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The Female Reproductive System; Pregnancy and Birth

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
        Help!  

Term
Definition
vasectomy/tubal ligation   cutting and tying the tubes that carry the gametes  
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birth control pills   estrogen and progestin or progestin alone taken orally to prevent ovulation  
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birth control shot   injection of synthetic progesterone every three months to prevent ovulation  
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birth control patch   adhesive patch placed on body that administers estrogen and progestin through the skin; left on for three weeks and removed for a fourth week  
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birth control ring   flexible ring inserted into vagina that releases hormones internally; left in place for three weeks and removed for a fourth week  
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condom   sheath that prevents sperm cells from contacting an ovum; a male condom fits over an erect penis; a female condom fits in the vagina and covers the cervix  
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diaphragm (with spermicide)   rubber cap that fits over cervix and prevents sperm entrance  
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contraceptive sponge (with spermicide)   soft, disposable foam disk containing spermicide, which is moistened with water and inserted into vagina  
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intrauterine device (IUD)   metal or plastic device inserted into uterus through vagina; prevents fertilization and implantation by release of copper or birth control hormones  
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spermicide   chemicals used to kill sperm; best when used in combination with a barrier method  
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fertility awareness   abstinence during fertile part of cycle as determined by menstrual history, basal body temperature, or quality of cervical mucus  
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cervix   Neck; usually means the lower narrow portion (neck) of the uterus (root: cervic/o); also called the cervix uteri  
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clitoris   A small erectile body anterior to the urethral opening that is similar in developmental origin to the penis (roots: clitor/o, clitorid/o)  
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contraception   The prevention of pregnancy  
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corpus luteum   This small yellow structure that develops from the ovarian follicle after ovulation and secretes progesterone and estrogen  
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cul-de-sac   A blind pouch, such as the recess between the rectum and the uterus; the rectouterine pouch or pouch of Douglas  
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endometrium   The inner lining of the uterus  
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estrogen   A group of hormones that produce female characteristics and prepare the uterus for the fertilized egg; the most active of these is estradiol  
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fallopian tube   A tube extending from the upper lateral portion of the uterus that carries the ovum to the uterus (root: salping/o); also called uterine tube  
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fimbriae   The long finger-like extensions of the uterine tube that wave to capture the released ovum (singular: fimbria)  
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follicle-stimulating hormone (FSH)   A hormone secreted by the anterior pituitary that acts on the gonads; in the female, it stimulates ripening of ova in the ovary  
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fornix   An arch-like space, such as the space between the uppermost wall of the vagina and the cervix; from Latin meaning arch  
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greater vestibular gland   A small gland that secretes mucus through a duct that opens near the vaginal orifice; also called Bartholin gland  
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labia majora   The two large folds of skin that form the sides of the vulva (root labi/o means "lip") (singular: labium majus)  
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labia minora   The two small folds of skin within the labia majora (singular: labium minus)  
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luteinizing hormone (LH)   A hormone secreted by the anterior pituitary that acts on the gonads; in the female, it stimulates ovulation and corpus luteum formation  
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mammary gland   A specialized gland capable of secreting milk in the female (roots: mamm/o, mast/o); the breast  
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menarche   The first menstrual period, which normally occurs during puberty  
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menopause   Cessation of menstrual cycles in the female  
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menstruation   The cyclic discharge of blood and mucosal tissues from the lining of the nonpregnant uterus (roots: men/o, mens); menstrual period, menses  
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myometrium   The muscular wall of the uterus  
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ovarian follicle   The cluster of cells in which the ovum ripens in the ovary  
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ovary   A female gonad (roots: ovari/o, oophor/o)  
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ovulation   The release of a mature ovum from the ovary (from ovule, meaning "little egg")  
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ovum   The female gamete or reproductive cell (roots: oo, ov/o) (plural: ova)  
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perineum   The region between the thighs from the external genitalia to the anus (root: perine/o)  
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progesterone   A hormone produced by the corpus luteum and the placenta that maintains the endometrium for pregnancy  
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tubal ligation   Surgical constriction of the uterine tubes to produce sterilization  
