Foeltu in nuMal pmaney a n l u u r to n l a n e l l

Laubad

vaul
utal Mul!.
Pasieral
oaijas
hontal vone
Parúatad
Vaultr a hnakslme uhu Jore
bne
Rparielal soneg postiut
Cotmal ntanelle
oceipital bone ulinu

kmpauod
tmas o dphnud
Cmnuld ey adutine.

Kontal suli a ontu

Sagnitas sului: & pasietoul
i n a l duliu mlal+ pariet
ambdeidal u l a panietal + Oceipir
tmpaLa! n ülhiu elu
mporal &ul a paaietal + &

diamuliu
8
Aubiptobugmatii-: lu lemparal - Cn

duipaxietai - 9s
sumenlo bugmalue
Uelicomentas 5m
Oceipiamiii -tcm
oekolaltitude

uniesal onion
eclenvon deplenion e n t owand - Spimaltrdumg

u n ula pa u minimun | nud head

dlinumn
m uu positim, K faeliy may |CAinw ogaimt
Oms enelolded actos
haue iki head Reeh
her
ar lowe pele on alirus. lwen enumtis - Herd
e r olsisi flenud
K e Shap ot 'ulis vd
 eetal e
lalto
poxtln o upiel
lmgiidinnal anu of mgjtudinal anii ot
retal uLd utinns Oupid

Cephalopo dalic axu

99 of labeurs
called lonauladinal liu
le
ulique ars ueAAe aansuns lu /eluigue
aue to platenta piua
multpanu
Lal_peAwntaum
haelal 0void in loue pele o ulau y uhin u s
whn labou tau.
ngaqpelu
oeiu uhih louuesr fet
pALAUneng pa io Ke poulion
vaninal oamimalun.

Cephali pALanfalin oeltu pkeunls K Cephalie pole

podali pAeaentaiõn podalie pole

khculdu puaentalion
Aholdr in oleliae dtlbattnu

paenlatii Chin Korax.

een
neck
S. ae pAeontalini

r prountalin

lompeund pAenntalii ma an ome paur

11
elacpouliin
Alalon ennen pasulion quadtant emaltinat
o eta paLeunliig paur peluu
denominaln
aw AandmauR ( bny) =

quatanli Anlee, pastuin

kighr
amiun, poslisuet.
lepr quaduang
 Bnlenalal Care
Uniaue Challena 5 delive a Aealhy injantr

Poeusin tducalion
A uhslyl tmuuns balaneud ouet
wking duuing pmgnaney
&ocial aspus -haluiti, truuiau,
nuas actiiuly
ppae mudicaluan duplemutalian
Aviding alcohot, a i pasu tmouh placenla

Ausid Acuatiora! dugs Smekne .

Comen Symplom duuing pmgnany

ettime inndneu humo Mhords
7 Vaticoe uemu
nouuua, vomiling
3 leetialytt mbalane. Vagimas mjeelionu
Lonstpatioi patl miluulion
ALaukbuun

swnina_p malutka! Complienlions

Annemuow smwninq
ulond qaoups Dplicaliois
muliou. Lontmalta et foctal
yptatannine diuaa wialiliy lD-13 weut
Sopstalioial
S dialulá Anng douwns
pSLychialai illneu Syndume
1 deuue diseass 3scwming jot &buulinal

plotenla pAuuia abnemaliti

pcwnng jo feelal
yaipoutaut udl kaina
ngula Chukupy pltouw up
pouinl
Pouinls b u twlluled u iau u n : netlalzthn ana
onual hishty muiues peuod

ods hishy
m u a l mielinl txaminauor.

ots enaminalio
 ASuweek
onc a Mont tll
subueguenr uis 3t ueeks
Pnte a pmeahr u
a useek tl! lim
nte

na/ Examinalusns
abd palpitalion awcultöluon

3 Vagina tamimatien

3
 Causalie Mage s Jaletu
Jalou phyviogdea! pmceu oluumg whit- hpeli4, mambua
wwmial aed q plucenla uLe enpelled pm ullu

wHO olhiu maemal laba,

Aponlanseu un mi, low LLk IKMOLGheut lalreuw y deliueu
i ben dpontanuouuly tn Kuulsi ulnun 314
nam
in ck Conoliliõi
wwws of pgmanty Molh baluy

asaliorm
Role o pakKoglandins
AuM luuls onboanru pAwsthoalaudurs
in uiune tauila)
Cnetuon yoltidua ( occuy lasge &utae aua

alyunophotphetimdls Anachidonic auel pAoskaglandiny

c e e r L e p / L s l
p ei o l

yati vatid kuims

pAeess

Coeedimuti4 u i n mhaitkon

acivelion Lonthaeluons
Ceuial tipening.

