Lect 20 Pregnancy - !!"!#"!$%...

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Unformatted text preview: !!"!#"!$% &'()*+,% -'(.*/0+%1,20.,%30+3,4/0+% 5,(6)%7.08(9% -'(.*,+(%+,,:;%:'.*+7%4.,7+6+3<% =0+3,.+;>%6)3090)?%:*,/+7?%+'(.*/0+6)% *+6:,@'63<?%7,;(6/0+6)%:*61,(,;% •  A+26+(%+'(.*/0+% •  •  •  •  B.,7+6+3<% C,;*.,:%0'(30D,>% •  E,6)(9<%D0(9,.%6+:%*+26+(% •  5'))%(,.D>%%F$%8,,G;% •  H61<>%%#IJ%(0%K%)1;% -'(.*/0+LM,)6(,:%=0+3,.+;% –  N:0),;3,+3,% –  O,7,(6.*6+;% –  C*,/+7% –  N)3090)% –  PD0G*+7% –  A)),76)%C.'7;% –  500:%P62,(<% –  QR,.3*;,% –  P03*0,30+0D*3%P(6(';% -'(.*/0+%H,20.,%=0+3,4/0+% ! QR,.3*;,% •  M,:'3,;%.*;G%02%!"#$%&'(%)*+,%-"$"#%S%./""0)%1.#,%* ! %%NT0*:*+7%$"/%$'!"(#% •  6)3090)%6+:%*)),76)%:.'7;% ! %%NT0*:*+7%0(9,.%40;;*1),%96U6.:;% "  PD0G*+7?%;0D,%9,.1;%6+:%;'44),D,+(;% "  =9,3G%8*(9%49<;*3*6+%610'(%D,:*36/0+;% adolescent girls may not have enough nutrient storage vegatarians: problems with iron. babies need iron a nd B12, calcium needs to excercise before reduces stational type 2 diabetes excercise prevents diabetes by muscles burning g lucose vitamin A is a teratogen !% !!"!#"!$% 56(9,.W;%+'(.*/0+%H,20.,%=0+3,4/0+% •  P4,.D%+'D1,.%6+:%D0/)*(<%.,:'3,:%1<%6)3090)?% 3,.(6*+%4.,;3.*4/0+%S%*)),76)%:.'7;% •  N:,@'6(,%+'(.*/0+%G,,4;%(9,%*DD'+,%;<;(,D% ;(.0+7%6+:%4.0D0(,;%2,./)*(<% •  Q4*7,+,/3%*+X',+3,;%0+%+,R(%7,+,.6/0+%% 5,(6)%Y.08(9%B6Z,.+% •  5*.;(%[.*D,;(,.>%%0.76+07,+,;*;% •  =.*/36)%4,.*0:;>%%*+(,+;,%:,T,)04D,+(%6+:% .64*:%3,))%:*T*;*0+% •  2"$%)*./'!/%11,(!>%%D0(9,.W;%6+:%26(9,.W;% +'(.*/0+%36+%4,.D6+,+()<%396+7,%7,+,% ,R4.,;;*0+%*+%6%2,(';I%%% malnourished males have low sperm count low immune system has low sperm count fat men have fat daughters n utrients can affect the males spem, not n ecessarily in the DNA, but can influence the n ext generation folate deficient=various changes in the DNA women can affect grand daughters organogenesis-development of organs \6(,.+6)%],*79(%Y6*+% •  C,(,.D*+6+(;>%5,(6)%Y.08(9?%\6(,.+6)%10:<% •  ],*79(%76*+% –  ^+:,.8,*79(>% •  V_LF$%)1; %% %% %% –  -0.D6)>% •  VJL`J%)1; –  H\A%aVJ% •  !JLVJ%)1; spinal bifida (b12, folate deficiency) at 3rd week p regnancy diabetes could cause column 1 V% !!"!#"!$% B)63,+(6% why do you need to gain 35 lbs? why does the women need blood? placenta is an organ secretes hormones binds and intidigetates with the women's uterus umbilical cord has the vein and waste products, a nd artery women's blood supply increases so that there is a n exchange oxygen and CO3 -'(.