Terminology Gestation - Number of weeks of pregnancy Abortion - Birth that occurs before the end of 20 wks.

Gestation Term - The normal duration of pregnancy Preterm - Delivery that occurs after 20th wks but before completion of 37th weeks Post term - Labor that occurs after 42 wks Gravida - Any Pregnancy, regardless of duration. Nulligravida - Never been pregnant Primigravida - First time Multigravida - Second or more pregnancy Para- Birth after 20 wks gestation regardless of wheteher the infant is alive or dead. Nullipara - A woman who has had no births at more than 20 wks gestation Primipara - A woman whon has had 1 birth at more than 20 wks of gestation Antepartum - Between conception and the onset of labor Intrapartum - From the onset of true labor until birth of infant and placenta Postpartum - From the delivery of placenta until the return of womans body to a non pregnant condition Fertilization - UNion of the ovum and spermatozoon, impregnation or fecundation Implantation - contact between the growing structure and uterine endometrium, occurs 8-10 days after fertilization Apostion - Processby which the blastocyst brushes with the uterine endometrium Adhesion - PRocess by which the blastocyst attaches to the surface of the endometrium Invasion - Process wherein blastocyst settles down into endometrium's soft lining Factors in fertilizarion Maturation of both sperm and ovum Ability of sperm to reach the ovum Sperm agility Ability of sperm to penetrate the zona pellucida and cell membrane Capacitation and enough amount of enzyme Hyaluronidaseto dissolve corona radiata Sperm count (200 - 400 million/ejaculation) Labor and Delivery TYPES: 3 Major Components of Labor 1.) Passage - The passageway through which the fetus exits the body. Maternal pelvis and soft tissues, affected by the shape of the inlet, structure of the pelvis, and pelvic diameters. 2.) Passenger - The fetus and its ability to move through the passage. Affected by: *the skull *the lie (relationship of the long axis(spine) of the fetus to the long axis to the mother *the presentation (proportion of the fetus that enters the pelvic passageway fisrt *position (relationshio of the presentation part of the fetus to the front, back, and sides of the maternal pelvis) *attitude - the fetal head's ability to flex or extend 5 degrees and rotate 180 degrees, allowing it smallest diameters to move down the birth canal and pass theough the maternal pelvis.

3.) Power - Refers to s Types of Pelvis *Gynecoid - 50% -slightly ovoid -transvbersely rounded -subpubic arch wide -side walls straight -vaginal spontaneous *Android - 23% -Heart shapeed -deep -side walls convergent -narrow subpubic arch -C/section vaginal difficult with forceps *Anthropoid - 24% -Oval -Wider anterior -Staight side walls -Narrow subpubic arch -forceps/spontaneous if occipitosterior or occipoanterior *Platypelloid - 3% -Flattened anteroposteriosity -Wide transversely -straight side walls -Wide subpubic Stages of Labor First stage -Begins with the first true labor contractions and ends with complete effacement and dilation of the cervix (10 cm dilated) -Average: 13 hr (primi), 7.5 hr (multi) *Latent Phase (early) -Dilates from 0-3 cm -Contractions 2-5 mins, 30-50 secs; mild moderate intensity ans establisg a regular pattern *Active Phase -Dilates from 4-7 cm -Contractions 2-5 mins, 30-5- secs; mild moderate intensity -Dilatation ace: 1.2 cm / hr.-primi, 1.5 cm/hr-multi *Transitional phase -Dilations 8-10 cm -Contractions 2-3 mins, 30-50 secs -Dilation rate: