MindMap Gallery Care for women during pregnancy
This is a mind map about the care of pregnant women. The main contents include: Section 2: Maternal body changes during pregnancy, Section 1: Physiology of pregnancy.
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This is a mind map about bacteria, and its main contents include: overview, morphology, types, structure, reproduction, distribution, application, and expansion. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about plant asexual reproduction, and its main contents include: concept, spore reproduction, vegetative reproduction, tissue culture, and buds. The summary is comprehensive and meticulous, suitable as review materials.
This is a mind map about the reproductive development of animals, and its main contents include: insects, frogs, birds, sexual reproduction, and asexual reproduction. The summary is comprehensive and meticulous, suitable as review materials.
Care for women during pregnancy
Section 1 Pregnancy Physiology
Overview
Pregnancy: the process of growth and development of the embryo and fetus within the mother's body
Pregnancy start and end time - begins with the fertilization of a mature egg and ends with the expulsion of the fetus and its appendages from the mother's body
1. Fertilization and implantation of fertilized egg
(1) Fertilization
sperm capacitation
Acrosome reaction: The mature egg meets the capacitated sperm in the ampulla of the fallopian tube. The sperm acrosome ectoplast ruptures and releases acrosome enzyme, which dissolves the egg's corona radiata and zona pellucida.
Zona pellucida reaction: The sperm passes through the corona radiata and the zona pellucida, and comes into contact with the surface of the egg. The structure of the egg's zona pellucida changes, preventing other sperm from entering the zona pellucida.
Fertilization definition: The process by which sperm and egg combine to form a fertilized egg. It usually occurs within 12 hours after ovulation and usually does not exceed 24 hours.
(2) Transport and development of fertilized eggs
Morula: Approximately 3 days after fertilization, it divides into a solid cell mass of 16 cells.
(3) Implantation of fertilized egg
Definition: The process by which a late-stage blastocyst implants into the endometrium
Time: starts around 6-7 days after fertilization and ends on 10-12 days
Three stages of implantation: positioning, adhesion, and invasion
Conditions for completing implantation:
①Zona pellucida disappears
②The blastocyst embryo trophoblast differentiates into syncytiotrophoblast cells
③The blastocyst and endometrium develop synchronously and coordinate their functions
④ Pregnant women have sufficient amounts of estrogen and progesterone in their bodies
2. The formation and function of the fetus and appendages
placenta
structure
Composed of amniotic membrane, chorionic villi and decidua basalis
The placenta has two sides
Fetal surface - smooth, off-white, with amniotic membrane on the surface, and an umbilical cord attached in the center or slightly to the side.
Maternal side - rough, dark red, composed of about 20 maternal leaves
Function
Gas Exchange - Replacement of the Fetal Respiratory System
Nutrient supply-replacing the fetal digestive system
Eliminate fetal metabolites - replace the fetal urinary system
defense function
Synthetic function
human chorionic gonadotropin
human placenta lactogen
Estrogen and progesterone
Enzymes - Oxytocinase, Thermostable Alkaline Phosphatase
immunity
fetal membrane
Composed of chorion and amniotic membrane
umbilical cord
The umbilical cord of a full-term infant is 30-100cm long, with an average of 55cm.
There is a powerful umbilical vein and two small umbilical arteries.
Function: The fetus exchanges substances with the mother through the umbilical cord blood circulation.
amniotic fluid
Definition: Fluid that fills the amniotic cavity
source
Early pregnancy—maternal serum passes through fetal membranes and enters the amniotic cavity as dialysate
After the second trimester, fetal urine becomes an important source of amniotic fluid
Normal full-term pregnancy amniotic fluid volume is about 800ml
Function
① Allow the embryo and fetus to move freely in the amniotic fluid
②Prevent fetal body adhesion and direct compression of the fetus by external forces
③ Avoid direct compression of the umbilical cord by the uterine wall or fetus, causing fetal distress
④Maintain a constant temperature in the amniotic cavity
⑤Conducive to fetal body fluid balance
Section 2 Maternal changes during pregnancy
1. Physiological changes
(1) Reproductive system
1. Uterus
It is the organ that changes the most during pregnancy and after delivery.
(1) Uterine body
① The uterus is significantly enlarged and softened
② The volume of the uterine cavity increases from about 5cm when not pregnant to about 5000ml during full term pregnancy.
(2) Uterine isthmus - about 1cm long during non-pregnancy period and about 7-10cm long during labor.
(3) The cervix has an enlarged appearance, soft texture, enlarged extracervical glands, and increased cervical mucus secretion.
4. Endometrium/Decidual—
Decidua: After the fertilized egg implants, under the action of estrogen and progesterone, the endometrium glands enlarge, the glandular epithelial cells contain glycogen, the connective tissue cells become hypertrophic, and the blood vessels are congested. The endometrium at this time is called decidua
Including decidua basalis, decidua paris, and true decidua
2. Ovary - slightly enlarged, ovulation and development of new follicles stopped
3. Fallopian tube
4. Vagina
① During pregnancy, the vaginal mucosa is edematous, hyperaemic and purple-blue (Chadwick sign), the mucosa is thickened, the folds increase, the connective tissue becomes soft, and the stretchability increases, which is conducive to the passage of the fetus during delivery.
5. Vulva - local congestion, skin thickening, and pigmentation on the labia majora during pregnancy
2. Breasts
Early pregnancy - Breast enlargement and obvious congestion (nipples enlarge, turn black, become erect easily, areola is stained, peripheral sebaceous glands are enlarged and form scattered small bulges, called Montessori nodules)
Late pregnancy - milk may leak out when squeezing the breasts
3. Blood system
1. Blood volume
It starts to increase from 6 to 8 weeks of gestation and reaches a peak at 32 to 34 weeks of gestation.
Physiological anemia: The increase in plasma is greater than the increase in red blood cells. The increase in plasma is about 1000ml and the increase in red blood cells is about 450ml, which dilutes the blood and causes physiological anemia.
2. Blood components
①Red blood cells
②.White blood cells
③Platelets and coagulation factors
④Plasma protein
4. Circulatory system
1. Heart - In the third trimester of pregnancy, the heart shifts to the left, upward, and forward, and the area of cardiac dullness is slightly enlarged.
2. Cardiac output and blood volume
Cardiac output gradually increases from the 10th week of pregnancy and reaches its peak at 32-34 weeks.
After labor, especially during the second stage of labor, cardiac output increases significantly
At 32-34 weeks of pregnancy, delivery and the first 3 days of the puerperium, close observation is required to prevent heart failure.
3. Blood pressure - supine hypotension syndrome
4. Venous pressure - increased venous pressure leads to an increased risk of deep vein thrombosis
5. Urinary system P48
6. Respiratory system P49
7. Digestive system
8. Endocrine system
9. Skin
10. Metabolism
11. Bones, joints and ligaments
2. Psychological changes
(1) Common psychological reactions
①Surprise and shock
②ambivalence
③Accept
④Mood swings
⑤Introspection
(2) Common psychological problems/disorders
①Stress during pregnancy
② Anxiety during pregnancy
③Depression during pregnancy
④Fear before childbirth
⑤Post-traumatic stress disorder