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Examination in Pregnancy

Examination in Pregnancy

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Published by abhandlung
this note is meant for medical student as a revision on technique of examining pregnant lady.
this note is meant for medical student as a revision on technique of examining pregnant lady.

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Published by: abhandlung on Aug 31, 2008
Copyright:Attribution Non-commercial

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03/05/2013

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Examination in Pregnancy
 Abdomen;
Position; semirecumbent position, cover hip below with blanket.Inspection;
Shape of uterus (gavid uterus) and asymmetry
Fetal movement
Scars – caesarean scar 
Striae gravidarum, linea nigraPalpation;
Symphysis-fundal height (SFH) measurement
o
Place tape from symphysis pubis to top of fundus, turn the tape to read themeasurement
o
Length is correspond with geattaional age
o
Large SFH = macrosomia, multiple pregnancy, polyhydramnios
o
Small SFH = IUGR, oligohydromnios
Leopold's Maneuvers
 
o
First Maneuver (Upper pole)
Examiner faces woman's head
Palpate uterine fundus
Determine what fetal part is at uterine fundus
o
Second Maneuver (Sides of maternal abdomen)
Examiner faces woman's head
Palpate with one hand on each side of abdomen
Palpate fetus between two hands
Assess which side is spine and which extremities
o
Third Maneuver (Lower pole)
Examiner faces woman's feet
Palpate just above symphysis pubis
Palpate fetal presenting part between two hands
Assess for Fetal Descent 
o
Fourth Maneuver (Presenting part evaluation)
Examiner faces woman's head
Apply downward pr Essureon uterine fundus
Hold presenting part between index finger and thumb
Assess for cephalic versusBreech Presentation 
(A) The uterine fundus is palpated to determine which fetal part occupies the fundus. (B) Eachside of the maternal abdomen is palpated to determine which side is fetal spine and which is theextremities. (C) The area above the symphysis pubis is palpated to locate the fetal presenting

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Savimbi Jonah added this note
thanks for these wonderful notes
Arjana Lushi Tafani added this note
Please, could anybody tell me why do I feel so bad and have a continuous ache at the womb, because I am pregnant since 4 weeks I believe??? Please???
Turamyimana Faustin added this note
useful infos
Manju Tripathi added this note
Thanks for this notes ,information , easy to understand. 21/7/12
Erai Erasto added this note
Thanks a lot, very good and easy to understand. so nice.
Shaheeza Yulaika added this note
thanks for the information,,easy to understand.
Juness Kachimba added this note
THANKS FOR THIS INFORMATION WHICH IS SO EASY TO UNDERSTAND
Lugano Wilson added this note
NICE AND SUCCUNCT

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