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uterine tube   A tube extending from the upper lateral portion of the uterus that carries the ovum to the uterus (root: salping/o); also called fallopian tube  
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uterus   The organ that receives the fertilized egg and maintains the developing offspring during pregnancy (roots: uter/o, metr, hyster/o)  
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vagina   The muscular tube between the cervix and the vulva (roots: vagin/o, colp/o)  
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vulva   The external female genital organs (roots: vulv/o, episi/o)  
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gyn/o, gynec/o   woman  
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men/o, mens   month, menstruation  
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oo   ovum, egg cell  
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ov/o, ovul/o   ovum, egg cell  
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ovari/o   ovary  
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oophor/o   ovary  
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salping/o   uterine tube, tube  
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uter/o   uterus  
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metr/o, metr/i   uterus  
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hyster/o   uterus  
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cervic/o   cervix, neck  
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vagin/o   vagina  
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colp/o   vagina  
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vulv/o   vulva  
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episi/o   vulva  
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perine/o   perineum  
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clitor/o, clitorid/o   clitoris  
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mamm/o   breast, mammary gland  
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mast/o   breast, mammary gland  
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candidiasis   Infection with the fungus Candida, a common cause of vaginitis  
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dysmenorrhea   Painful or difficult menstruation; a common disorder that may be caused by infection, use of an intrauterine device, endometriosis, overproduction of prostaglandins, or other factors  
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endometriosis   Growth of endometrial tissue outside the uterus, usually in the pelvic cavity  
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fibroid   Benign tumor of smooth muscle  
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leiomyoma   Benign tumor of smooth muscle, usually in the uterine wall (myometrium); in the uterus, may cause bleeding and pressure on the bladder or rectum; also called fibroid or myoma  
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pelvic inflammatory disease (PID)   Condition caused by the spread of infection from the reproductive tract into the pelvic cavity; commonly caused by sexually transmitted gonorrhea and Chlamydia infections  
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salpingitis   Inflammation of a uterine tube, typically caused by urinary tract infection or sexually transmitted infection; chronic salpingitis may lead to infertility or ectopic pregnancy  
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vaginitis   Inflammation of the vagina  
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colposcope   Instrument of the vagina  
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cone biopsy   Removal of a cone of tissue from the cervical lining for cytologic examination; also called conization  
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dilation and curettage (D&C)   Procedure in which the cervix is dilated (widened) and the uterine lining is scraped with a curette  
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hysterectomy   Surgical removal of the uterus; most commonly done because of tumors; often the uterine tubes and ovaries are removed as well  
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mammography   Radiographic study of the breast for the detection of breast cancer; the image obtained is a mammogram  
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mastectomy   Excision of breast tissue to eliminate malignancy  
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oophorectomy   Excision of an ovary  
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Pap smear   Study of cells collected from the cervix and vagina for early detection of cancer; also called Papanicolaou smear or Pap test  
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salpingectomy   Surgical removal of the uterine tube  
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sentinel node biopsy   Biopsy of the first lymph nodes to receive drainage from a tumor; used to determine spread of cancer in planning treatment  
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stereotactic biopsy   Needle biopsy using a computer-guided imaging system to locate suspicious tissue and remove samples for study  
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tomosynthesis   Three-dimensional x-ray imaging technique for detection of breast cancer; digital tomosythesis  
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adnexa   Appendages, such as the adnexa uteri—the ovaries, uterine tubes, and uterine ligaments  
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areola   A pigmented ring, such as the dark area around the nipple of the breast  
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Graafian follicle   A mature ovarian follicle  
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hymen   A fold of mucous membrane that partially covers the entrance of the vagina  
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mons pubis   The rounded, fleshy elevation anterior to the pubic joint that is covered with hair after puberty  
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oocyte   An immature ovum  
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perimenopause   The period immediately before menopause; begins at the time of irregular menstrual cycles and ends one year after the last menstrual period; averages three to four years  
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vestibule   The space between the labia minora that contains the openings of the urethra, vagina, and ducts of the greater vestibular glands  
