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Pregnancy
Delivered By: Latif Mirani
What is Pregnancy ?
“The condition or period of being
pregnant”
What is Pregnant
“ A woman or female having a child or
young developing in the uterus”
Infertility:
“The inability to conceive children or young”
Infertility affects approximately 1 out of every 6
couples . When the problem lies with the male
partner it is referred to as male infertility .If the
problem lies with the female partner it is referred
to as female infertility. Male infertility factors
contribute to approximately 30% or female 50%of
infertility cases.
What causes male infertility?
 Sperm production/Gonad disorder (30-40%)
 Sperm transport disorder (10-20%)
 Unknown causes (40-50%)
 Sexual problems
Sperm production problems
 • Undescended testes (failure of
the testes to descend at birth)
 • Torsion (twisting of the testis in scrotum)
 • Varicocele (varicose veins of the testes)
 • Medicines and chemicals
 • Radiation damage
Blockage of sperm transport
 • Infections
 • Prostate-related problems
 • Vasectomy
Sexual problems
 • premature ejaculation
 • Failure of ejaculation
 • Infrequent intercourse
 • Prostate surgery
 • Some medicines
What causes female infertility?
The most common causes of female infertility
include problems with
 Ovulation
 Damage to fallopian tubes or uterus
 Problems with the cervix.
 Age can contribute to infertility because as a
woman ages, her fertility Not
Ovulation causes
 A hormone imbalance
 A tumor or cyst
 Eating disorders such as anorexia or bulimia
 Alcohol or drug use
 Excess weight
 Stress
 Intense exercise that causes a significant loss of body
fat
Fallopian tubes or uterus problem
 Blockage of fallopian tube
 Damage of fallopian tube
 A previous infection
 Polyps in the uterus
 Uses of medicine
 A previous ectopic (tubal) pregnancy
 A birth defect
Abnormal cervical
Abnormal cervical mucus can also cause
infertility. Abnormal cervical mucus can prevent
the sperm from reaching the egg or make it more
difficult for the sperm to penetrate the egg.
Treatment:
In vitro fertilization (IVF) Fertilization
outside the body__Test tube baby
 ZIFT:zygote intrafallopian transfer.
 Sperm+Ova=Zygote
 IUT: Intra uterine transfer
 In Vivo fertilization (IVF) Fertilization
inside the body
 GIFT: Gamete intra fallopian tube
 ICSI: Intra cytoplacmic sperm injection
Fertilization
 The process by which the sperm initiates and
participates, with the egg, in the development
of the embryo.
Fertilization
Period From Conception to
Birth
Period of the Zygote
Period of the Embryo
Period of the Fetus
Period of the Zygote
Begins when egg is fertilized in the
fallopian tube.
Period of rapid cell division
Ends 2 weeks later when the zygote is
implanted in the wall of the uterus
Period of the Zygote
On day 2, the zygote has divided into two identical
cells. At this stage it is called a 2-cell embryo.
And then into four identical cells (also on day 2)
By day 3, each of those four cells has divided again, making
eight identical cells.
The morula undergoes several more cell divisions (16,
32, 64-cells) and the individual cells are now indistinct.
On day 5 fluid builds up inside the ball of cells
making it hollow. This is the blastocyst.
The embryonic stem cells clump together inside the blastocyst.
The trophoblast will become the placenta.
embryonic
stem cells
trophoblast
Period of the Embryo
From 3 to 8 weeks after conception
Body parts are formed during this
period
 Embryo rests in the amnion filled with
amniotic fluid
 Umbilical cord joins embryo to placenta
Prenatal Structures
Period of the Fetus
From 9 weeks after conception to
birth
Increase in size and systems
begin to function
Age of viability: 22 to 28 weeks
First Month
 By the end of the
first month, the
embryo is about 1/10
of an inch long. The
heart, which is no
larger than a poppy
seed, has begun
beating.
First Month
Two Months
 The embryo is about
1 inch long and has
distinct, slightly
webbed fingers.
Veins are clearly
visible. The heart
has divided into right
and left chambers.
Two Months
Three Months
 By now the fetus is 2 1/2
to 3 inches long and is
fully formed. He has
begun swallowing and
kicking. All organs and
muscles have formed
and are beginning to
function.
Four Months
 Your baby is covered
with a layer of thick,
downy hair called
lanugo. His
heartbeat can be
heard clearly. This is
when you may feel
your baby's first
kick.
4 months
Five Months
 A protective coating
called vernix caseosa
begins to form on baby's
skin. By the end of this
month, your baby will be
nearly 8 inches long and
weigh almost a pound.
Six Months
 Eyebrows and
eyelids are visible.
Your baby's lungs
are filled with
amniotic fluid, and
he has started
breathing motions. If
you talk or sing, he
can hear you.
6 Months
Seven Months
 By the end of the
seventh month, your
baby weighs about 3
1/2 pounds and is
about 12 inches
long. His body is
well-formed.
Eight Months
 Your baby is gaining
about half a pound
per week, He has
probably turned
head-down in
preparation for birth.
He weighs between
4 and 6 pounds.
Nine Months
 Your baby is a hefty
6 to 9 pounds and
measures between
19 and 22 inches. As
he becomes more
crowded, you may
feel him move
around less.
