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On the Brink of Birth ,[object Object]
Obstetrics in Broad Perspective We have come a long way from ‘ Stand By’ the pregnant woman    Support Normal Delivery    Prevent Abnormal Delivery    Predict onset of Adverse Effects
Structure of reproductive organs   Giving birth to another life is reproduction.  Human reproduction is unique.   Organs Concerned with Reproduction Male & Female External Genital Organs  Internal Genital Organs
External Genital Organs   Female are referred to collectively as the  vulva .   ,[object Object],[object Object],[object Object],[object Object]
Internal Genital Organs   Female ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],} Control of menstruation ,[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Uterine Support Transverse cervical & Uterosacral Ligaments Spokes of a bicycle wheel Lavator ani Structures passing through Rectum, urethra and uterine cervix Controls urinary continence & defecation Three layers of uterus The endometrium  The myometrium &  The perimetrium
Vagina that receives the male sperm during intercourse   9 Cm long Ovulation   mature oocyte is released from the primordial follicle.  once a month.
Reproductive cycle   menstrual bleeding  ovum travels through the fallopian tube to the uterus
Structure of male reproductive organs Testes   suspended inside a sac called the scrotum by a spermatic cord  Functions of the Testes   produce sperm cells and secrete male sex hormones
Internal  Organs male ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object]
DIFFERENCE BETWEEN MALE AND FEMALE PELVIS Male Bony Pelvis   Female Bony Pelvis
Female Pelvis with Fascia and Ligaments
Fertilization & Implantation  ,[object Object],[object Object]
Fertilization
One Seed  +  One Egg ,[object Object],Life begins when an egg, previously released from one of the two ovaries, merges with just one of the hundreds of millions of sperm cells supplied through the vagina by the male reproductive system. The fertilized egg then descends to the wall of the uterus, where it implants itself to begin gestation .   Attachment of the zygote to the wall of the uterus
Fetal life support systems ,[object Object],[object Object],[object Object]
Placenta ,[object Object]
Amnion Membranous sac which surrounds &  protects  the  embryo . umbilical cord Lifeline between the  fetus  and the  placenta  in the uterus Later stage in the development of the umbilical cord   Fetus of about eight weeks, enclosed in the amnion.
Formation and structure of the umbilical cord   – By the end of the  third week  of development the embryo is attached to placenta via a connecting stalk   Beginning of the umbilical cord   Development of the umbilical cord   Development of the yolk sac & the duct
Cross section of normal umbilical cord   Fetus at ~53 days  Umbilical cord protects the fetal vessels that connect the placenta &  fetus Fetus and placenta from a 17 week gestation
 
Embryo  ,[object Object],[object Object],[object Object],[object Object]
Embryo to Fetus  ,[object Object],fifteen days twenty-one days thirty days   thirty-four days  six wks  eight wks
[object Object]
[object Object]
[object Object],The nervous system is also developing  – the fetus can react to pressure and loud noise.  This sensitivity to outside stimulus is perhaps the most important thing about the fetus.
[object Object]
[object Object]
[object Object]
[object Object]
[object Object]
[object Object],The average weight of the Indian baby at 40 weeks of pregnancy is 2,750Gms at birth.
Physiology of Pregnancy ,[object Object],[object Object],[object Object]
changes in the  cardiovascular system ,[object Object]
Renal system ,[object Object]
Respiratory System ,[object Object],[object Object],[object Object]
Gastrointestinal System ,[object Object]
[object Object],[object Object],[object Object],Skin
Metabolism ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hormonal Changes Hormones are chemically diverse substances (e.g. steroids; peptides), which are released into the bloodstream in response to some stimulus, and activate cells. The main hormones are    Human Chorionic Gonadotropin (hCG) Oestrogen    Progesterone Prolactin   Relaxin   Oxytocin Prostaglandin
Uterus ,  Cervix  and  Breasts The anatomical, physiological and biochemical adaptations that take place in women during the short span of human pregnancy are profound.
Three Trimesters & Labour ,[object Object],[object Object],[object Object],[object Object]
First Trimester ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Second & Third Trimesters  & Labour ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
New Born A healthy new born cries vigorously as soon as he is born, kicking his limbs actively, giving the greatest joy to the tired mother.
Prenatal Care   ,[object Object],Aims of Antenatal Care (1)  The screening and prevention of maternal or fetal problems, (2)  Management of maternal or fetal problems, and  (3)  The preparation of the couple for childbirth and childrearing.   Investigations –   Sonography  – Ultrasound & Doppler (1)   Detects the movement of red blood cells  (2)  Altered measurements of blood flow within maternal and fetal vessels
Doppler Waves
Diet in pregnancy   ,[object Object]
[object Object],Four Groups of Food   1.  Proteins  = 4 Kilo calories/Gram  All Dhals – Bengal gram, Green gram, Peas Soya, Horse gram, etc.,  Green vegetables including Palak, etc.,  Milk products like cheese, curds, buttermilk, ghee, butter  Meat, egg, fish 2.  Fat  = 9 Kilo calories/Gram  Oil, Butter, Ghee, Oily Seeds 3.  Carbohydrates  = 4 Kilo calories/Gram  Rice, Wheat, Corn, Ragi, etc.,  Fruits, Vegetables  Potato, Sweet Potato, Root Vegetables  Jaggery, Sugar, Honey, Milk 4.  Micronutrients & Antioxidants   = Minute Qty  Calcium, Iron, Iodine, Copper, Cobalt,  Sodium, Phosphorous, Potassium, etc.  Vitamins-ABCDEK, etc.,  Antioxidants like Garlic, Turmeric, Ginger
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],Three groups of essential food substances in pregnancy 1.Supply energy to the mother and the fetus 2.Help in building and repairing tissues and organs 3.Protect the mother against infection and disease, help in the proper functioning of all the systems including that of the fetus. ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],They blame almost all food items regarding fruits. The old belief is that banana and orange causes  abortion  and also respiratory  problems . There is absolutely no truth in this. In fact there is lot of vitamin A, C and iron in these fruits, which are  very essential  to the pregnant woman.
[object Object],[object Object],Regarding vegetables, the wrong concept is that brinjal and green vegetables cause  diarrhoea , allergy and green skin marks. This understanding is also  not true . They contain abundant vitamin A, proteins and iron which help in constipation that is common in pregnancy.
[object Object],[object Object],Yogic Concept of Balanced Diet Those Diets which restore balance at all levels           Physical           Pranic           Mental & Emotional           Intellectual ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Combining the knowledge from the west and the east, it means that, the best type of diet for a pregnant woman is a  Satvic , simple wholesome vegetarian diet. The ingredients could include all (less polished) cereals and lentils, plenty of vegetables (cooked and raw), fruits, butter milk instead of curd or milk, moderate quantity of oils and not solid fats, plenty of water and malted drinks; replace coffee and tea by herbal tea;  avoid stored  and  tinned foods , aerated drinks, foods with preservatives and colouring agents; select grains and vegetables grown organically. Quantity  of the items are to be  calculated  according to the, state of the mind, body weight, the level of physical activity, and the degree of weight gain as the pregnancy advances.  Obtaining carbohydrates from unprocessed sources like nuts, fruits and whole-grain breads is healthier than the alternative for pregnant women.  Don’t eat  just before or while you’re  exercising , though. The ideal eating pattern is 2 to 3 hours before yoga exercises and immediately afterwards.
[object Object],[object Object],Diet in the 2 nd  and the 3 rd  trimesters Because of the gradual increase in the pressure on the chest by the gravid uterus she should take frequent  small feeds  which are easily digested and should avoid very  hot spicy  or excessively  salty  preparation.
Perinatal problems ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stress and its adverse effects on pregnancy  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THANK YOU

