Pregnancy ( Womb Journey)

Pregnancy ( Womb Journey)

1. Definition

   • - pregnancy occurs when an egg gets fertilized by a sperm resulting in a fetus that develops into a healthy baby. resulting in stoppage of the menstrual cycle
     • what is the menstrual cycle
       • the menstrual cycle is the cycle in which the lining of the woman’s Uterus ( endometrium) sheds and grows in order to accommodate future eggs.
       • How often does it occur ?
         • every 28 days
         • How long does each menstrual cycle last ?
           • 2-7 days
     • How long does it last
       • 40 Weeks ( 9 months )

2. Stages of pregnancy

   • 1st trimester (1-12weeks)
     • 2nd trimester (13-27 weeks)
       • 3rd trimester (28weeks-birth)
         • At this point the fetus growth and development is complete and its able to sustain itself out of the womb so it starts to position its head down to prepare for delivery.
       • At this stage organ development begins and the germ layer starts to differentiate.
     • at this stage the cell goes through rapid cell division and its also called the germinal stage because germ layer formation begins. in addition, it’s a vulnerable phase because the embryos are more likely to die because of nutritional deficiencies and stress.

3. Tests

   • Urinary pregnancy test
     • Testing for HCG hormone that indicates pregnancy, although its not always accurate
   • Ultrasonography test
     • high frequency sound waves
   • transabdominal
     • is done in the 2nd trimester to evaluate the growth and development of the fetus. A lot of factors can be observed such as the movement of the fetus, heartbeat, placental placement, Birth defects and sex of the baby.
   • Transvaginal
     • - is done in the first trimester of the pregnancy and its more accurate than the transabdominal because it can detect bleeding, leaking and ectopic pregnancies.
   • Physical examination & History
     • • Palpating for breast tenderness. • Checking for nausea and vomiting • Checking the menstrual pattern more specifically (date , onset of the last menses, frequency and duration )

4. Essential vaccines

   • Purpose
     • Protection and to avoid complications
   • ones to get – Inactivated flu vaccine and Tdap Vaccine
   • Ones to avoid- MMP/ Live vaccines/ HPV /Varicela vaccine/ Travel vaccine

5. UAE maternal leave

   • How long ?
     • 45 days
   • with full pay
     • if the mother has been working for the company for 1 continuous year
   • with half pay
     • if its less than a year
   • Federal government workers
     • 90 days ( with full pay) with the possibility of adding 30 additional unpaid days.

6. Nutritional needs

   • Purpose
     • to promote normal fetus development and growth and ensure that the pregnant woman can handle the extra demands of the pregnancy
   • What to Eat
     • Oatmeal / Lean cooked Meats/ Yogurt /Leafy greens Approved tatty fish/Beans and lentils
   • What to avoid
     • o Raw fish and sushi – o Undercooked eggs o Undercooked Meats o Alcohol o Smoking o Excessive caffeine -

7. Fetal assessment and growth

   • Tool Used
     • Sonogram
     • How its used
       • a sonogram which is also called the fetal ultrasound is used to by a physician to produce images of the fetus and monitor its growth in the uterus.

8. Stem cell (umbilical cord blood banking)

   • Advantages of stem cell uses
     • replace cells damaged by chemotherapy or disease / help stimulate new bone marrow growth and restore the immune system
   • Treats and manages
     • • cancer, • blood disorders • genetic diseases

9. Psychological Status

   • - As the pregnancy progresses the psychological state of the pregnant woman changes.
     • in response to
       • Hormonal changes/ Motherhood anxiety/ Financial Situation
       • In severe cases it can lead to
         • Postpartum depression/ Postpartum psychosis

10. Family planning

    • What is it ?
      • couples determining how many children they want to have in the future
        • Purpose
          • parents lean to family planning in order to ensure that their child is financially , psychologically and socially stable
    • Types
      • Natural Planning
        • by examining the menstrual pattern and setting a plan according to the menses and ovulation dates
      • Artificial Planning
        • by placing an artificial device that can stop a woman from conceiving

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