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abortion
loss of pregnancy before the fetus is viable outside the uterus; miscarriage
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Abruptio Placenta
Patial or total premature separation of a normally implanted placenta
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Apgar
A scoring system used to evaluate newborns at 1 minute and 5 minutes after birth. Total score is achieved by assessing five signs: heart rate, respiratory effort, muscle tone, reflex irritability, and color. Each of the signs is assigned a score of 0, 1, or 2. The highest possible score is 10
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Amenorrhea
Suppression or absence of menstuation
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Amniotic Fluid
The liquid surrounding the fetus in utero. It absorbs schocks, permits fetal movement, and prevents heat loss
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Antepartum
Time between conception and the onset of labor; usually used to describe the period during which a woman is pregnant
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Areola
pigmented rign surrounding the nipple of the breast
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Bag of Water (BOW)
The membrane containing the amniotic fluid and the fetus
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Braxton Hick's Contrations
Intermittent painless contractions of the uterus that may occur every 10-20 minutes. They occur more frequently toward the end of pregnancy and are sometimes mistaken for true labor signs
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Breech
a birth in which the buttocks and/ or feet are presented instead of the head
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Caput Succedaneum
swelling or edema occurring in or under the fetal scalp during labor
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Cephalhematoma
swelling containing blood found on the head of an infant several days after birth; it usually disappears within a few weeks to 2 months
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Cephalic presentation
birth in which the fetal head is presenting against the cervix
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Cervix
The "neck" between the external os and the body of the uterus. The lower endof the cervix extends into the vagina
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Cesarean Section
Birth of fetus accomplished by performing a surical incision through the maternal abdomen and uterus
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Chadwick's Sign
Violet bluish color of the vaginal mucous membrane caused by increased vascularity; visible from about the fourth week of pregnancy
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Chloasma (melasma gravidarum)
brewnish pigmentation over the bridge of the nose and the cheeks during pregnancy and in some women who are taking oral contraceptives. AKA mask of pregnancy
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Chorion
The fetal membrane closest to the intrauterine wall that gives rise to the placenta and continues as the outer membrane surrounding the amnion
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Circumcision
Surgical removal of the prepuce (Foreskin) of the penis
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Coitus interruptus
Method of contraception in which the male withdraws his penis from the vagina before ejaculation
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Colostrum
Secretion from the breast before the onset of true lactation; contains mainly serum and white blood corpuscles. It has a high protein content, provides some immune properties, and cleanses the newborn's intestinal tract of mucus and meconium
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Contraception
The prevention of conception or impregnation
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Contraction
Tightening and shortening of the uterine muscles during labor, causing effacement and dilation of the cervix; contributes to the downward and outward descent of the fetus
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Cotyledon
One of the rounded portions into which the placenta's uterine surface is divided, consisting of a mass of villi, fetal vessels, and an intervillous space
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Crowning
Appearance of the presenting fetal part at the vaginal orifice during labor
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Decidua
Endometrium or mucous membrane lining of the uterus in pregnancy that is shed after childbirth
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Duncan Mechanism
Occurs when the maternal surface of the placenta rather than the shiny fetal surface presents upon birth
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Dilation/Dilitation
Expansion of the external os from an opening a few millimeters in size to an opening large enough to allow the passage of the infant
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Dystocia
Difficult labor due to mechanical factors produced by the fetus or the maternal pelvis or due to inadequate uterine or other muscular activity.
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Eclampsia
A major complication of pregnancy. Its cause is unknown; it occurs more often in the primigravida and is accompanied by elevated blood pressure, albuminuria, aliguria, tonic and clonic convulsions, and coma. May occur during pregnancy (after week 20) or within 48 hours after childbirth
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Ectopic Pregnancy
Implantation of the fertilized ovum outside the uterine cavity; common sites are the abdomen, fallopian tubes, and ovaries.
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Effacement
Thinning and shortening of the cervix that occurs late in pregnancy or during labor
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Engagement
The entrance of the fetal presenting part into the superior pelvic strait and the beginning of the descent through the pelvic canal
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Endometrium
The mucous membrane that lines the inner surface of the uterus
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Engorgement
Vascular congestion or distention. Swelling of the breast tissue brought about by an increase in blood and lymp supply to the breast, preceding true lactation
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Episiotomy
Incision of the perineum to facilitate birth and to avoid laceration of the perineum
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Erthyroblastosis Fetalis
Hemolytic disease of the newborn characterized by anemia, jaundice, enlargement of the liver and splee, and generalized edema. Caused by isoimmunization due to Rh incompatibility or ABO incompatibility
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Estrogen
The hormones estradiol and estrone, produced by the ovary
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E.D.C. (Expected Date of confinement)
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Fallopian Tube
Tubes that extend from the lateral angle of the uterus and terminate near the ovary; they searve as a passageway for the ovum from the ovary to the uterus and for the spermatozoa from the uterus toward the ovary
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False labor
Contractions of the uterus, regular or irregular, that may be strong enough to be interpreted as true labor but that do not dilate the cervix.
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Fetal Heart Tones (F.H.T.)
