What's the difference between infertility and sterility?
Infertility means you have trouble getting knocked up
Sterility means you CAN'T get knocked
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When should people seek help if they can't conceive?
after a year of unprotected intercourse
6 months if the woman is older than 35
What is primary infertility? Secondary?
Primary means you have difficulty getting preggers when there's never been a pregnancy before
Secondary means you're having difficulty getting preggers after having had a previous pregnancy
What is fecundity?
The ability to carry a pregnancy to a live birth
What are some probable causes of infertility?
-delaying pregnancy until later in life
-cumulative reproductive organ damage from toxins and diseases such as endometriosis, obesity, smoking, and tubal infection
-depression
Male infertility can result from unfavorable sperm production due to
Age over 50
Physical or endocrine dysfunction
Cumulative metabolic disease
Toxins
The decline in fertility rate in women accelerates after
age 35
What types of drugs can affect male fertility?
antihypertensives and antiseizure meds
What are some factors that may cause infertility in both men and women?
Nutritional problems (EDs)
Endocrine disorders
Genetic disorders
Psychological disorders
STIs
What is the care priority for couples seeking fertility treatment?
psychological support
Infertility is recognized as a major life stressor that can affect self-esteem, relationships, life goals and careers
What lifestyle changes can dudes make to increase their sperm count/motility?
Stop with the daily hot baths and jacuuzis
Wear loose fitting clothing
Many commonly used lubricants can diminish sperm motility and quality
Cell phones worn at the belt or hip have been linked to decreased sperm quality
What lifestyle modifications maximize the chance of conception for men and women?
Weight normalization
Optimal nutrition
Maintaining normoglycemia
What's the problem with using a male or child interpreter for reproductive issues for a woman?
The female patient might be embarrassed and it may interfere with obtaining an accurate history or detail of symptoms
Maternity care practitioners working in the Western health care system often butt heads with traditional Mexican or Arab families. Why?
Because Western medicine expect the fathers to be involved while traditional Mexican and Arab families usually view the birthing experience as a female affair
What does IPV stand for and when are women most at risk?
Intimate Partner Violence
women are at greater risk when they're pregnant
What are the three stages of Walker's cycle of violence?
1. Tension building accompanied with rising sense of danger
2. The acute battering incident
3. Loving contrition or lack of violence and tension
Most injuries occur in which stage of Walker's cycle of violence?
stage 2 - the acute battering incident
What does gravida mean?
Number of pregnancies
What does para mean?
Births after 20 weeks gestation
What does TPAL mean/
What is it for?
T: Term
P: Preterm
A: Abortion
L: Living
This system counts each infant born
___-____ weeks gestation is considered preterm
20-37 weeks
__-___ weeks gestation is considered term
38-42 weeks
___ weeks gestation is considered post term
>42
What is EDC?
estimated date of confinement
aka the due date
What does VE mean?
Medically it means Vaginal Exam
Historically I guess it means "Victory in Europe." The more you know.
Dilation is between
0-10 cm
What is effacement?
The percentage of cervical thinness ranging from 0% to 100%
What does station mean?
The relationship of the presenting fetal part to an imaginary line drawn between the maternal ischial spines and is a measure of the degree of descent of the presenting part of the fetus through the birth canal. It's measured in centimeters above or below the ischial spines (-1 to +4)
-1 = the lowermost portion of the presenting part is above the spines
0 = level of the spines
+1 = 1 cm below the spines
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