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Evidence of Trends, Risk Factors, and Intervention Strategies

 

Appendix B

Glossary




Term
Definition
Abruptio Placenta A disorder of pregnancy in which the placenta prematurely separates from the wall of the uterus.
Amnion The tissue membrane that expands to enclose the fetus and form the amniotic sac, protecting and cushioning the fetus during pregnancy, within which is the amniotic fluid (bag of water).
Antenatal The time period from conception until the onset of labor—about 40 weeks.
Antepartum Occurring or existing before birth; the prenatal period; antenatal care.
APGAR Designed in 1952 by Dr. Virginia Apgar at Columbia University’s Babies Hospital, the APGAR (appearance, pulse, grimace, activity, respirations) score is a quick test performed at 1 and 5 minutes after birth to determine the physical condition of the newborn. The rating is based on a scale of 1 to 10. Ten suggests the healthiest infant, and scores below 5 indicate that the infant needs immediate assistance in adjusting to his or her new environment.
Bacterial Vaginosis An inflammation of the vagina caused by one or more bacteria that has replaced the normal flora of the vagina. Signs and symptoms include vaginal discharge—thin, creamy, and grayish, often unpleasant and fishy in odor, and vulval irritation, rather than itching.
Chorion The outermost membranous sac enclosing the embryo.
Congenital Malformations Physical and/or neurological defects that are present at delivery.
Domestic Violence Any physical abuse or threat or pattern thereof, between intimately involved partners, roommates, or family members.
Eclampsia Coma and convulsions during or immediately after pregnancy, characterized by edema, hypertension, and proteinuria.
Ectopic Pregnancy A pregnancy in which a fertilized egg begins to develop outside the uterus (for example, in a fallopian tube). Ectopic pregnancy can lead to tubal rupture, hemorrhage, and death.
Fetal Alcohol Exposure Exposure to alcohol of the developing fetus.
Fetal Alcohol Syndrome Refers to a group of symptoms exhibited by an infant or child resulting from a woman’s consumption of alcohol during pregnancy. The symptoms may include differing levels of mental retardation, low birthweight, small size, and underdevelopment of the upper lip.
Fetus The clinical name for an unborn child after the eighth week of pregnancy.
First Trimester Time period extending from the first day of the last menstrual period through 12 weeks of gestation.
Folic Acid A nutrient found in some green, leafy vegetables, nuts, beans, citrus fruits, fortified breakfast cereals, and some vitamin supplements. Folic acid can help reduce the risk of birth defects of the brain and spinal cord (also called neural tube defects).
Gestation Period The period during when the embryo develops.

Gestational Age
The age of an embryo counting from the time of fertilization.
Health Education Health education includes instructional activities and other strategies to increase knowledge/awareness of an individual/group/community and to change individual health behavior.
Healthy People 2010 A comprehensive, nationwide health promotion and disease prevention agenda launched by the U.S. Department of Health and Human Services in January 2000. Healthy People 2010 contains 467 objectives designed to serve as a road map for improving the health of all people in the United States during the first decade of the 21st century.
In Utero In the uterus; typically refers to events that occur in the womb before birth.
Infant Mortality Death during the first year of life.
Interconceptional Care Relating to the care recommended to women between pregnancies or up to 24 months postpartum. Interconceptional care generally consists of interventions to ensure that medical conditions, poor personal behaviors, and negative environmental conditions are treated and eliminated before conception, thus decreasing the likelihood of poor birth outcomes.
Intrauterine Growth Retardation A fetus whose weight is below the 10th percentile for gestational age.
Low Birthweight Refers to an infant weighing less than 2,500 grams (five pounds, eight ounces) at birth.
Maternal Perinatal Depression Refers to maternal depression occurring during the period shortly before or after birth.
Neonatal Period The first four weeks after birth.
Neural Tube Defect A congenital defect of the central nervous system, including the spinal cord, skull, and brain, resulting from failure of the neural tube to properly close during fetal development. Defects may include absence of the skull, and protrusions of the brain or spinal cord. Most such defects can be detected before birth through amniotic fluid or blood levels of alpha-fetoprotein and by ultrasonic scanning.
Perinatal Pertaining to or occurring in the period shortly before and after birth, variously defined as beginning with completion of the 20th to 28th week of gestation and ending 7 to 28 days after birth.
Preterm/ Premature Refers to an infant born before 37 weeks of gestation.
Postneonatal Period The period from 4 weeks to 52 weeks after birth.
Sudden Infant Death Syndrome (SIDS) The sudden death of an infant under 1 year of age that remains unexplained after a thorough case investigation, including performance of a complete autopsy, examination of the death scene, and review of the clinical history.
Very Low Birthweight Refers to an infant weighing less than 1,500 grams (three pounds, four ounces) at birth.

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