HORMONES IN PREGNANCY 1. ESTROGEN o y 2 sex characteristic y absorption of calcium y vascular resistance 2.

PROGESTERON y Basal Body Temperature y Relax Smooth Muscle y Vasodilation 3. HCG y (+) pregnancy test y Morning Sickness y Ectopic Pregnancy

4. HPL y Insulin resistance y Produced by placenta y Glycosuria 5. PROLACTIN y Anterior Pituitary Gland y Production of Milk 6. OXYTOCIN y Contraction of SM y Vasoconstriction y Uterine Contraction

PHYSIOLOGIC CHANGES IN PREG y Respiratory Rate y Thyroid Activity- Pruritus y Blood Volume & CO y Fibrinogen y Anemia ( Hct Hgb) y Orthostatic Hypotension y Gum Swelling y Appendix Displacement y Hemorrhoids & Constipation y Urinary Frequency y Glycosuria y Lordosis y Backache- Pelvic Rocking

DANGER SIGNS OF PREGNANCY y Cephalgia- PIH y Chills and Fever Rubella y Aura- Warning for Eclamp Epigastric Pain Flashes of Light y Blurring of Vision y Bleeding y Sudden ROM Prone to Infection Prone to Cord Prolapse y Seizure

A.PRESUMPTIVE
y N&V Ammenorrhea y Fatigue y Quickening (5 mos) y Chloasma & Linea Negra

B. PROBABLE
y (+) Pregnancy Test y Chadwick s- bluish vagina y Goodelle s- soft cervix y Hegars- soft uterine lining y Ballotment- passive fetal move y Braxton Hick s- false labor

C. POSITIVE
y Quickening by examiner y (+) FHT and Fetal Outline in USD

OB-GYNE ASSESSMENT
Naegel s Rule (-3mos +7days) McDonald s- get the fundic ht in CM 14-16 wks- midway SP and navel 20 weeks- at the umbilicus 36 weeks- at the xyphoid process 40 weeks- 4 cm below the XP Leopold s Maneuver LM1: Fundic Grip (presenation) LM2: Umbilical Grip (fetal back) LM3: Pawlick s (engagement) LM4: Pelvic (Degree of Flexion) Stages of Fetal Development rd Pre Embryonic: fert- 3 (Zygote) th th Emryonic: 4 7 (Embryo) th Fetal: 8 Birth (Fetus)