uiuis disbnion
nLau Dm lune qwh slaerin wsheunag
A pegmanay
muLau.
Aat o t a l qeowh
ene Aull t inhaulure puw. Ynuau
Reuultanr lonman njind cn wlaine muuclu Initials l a b .

muhanial nutalion
L o utiuns uamm teetal had y it
Stthing
Stnutehing by
pAL n pauteruial herue ganotio mionr irliatt daleus
 tagu ubeu
lusou e n u t ef
- 3 Mueks
lalouu
i
Pupaualo ny ttae Lam n Muligauuda
Muulligsauda
pnmugauda w days upotu
inlo Lh
pncdudes uulhead ánking
Sating hemoand oulituu
peluuis utulli'ng lughlining
lanal
gadual ghoulinng uuuial
may oCLuN
Mal puuieu lalu paus
uu labouu pauns lo lomplels
KE
SaQ brlends hton enr
oilataton uin
Aunu alud Stngu o tenuia dilatali

auuag 2 houu in mineuuida

S-6 owu in Multiaauuda

oludu
uliuin lnllaluön
mosanguineou ucharg
olilatalon ceuial conal
alion har ydesCanr
Rupu membians.

dund drag:4thge o epuliom

ulondsHm Lompluk
dialatalion ef Cuuin to expulnion.
haelus
1-2 Aouwu in pimiqrauida

2-1ous in muliorauiola

neudus
Atonqu uliune lonaln
mvoluemuur o diaphragm qabd muele
canal whuid ü
helus pushed odlouwm tKauugh Ceauical
u

dialalid, vagima Atlaru y dialala

vulva widens whun pALAnfing pauri huud unde L

dymphysin pulus Lalld owmim

SOuuimg hu phase, tk Auljet io ntlinnd to dekeati t
michulin n io aulivattd.
 ke head paas kacugh ke ouur
Aaskly
erpulim faku plate, patienr vuls last ator y
e u in betn

Aud Mag ioge o placenlal oleliuy.

s tompul
rlunds hom mplli epuion keelas
xpulkion placenla ymembianes

minulu IS mimulu

ntbudus
Chaliise uluin mtaeluoin

dyaLati pleeenla
3 pulen placeula
Combted heumD ALhage
uliu
Spumaneu onaaliir y Kilhalioi
vasomorb
iqou whuh i puuly
Att hu on eitocte
Calud phyiolagien! Chily
 Mechanum Laluu
o l
K pocus oy whun tk heliy assanqu ilielh
eus a sae vcqmal deliuy
oa
peluir nchilitu
wilk minimal mlidulg
9
u aelhu
aelu luing etetid
no metalily
melku Kelus
k
h au 1 Cadinal mouenula whin duis
muhanium labeu in a u u l pALountalon
Sogtod ulius imputant mauku n K eelas
iael u ud b doneli k mouemenlf duung Lalr aAKMnr
labei ass4 mar

engooumen
hon hu wuidu damelei opAsenli po tnlas
tR malunal peluis descends lew Re plane o pelue
onkk.
M rnually Kaough s h hansuenae diamulk et
Malunal alet tuF maylu tKugh e toliauu diametis.
oaniralin Malisn o uad i
uagnnal o
LoA n g g in uigh gldiaue diamuu o peluii
RDA ngoou inkur dsliouu diamta 4 peluiu

Demum
dhe douwnwand passaqe aellu io uough y paaqauwmely
maliou aided y Autiaclin ot
ncuang uinuns
ncuauiq
mypmetiual bau

Rexion
nLasing inlinslg uliinu Lonhalioiu lad
ncuasing Keum b ual head qAacluall
dueuanng diamli head

mlimal atalin
aetalhnd ducunds, r meelk Arante Mm srtt t u

wmpuung AK levale oni

peuipeu toot
.

