Medicine and surgery notes

Apr 24th, 2015
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ANTENATAL CARE:Pregnancy MonitoringPresentation prepared byProf. Joseph KaranjaAssociate Professor &Consultant Ob/Gyn, UoNIn this presentation we shalldiscussDiagnosis of pregnancy Estimation of fetal maturity Assessment of fetal wellbeing Detection of fetal abnormalities(Tests of wellbeing and of abormalitiesvery often overlap)Prenatal Pregnancy Monitoring2DIAGNOSIS OF PREGNANCY, ESTIMATION OF FETAL MATURITY,ASSESSMENT OF FETAL WELLBEING, AND DETECTION OFFETAL ABNORMALITIES, ARE BASED ON:HISTORYPHYSICAL EXAMINATIONTESTSPrenatal Pregnancy Monitoring3The Diagnostic Parameters ofPregnancy are Categorized as:Presumptive manifestationsProbable manifestationsPositive manifestationsPrenatal Pregnancy Monitoring4Presumptive Manifestations ofPregnancy: SYMPTOMSAmenorrheaNausea & vomiting (emesis/hyperemesisgravidarum)Breast changes: tenderness and tingling(mastodynia), enlargement and nodularity,pigmentation of nipple and areola,Montigomerys tubercles (6-8 wks), colostrumsecretion (>16 wks)Quickening: 16-18wks multip, 18-20 primiPrenatal Pregnancy Monitoring5Presumptive-symptoms, cont..Disturbances of urination: bladder irritability - frequency, nocturia UTI - pregnant women are more likelyto have significant bacteriuria thannon-pregnant (7% versus 3%)Fatigue: one of the earliest symptomsPrenatal Pregnancy Monitoring6PRESUMPTIVE SIGNS

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