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cystocele   Herniation of the urinary bladder into the wall of the vagina  
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dyspareunia   Pain during sexual intercourse  
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fibrocystic disease of the breast   A condition in which there are palpable lumps in the breasts, usually associated with pain and tenderness; these lumps or "thickenings" change with the menstrual cycle and must be distinguished from malignant tumors by diagnostic methods  
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hirsutism   Excess hair growth  
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leukorrhea   White or yellowish discharge from the vagina; infection and other disorders may change the amount, color, or odor of the discharge  
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microcalcification   Small deposit of calcium that appears as a white spot on mammograms; most microcalcifications are harmless, but some might indicate breast cancer  
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prolapse of the uterus   Downward displacement of the uterus with the cervix sometimes protruding from the vagina  
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rectocele   Herniation of the rectum into the wall of the vagina; also called proctocele  
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culdocentesis   Puncture of the vaginal wall to sample fluid from the rectouterine space for diagnosis  
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episiorrhaphy   Suture of the vulva or suture of the perineum cut in an epistiotomy (incision to ease childbirth)  
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laparoscopy   Endoscopic examination of the abdomen; may include surgical procedures, such as tubal ligation  
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myomectomy   Surgical removal of a uterine leiomyoma (fibroid, myoma)  
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speculum   An instrument used to enlarge the opening of a passage or cavity to allow examination  
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teletherapy   Delivery of radiation to a tumor from an external beam source, as compared to implantation of radioactive material (brachytherapy) or systemic administration of radionuclide  
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aromatase inhibitor (AI)   Agent that inhibits estrogen production; used for postmenopausal treatment of breast cancers that respond to estrogen; examples are exemestane (Aromasin), anastrozole (Arimidex), and letrozole (Femara)  
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bisphosphonate   Agent used to prevent and treat osteoporosis; increases bone mass by decreasing bone turnover; examples are aldronate (Fosamax) and risedronate (Actonel)  
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HER2 inhibitor   Drug used to treat breast cancers that show excess receptors (HER2) for human epidermal growth factor; example is trastuzumab (Herceptin)  
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paclitaxel   Antineoplastic agent derived from yew trees used mainly in treatment of breast and ovarian cancer; Taxol  
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selective estrogen receptor modulator (SERM)   Drug that acts on estrogen receptors; examples are tamoxifen (Nolvadex) and raloxifene (Evista), which is also used to prevent bone loss after menopause  
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AI   Aromatase inhibitor  
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BRCA1   Breast cancer gene 1  
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BRCA2   Breast cancer gene 2  
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BSE   Breast self-examination  
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BSO   Bilateral salpingo-oophorectomy  
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BV   Bacterial vaginosis  
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CIN   Cervical intraepithelial neoplasia  
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D&C   Dilation and curettage  
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DCIS   Ductal carcinoma in situ  
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DES   Diethylstilbestrol  
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DUB   Dysfunctional uterine bleeding  
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FSH   Follicle-stimulating hormone  
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GC   Gonococcus (cause of gonorrhea)  
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GYN   Gynecology  
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HPV   Human papillomavirus  
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HRT   Hormone replacement therapy  
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IUD   Intrauterine device  
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LH   Luteinizing hormone  
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MHT   Menopausal hormone therapy  
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NGU   Nongonococcal urethritis  
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PCOS   Polycystic ovarian syndrome  
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PID   Pelvic inflammatory disease  
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PMS   Premenstrual syndrome  
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SERM   Selective estrogen receptor modulator  
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STD   Sexually transmitted disease  
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STI   Sexually transmitted infection  
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TAH   Total abdominal hysterectomy  
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TSS   Toxic shock syndrome  
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UFE   Uterine fibroid embolization  
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VD   Venereal disease (sexually transmitted disease)  
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amniotic sac   The membranous sac filled with fluid that holds the fetus; also called amnion (root: amnio)  
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Apgar score   A system of rating an infant's physical condition immediately after birth; five features are rated as 0, 1, or 2 at one and five minutes after delivery and sometimes thereafter; the maximum possible score at each test interval is 10  