hu moemu auom AK Sogit Suln

hu olalum u enually 'le i n t e ully H d haad
 he upwarda uistane peluis loo tooplhu itkK
deusnuad hee am petttte uiui Cmtaitiont auae
AK ocepur o Loali OmtisinyH

SnlinMion
s ale pADgLddK base ooceipu iomes lo ue
rlew K 1nuot naugin puuis demphysio
wwilk pmgsuumue tmharlun, elommun Dcceus ollond
olekiuey head
Restiulio
ontL K Koetal huad is dulinund, ir unwiri itdl
lauOn in nuk
RAmne K plan
1 i n a l oralion
OCeu i ame dlieeulion as huuu tul+on to aLn

Sheuldu Jatalt ymphyio pu

erpulionm
ayt deliuy oi tectat head, uulku dscent io audad y

motkusttr eemaiming pai auu epelled by

Lalual hleein
Descent OCeens KAoughou ni deues Renuin u
e&Awnlias Componen uti gntioalu totaltn u
Complulcd
bumaltolalten

REviemal
Lxtensie
e olaltos
t i lul'eer
 mauu unal lalvau

pals
Imiliation labour.
Esralulish K sulyuli of
2uraldish baulins saliu
Computalni
awoid
msnilst lalvov poguv
Lmdur eallhy oleluuuy
Palaent pnepauali
Ambulaluon
2 A imtake
une
santii oti prophylaxu

ruetioalur
molhuu hleod Dup.
Rh anlgin Stalus
basuluns homalbtuir
. ulhuis examimaluin

mital ecamimalun

Scanning
hintoy baulens measumeng
examinauon r hughlueiahli
3 cliniua!
Aystumi cxaminalkc

Abd tnamimaluon

dlailed o examinalua

hundal Aeion

3.
ameun ligur
estimaltia eotal ueighr
sAuuding uliun tmialuns
keelalheatsatt.

Vngrnad wammnnliin,
T a t t oCuuin, eacemen y Oualatalg
K ialí amlnanay ( Tnact/Auphuud)

3 r'alto haa cepur pehl head

 be membane s uplued
mading pofo * s m u
hhounr teletus o igue ( memum al lod ttained)
Shape t peluu to ule ouCephatrpeluue
Shag9 alspkptulion

pautogram
mmithang the p g s o Lalo rLuugh
laben
aphia/ teand oj p0gnu of
paulóaram
neludu
meauny y inlinly
palnt 1dunli}lalon dal|tquality,
u l h t i n tntlastuerN
Rhalal hiat alT

membrane Atalu 1
wm o membiane Aupui

Lenias dialataluo Cele ouaue

S talu o mad
pogrs abet
his hulps in noicaling
ain uli mhalanr analau
mu e uen
nalgenia piduual analgtua

melicales ok_pangku_lab
n pes abdominal examialun a
Deswnt of pALauning pau
asesud by derp peuie uap
dualalolion qralu han m|h in primiorauida
Aal CEsuLal
in multiaaauuda
ouuat
han rScrh
Uan lCm h an prbmiguauuda y
desant o head quual
3. L a t o t lat kiut y
in muliqLauda
LKar acm /h

Sumd Mogs.
Maintauned, Ke
shen K poauiboLam has len
duwnet sou tK blur uie.
Cesuicogaph

msnitourq u
momilauhg
malmal uilal lona t4 tsets heat tatt
mkap aulium
tKeoughour l Lalu as
nesay lew Assk
Compucaums Lan Oceu uen n yomon .

mend e LaLded houtly y e- haLs

Molina pulse
 phyiete pupium
Crnemeut jut atu hidbiu
D peuum ivd
hui
ounng wwh opnitai aLgan ugain pALPugrayr
Atat anatumiualy pymtogicnly
weaku uar mudiai y u tpulsir
Uually kaku
oplatuna
uius omdiatily aut dliney a uleus d fam 9
Lonttacid has alteunali hauduning y setanin
he
he anan y posiis usalus lis clo parumiy
SoD gm a f i
s Ms loodom hu Sraqe uur e d u s
ar
a eekR womus 3ad qm olscenduug ints t peluic cau

toukts ea monk llewme lD qm

duing pagnany, Kirds masked hyputaophy y hu4pesplasia
myomeua lelu
Ke talal nw omuscle allu
m pkoces invoulion
nain sami u indiuidual Cellu oleeuas im s m

