SUMMARY -

Pregnancy can be defined as the condition of having a developing embryo in the body after successful conception. Pregnancy may be diagnosed by the
woman herself even before she has missed a period because she feels different. There are three trimester of pregnancy- first trimester up to 12 weeks,
second trimester 13-28 weeks and last trimester 29-40 weeks. Different signs and symptoms appear in these three trimesters are used to diagnose
pregnancy. Diagnosis of pregnancy in the first trimester and early second trimester is based on a combination of presumptive and probable signs of
pregnancy. Pseudocyesis, cystic ovarian tumor, fibroid, encysted peritonitis, distended urinary bladder are the differential diagnosis of pregnancy.
Signs of previous child birth are flabby breast with prominent nipple and striae, abdominal wall lax with white striae and linea alba, uterine wall less
rigid, perineum lax, vagina more roomy and cervix cylindrical and external os is transverse patulous slit. We can estimate the gestational age and
expected date of delivery by using various formula.

CONCLUSION -

Today we have discussed about antenatal diagnosis of pregnancy at three different level of trimester. This knowledge will help us to estimate the
gestational age of the client and providing the health education and other information about her pregnancy, by this we can clear the doubts fear about
pregnancy. We can differentiate the phantom pregnancy from true pregnancy. we can differentiate primiparae and multiparae by observing the signs of
previous child birth. We can co-relate the investigation findings with gestational age, so that appropriate steps can be taken. We can find out the
gestational age by various formula so that we can prevent occurance of IUGR. By calculating the expected date we can prepare the client and family
for delivery mentally and physicalliy.
BIBLIOGRAPHY -
 Dutta D.C. Textbook of Obstetrics. Seventh Edition. Landon: New Central Book Agency (P) Ltd; 2011. PP 64 - 74.
 Jacob Annamma. A Comprehensive Textbook of Midwifery and Gynaecological Nursing. Fourth Edition. New Delhi:
Jaypee Brothers Medical Publishers (P) Ltd; 2015. PP 114.
 Myles. “Textbook for Midwives”. Fifteenth Edition. Elsevier publications; 2009. PP 220-221.
 Diagnosis of Pregnancy - Obstetrics & Gynecology MADE EASY. Available from:
https://obgmadeeasy.files.wordpress.com/2011/10/ch-7.pdf
 Bimla kapoor. Maternal health and nursing intervention, block 1, New delhi: Ignou; 2004. Pg.no.60-64.
 http://www.mayoclinic.org/healthy-lifestyle/week/...fundal-height/faq-200579
 http://www.gfmer.ch/obstetrics_simplified/Diagnosis_of_pregnancy.htm
 http://americanpregnancy.org/labour-and-birth/braxton-hicks
 http://www.sciencedirect.com/topic/medicine-and-dentistry/striae-gravidarum
Objective –
GENERAL OBJECTIVE –

At the end of teaching group will be able to enhance their knowledge regarding antenatal diagnosis and this will help them in
their clinical practices.

SPECIFIC OBJECTIVE -

At the end of teaching group will be able to-

1. To explain the subjective symptoms in first trimester of pregnancy.

2. To describe the objective signs in first trimester of pregnancy.
3. To enumerate the immunological test in first trimester of pregnancy.
4. To elaborate subjective signs in second trimester of pregnancy.
5. To discuss objective signs in second trimester of pregnancy.
6. To discuss about the investigation made in second trimester.
7. To explain the subjective signs in third trimester.
8. To describe the objective signs in third trimester.
9. To discuss the investigation made in third trimester.
10. To enlist the differential diagnosis in pregnancy.
11. To enumerate the signs of previous child birth.
12. To explain the find out of gestational age & expected date of delivery.