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chorion   The outermost layer of the embryo that, with the endometrium, forms the placenta (adjective: chorionic)  
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colostrum   Breast fluid that is secreted in the first few days after giving birth before milk is produced  
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ductus arteriosus   A fetal blood vessel that connects the pulmonary artery with the descending aorta, thus allowing blood to bypass the lungs  
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embryo   The stage in development between the zygote and the fetus, extending from the second through the eighth week of growth in the uterus (root: embry/o) (adjective: embryonic)  
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fertilization   The union of an ovum and a spermatozoon  
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fetus   The developing child in the uterus from the third month to birth (root: fet/o) (adjective: fetal)  
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foramen ovale   A small hole in the interatrial septum in the fetal heart that allows blood to pass directly from the right to the left side of the heart  
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gestation   The period of development from contraception to birth  
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gravida   Pregnant woman  
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human chorlonic gonadotropin (hCG)   A hormone secreted by the embryo early in pregnancy that maintains the corpus luteum so that it will continue to secrete hormones  
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lactation   The secretion of milk from the mammary glands  
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oxytocin   A pituitary hormone that stimulates contractions of the uterus; it also stimulates release ("letdown") of milk from the breasts  
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para   Woman who has produced a viable infant; multiple births are considered as single pregnancies  
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parturition   Childbirth (root: nat/i); labor (root: toc/o)  
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placenta   The organ composed of fetal and maternal tissues that nourishes and maintains the developing fetus  
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prostaglandins   A group of hormones with varied effects, including the stimulation of uterine contractions  
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umbilical cord   The structure that connects the fetus to the placenta; it contains vessels that carry blood between the mother and the fetus  
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zygote   The fertilized ovum  
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amnio   amnion, amniotic sac  
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embry/o   embryo  
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fet/o   fetus  
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toc/o   labor  
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nat/i   birth  
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lact/o   milk  
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galact/o   milk  
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gravida   pregnant woman  
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para   woman who has given birth  
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albinism   recessive gene mutation; lack of pigmentation  
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cystic fibrosis   recessive gene mutation; affects respiratory system, pancreas, and sweat glands; most common hereditary disease in white populations  
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Down syndrome   extra chromosome 21; slanted eyes, short stature, mental retardation, and others; incidence increases with increasing maternal age; trisomy 21 syndrome  
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fragile X chromosome   defect in an X (sex-determining) chromosome; reduced intellectual abilities, autism, hyperactivity; enlarged head and ears; passed from mothers to sons with the X chromosome (sex-linked)  
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hemophilia   recessive gene mutation on the X chromosome; bleeding disease inherited with an X chromosome and usually passed from mothers to sons  
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Huntington disease   dominant gene mutation; altered metabolism destroys specific nerve cells; appears in adulthood and is fatal within about 10 years; causes motor and mental disorders  
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Klinefelter syndrome   extra X chromosome; lack of sexual development, lowered intelligence  
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Marfan syndrome   dominant gene mutation; disease of connective tissue with weakness of the aorta  
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neurofibromatosis   dominant gene mutation; multiple skin tumors containing nerve tissue  
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phenylketonuria (PKU)   recessive gene mutation; lack of enzyme to metabolize an amino acid (phenylalanine); neurologic signs, mental retardation, lack of pigment; tested for at birth; special diet can prevent retardation  
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sickle cell anemia   recessive gene mutation; abnormally shaped red cells block blood vessels; mainly affects black populations  
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Tay-Sachs disease   recessive gene mutation; an enzyme deficiency causes lipid to accumulate in nerve cells and other tissues; causes death in early childhood; carried i eastern European Jewish populations  
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Turner syndrome   single X chromosome; sexual immaturity, short stature, possible lowered intelligence  
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abortion   Termination of a pregnancy before the fetus is capable of surviving outside the uterus, usually at 20 weeks or 500 g; may be spontaneous or induced; a spontaneous abortion is commonly called a miscarriage  
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anencephaly   Congenital absence of a brain  
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atresia   Congenital absence or closure of a normal body opening  
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carrier   An individual who has an unexpressed genetic defect that can be passed to his or her children  
