular Layers of the Uterus * Endometrium it lines the non-pregnant uterus; muscle layer for menstruation; sloughs off during menstruation
*Decidua it lines the pregnant uterus
*Endometriosis (Ectopic Endometrium) abnormal proliferation of endometrial lining outside the uterus causing pain or infertility a. Sites: ovaries (most common), fallopian tubes or rectal area b. Outstanding signs: dyspereunia, low back pain and persistent dysmenorrheal which is intensified during menses c. Diagnostic tests: laparoscopy and Biopsy d. Drugs of choice: Danazol (Danocrine) stops menstruation and inhibits ovulation Leuprolide (Lupron) inhibits FSH and LH production
Oral contraceptive Pills suppress LH and FSH and inhibits ovulation NSAIDS to relieve pain (ex. Mefenamic acid, Naproxen)
* Myometrium its smooth muscles are considered to be the living ligature of the body; largest portion of the uterus; the power of labor; muscle layer for delivery process
* Perimetrium protects the entire uterus, (parietal peritoneum)
c. Ovaries two almond-shaped female sex glands for ovulation and production of two hormones progesterone and estrogen
d. Fallopian Tubes two to three inch long passageway which conveys the ova to the uterus
Four Significant Segments of the Fallopian Tubes: Infundibulum most distal part which is funnel or trumpet-shaped - has fimbria which are finger-like projections that catches the mature ovum
Ampulla outer 3 rd or 2 nd half - common site for fertilization and ectopic pregnancy Isthmus common site for female sterilization which is also known as Bilateral Tubal ligation (BTL) Interstitial most dangerous site for ectopic pregnancy because of its narrow lumen about 1 mm in diameter