Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Chapter 9 Obstetrics and Neonatology Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Chapter 9 Lesson Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-3 Objectives Identify organs and structures relating to pregnancy. Define and spell the word parts related to obstetrics and neonatology. Define, pronounce and spell disease and disorder terms related to obstetrics and neonatology. Define, pronounce and spell surgical and diagnostic terms related to obstetrics and neonatology. Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-4 Obstetrics and Neonatology obstetrics: branch of medicine that deals with childbirth and the care of the mother before and after birth neonatology: branch of medicine that deals with the diagnosis and treatment of disorders of the newborn Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-5 Terms Relating to Pregnancy gamete: mature germ cell ovulation: expulsion of a mature ovum conception or fertilization: beginning of pregnancy zygote: cell formed from the union of the sperm and ovum gestation, pregnancy: development of a new individual from conception to birth Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-6 Terms Relating to Pregnancy (contd.) implantation: embedding of the zygote in the uterine lining embryo: unborn offspring from implantation to end of second month of pregnancy fetus: unborn offspring from beginning of the third month of pregnancy until birth Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-7 Terms Relating to Pregnancy (contd) amniotic sac: membranous bag that surrounds the fetus before delivery chorion: outermost layer of the fetal membrane amnion: innermost layer of the fetal membrane amniotic fluid: fluid within the amniotic sac placenta, or afterbirth: grows on the wall of the uterus during pregnancy; allows for nourishment Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-8 Ovulation, Fertilization, and Implantation Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-9 Development of the Fetus Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-10 Human Male Fetus at 68 Days (47 mm) A, Right; B, front; C, left. Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-11 Combining Forms of Obstetrics and Neonatology amni/o, amnion/o chori/o embry/o fet/o, fet/i gravid/o lact/o nat/o omphal/o par/o, part/o puerper/o Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-12 Combining Forms Commonly Used in Obstetrics and Neonatology cephal/o esophag/o pelvi, pelv/o prim/i pseud/o pylor/o terat/o Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-13 Prefixes ante-, pre- micro- multi- nulli- post- Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-14 Suffixes -amnios -cyesis -e -is -partum -rrhexis -tocia -um -us Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-15 Word Parts with Similar Meanings Word PartMeaning nat/obirth par/o, part/obear, give birth to, labor, childbirth puerper/ochildbirth -partumchildbirth, labor -tociabirth, labor Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-16 Four -rrh Suffixes Suffix MeaningChapter -rrhea flow, discharge 4 -rrhagia rapid flow of blood 5 -rrhaphy suturing, repairing 6 -rrhexis rupture 9 Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-17 Clicker Question Which two of the following word parts mean pregnancy? a) gravid/o and -cyesis b) part/o and -partum Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-18 Obstetric Disease and Disorder Terms Built from Word Parts amnionitis chorioamnionitis choriocarcinoma dystocia embryotocia hysterorrhexis oligohydramnios polyhydramnios Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-19 Obstetric Disease and Disorder Terms Not Built from Word Parts abortion abruptio placentae eclampsia ectopic pregnancy placenta previa preeclampsia Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-20 Abruptio Placentae Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-21 Placenta Previa Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-22 Ectopic Pregnancy Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-23 Neonatology Disease and Disorder Terms Built from Word Parts fetal alcohol syndrome microcephalus omphalitis omphalocele pyloric stenosis tracheoesophageal fistula Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-24 Clicker Question The correct labeling of the diagram is a) omphalocele b) omphalcele Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-25 Neonatology Disease and Disorder Terms Not Built from Word Parts cleft lip and palate Down syndrome erythroblastosis fetal alcohol syndrome (FAS) esophageal atresia gastroschisis respiratory distress syndrome (RDS) spina bifida Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-26 Esophageal Atresia Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-27 Obstetric Surgical Terms Built from Word Parts amniotomy episiotomy Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-28 Obstetric Diagnostic Terms Built from Word Parts Diagnostic imaging pelvic sonography Other amniocentesis amnioscope amnioscopy Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-29 Ultrasound Image showing the forearm of the fetus s, skinline; m, muscle; w, wrist; h, hand. Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-30 Amniocentesis Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Chapter 9 Lesson 9.2 Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-32 Objectives Define, pronounce and spell complementary terms related to the female reproductive system. Interpret the meaning of abbreviations related to obstetrics and neonatology. Interpret, read and comprehend medical language in simulated medical statements and documents. Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-33 Complementary Terms amniochorial amniorrhea amniorrhexis antepartum embryogenic embryoid fetal gravida gravidopuerperal intrapartum lactic lactogenic lactorrhea multigravida multipara (multip) natal Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-34 Complementary Terms (contd.) neonate neonatologist neonatology nulligravida nullipara para postnatal postpartum prenatal primigravida primipara pseudocyesis puerpera puerperal teratogen teratogenic teratology Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-35 Complementary Terms Not Built from Word Parts breech presentation cephalic presentation cesarean section (C/S, C-section) colostrum congenital anomaly fertilization in vitro lactation lochia meconium midwife midwifery obstetrician obstetrics parturition premature infant puerperium quickening stillborn Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-36 Clicker Question Antepartum and postpartum refer to (the): a) birth b) mother Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-37 Abbreviations CS, C-section DOB EDD FAS LMP LNMP multip NB OB primip RDS Copyright 2009, 2006 by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.9-38 Read Medical Terms in Use Jane Anne is a 34-year-old gravida 2 para 1 woman. Her LMP was April 20, 20xx. The EDD is January 2, 20xx. The obstetrician prescribed folic acid to prevent spina bifida. The patients first pregnancy was complicated by preeclampsia and a breech presentation, which required a cesarean section. Pelvic sonography showed a single female fetus with normal development. She went on to deliver a healthy baby 3 days before her expected delivery date.