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Mapa mental

pregnancy

Hala Mesmar Inglês

Mind map about pregnancy: gametogenesis, fertilization, menstrual cycle and stages of pregnancy

Mind map: pregnancy

Conteúdo do mapa

pregnancy

  1. it is the period in which a fetus develops in the womb of a mother

  2. gametogenesis

    • oogenesis
      • happens in the ovaries
      • primary oocytes develop before birth.
        • secondary oocytes develop with every ovulation
    • spermatogenesis
      • happens in the testes during puberty
    • the process of creating the gametes, sex cells
      • they have half the number of chromosomes
        • haploid, 23 chromosomes
  3. fertilization

    • it is the fusion of sperm and egg
      • joining 2 haploid cells creates a diploid cell
      • the sperm must undergo capacitation and an acrosomal reaction
        • digest the corona radiata and the zona pellucida surrounding the ova
      • hundreds of sperms clear the way for a single sperm to enter the ova
  4. ovulation

    • the release of the egg from the ovaries
      • the egg may not get fertilized
        • released with the uterus's lining during menstruation
          • 14 days after ovulation
    • happens on day 14 of the 28 days menstrual cycle
      • knowing when ovulation happens helps with achieving/preventing pregnancy
    • triggered by LH
    • has signs and symptoms
  5. implantation

    • the attachment of the blastocyst to the wall of the uterus
      • happens 6 days after fertilization
      • the blastocyst digests the cells of the endometrium to bury itself deeper in the wall of the uterus
        • a week later the uterus is covering the blastocyst
  6. menstrual cycle

    • follicular phase
      • follicles grow
      • zona pellucida forms around the ova
      • estrogen secretion
        • proliferation of the uterine wall cells
      • graafian follicles form
    • ovulation
      • releasing the oocyte
        • by LH secretion
      • secondary oocyte undergoes meiosis 1
      • progesterone release
        • promotes secretory action of the uterine wall cells
    • luteal phase
      • formation of the corpus luteum
        • in case of fertilization
          • releases progesterone
        • in case of menstruation
          • degenerates
          • progesterone levels decrease then estrogen
          • vasospasm of endometrial blood vessels
          • 40 ml of blood, 35 ml serous fluid
  7. hormonal changes

    • hCG
      • promote nausea and vomiting
      • made by the syncytiotrophoblastic cells
    • hPL
      • made by the placenta
      • stimulate milk glands in the breast for breastfeeding
    • estrogen
      • levels keep increasing
      • promotes nausea
    • progesterone
      • stimulates uterine thickening
        • prepares uterus for pregnancy
  8. how to confirm pregnancy

    • home pregnancy tests
      • urine test
        • hCG pregnancy strip
    • medical tests
      • blood tests
        • quantitative and qualitative hCG blood test
      • ultrasound
      • clinical urine test
    • checking the physical signs and symptoms
      • fatigue
      • nausea
      • frequent urination
      • menstruation stops
  9. stages of pregnancy

    • what happens to the mother
      • 1st trimester
        • common pregnancy symptoms
          • most go away as pregnancy prgoresses
            • changing daily routine will help
              • sleeping early
              • eating more frequent meals
      • 2nd trimester
        • most important trimester for the baby
          • regular clinic visits
          • mother should take good care of herself
        • body shape changes occur
          • stretch marks
          • weight gain
      • 3rd trimester
        • baby starts pressuring the organs
          • breathing problems
          • incontinence
        • cervix softens
          • birth preparation
    • what happens to the fetus
      • 1st trimester
        • CNS and heart form
        • major organs and external structures develop
        • sex organs develop
          • gender check can be done
        • eyelids form but remain closed
          • eyes not yet developed
      • 2nd trimester
        • GI tract develops
          • 1st bowel movement
        • lanugo covers fetus
          • smooth hair
            • eyebrows and lashes
        • vernix covers the skin
          • waxy layer
          • toenails and fingernails
        • bone marrow produces blood cells
        • baby sleeps and wakes up regularly
        • developed yet nonfunctional lungs
      • 3rd trimester
        • eyes open and close
        • lanugo is replaced
        • body stores minerals
        • vernix gets thicker
  10. routine investigations

    • blood pressure
      • high BP check
    • urine test
      • kidney and bladder infection
      • protein concentration
    • blood test
      • STDs
        • HIV
      • hepatitis B
      • anemia
      • blood group compatibility
      • glucose level
    • GBS check
      • causes pneumonia to the fetus
        • antibiotics during labor
    • abdominal circumference
      • checks fetus's growth
    • ultrasound
    • non-stress test
      • fetus heart rate and O2 count
    • kick counts
      • ensures muscle and nerve development
  11. FDA pregnancy categories

    • indicates drugs that cause birth defects during pregnancy
      • the thialdomide tragedy
    • category A
      • harmless in small doses in the 1st trimester
      • levothyroxine
      • follic acid
      • liothyronine
    • category B
      • metformin
      • cyclobenzaprine
      • amoxicillin
      • hydrochlorothiazide
    • category C
      • benefits compensate for risks
      • gabapentin
      • amlodipine
      • trazodone
    • category D
      • evidence of fetal risk
        • benefits might compensate
      • losartan
    • category X
      • fetal abnormalities and human fetal risk
      • atorvastatin
      • simvastatin
      • methotrexate
      • finasterid
  12. pregnancy and vaccination

