This information is from FA Davis chapters 2 through 7. So what is maternal health? When you hear that, some people think it's just about pregnancy and you know, labor and delivery, but really for this course, we're going to cover all different aspects of a female's life.

So the ANA code of ethics I have it listed here on the slide. It's nine different provisions and these list the goals the values the obligations that nurses have.

Awan is um this is like the governing body of maternal health. This provides evidence-based education and practice resources.

So, if we're looking at the male, this is like a cross-section. So, you kind of you took a male and you split them down the middle.

Okay. So once the sperm reach the egg and they penetrate it and we have actual conception the first eight weeks of that time.

So the fetus when it's inside mom, the way that its blood circulates is different than once it's born on the outside world.

Infertility is defined as the inability to conceive after 12 months of trying of having unprotected sex.

So, we've got sperm production problems. Maybe there's a blockage of the sperm transport. could be sexual problems, hormonal problems, or something that's called sperm antibodies.

Spermatogenesis, this is the process in which mature functional sperm are formed. Remember before I told you the importance that the sperm needs to be um it needs to be mature so that it swims correctly, knows what to do, it can penetrate the egg.

There's only three of them for female. Um, but we do need to figure out if this is the reason. So, we have a couple different um things listed on this this slide here. Could be genetic. Her age.

Ovulatory dysfunction. Okay, this means that she doesn't ovulate correctly. So you should ovulate about once every 28 to 30 days.

So think if there's um blockage in the fallopian tube or scar tissue that could cause that fertilized egg to get stuck in there, okay?

So this would be the cervix. So we have a one on the left and one on the right. The cervix is the bottom part of the uterus.

We need to figure out what the cause is, right? We can interview. We're always going to start with the easiest diagnosis first.

One of the things that's very important to the health and well-being for healthy moms, healthy babies is the um the concept of preconception healthcare. So preconception health care means that they come in for health screening before they're even pregnant.

Physical changes during pregnancy. What are some things that happen to females physically once they're pregnant? So, their breast, okay, they're going to increase in size, um, firmness.

So, what to expect at an initial prenatal appointment. Okay, your first prenatal appointment. Usually, this is done between about say 6 to 12ish weeks or so, but this is a very long appointment.

Signs of pregnancy. So, when the patient comes in, we're going to ask her basically what are some things or why do you think you're pregnant? Okay. So, we have presumptive, probable, and positive.

Okay, the next thing that patients always want to know is when is my due date? Okay, so you'll either see this as EDDD or EDC, estimated date of delivery or estimated date of confinement.

So, we're measuring from the symphysis pubis to the top of the uterine fundus. Um, this again is it's an approximation of how many weeks you are. Um, it's usually within 1 to two weeks or 1 to 2 cm.

GTPAL. So, this is a little acronym to figure out how many pregnancies this patient has had. So G stands for gravida.

Um, information, their diet, okay? Things that they should eat or shouldn't eat. Um, they should be drinking 8 to 10 glasses of water.

So these are some of the warning signs like hey if you experience this this is something that you need to let the doctor know about.

What we get worried about with prolonged nausea and vomiting is hyperemesis gravidum.

The second trimester um begins at about week 14 of pregnancy and goes up to about week end of week 26.

Third trimester appointments. So, this starts at about um week 28 or so.

We're going to test her for group B strip or GBS. This is done at about 36 weeks.