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The normal period of gestation (pregnancy) is about nine months or 40 weeks. The germinal stage refers to the time from fertilization through the development of the early embryo until implantation is completed in the uterus. The germinal stage takes around 10 days. [1] During this stage, the zygote divides in a process called cleavage.
Reilly (2017) states that stress can come from many forms of life events such as community, family, financial issues, and natural causes. While a woman is pregnant, stress from outside sources can take a toll on the growth in the womb that may affect the child's learning and relationships when born.
Human pregnancy can be divided into three trimesters, each approximately three months long: the first, second, and third trimester. The first trimester is from the last menstrual period through the 13th week, the second trimester is 14th–28/29th week, and the third trimester is 29/30th–42nd week. [ 6 ]
Pregnancy is the time during which one or more offspring develops inside a woman's uterus (womb). [4] [13] A multiple pregnancy involves more than one offspring, such as with twins. [14] Pregnancy usually occurs by sexual intercourse, but can also occur through assisted reproductive technology procedures. [6]
The limit of viability is the gestational age at which a prematurely born fetus/infant has a 50% chance of long-term survival outside its mother's womb. With the support of neonatal intensive care units, the limit of viability in the developed world has declined since the 1960s. [33] [34]
A woman pregnant for the first time (nulliparous) typically feels fetal movements at about 21 weeks, whereas a woman who has given birth before will typically feel movements by 20 weeks. [13] By the end of the fifth month, the fetus is about 20 cm (8 in) long.
Each year, complications from pregnancy and childbirth result in about 500,000 birthing deaths, seven million women have serious long-term problems, and 50 million women giving birth have negative health outcomes following delivery, most of which occur in the developing world. [5]
As the fetal hypothalamus matures, activation of the hypothalamic–pituitary–adrenal (HPA) axis initiates labor through two hormonal mechanisms. The end pathway of both mechanisms lead to contractions in the myometrium, a mechanical cause of placental separation, which is due to the sheer force and contractile and involutive changes that occur within the uterus, distorting the placentome.
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