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all about pregnancy process, examination and assessment in podcast form paper

all about pregnancy process, examination and assessment in podcast form paper

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Expert Solution

* Pregnancy = Presence of live products of conception inside the uterine cavity is called as pregnancy.

Pregnancy occurs when a sperm fertilizes an egg after it's released from the ovary during ovulation. The fertilized egg travels down into the uterine cavity, where implantation occurs. A successful implantation create pregnancy.

* Examination and assessment for pregnancy =

Diagnosis of pregnancy in 1st trimester =

Sign and Symptoms =

* Amenorrhoea.

* Breast discomfort ( Pricking sensation )

* Nausea and vomiting ( Morning sickness )

* Fatigue.

* Frequency of micturation.

Sign seen in 1st trimester =

Chadwicks sign = Bluish discoloration of genital organ  due to congestion of uterine and vaginal blood vessels.

Goodles sign = Softening of the cervix due to increase proogesteron.

Osainder sign = Increased pulsation felt through the lateral fornix due to increase blood supply.

Hegar sign = Bimanual examination - To check the softening of lower uterine segment or isthmus.

Piskacek's sign = Unilateral one half of the uterus is frimer then the other half.

Palmer sign = Bimanual examination uterine contraction are noted .

Mittelschmerg Phenomenon = Unilateral lower abdominal pain seen at the mid of menstrual cycle that is at the time of ovulation.

Hartman sign = Nidation bleeding and implantation - per vaginal bleeding in slight amount 6-12 days of fertilization.

Uterus shape = Non pregnent = Pyriform

At 12 weeks - Globular shape.

Biochemical test = Detection of Beta Hcg

sample - Urine and blood.

* USG ( Ultrasonography) - Transvaginal sonography - 1st Trimester - Can detect the pregnency better and earlier.

* By the end of 10th week - Fetal heart sound auscultate using dopler.

* Diagnosis of pregnancy in 2nd trimester =

- Amenorrhoea

- Quickening - The 1st fetal movement felt by the mother

Quickening felt - Gravida = 18-20 weeks ( Primigravida )

Multigravida = 16-18 weeks .

* Diagnosis of pregnency in 3rd trimester =

sign and symptoms = - Amenorrhoea.

- Lightening = welcome sign of labor. - 36 Weeks

Vaccination during pregnency = Live vaccines are contrindicated during pregnency except yellow fever.

Killed vaccine and toxoid are given.

Air travelling are contraindicated during pregnency specially after 36 weeks


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