Pregnancy Quiz

1. Pregnancy Quiz 6.1, 6.2, 8.1,8.2

A. Imagine a client asking when the following factors take place in their pregnancy. Give a short, accurate response to each.

1. Implantation

2. Heart beating

3. Organs formed

4. Foetal movement first felt

5. Duration of pregnancy

6. Scans

B. Name the most common complications. Which of them would a Pregnancy Choices Practitioner need to be most aware of. C. What symptoms in early pregnancy would alert you to the need for urgent medical referral? D. What is the pregnancy pathway in your local area? E.In your local area where would you signpost a client for help with:

1. Contraception

2. STIs

3. Abortion

4. Parenting

5. Adoption

Give contact details for each of the services and comment on accessibility for clients. A. Implantation-occurs between 5 - 7th day after conception, the embryo attaches to the "uterine lining" Heart beating – Heart starts beating 21 days after conception which could be often before a woman even realizes that she is pregnant. Organs formed – In week 6 the baby has a complete skeleton and the development continues. An interesting fact is that somewhere in week 9 the baby already has fingerprints. In week 8 all organs begin to function and in the baby's brain nerve cells start branching to connect with each other. "The fifth week of pregnancy, or the third week after conception, marks the beginning of the embryonic period. This is when the baby's brain, spinal cord, heart and other organs begin to form." In week 11 the baby is officially described as foetus. Development continues. Foetal movement first felt – You can feel the movements of the baby around as early as in week 16, although we can see him/her on the scan moving his/her head in week10. Duration of pregnancy – The pregnancy is considered full- term at week 36-40. In the last weeks, before the birth, the baby prepares and turns with his/her head down into the pelvis. Scans – An ultrasound scan is done in the first trimestre in order to confirm that the baby is developing well, check the basic anatomy and whether the heart is beating. (6.1) B. Most common complications Miscarriage Premature birth Gestational Diabetes Iron-deficiency anemia Practitioner should be well aware of any complications and such as miscarriage, high blood pressure or severe and persistent nausea. Some of them might appear as a result of unwanted pregnancy, rejection of the baby and leading to thoughts of harm and self-harm. Bleeding might be some of the symptoms of ectopic pregnancy, the fertilized egg is implanted outside the uterus and this can be life threatening. Nausea and vomiting. “If you can’t eat or drink anything, you run the risk of becoming dehydrated,” Bernstein says. Being malnourished and dehydrated can harm your baby. " (http://www.webmd.com/baby/guide/7-pregnancy-warning-signs Accessed 30 April 2015) "Pre-eclampsia - or pregnancy-induced hypertension - is thought to occur in 10% of pregnancies and is the commonest cause of maternal death in the UK, killing around 10 women a year. It also leads to the death of some 1,000 babies a year. Symptoms include high blood pressure, fluid retention and protein in the urine." (http://news.bbc.co.uk/2/hi/health/749593.stm Accesse 30 April 2015) (6.2) C. Some of the symptoms that would need an urgent referral are Heavy Bleeding Depression Abdominal pain D. As soon as the woman finds out she is pregnant, she can directly contact a midwife by booking an appointment with a midwife which could be done by calling the Midwife Hot number or filling in a self-referral form online. https://www.lewishamandgreenwich.nhs.uk/maternity https://www.lewishamandgreenwich.nhs.uk/self-refer http://www.lewishamjsna.org.uk/adults/antenatal-and-postnatal/what-do-we-know/current-activities-and-services There are a number of Sexual health clinics, as well, which provide services such as "All methods of contraception with specialist referral clinics

• Testing and treatment for sexual infections

• Specialist genito-urinary medicine (GUM) services

• Services for young people (You’re Welcome accredited services)

• Cervical cytology (smears)

• Pregnancy testing, advice and referral

• Psychosexual service (by referral)"

E. Clients can be signposted as follows -contraception and pregnancy testing -STIs Lewisham and Greenwich NHS Trust Sexual and Reproductive Health in Lewisham https://www.lewishamandgreenwich.nhs.uk/sexual-health-lewisham http://www.nhs.uk/Services/hospitals/Services/Service/DefaultView.aspx?id=104110 -abortion Marie Stopes Lewisham clinic http://www.mariestopes.org.uk/clinic/marie-stopes-lewisham-clinic -parenting Parenting Point http://www.lewisham.gov.uk/myservices/socialcare/children/Pages/FIS-detail.aspx directoryid=2431 -adoption Adoption Service http://www.lewisham.gov.uk/myservices/socialcare/children/adoption/Pages/default.aspx http://www.lewisham.gov.uk/contact-us/Pages/contact.aspx?directoryid=6&source=%2Fcontact-us%2Fpages%2Fcontacts-a-to-z.aspx%3FLetter%3DA%26Page%3D1 http://www.first4adoption.org.uk/agency/london-borough-of-lewisham/ (8.1) The different options of direct contact or on-line information give the client a variety of choices and larger accessibility to any of these services. They can quickly and easily get in touch with the nearest provider and if it is an emergency situation, they should rely on immediate response. Considering the main options of Abortion, Parenting the child and Possible adoption which could be discussed and explored during counselling session, the client should be referred for further information to Marie Stopes clinic for abortion, to a Parenting point if choosing to parent the child or an Adoption service if willing to give birth but not ready for parenting. Thus the client would be given further guidance and help in taking the appropriate decision for their situation.(8.2) References WEB MD http://www.webmd.com/baby/guide/7-pregnancy-warning-signs (Accessed 30 April 2015) BBC News http://news.bbc.co.uk/2/hi/health/749593.stm (Accessed 30 April 2015) Babycentre http://www.babycentre.co.uk/c4833/pregnancy-complications (Accessed 30 April 2015)