Question

8) what is Nagele's rule for estimating the date of confinement?

10) List of review maternity risk factors

11) Why should the presence of Goodells be sign for alarm or concern?

Answer 1

8) Nagle's rule of calculating date of confinement

                    * Nagle's rule is adding one year then substracting three months and add seven days

                       to the firsrt day of last menstrual period.

                                example: If first day of last menstrual period is march 14 2017

                                                       Formula = 1st day of last LMP+1 yr-3 month+7 days.

                                                                      =March 14 2017 +1 yr -3 month +7 days,

                                                                      =March 14 2018 - 3 month + 7 days.

                                                                      =December 14 2017 +7 days.

                                                                      =December 21 2017 (Date of confinement).

10) list of review matrenity risk factors

                                * Malnurtition

                                        In developing countries malnutrition is one of the important risk factor which

                                        affect the pregnant women and baby result in complications during delivery

                                         like low birth weight,anemias,post partum bleeding and toxemias so adequate

                                         nutrition needed for pregnant women.

                             * Infection

                                         Infections occur during maternal period result in variety of problems like

                                         abortion,low birth weight,puerperal sepsis so avoid chances of infection

                                         through strict hygienic practices.

                         * Age

                               Age increases chances of developing complications increases so better care

                               needed for women above 35 years old.

                         * Multiple pregnancies

                                  If women carrying more than one child maternal risk increases so good support

                                  need in case of women with more than one foetus.

                  * Health condition of maternal women

                                   Diseases like hyperthyriodism,hypertension,diabetic melitus of maternal women

                                   directly or indirectly affect the baby so precautions and treatment needed for good

                                   control of this diseases.

11) Importance of Goodell's sign

                           During 4 to 6th week of pergnancy cervix become soft like lips of mouth and increased

                           vascularity due to high blood supply result in visible blue discolouration on speculum

                         examination is the goodell's sign, is a indicator sign of pregnancy useful to know the

                         weeks of gestation.