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cleft lip   A congenital separation of the upper lip  
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cleft palate   A congenital split in the roof of the mouth  
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congenital disorder   A disorder that is present at birth; may be developmental or hereditary (familial)  
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eclampsia   Convulsions and coma occurring during pregnancy or after delivery and associated with the conditions of pregnancy-induced hypertension (adjective: eclamptic)  
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ectopic pregnancy   Development of the fertilized ovum outside the body of the uterus; usually occurs in the uterine tube (tubal pregnancy) but may occur in other parts of the reproductive tract or abdominal cavity  
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hemolytic disease of the newborn (HDN)   Disease that results from Rh incompatibility between the blood of a mother and her fetus  
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mastitis   Inflammation of the breast, usually associated with the early weeks of breast-feeding  
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mutation   A change in the genetic material of the cell; most mutations are harmful; if the change appears in the sex cells, it can be passed to future generations  
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placental abruption   Premature separation of the placenta; abruptio placentae  
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placenta previa   Placental attachment in the lower portion of the uterus instead of the upper portion, as is normal; may result in hemorrhage late in pregnancy  
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pregnancy-induced hypertension (PH)   A toxic condition of late pregnancy associated with hypertension, edema, and proteinuria that, if untreated, may lead to eclampsia; also called preeclampsia and toxemia of pregnancy  
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spina bifida   A congenital defect in the closure of the spinal column through which the spinal cord and its membranes may project  
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teratogen   A factor that causes developmental abnormalities in the fetus (root terat/o means "malformed fetus") (adjective: teratogenic)  
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amniocentesis   Transabdominal puncture of the amniotic sac to remove amniotic fluid for testing; tests on the cells and fluid obtained can reveal congenital abnormalities, blood incompatibility, and sex of the fetus  
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chorionic villus sampling (CVS)   Removal of chorionic cells through the cervix for prenatal testing; can be done earlier in pregnancy than amniocentesis  
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dilatation and evacuation (D&E)   Widening of the cervix and removal of conception products by suction  
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karyotype   A picture of cellular chromosomes arranged in order of decreasing size; can reveal abnormalities in the chromosomes themselves or in their number or arrangement (root kary/o means "nucleus")  
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ultrasonography   The use of high-frequency sound waves to produce a photograph of an organ or tissue; used in obstetrics to diagnose pregnancy, multiple births, and abnormalities and also to study and measure the fetus; the image obtained is a sonogram or ultrasonogram  
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afterbirth   The placenta and membranes delivered after birth of a child  
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antepartum   Before childbirth, with reference to the mother  
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Braxton Hicks contractions   Light uterine contractions that occur during pregnancy and increase in frequency and intensity during the third trimester; they strengthen the uterus for delivery  
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chloasma   Brownish pigmentation that appears on the face during pregnancy; melasma  
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fontanel   A membrane-covered space between cranial bones in the fetus that later becomes ossified; a soft spot; also spelled fontanelle  
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intrapartum   Occuring during childbirth  
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linea nigra   A dark line on the abdomen from the umbilicus to the pubic region that may appear late in pregnancy  
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lochia   The mixture of blood, mucus, and tissue discharged from the uterus after childbirth  
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meconium   The first feces of the newborn  
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peripartum   Occurring during the end of pregnancy or the first few months after delivery, with reference to the mother  
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postpartum   After childbirth, with reference to the mother  
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premature   Describing an infant born before the organ systems are fully developed; immature  
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preterm   Occurring before the 37th week of gestation; describing an infant born before the 37th week of gestation  
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puerperium   The first 42 days after childbirth, during which the mother's reproductive organs usually return to normal (root puer means "child")  
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striae atrophicae   Pinkish or gray lines that appear where skin has been stretched, as in pregnancy; stretch marks, striae gravidarum  
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umbilicus   The scar in the middle of the abdomen that marks the attachment point of the umbilical cord to the fetus; the navel  
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vernix caseosa   The cheese-like deposit that covers and protects the fetus (literally "cheesy varnish")  
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cephalopelvic disproportion   The condition in which the head of the fetus is larger than the mother's pelvic outlet; also called fetopelvic disproportion  
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choriocarcinoma   A rare malignant neoplasm composed of placental tissue  