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Fetus
The child in utero from about the seventh to ninth week of gestation until birth
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Fontanel
In the fetus, an unossified space, or soft spot, consisting of a strong band of connective tissue lying between the cranial bones of the skull
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Fundus
The upper portion of the uterus between the fallopian tubes
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Gestation
Period of intrauterine development from conception through birth; pregnancy
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Gestational Age (infant)
number of complete weeks of fetal development, calculated from the first day of the last normal menstrual cycle
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Goodell's Sign
Softening of the cervix that occurs during the second month of pregnancy
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Hydramnios
an excess of amniotic fluid, leading to overdistention of the uterus. Frequently seen in diabetic pregnant women, even if there is no coexisting fetal anomaly.
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Hydatidiform mole
Degenerative process in chorionic villi, giving rise to multiple cysts and rapid growth of the uterus, with hemorrhage
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Hyperemesis gravidarum
Excessive vomiting during pregnancy, leading to dehydration and starvation
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Involution
Rolling or turning inward; the reduction in size of the uterus following childbirth
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Ischial spines
Prominences that arise near the junction of the ilium and ischium and jut into the pelvic cavity; used as a reference point during labor to evaluate the descent of the fetal head into the birth canal
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Jaundice
Yellow pigmentation of body tissues caused by the presence of bile pigments
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Labor
The process by which the fetus is expelled from the maternal uterus. Also called childbirth, confinement, or parturition
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Lactation
The process of producing and supplying breast milk
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La Leche league
Organization that provides information on and assistance with breast feeding
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Lamaze
A method of childbirth preparation
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Lanugo
Fine, downy hair found on all body parts of the fetus, with the exception of the palms of the hands and the soles of the feet, after 20 weeks' gestation
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LNMP (Last normal menstrual period)
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Leopold's Maneuvers
a series of four maneuvers designed to provide a systematic approach whereby the examiner may determine fetal presentation and position
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Lightening
Moving of the fetus and uterus downward into the pelvic cavity
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Lochia
Maternal discharge of blood, mucus, and tissue from the uterus; may last for several weeks after birth
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Meconium
Dark green or black material present in the large intestine of a full-term infant; the first stools passed by the newborn
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Menstrual Cycle
Cyclic buildup of the uterine lining, ovulation, and sloughing of the lining occurring approximately every 28 days in nonpregnant females
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Multigravida
woman who has been pregnant more than once
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Multipara
woman who has had more than one pregnancy in which the fetus was viable
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nullipara
a woman who has not given birth to a viable fetus
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Ophthalmia Neonatorum
Purulent infection of the eyes or conjuctiva of the newborn, usually caused by gonococci
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Oxytocin
dHormone normally produced by the posterior pituitary, responsible for stimulation of uterine contractions and the release of milk into the lactiferous ducts
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Para (P)
a woman who has borne offspring who reaced the age of viability
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Perineum
the area of tissue between the anus and scrotum in a man or between the anus and vagina in a woman
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Placenta
specialized disk-shaped organ that connects the fetus to the uterine wall for gas and nutrient exchange (AKA: Afterbirth)
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Placenta Previa
Abnormal implantation of the placenta in the lower uterine segment. Classification of type is based on proximity to the cervical os: total-completely covers the os; partial-covers a protion of the os; marginal-is in close proximity to the os
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Postpartum
After childbirth
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Precipitous Delivery
- 1. Unduly rapid progression of labor
- 2. A birth in which no physician is in attendance
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Pre-eclampsia
Toxemia of pregnancy, characterized by hypertension, albuminuria, and edema
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Pregnancy Induced Hypertension
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Premature Infant
Preterm Infant : any infant born before 38 weeks
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Presentation
The fetal body part that enters the maternal pelvis first: The three possible presentations are cephalic, sholder, and breech
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Primigravida
a woman who is pregnant for the first time
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Primipara
a woman who has given birth to her first child (past the point of viability), whether or not that child is living or was alive at birth
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Premature Rupture of Membranes (PROM)
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Pudendal Block
Injection of an anesthetizing agent at the pudendal nerve to produce numbness of the external genitals and the lower 1/3 of the vagina to facilitate childbirth and permit episiotomy if necessary
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Puerperium
the period after completion of the third stage of labor until involution of the uterus is complete, usually 6 weeks
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Quickening
the first fetal movements felt by the pregnant woman, usually between 16 and 18 weeks gestation
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Rh Factor
Antigens present on the surface of blood cellsthat make the blood cell incompatible with blood cells that do not have the antigen
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Rupture of Membranes (ROM)
Rupture of the bag of waters
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Schultze's Mechanism
Expulsion of the placenta with the shiny, or fetal, surface presenting first
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Spontaneous Rupture of Membranes (SROM)
The breaking of the "water" or membranes marked by the explusion of amniotic fluid from the vagina
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Station
Relationship of the presenting fetal part to an imaginary line drwan between the pelvic ischial spines
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Stillborn
the birth of a dead infant
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Striae
stretch marks; shiny purplish lines that appear on the abdomen, breasts, thighs, and buttocks of pregnant women as a result of stretching the skin
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Tocolysis
use of medications to arrest preterm labor
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Trimester
Three months, or 1/3 of the gestational time for pregnancy
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Umbilical cord
the structure connecting the placenta to the umbilicus of the fetus and through which nutrients from the woman are exchanged for wastes from the fetus
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Vernix caseosa
a protective, cheeselike, whitish substance made up of sebum and desquamated epithelial cells that is present on the fetal skin
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Version
turning of the fetus in utero
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Vertex
the top or crown of the head
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Viable
the potential for the pregnacy to result in a live birth
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