Comneeli involula eapidly

Rowe h i n Atamn_y tesuuin :
deluy R louu uiun Aemeut ueiomu a rin
Halby Callapaud Kwulir aks a ew euks 6 ugain it
eioinal hape t AIKmus lupng Aelunem K ulun

p y imtimal s
dusing abeuw wun usually launaleol eapioly
AaliLaly
mmal 6 uadually Cloaes Ceiix hickns ty"tanal naueur

uliuin Uesuls
uluns ulerd Hrw uimLaALd 9 Placeulat te uesdels enta4
Auankady
dH deliuy, rhauliur uuls detuae
 Chelomutialatnualin_ ptacnlas ait nvo lulien
upanaion platuda 9 mmuane Occeuns au dponay day

AL duidua basalu Aumains hind aftu platuilat eopulsi

vaes thickns a t kaw the uliine (auuly Ho
ismguta ja99y n pptarants u injiltalict uala blend
Vh plauilas duu Cnthacis lapidly. h prernth

lhiv hous aa deliey, placual duur onuis ot Maut

KAUmboud eaiuls tKar ultimaty unelugo gunizaln
omplett eathuuen b4 plarcelal silt take b uuk

ocua
vomnal dlischanee pudues t e eaiy pupauum
uuAally LAuT 3-4 pecuua
Hahymelt.q 1nitially alkalins Conwilr leughed deidual
tu, yhencylei epitkeliat cellsy aliuia
rutually ed du pALAenw loed ochi lulaa.

ytllauith palu basun Locka lussa.

aaoualiy pale, pYn
-

l a l atu 3-4 day Lochia allba

n s ho -Sdout
whitr u whil yllis wheles
Aochia Lauti ov mnh

Sulinvo wlurv
delay o A 1nwsulio

UT h a n
uich is alo hupaaemt, Qedemaleu
aislunded ladduw
Aidual uine
mumplul tupliurg y n
+Inudente Alkuu montinQnee
uagimad autlut Jlaralion ey uluunu padapae
ium -uagina t ulll u Capaciey
mmediatt
mortr walled passagi hal Radiuallu

ikially mulod lustd e Congateet

(ntkelas i aqu aren tkann uinginalal.
 unuas phyrielogica! changes
i d , haustis may ius pulu dugnly om h fuopo
Atd a r 4etts down nouu
atl heuo
omp aitinay nota odegrue
Aowqade heuw n 3 day
ANn pais Mulipaseus gneou uliinu (nhaelins
phmpaieu tonially tnthaclid
duu o Keleau et Oxutoun.
tra
diaty a deliuy fatient io isuhy hecaue o SAs
abo Junalirg aLompanymg dihyduaion lovd Loss

nadtauali Nukilin
Siohr nlusliral parusis ntlipalio

S6 Casdaat ar biane odeliney

a3 ta diuwis

Lwwnay dyslém
Notmal pLLgnany AADuiald uit inekuasu n 6ef
pOstpaulum diwnesis
Painud miclkin

Blooe uid changs

t o leod votume u o dthydialn uleod lou
Caudias ulhu unauo eluwat+d
yt houu.
Makecl ewoytons y mboyoaus duing afui lalbeuu
lvati plasma ibinsqen ey 6& R wur
MUM/utton wlatn
Culalion 36 daus l oluliuuy
lautabing n n Lautoling
q oon mrihuu tan neieuu duume
lauatnal amenuhua
ene LmMauplim adungepstza
 atoli
IS2D laluutto ladally anged
bsuast
dur wuuuh Cemluis
lotuulu alutlu mall

actiesouu luer

opned o Tippla as kmal) hL

Staul ar lal ptieman y intuasu u t allu
Colostuun

when [Link] tr Cesfcenu pioyai tons n

duliny
dlinuy
pAelaclin Umous
ealhy mo her SoD oD mlolay
axto mitk puoduulin
alkaluns
Cdastum dp lemen yullew seuu Huid ,

rA, &octieum y Chleune Fan was

Conlaiu pAslrs,
mik
uga, ur, petakiun
Couund 5 maluu
onlinuu upo days y adually l e
wulh i Nar4 Leek. At as a lanalue

milk:AupenaOn u r 4 paolun u a tarbhyduati minua!