Why we need operation
 Problems in the fetus or newborn
 Problems in the mother
 A problem with the placenta
 Lack of iron
 And many other problems
 Premature rupture of the membranes
 Abnormal position of the fetus
 Multiple births (such as twins or triplets)
 Amniotic fluid embolism (sometimes causing a
life-threatening reaction in the woman)
 Prolapsed umbilical cord
 Nuchal cord
 A fetus that is too large to pass through the birth
canal (pelvis and vagina)—called fetopelvic
disproportion
The End

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Pregnancy, conception and-birth

  • 2. What is Pregnancy ? “The condition or period of being pregnant” What is Pregnant “ A woman or female having a child or young developing in the uterus”
  • 3. Infertility: “The inability to conceive children or young” Infertility affects approximately 1 out of every 6 couples . When the problem lies with the male partner it is referred to as male infertility .If the problem lies with the female partner it is referred to as female infertility. Male infertility factors contribute to approximately 30% or female 50%of infertility cases.
  • 4. What causes male infertility?  Sperm production/Gonad disorder (30-40%)  Sperm transport disorder (10-20%)  Unknown causes (40-50%)  Sexual problems
  • 5. Sperm production problems  • Undescended testes (failure of the testes to descend at birth)  • Torsion (twisting of the testis in scrotum)  • Varicocele (varicose veins of the testes)  • Medicines and chemicals  • Radiation damage
  • 6. Blockage of sperm transport  • Infections  • Prostate-related problems  • Vasectomy
  • 7. Sexual problems  • premature ejaculation  • Failure of ejaculation  • Infrequent intercourse  • Prostate surgery  • Some medicines
  • 8. What causes female infertility? The most common causes of female infertility include problems with  Ovulation  Damage to fallopian tubes or uterus  Problems with the cervix.  Age can contribute to infertility because as a woman ages, her fertility Not
  • 9. Ovulation causes  A hormone imbalance  A tumor or cyst  Eating disorders such as anorexia or bulimia  Alcohol or drug use  Excess weight  Stress  Intense exercise that causes a significant loss of body fat
  • 10. Fallopian tubes or uterus problem  Blockage of fallopian tube  Damage of fallopian tube  A previous infection  Polyps in the uterus  Uses of medicine  A previous ectopic (tubal) pregnancy  A birth defect
  • 11. Abnormal cervical Abnormal cervical mucus can also cause infertility. Abnormal cervical mucus can prevent the sperm from reaching the egg or make it more difficult for the sperm to penetrate the egg.
  • 12. Treatment: In vitro fertilization (IVF) Fertilization outside the body__Test tube baby  ZIFT:zygote intrafallopian transfer.  Sperm+Ova=Zygote  IUT: Intra uterine transfer
  • 13.  In Vivo fertilization (IVF) Fertilization inside the body  GIFT: Gamete intra fallopian tube  ICSI: Intra cytoplacmic sperm injection
  • 14. Fertilization  The process by which the sperm initiates and participates, with the egg, in the development of the embryo.
  • 16. Period From Conception to Birth Period of the Zygote Period of the Embryo Period of the Fetus
  • 17. Period of the Zygote Begins when egg is fertilized in the fallopian tube. Period of rapid cell division Ends 2 weeks later when the zygote is implanted in the wall of the uterus
  • 18. Period of the Zygote
  • 19. On day 2, the zygote has divided into two identical cells. At this stage it is called a 2-cell embryo.
  • 20. And then into four identical cells (also on day 2)
  • 21. By day 3, each of those four cells has divided again, making eight identical cells.
  • 22. The morula undergoes several more cell divisions (16, 32, 64-cells) and the individual cells are now indistinct.
  • 23. On day 5 fluid builds up inside the ball of cells making it hollow. This is the blastocyst. The embryonic stem cells clump together inside the blastocyst. The trophoblast will become the placenta. embryonic stem cells trophoblast
  • 24. Period of the Embryo From 3 to 8 weeks after conception Body parts are formed during this period  Embryo rests in the amnion filled with amniotic fluid  Umbilical cord joins embryo to placenta
  • 26. Period of the Fetus From 9 weeks after conception to birth Increase in size and systems begin to function Age of viability: 22 to 28 weeks
  • 27. First Month  By the end of the first month, the embryo is about 1/10 of an inch long. The heart, which is no larger than a poppy seed, has begun beating.
  • 29. Two Months  The embryo is about 1 inch long and has distinct, slightly webbed fingers. Veins are clearly visible. The heart has divided into right and left chambers.
  • 31. Three Months  By now the fetus is 2 1/2 to 3 inches long and is fully formed. He has begun swallowing and kicking. All organs and muscles have formed and are beginning to function.
  • 32. Four Months  Your baby is covered with a layer of thick, downy hair called lanugo. His heartbeat can be heard clearly. This is when you may feel your baby's first kick.
  • 34. Five Months  A protective coating called vernix caseosa begins to form on baby's skin. By the end of this month, your baby will be nearly 8 inches long and weigh almost a pound.
  • 35. Six Months  Eyebrows and eyelids are visible. Your baby's lungs are filled with amniotic fluid, and he has started breathing motions. If you talk or sing, he can hear you.
  • 37. Seven Months  By the end of the seventh month, your baby weighs about 3 1/2 pounds and is about 12 inches long. His body is well-formed.
  • 38.
  • 39. Eight Months  Your baby is gaining about half a pound per week, He has probably turned head-down in preparation for birth. He weighs between 4 and 6 pounds.
  • 40.
  • 41. Nine Months  Your baby is a hefty 6 to 9 pounds and measures between 19 and 22 inches. As he becomes more crowded, you may feel him move around less.
  • 42. Why we need operation  Problems in the fetus or newborn  Problems in the mother  A problem with the placenta  Lack of iron  And many other problems
  • 43.  Premature rupture of the membranes  Abnormal position of the fetus  Multiple births (such as twins or triplets)  Amniotic fluid embolism (sometimes causing a life-threatening reaction in the woman)
  • 44.  Prolapsed umbilical cord  Nuchal cord  A fetus that is too large to pass through the birth canal (pelvis and vagina)—called fetopelvic disproportion