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Basic medical facts about pregnancy.ppt

  • 1.  
  • 2.
  • 3. Obstetrics in Broad Perspective We have come a long way from ‘ Stand By’ the pregnant woman  Support Normal Delivery  Prevent Abnormal Delivery  Predict onset of Adverse Effects
  • 4. Structure of reproductive organs Giving birth to another life is reproduction. Human reproduction is unique. Organs Concerned with Reproduction Male & Female External Genital Organs Internal Genital Organs
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11. Uterine Support Transverse cervical & Uterosacral Ligaments Spokes of a bicycle wheel Lavator ani Structures passing through Rectum, urethra and uterine cervix Controls urinary continence & defecation Three layers of uterus The endometrium The myometrium & The perimetrium
  • 12. Vagina that receives the male sperm during intercourse 9 Cm long Ovulation mature oocyte is released from the primordial follicle. once a month.
  • 13. Reproductive cycle menstrual bleeding ovum travels through the fallopian tube to the uterus
  • 14. Structure of male reproductive organs Testes suspended inside a sac called the scrotum by a spermatic cord Functions of the Testes produce sperm cells and secrete male sex hormones
  • 15.
  • 16.
  • 17.
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  • 19. DIFFERENCE BETWEEN MALE AND FEMALE PELVIS Male Bony Pelvis Female Bony Pelvis
  • 20. Female Pelvis with Fascia and Ligaments
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  • 26. Amnion Membranous sac which surrounds & protects the embryo . umbilical cord Lifeline between the fetus and the placenta in the uterus Later stage in the development of the umbilical cord Fetus of about eight weeks, enclosed in the amnion.
  • 27. Formation and structure of the umbilical cord – By the end of the third week of development the embryo is attached to placenta via a connecting stalk Beginning of the umbilical cord Development of the umbilical cord Development of the yolk sac & the duct
  • 28. Cross section of normal umbilical cord Fetus at ~53 days Umbilical cord protects the fetal vessels that connect the placenta & fetus Fetus and placenta from a 17 week gestation
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  • 48. Hormonal Changes Hormones are chemically diverse substances (e.g. steroids; peptides), which are released into the bloodstream in response to some stimulus, and activate cells. The main hormones are   Human Chorionic Gonadotropin (hCG) Oestrogen   Progesterone Prolactin   Relaxin Oxytocin Prostaglandin
  • 49. Uterus , Cervix and Breasts The anatomical, physiological and biochemical adaptations that take place in women during the short span of human pregnancy are profound.
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  • 53. New Born A healthy new born cries vigorously as soon as he is born, kicking his limbs actively, giving the greatest joy to the tired mother.
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  • 64. Combining the knowledge from the west and the east, it means that, the best type of diet for a pregnant woman is a Satvic , simple wholesome vegetarian diet. The ingredients could include all (less polished) cereals and lentils, plenty of vegetables (cooked and raw), fruits, butter milk instead of curd or milk, moderate quantity of oils and not solid fats, plenty of water and malted drinks; replace coffee and tea by herbal tea; avoid stored and tinned foods , aerated drinks, foods with preservatives and colouring agents; select grains and vegetables grown organically. Quantity of the items are to be calculated according to the, state of the mind, body weight, the level of physical activity, and the degree of weight gain as the pregnancy advances. Obtaining carbohydrates from unprocessed sources like nuts, fruits and whole-grain breads is healthier than the alternative for pregnant women. Don’t eat just before or while you’re exercising , though. The ideal eating pattern is 2 to 3 hours before yoga exercises and immediately afterwards.
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