PART 6 in Visual Studio .NET

Making EAN 13 in Visual Studio .NET PART 6

PART 6
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Table 132
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Before Birth PRENATAL STAGE Pregnant, gravid Embryo, fetus
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Life in Land Down Under
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Terms of Pregnancy and Birth
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Birth NATALITY OR NATIVITY Parturition Neonate After Birth POSTNATAL STAGE Puerpera Infant
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THE MOTHER (pregnancy) THE CHILD (gestation or development)
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leading to birth of the child [Understanding probe: From the preceding discussion, would you describe the stages of development from zygote to fetus as most properly called a pregnancy or most properly called a gestation Why ] We can say that gestation focuses upon the development of the child for it is the child, after all, who is born (past tense of bear) Nativity (nuh-TIVih-tee) is the condition of (-ity) being born (nativ) And the related word natal (NAY-tal) refers to (-al) birth (nat) [Word building: Using natal as the root, add the suf x in nativity The result is: / , or a condition of being born ) The neonate (NEE-uh-nayt), therefore, is a new (neo ) born (nat) child who is present (-e) outside of the uterus If the natal state refers to birth, then the prenatal (PREE-nay-tal) state refers to the period before (pre-) birth The postnatal (POST-nay-tal) state refers to the time after ( post-) birth Parturition (PAR-choo-RISH-en) is the act of (-tion) giving birth or delivering (parturi) the young And a puerpera (pyoo-ER-puh-ruh) is a woman giving birth to a child Puerperal (pyoo-ER-per-al) relates to (-al) the puerpera or woman giving birth to a child The series of related terms outlined above are quite complex, aren t they Let s summarize and organize them, as seen in Table 132 (See next page)
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Some disorders of pregnancy and birth
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Breaking of the normal patterns of pregnancy and birth leads to biological disorder associated with the genital (reproductive) system And this biological disorder, in turn, may result in morbidity or even mortality of the pregnant woman and her child Malignant maternity, but benign obstetrics What if a time of maternal (mah-TER-nal) or motherly joy, becomes one, instead, of death and sorrow We know that the maternity (mah-TER-nih-tee) section of a hospital is where professional physicians provide skilled care for the various conditions of (-ity) motherhood (matern) What if this maternity section became a dreaded
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Urogenital System
pit of deadly and unsuspected nosocomial (nohs-oh-KOH-me-al) infections This is really outrageous, isn t it After all, nosocomial does pertain to (-al) hospitals (nosocomi)! There is nothing quite like the tragedy of thousands of young puerperas (pyoo-ER-puh-rahs) and their neonates dying unnecessarily around the time of nativity, right in maternity hospitals, is there If this seems ghastly, then the situation becomes far worse if you compare it to the care received at the same time in obstetrics (ahb-STET-riks) wards or hospitals run by midwives ! The word, midwife, comes from the Old English word for with women A midwife, then, is simply de ned as a woman who is with other women during their time of labor and childbirth, offering assistance In these modern times, with much less activity by midwives, the original meanings of both obstetrics and obstetrician (ahb-stuh-TRISH-un) have largely been ignored and reinterpreted An obstetrician literally is one who specializes in (-ician) midwifery (obstetr) Nowadays, however, an obstetrician is a physician (MD) who specializes in helping women with labor and childbirth This distinction between modern obstetricians (MDs) and their much more ancient non-MD female counterparts, midwives, may seem merely academic and unimportant But now, ash back! Flash back over a span of more than 100 years to Central Europe Flash back to Vienna, Austria, in the year 1846, and to the crowded maternity wards of the Vienna General Hospital On these maternity wards were pregnant women who did not want to be there! The wealthy gravidas stayed away and gave birth safely, at home, often with one or more paid midwives standing by, giving their kind aid and comfort Within the Vienna Hospital maternity clinics were the poor gravidas, who had nowhere else to go Also present were pregnant women with special dif culties or complications A kindly and wise physician named Ignaz Philipp Semmelweis (SEM-el-whys) became the acting House Of cer He supervised the First Obstetrical Clinic in the Hospital Here Semmelweis faced a major clinical problem There was a very high maternal and neonatal (nee-oh-NAYtal) mortality rate, with about 13% of all pregnant patients and their newborns dying! The chief diagnosis was puerperal or childbed fever Affected patients in labor became very febrile ( feverish ) hence the name puerperal or childbed fever Other common symptoms were chills, cephalalgia (headache), malaise, and anorexia (an-oh-REK-see-ah) Anorexia means loss (an-) of appetite (orexia) In far too many cases, these symptoms progressed until shock, coma, and death resulted Meanwhile, Dr Semmelweis noted a dramatic difference in the Second OB (Obstetrical) Clinic of the same hospital Here the maternal and neonatal mortality rate from puerperal (childbed) fever was only about 2%! What on earth accounted for this huge difference in morbidity and mortality between two groups of the same types of patients, O Good Hippocrates Well, even 2,000
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