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Human Reproduction Anatomy, Physiology, Psychology Lecturer: Joan Meade September 2006

Days 1-5 Menstruation. Days 6-14 Proliferation. Days 15-28 Secretion. Physiological Changes in Pregnancy. Uterine Growth

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Human Reproduction Anatomy, Physiology, Psychology Lecturer: Joan Meade September 2006

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    1. Human Reproduction Anatomy, Physiology, Psychology Lecturer: Joan Meade September 2006

    25. Physiological Changes in Pregnancy Uterine Growth Weight from 60g to 600g, size from 7.5 x 5 x 2.5 cm to 30 x 23 x 20 cm. Cervical changes softens and glands secrete mucus that forms a plug Ovaries Corpus Luteum degenerates and maintenance of pregnancy taken over by placenta

    26. Physiological Changes (contd.) Vagina muscles hypertrophy, blue discolouration, pulsation, white discharge Breasts tingling, growth of tissue, enlargement, pigmentation, dilated veins, fluid can be expressed Skin striae, pigmentation Blood Volume increase, decreased red cell count and haemoglobin, increased fibrinogen

    27. Physiological Changes (contd.) Urinary tract frequency of urination Skeleton exaggerated posture, loosening of pelvic joint ligaments Metabolism increased rate Weight gain (12 kg) Emotions - labile

    28. Psychology of Pregnancy Pregnancy a major developmental step with conflicting emotions dependent upon: - childhood experiences - ability to cope - personality - life situation - emotional supports -wantedness of pregnancy - state of health

    29. Psychology (contd.) Opportunity for: - fulfillment of wish for creativity, self- realisation, new growth - sense of joy and wellbeing Counterbalanced by: - stress - conflict - fear

    30. Psychology (contd.) Major developmental and psychologic tasks vary with the stage of pregnancy First trimester incorporation of the foetus Second trimester recognition of fetus as separate entity Third trimester visualisation of self as mother

    35. Physiological Changes in Puerperium (period of 6 weeks after delivery) Organs return to pre-pregnant state Lactation (milk production) is initiated Recuperation from pregnancy and labour occurs Bonding with baby takes place

    36. Psychology of the Puerperium Postpartum blues are common at about the third or fourth day following delivery: - crying - irritability - anxiety - forgetfulness - sadness (Note: extremes of the above will require medical attention because of possibility of post partum psychosis)

    37. Psychology (contd.) Bonding interactions between mother and baby that lock them together characterised by: fondling kissing cuddling gazing

    38. BIBLIOGRAPHY Kindersley, Dorling (1996). The Ultimate Human Body 2.0. London: DK Multimedia. Masters, W. Johnson, V. and Kolodny, R. (1995). Human Sexuality, 5th Edition. New York: Longman, Chapter 5. Pernoll, M. (1991). Current Obstetric and Gynaecologic Diagnosis and Treatment, 7th Edition. Connecticut: Appleton and Lange, Chapter 58.

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