*/0+%C'.*+7%B.,7+6+3<% •  N+%'+:,.+0'.*;9,:%D0(9,.%*;%D0.,%)*G,)<%(0%7*T,%1*.(9%(0% 6%)08L1*.(9%8,*79(%161<% –  b08L1*.(9%8,*79(>%161<%10.+%8,*79*+7%c%JIJ%)1I% d%02%4.,(,.D%1*.(9;% •  3/"$"/14*10.+%1,20.,%`_%8,,G;%6+:%D6<%1,%)08L1*.(9% 8,*79(%161*,;% •  51%))*6'/*!"#$%&'(%)*%!"*7589:*6.,%2'))L(,.D%1'(%8,*79% normal preterm SGA (term, but small) why is our preterm higher? drug addicts, high levels of inequality poor women are not getting health care, and p renatal counseling `% !!"!#"!$% B.01),D;%6;;03*6(,:%8*(9%4.,(,.D% 1*.(9;% A+3.,6;,:%D0.(6)*(<>%V_d%02%+,0+6(6)%:,6(9;% \,:*36)%4.01),D;>%%% • %%1),,:*+7%*+%1.6*+% e*+(.6T,+(.*3')6.%9,D0..967,f% • %%M,/+046(9<% • %%64+,6?%.,;4*.6(0.<%:*;(.,;;% • %%g6'+:*3,?%*+2,3/0+;% b0+7%(,.D%4.01),D;%8*(9%4.,(,.D% 1*.(9% •  =9*):.,+%96T,%9*79,.%.6(,;%02>%% –  3,.,1.6)%46);<% –  D,+(6)%.,(6.:6/0+% –  :*;0.:,.;%02%4;<390)07*36)%:,T,)04D,+(?%1,96T*0.% 6+:%,D0/0+% –  :*;61*)*/,;%02%T*;*0+%S%9,6.*+7% –  Q4*),4;<% •  B.01),D;%6;%6:')(;% QWIP B.,T,+/0+% •  •  •  •  N:,@'6(,%+'(.*/0+% P(04%;D0G*+7% B.,L+6(6)%36.,% B.,T,+/0+%9*79%1)00:%4.,;;'.,% •  C0,;%*+%'(,.0%+0'.*;9D,+(%6+:%7.08(9% *+X',+3,%9,6)(9%.*;G;%)6(,.%*+%)*2,h%% affects lifelong health risks F% !!"!#"!$% QR40;'.,%(0%26D*+,%*+3.,6;,;%.*;G%02% 39.0+*3%:*;,6;,% •  C'(39%56D*+,%P(':<%e!KFFLFJf>%=9*):.,+%10.+%(0% D0(9,.;%;(6.T,:%:'.*+7%i.;(%96)2%02%4.,7+6+3<% 8,.,%D0.,%)*G,)<>% –  %(0%1,%01,;,% –  C,T,)04%:*61,(,;?%36.:*0T6;3')6.%0.%.,+6)%:*;,6;,% Y,;(6/0+6)%C*61,(,;% •  8"#$%&'(%)*+,%-"$"#>%*+;'k3*,+(%*+;')*+% 4.0:'3/0+%0.%*+;')*+%.,;*;(6+3,% –  *+3.,6;,;%1)00:%7)'30;,%),T,);%:'.*+7%4.,7+6+3<% –  =0+:*/0+%.,;0)T,;%6l,.%1*.(9%033'.;% –  M*;G%02%:,)*T,.*+7%6%)6.7,%161<% –  ^+30+(.0)),:%1)00:%7)'30;,%),T,);%D6<%),6:%(0>% •  4.,,3)6D4;*6?%*+3.,6;,:%2,(6)%D0.1*:*(<% •  .*;G%20.%(<4,%V%:*61,(,;%20.%D0(9,.%6+:%39*):%e:'.*+7% 6:0),;3,+3,%6+:%6:')(900:f% •  P(6.T6/0+%:'.*+7%)6;(%96)2%02%4.,7+6+3<>%+0%,j,3(% •  =0+3)';*0+>%%:,4.*T6/0+%*+%,6.)<%4.,7+6+3<% 6j,3(,:%9<40(96)D*3%:*j,.,+/6/0+%6+:% ;'1;,@',+(%.,7')6/0+%02%200:%*+(6G,% ethics--do not research e arly prenatal nutrition will affect adults PD0G*+7%6+:%B.,7+6+3<%&'(30D,;% •  M,:'3,;%1*.(9%8,*79(% •  A+3.,6;,;%.*;G%4.,(,.D%:,)*T,.<% •  \6<%6)(,.%49<;*36)%7.08(9?