ma'am start

• Progesterone


  P - Pregnancy maintenance

  R - Relaxation of organs, uterus, bladder and ureter

  O - Ovulation

  G - Gums problem

  E - Embryo phase

  S - Secretory phase

  T -Thickening of cervical mucus

  E - Endometrial tortusity

  Rising basal body temp. (0.3-0.5°C)
• Onset of labor
• Effects of progesterone


  Constipation
• Estrogen


  E - Endometrial growth

  S - Secondary sex characteristics

  T - Thinning of cervical mucus

  R - Reduce bone absorption

  O - Osteoporosis prevention

  G - Gum bleeding

  E - Epolisepetaxis (gum bleeding) Epistaxis (Nose bleeding)

  N - Na sodium and water retention (edema)
• Fetal Development


  1. 4 weeks

  2. 8 weeks

  3. 12 weeks

  4. 15 weeks

  5. 16 weeks

  6. 20 weeks

  7. 24 weeks

  8. 28 weeks

  9. 32 weeks

  10. 36 weeks

  11. 40 weeks-term
• 4 weeks


  • Spinal cord, head, heart, eyes, 1 cm in length embryo (vital organs)
• 8 weeks


  • Facial Features, arms and legs, gestational sac by UTZ
• 12 weeks


  • Swallow, sex distinguish, kidney urine, placenta Fully formed, bone ossification, Babinski reflex, tooth buds, heartbeat is audible by Doppler
• 15 weeks


  • Braxton Hicks Contraction palse labor (amniocentesis), lanugo white fine downy hair, meconium in bowel, sex by UTZ
• 16 weeks


  • Vernix caseasa cheesy like, quickening. first movement of the baby, bone hardening, antibodies transfer (placenta and tetanus toxoid), brown Fat, FHB by Fethoscope, amniotic fluid urine
• 20 weeks


  • Ba: Lecithin: sphingomyelin
• 24 weeks


  • Capable for opening, pulmonary surfactant (high survival)
• 28 weeks


  • Normal ratio 2:1
• 32 weeks


  • Testicular descend, nails, retinal blood vessels, surfactant in amniotic Fluid. lung alveoli CNS is not fully develop (normal), skin is smooth, heart is fully functional, subcutaneous Fat, Moro reflex, iron and calcium storage
• 36 weeks


  • Sole creases, decrease lanugo, wake and sleep cycle
• 40 weeks-term


  • Actively kicking, sucking (ideal), birth position (voluntary movement)
• Embryonic Germ Layers


  • Ectoderm
  • Mesoderm
  • Endoderm
• Ectoderm


  • CNS (brain spinal cord)
  • PNS
  • Tooth enamel
  • Sense Organ
  • Skin, hair, nails
  • Mucus membrane anus, mouth » nose
  • Mammary gland
• Mesoderm


  • Circulatory System
  • Heart
  • Upper Urinary system (kidney and useter)
  • Reproductive organs (utemus, ovaries, Fallopian tube)
  • Urinary System
  • Cartilage
  • Heart vessels
  • Blood vessels
  • Lymphatic vessels
  • Supporting structures, bones, muscle, connective tissue, ligaments and tendons
  • Linings of pericardium, pleura, peritoneal cavities
  • Liver, pancreas
  • Lower urinary system (bladder and urethra)
• Endoderm


  • Linings of GI tract, respiratory tract, parathyroid gland, tyroid gland