ESSENTIAL

PROCEDURES IN
NORMAL PREGNANCY
Prepared by:

RONARICA B. DIONES, RN., RM..

ESTIMATING OVULATION TIME
• Estimating the exact time of ovulation in the menstrual
cycle is of utmost important in maternity care.
• According to Allen(1930), ovulation usually occurs
approximately 14 days before the first day of the
succeeding menstrual bleeding, corresponding to the
life of the corpus luteum.
• The time of ovulation may be estimated through the
evaluation of the presence of some signs and symptoms.
 SIGNS AND SYMPTOMS OF
OVULATION
A. Abrupt slight rise in basal body temperature
(0.3– 0.5°C or 0.4-0.8°F), which is preceded
by a slight drop 24 to 36 hours before. The
most fertile time is 3 to 4 days before
ovulation and 1 to 2 days after.
-Taking the basal body temperature can be
helpful and inexpensive indicator of
ovulation for the woman with regular cycle.
 SIGNS AND SYMPTOMS OF
OVULATION
B. Presence of Mittelschmerz, the sensation of
lower abdominal discomfort on the side of the
ovary that ovulated. Normally, only one ovary
ovulates each month, this sensation is often
unilateral.
- The irritation of the peritoneum by the
follicular fluid or blood that escapes from the
Graafian follicle at ovulation causes
mittelschmerz.
 SIGNS AND SYMPTOMS OF
OVULATION
C. Identification of fertile cervical mucus.,
brought about by the influence of the
hormone estrogen. Fertile cervical mucus is
characterized as:
1. clear and transparent
2. slippery and lubricative
3. stringy, elastic and stretchable
4. having a positive Fern test
SIGNS AND SYMPTOMS OF
OVULATION

Positive Fern-Test
 SIGNS AND SYMPTOMS OF
OVULATION
POSITIVE SPINNBARKEIT TEST
• Before ovulation, cervical mucus threads
are 1 to 2 cm long.
• The ability of cervical mucus to be
stretched up is termed spinnbarkeit.
SPINNBARKEIT TEST

Positiv Negati
e ve
 SIGNS AND SYMPTOMS OF
OVULATION
• The period of fertility is the span of time that a
woman is likely to be pregnant when she engages
unprotected sex.
• The absolute period of fertility is the time of
ovulation
• The ovum or egg cell lives for an average of 24
hours and is most likely to be fertilized between
12 to 24 hours.
• The woman is most infertile during the period of
menstruation, 1-4 days of menstrual cycle.