The duration of pregnancy in humans is about 280 days, equal to 9 calendar months. After the fertilized ovum is implanted in the uterus, rapid changes occur in the reproductive organs of the mother.
The uterus
becomes larger and more flexible, enlargement of the breasts begins, and alteration of renal function, blood volume, and blood cell count occur. Movement of the foetus and fetal heartbeat can be detected early in pregnancy.
One test that has been used to determine pregnancy uses blood or urine samples to detect a hormone known as BhCG, found exclusively in pregnant women.
Later, prenatal diagnostic tests such as alpha fetoprotein, amniocentesis, and chorionic villus sampling may be performed as screening measures for congenital defects.
Ultrasound , a sonar device using high-frequency wavelengths, is used to detect defects, measure fetal heartbeat, and monitor growth of a foetus.
Complications of pregnancy include eclampsia , premature birth, and erythroblastosis fetalis
(Rh incompatibility).
Ectopic pregnancy, in which the fetus begins to develop outside the uterus, often in a fallopian tube , is another complication. It is often the result of scarring from a sexually transmitted disease .
Smoking has been linked to low–birth weight infants; alcohol consumption during pregnancy has been linked to a group of defects called fetal alcohol syndrome
.
The technology relating to pregnancy has made great advances and has created a number of ethical issues. Many women in their 40s are now able to sustain successful pregnancies, due to technological devices that carefully monitor the progress of the fetus.
In vitro fertilization and other infertility treatments have allowed even postmenopausal women to give birth. The use of fertility drugs has led to a marked increase in multiple births .
Abortion , in which pregnancy is terminated prior to birth, has long been a subject of heated debate, and surrogate motherhood (see surrogate mother) has also raised ethical issues in recent years.
pregnancy
Process of human gestation that takes place in the female's body as a foetus develops, from fertilization to birth.It begins when a viable sperm from the male and egg from the ovary merge in the fallopian tube (see fertility; fertilization).
The fertilized egg (zygote) grows by cell division as it moves toward the uterus, where it implants in the lining and grows into an embryo and then a fetus.
A placenta and umbilical cord develop for nutrient and waste exchange between the circulations of mother and fetus. A protective fluid-filled amniotic sac encloses and cushions the fetus.
Early in pregnancy, higher estrogen and progesterone levels halt menstruation, cause nausea, often with vomiting (morning sickness), and enlarge the breasts and prepare them for lactation.
As the foetus grows, so does the uterus, displacing other organs. Normal weight gain in pregnancy is 20–25 lbs (9–11.5 kg).
The fetus's nutritional needs require the mother to take in more calories and especially protein, water, calcium, and iron. Folic-acid supplements are recommended during early pregnancy to prevent neural tube defects.
Smoking, alcohol, and many legal and illegal drugs can cause congenital disorders and should be avoided during pregnancy.
Ultrasound imaging is often used to monitor structural and functional progress of the growing fetus. The due date is estimated as 280 days from the time of last menstruation; 90% of babies are born within two weeks of the estimated date. See also amniocentesis; preeclampsia and eclampsia; premature birth.
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