The Female Reproductive System; Pregnancy and Birth
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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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|
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