%*+(,)),3('6)%36463*(<?% 1,96T*0.6)%:,T,)04D,+(%*+%39*):% •  \,396+*;D>% –  A+(.6'(,.*+,%9<40R*6%(9.0'79%36.10R<)6/0+%02% 9,D07)01*+% –  M,:'3,:%+'(.*/0+6)%;(6(';% –  C,3.,6;,:%200:%*+(6G,%1<%D0(9,.% =0+;'D4/0+%02%N)3090)% –  N)3090)%*;%6%$"/%$'!"(I% –  2"$%)*%)0';')*#<(+/'1"*7295:4%T6.*,(<%02% 396.63(,.*;/3;%6;;03*6(,:%8*(9%4.,+6(6)%,R40;'.,% (0%9*79%@'6+//,;%02%6)3090)% "  \6)20.D6/0+;%02%263,?%)*D1;?%9,6.(% "  C,T,)04D,+(6)%:*;61*)*/,;% "  !"#$%&"&'%49<;*36)%S%D,+(6)%.,(6.:6/0+?%),6.+*+7% :,i3*(;?%9<4,.63/T*(<% smoke, lack of oxygen, crosses the placenta, so b abies/fetus, will get hemoglobin with the carboxylation or oxygen deficiency decreased fluid intake J% !!"!#"!$% 5,(6)%N)3090)%P<+:.0D,% \,+(6)%.,(6.:6/0+% A..*(61),% E<4,.63/T*(<% P90.(%6Z,+/0+%;46+% B00.%96+:L,<,% 300.:*+6/0+% •  C,2,3(;%*+%T*;*0+"9,6.*+7% •  •  •  •  •  Fetal Alcohol Syndrome% Microcephaly: small head circumference -Small eye slits -Flat nasal bridge -Smooth or indistinct philtrum (ridge above upper lip) -Thinned upper lip -Flattening of mid-face -Low set or mildly malformed ears A+26+(;%-'(.*/0+6)%-,,:;% •  E*79%,+,.7<%+,,:;%(0%;'440.(%.64*:%7.08(9% –  ADD6('.,%:*7,;/T,%(.63(;%S%G*:+,<;%% 9<%H.,6;(L2,,:h% •  &4/D6)%+'(.*/0+%*;%3.*/36)%*+%(9,%i.;(%<,6.>% –  &.76+;%6+:%+,.T0';%;<;(,D%30+/+',%(0%:,T,)04% –  H61*,;%(<4*36))<%7.08%!$%*+39,;%*+%),+7(9%6+:%(.*4),% (9,*.%8,*79(%*+%(9,%!;(%<,6.% –  Y.08(9%396.(;%e46Z,.+f%6;;,;;%+'(.*/0+%;(6(';% adv. of fat in breast milk: concentrated energy source protein is low: because if high, they have to deal with urea. they also have immature kidneys adults: 50% of carbohydrates--glycogen #% !!"!#"!$% 9<%H.,6;(L2,,:h% •  =0D40;*/0+%*:,6)%20.%*+26+(%7.08(9% •  B.*D6.<%4.0(,*+%*+%9'D6+%D*)G%e)63(6)1'D*+%:0,;% +0(%.,:'3,%*.0+%6+:%U*+3%61;0.4/0+% •  M*39%*+%*DD'+,%4.0(,*+% •  H63(,.*6))<%;62,%n%6)86<;%2.,;9% •  b,;;%6)),.7,+*3% •  b,;;%)*G,)<%(0%0T,.2,,:% •  =0;(;%),;;?%30+T,+*,+(% •  50;(,.;%D0(9,.L39*):%10+:*+7% 0.:;%(0%o+08% •  •  •  •  •  •  •  7,;(6/0+6)%:*61,(,;% B.,,3)6D4;*6% [,.6(07,+% Q4*7,+,/3% 5,(6)%4.07.6DD*+7% B)63,+(6% 5,(6)%N)3090)% ;<+:.0D,% •  5'))%(,.D?%4.,(,.D% •  PD6))%20.%7,;(6/0+6)% 67,% •  ND+*0/3%X'*:% •  H.,6;(%D*)G% protein in breast milk is highly available foruma cannot duplicate trace mineral concentration optimal not allergenic m% ...
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