Keuli. sotanni uil plasma.
Caenin
pAolinu hke d- lacralbumin, p- laloglelulin
oD m ot milk [da
wait piomelis qkeurtk y
pridunnal gtowtthaute keund
maluali intlotonal muuuosa oMuonali

duiienr iuur k.
Phnogy a leurolue

Atals duu 6
Aimulalion ot pAooaliuome, cestucgen,
polactin, lntiot, Ynsutin
plauntat lastóapr,
olischarar of mik Kom mamauy land deperdt on sluekli
ng bs
celle tn alueali t/
haby y (nhalton ot mujn sitkeleat
Small ole
 omkaindi zuons auast eLding
Crnsumpon Aut duuas
nemAolled aleshdntake

Omen wiK tu, mot anlaitAounal dugs

n a Canunoma
Acue ntual+d tb
1nanlß uul yalautdsemia

manaman o nomal pwupeium | CauL oR Ppunm

hms
Reutaalioi o mehui healt
pAuenliti uatiment o inpeulim
metialiin e lautáluin
4leuntle nlhasepluen
utau y Aheuld e meniliue

Ambulasen
caeky ambulaion is oduisalle uuaua
nesuago pasa
i, deainage o uluso hacilutalid Cona patici ioedueed
nwc me eganed, oeemass [Link] asio slegs a an
alsuadynyputoagulakte voat.
Diel
moaased Caloiu 4 paolin
autatng POmen nd enka taleru Aan ALponr wmen
laddu (a
eNLRUaged pas [Link] he mayue unable t do so
du p a u in th peinNum
endal Cea hemaloma muuur ue uled aur
Hat otd Compaus mwr e puen eliwaur
he auaded
etuon y utitu Should
 e Vulua epitiotomy
Mou Mu u leaned wt autitepliiisiuil pads mu
orn uen aum deliueuy.
Peuneal cau autiatpt gimu Mut lu ellueot
Wwr e
Ait aK migh help nemaloma y Ynuloi
uled u
Ca o luaut

lipple - iped uik wal u a t leeding

ould b epr du
mund Abaulid napplu M lue only pulled our
iafmoul Should be uen y ay mAiluom
Topicnd
munioatn
Pruti-D Yqlobulua , Ruhella, 1 borls

ALtpain analgrauu
Examinalioi ubsegueut midicaluo
peinnal pain
Araemia upplemeulalõi

Seua aetiuily Qs bn au peineum is huatud

Povhpauw exetuise

Atunglk
 Ca Awbstn

uint
oyim9 K inanr
PAmentton heat Aoas ty keeping mjan wa
tlasing moutkAeulian

pAuentt ypokiumua
piDmotion encluine ias
miltalcoi, tarahlichrmury

pALnim nteulcon
S Can oLew nuwbourn ntant
Porith asphywta
omoprulaa malkelmauiny
pouis aumlk
pulium huwhouN
ACAu uataig
Ruaaliny distnus
3Caed, dkn , ye cau

4 preumlion H nulu
Neonata usuiralin|Auphupeia Neonatkum

em opatalun? Rocuiis Cau

Amnietui d clia? poeulde waumlK
a tau aiwas
qd mucte tone 2
du
a s Celour

Pouds uwaumK
Evalual Upiraluon
HR cetouv obsne
posilton tlra aiavay
pink
Akmulat, dn Aproue
qae Supplmutay O
pAumuu ventulaloni
pwstn cuanDu
DAuel tue

PARLelu thur lompsusin

Adminisla epnephur
 aste (au

maiminanu ady lump

a baby mamaat
balr
3 skinta y bauy
4Cau o wwiical Stmp

SuPplumutalusi
1
Folowwp
vatinatii thdule
 ypeaemeu o&auiolaum

Dming peeman
ealuu
6-6-8 wuks AHCG
t a i Sumpton 3 ipud aliLaluõi
8. aPiLualule uignt las
4inuluon

