CHILDBEARING
CONCEPTION
FERTILIZATION occurs as an ovum and
a sperm
ZYGOTE – Fertilized egg unites.
migrates to the uterus &
implants to its wall. ( 12-14 days )
EMBRYO – 15th day to 8th week
FETUS – 8th week to birth
"Life is present from the moment of conception."
STRUCTURES OF PREGNANCY
FETAL MEMBRANES
AMNION
- inner membrane (bag of waters) maintains fetal
temperature and cushion full term – 500-1000
ml clear slightly yellowish liquid with
characteristic but not foul odor
oligohydramnios (<500ml) polyhydramnios
(>1500ml)
STRUCTURES OF PREGNANCY
FETAL MEMBRANES
UMBILICAL CORD
PLACENTA
Organ of pregnancy that permits an exchange of
nutrients, oxygen (diffusion) and removal of
products of fetal metabolism into the mother’s
bloodstream.
Produces hormones of pregnancy:
HCG – Human Chorionic Gonadotropin
HPL – Human Placental Lactogen
Estrogen and Progesterone
FETAL DEVELOPMENT
This remarkable
photograph of a
tiny baby in his
unruptured 6 WEEKS
amniotic sac was
taken after
surgery for an
ectopic
pregnancy in
1972. This
picture
4 WEEKS
demonstrates the 7 WEEKS
development of a
baby at only six
weeks after
conception.
10 WEEKS
http://ww w.wprc. org/fetal .phtml
18 WEEKS 20 WEEKS
FETAL DEVELOPMENT
DEVELOPMENT
•Pre embryonic – 1st 2 weeks
•Embryonic – 3 to 7 weeks
•Fetal – 8 to 40 weeks
- Full term: 38-42 weeks
- Preterm: < 38 weeks
- Post-term: > 42 weeks
FETAL CIRCULATION
DUCTUS ARTERIOSUS
DUCTUS VENOSUS
- Connects the
umbilical vein to
the inferior vena
cava
FORAMEN OVALE
- Opening between
the left and right
atrium
FETAL CIRCULATION
MATERNAL ADAPTATIONS
ANATOMICAL
UTERUS – change in size and structure.
weight increase to about 1000-1200gms (full
term)
increase amount of fibrous & elastic tissues
change in shape from pear like to ovoid
lower uterine segment softening (Hegar’s Sign-
6th wk)
MATERNAL ADAPTATIONS
ANATOMICAL
OVARIES – no activity
MATERNAL ADAPTATIONS
ANATOMICAL