    • flu shot
      • for women who are pregnant during flu season.
    • tetanus toxoid
      • during each pregnancy
        • protect against whooping cough
  13. calculating EDD

    • 1st day of the last menstrual period
      • count back 3 months
        • add 1 year and 7 days
  14. nutritional supplements during pregnancy

    • follic acid
      • should be taken until the 12th week
      • prevent neural tube defect
        • spina bifida
    • Ca and vitamin D
      • Ca for mother
        • muscle and nervous system function
      • Ca for fetus
        • bones and teeth
      • vitamin D
        • regulates Ca and phosphate levels
    • iron
      • Hb formation
        • O2 transformation
    • prebiotics
      • stimulate growth and activity of probiotics
      • strengthen immunity
    • fats, proteins and carbohydrates
    • probiotics
      • reduce discomforts
        • constipation
          • help breakdown food
        • vaginal yeast
        • bloating
        • heartburn
        • frequent urination
    • vitamin C
      • protects cells
        • keeps them healthy
    • magnesium
      • teeth and bones
      • muscle contractions
      • important for the enzyme system
    • DHA
      • for the developing brain and nerves
    • vitamin A
      • eyes, bones, skin and lung
      • too much usage can lead to birth defects
  15. maternal physiological changes of pregnancy

    • hematological changes
      • fall in hemoglobin concentration
        • increase in plasma volume
      • increase in clotting factors
      • increase in RBC volume
    • musculoskeletal changes
      • increase in BMI
        • feeling of overheat
        • because of hormone secretion
      • stretch marks
      • lower back pain
      • muscle cramps
    • dermatological changes
      • increase in pigmentation
      • varicose veins
        • uterus applies pressure on the veins
      • spider angioma
        • swollen blood vessels
      • striae gravidarum
        • stretch marks in abdominal area
    • respiratory changes
      • hyperventilation
      • diaphragmatic breathing
        • because of enlargement of the uterus
      • increased sensitivity to CO2
        • because of progesterone
    • cardiovascular changes
      • increased cardiac output
      • decrease in systemic volume resistance
      • blood flow increases to organs
        • increased metabolic needs of tissues
    • gynecological changes
      • increase in progesterone and estrogen levels
        • enlargement of the breasts
      • vaginal lactobacillie proliferation
        • decreases pH
        • protects against pathogens
    • urological changes
      • increase in renal blood flow
      • increased GFR
      • increased kidney size
      • ureteral dilation
        • sphincter muscle relaxation
          • effect of progesterone
          • incontinence
    • gastrointestinal changes
      • increased bowel motility
        • constipation
      • acid reflux and heartburn
        • abdominal pressure
        • esophageal relaxation
          • effects of progesterone
  16. size of the fetus

    • 1st month
      • poppy seed size
        • size of an apple later
    • 2nd month
      • size of a kidney bean
        • 1.6 cm
    • 3rd month
      • about the size of a lipstick
        • 7.5 cm
    • 4th month
      • size of an avocado
    • 5th month
      • about the size of a banana
        • between 25 cm and 30 cm
    • 6th month
      • size of a mango
    • 7th month
      • size of an eggplant
        • 40 cm
    • 8th month
      • size of a pineapple
    • 9th month
      • size of a watermelon
        • 50 cm
  17. environmental effects on the fetus

    • smoking
      • preterm birth
      • low birth weight
      • birth defects
        • congenital heart defects
    • alcohol
      • FAS
        • face and brain abnormalities
    • stress
      • preterm birth
    • MRI and CT scans
      • if performed before 4 moths
        • increase chances of developing cancer
    • toxins
      • mercury and lead
        • affect almost every body system
        • damages to the mother as well as the fetus
        • problems with behavior and learning
  18. hormones that regulate breastfeeding

    • prolactin
      • by anterior pituitary
      • targets milk making alveoli
      • increase with suckling
    • oxytocin
      • by posterior pituitary
      • causes muscle contraction around the alveoli
        • squeezes milk from milk ducts
  19. family planning

    • managing the number of children and years difference between children
    • using birth controls
    • prevention of STDs
    • infertility management
  20. changes in body shape

    • expanding belly and hips
    • weight gain
    • breast enlargement
    • peripheral edema
    • enlarged uterus
      • incontinence
    • morning sickness
    • back pain
  21. postnatal visits

    • concerned with the health of the mother after labor
      • start 4-6 weeks after giving birth
        • stop after 12 weeks after delivery
    • important to all mother
      • especially mothers suffering specific complications
    • physical exam
      • weight
      • blood pressure
      • breasts
      • incision in case of C-section
      • episiotomy check
      • check on pregnancy conditions
        • hypertension
        • gestational diabetes
      • check for chronic diseases/complications that happened during labor
  22. antenatal visits

    • checks health of mother and fetus
    • provide nutrition for both
    • vaccines and medicines
    • tips and advice for a healthy pregnancy
      • help provide with full term baby
    • weeks 4 and 28
      • physical exam
      • history check up
      • lab tests
      • ultrasound
      • announcing EDD
      • 1 visit /month
    • weeks 28-36
      • 1 visit every 2 weeks
    • weeks 36-40
      • 1 visit/week
        • dependent on risk factors

Informações

Descrição
Mapa Mental sobre pregnancy, criado por Hala Mesmar em 10-09-2020.
Criado por
Hala Mesmar
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