S enetei

pyali'sm | Salivalioi - olephwin

a t u , waknm
diadnuu dishohd tast
aulõiv 9loep dikubanc
arsi et
muioplis
inaysis kulbns
ASeum eleuaotyl
uume Cultuu
Aumaloait
u u enymu y llluhi leulu.
MAnagmend

Calmime down y pallialiue tae

L
 PatkDpnums
Maluma! kalots
Placents auls
opnelt Nuusn
Aonomal Maphoblasle midia
vaviom m un

xidatu t u s

Edothelia dyunhm

Uasospam
Ativalier Capiloy leak

CDagulalisn

0edoma Hypeuleniu
PAotienuua
Tuombouybpenta Aawmolmeenliolioi liguai

aho logica Chang

Jinu Surramulau haumouhage
peuipaulas hamorhagie
Renal leims
a dna alomuulas tnaloielialoais

Runal tululas lein

Plaun a AnoxLA

brain: euu hyputirsi m

cenba oedema, ypeaena
Managpmont

mild
Re
audehypuinsis gimn
du Lalutt
a due prophylactie masoy.
din
mnlaung *
molku koeliu
 T omanuy

epidumalogy 0 watlduuidle

pwlmoray
high utk niapwmenauy ls y antinalal hoapuliplis
tow APGAR, LB Ww

mode etal eonatal hanmi i en

hymphohaumaloaynous pALadl o endometutiu duung pmagnay

wi wwhiuas Mun

Uinua puwntalio pAauntalioi e Te.

dovmet all cAnual
Peemarnuy
emanuy maLaoLd MApiaalauy talt.
latngis,
MawHY assumptomalii
movty
malait
ail 9 a u ei9hr,
exluapulmonay
tlt o injuluor au aila inveeg.
u aiu ivoued.
inl+olrio bonu),kidnus, miimgs
ymph nacu,
,

nneruai TB is A a hur
ioernosio aheted huumaloounsudy
Afe faun
iqns: -3 k s
Tulwwlih tin Asr
a Riapatay oditxuw
Chur ndngphy Po ednq
Te qold anou
1 uantium
hpatosphlinomagaly
Tuatmn
Autitulunulat tuatmur
 Dialulu in meman
mwdune -Ii
Noomal nqnany otalulomuu a l a
Acrlio meuas.
du o alliaali tn paltzun of laulin
nsuli sintanu
aating uLs uil advanting alalion
hauleta hot Ahuo Chaumg include

oilulienal e
Ymauaeed malunas hoetas uliliaalim
binadequa peodulion 3d 18
unituulg iristarte au
phyieb gta haule hd msulin
unknoo
Potimtas H l mude
human plaents laelooen hPL

uplun
dpAetaulin

in
Clamicalum odialuli peLgnany

Ouer opALgealolioinal dialel

dialu luhote paLgrany "holiuidualu uutk alsolu
ulin oleicieny deeetiie insulin aerlion o
mulin Anskanee
araional ialele
Carboryaal nlalean te ovauiahle i cuut
haer d eDgm gud duing ti pun

pAgmara4
opakaltmuu olialutu mulltu
impaiud guu6
nloluanu AL
 Risk uleu
Cuun malunal oge meu Fan as
Rone ethnicig
ulg
Eilog
n insulin
Pncnt ouuoAUua auutaomisinq
Ghistty o qpM pAiou peamanty. houmans uk HPL,
oeliwy mauo OsMLL say Aaluy. popaliome,Codusel
1 Chami medial Condlulconu pucdulion o tnmey
PLos. 4 plaula whuh

family hispty DM dsgradallon b

Ca mus e takn oaunia Colasis ao

thu aluad
aluady ndenuy louued unal thMLahotd
dugan eatimalt
leod dugau
epatiol leed
eatmaltov
palna
et of dialuty pmun :
abrlion PALLclampna
o. diati nphuopolky
pAtium dliney
pAaney induted hypulinion uttopainy
maluna hupugycemia
Uad mAUDAOmua

ydnamniss
DKA caeuied o u
malinal mjuloiu , CAD, mut ue
7nurplainss elas dalk
tasling hyprugtyemi

anaoment

meal plan
mnulin hiaa