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galactorrhea   Excessive secretion of milk or continued milk production after breast-feeding has ceased; often results from excess prolactin secretion and may signal a pituitary tumor  
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hydatidiform mole   A benign overgrowth of placental tissue; the placenta dilates and resembles grape-like cysts; the neoplasm may invade the uterine wall, causing rupture; also called hydatid mole  
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hydramnios   An excess of amniotic fluid; also called polyhydramnios  
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oligohydramnios   A deficiency of amniotic fluid  
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patent ductus arteriosus (PDA)   Persistence of the ductus arteriosus after birth so that blood continues to shunt from the pulmonary artery to the aorta  
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puerperal infection   Infection of the genital tract after delivery  
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abortifacient   Agent that induces abortion  
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alpha-fetoprotein (AFP)   A fetal protein that may be elevated in amniotic fluid and maternal serum in cases of certain fetal disorders  
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artificial insemination (AI)   Placement of active semen into the vagina or cervix for the purpose of impregnation; the semen can be from a husband, partner, or donor  
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cesarean section   Incision of the abdominal wall and uterus for delivery of a fetus; also called cesarean birth  
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endometrial ablation   Selective destruction of the endometrium for therapeutic purpose; done to relieve excessive menstrual bleeding (menorrhagia)  
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extracorporeal membrane oxygenation (ECMO)   A technique for pulmonary bypass in which deoxygenated blood is removed, passed through a circuit that oxygenates the blood, and then returned; used for selected newborn and pediatric patients in respiratory failure with an otherwise good prognosis  
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in vitro fertilization (IVF)   Clinical procedure for achieving fertilization when it cannot be accomplished naturally; an oocyte (immature ovum) is removed, fertilized in the laboratory, and placed as a zygote into the uterus or fallopian tube (ZIFT, zygote intrafallopian transfer)  
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obstetrics   The branch of medicine that treats women during pregnancy, childbirth, and the puerperium; usually combined with the practices of gynecology  
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pediatrics   The branch of medicine that treats children and diseases of children (root ped/o means "child")  
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pelvimetry   Measurement of the pelvis by manual examination or radiographic study to determine whether delivery of a fetus through the vagina will be possible  
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Pitocin   Trade name for oxytocin; used to induce and hasten labor  
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presentation   Term describing the part of the fetus that can be felt by vaginal or rectal examination; normally the head presents first (vertex presentation), but sometimes the buttocks (breech presentation), face, or other part presents first  
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RhoGAM   Trade name for a preparation of antibody to the Rh(D) antigen; used to prevent hemolytic disease of the newborn in cases of Rh incompatibility  
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AB   Abortion  
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AFP   Alpha-fetoprotein  
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AGA   Appropriate for gestational age  
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AI   Artificial insemination  
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ART   Assisted reproductive technology  
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C-section   Cesarean section  
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CPD   Cephalopelvic disproportion  
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CVS   Chorionic villus sampling  
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D&E   Dilatation and evacuation  
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ECMO   Extracorporeal membrane oxygenation  
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EDC   Estimated date of confinement  
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FHR   Fetal heart rate  
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FHT   Fetal heart tone  
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FTND   Full-term normal delivery  
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FTP   Full-term pregnancy  
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GA   Gestational age  
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GIFT   Gamete intrafallopian transfer  
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hCG   Human chorionic gonadotropin  
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HDN   Hemolytic disease of the newborn  
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IVF   In vitro fertilization  
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LMP   Last menstrual period  
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NB   Newborn  
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NICU   Neonatal intensive care unit  
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OB   Obstetrics, obstetrician  
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PDA   Patent ductus arteriosus  
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PIH   Pregnancy-induced hypertension  
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PKU   Phenylketonuria  
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SVD   Spontaneous vaginal delivery  
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UC   Uterine contractions  
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UTP   Uterine term pregnancy  
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VBAC   Vaginal birth after cesarean section  
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ZIFT   Zygote intrafallopian transfer  
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