Diagnosis of pregnancy..
A healthy married woman who has been mensturating regularly Misses a period.
In 98%of cases this is due to pregnancy.
In these days the advanced diagnostic tests such as USG, Immunological test for pregnancy has reduced or eliminated the needs to rely on the more inaccurate presumption of probable signs of pregnancy....
1) First trimesters (1 to 12 weeks)
For ovulation 38weeks or 266day is known as ovulatory age or Fertilization age.
Antenatal checkup....
2) Second visit-24 to 26 weeks
3) Third visit- 32 weeks
4) Fourth visit- 36 to 38weeks
Generally...
Up to 7th month- 1 visit/month
8th month-2 visit
9th month -4 visit
Total 13 visit of antenantal visit
1) Diagnosis of first trimester
a) Symptoms
b) Sign
Jacquemier's sign -bluish discoloration on vagina at 8th weeks
Chadwick sign-
Osionder sign- pulsation feel lateral fornix due to spiral artery at 8th weeks
Goodle's sign- softing of cervix at 6th weeks
Hegar sign- softing of lower uterine segment at 6 to 10 weeks
Palmer sign- rheythemic regular uterine contraction at 4 to 6 weeks
c) Diagnosis in first trimesters test
2) Second trimester 13 to 28 weeks
Quicking (feeling of life) denotes the perception of active fetal movements by the women.
Progressive enlargement....Of the lower abdomen by the growing uterus
General examination
Chloasma pigmentation -over the forehead and cheek may appear at about 24th weeks
Secondary areola specially demarcated in primigravida, usually appears at about 20th weeks
Abdominal examination
Skin change
Braxton Hicks contractions
Ballottement. Rebounds of fetus
External and internal ballottement
External. Breech presentation ,per abdominal 20weeks
Internal.Vertex presentation,per vaginal 16 to 28 weeks
3)Third trimester
Amenorrhoea
Enlargement of abdomen
Lightening 36 to 38 weeks fetus move downward known as Welcome sign og pregnancy
Frequency of micturition
Fetal movements
Sign
Cutaneous change
Uterine shape
Fundal height..
टिप्पणियाँ
एक टिप्पणी भेजें