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Pregnant Women signs symptoms and care

Posted by on May.12, 2011, under Gynecology

Signs and symptoms Up to 20 weeks
1. Early breast changes, i.e. breast grow bigger, darken and painful nipples.
2. Skin changes.
3. Amenorrhea i.e. missed menstrual period.
4. Morning sickness, i.e. Nausea and vomiting.
5. Frequent passing of urine.
6. Quickening felt by the mother, i.e. movement of baby.
Signs and symptoms Up to 20-36 weeks
1. Foetal heart sound.
2. Foetal movements
3. Foetal parts felt per abdomen
4. Enlarged uterus, i.e. fundal height measurement and abdominal girth measurement.
40 weeks
Fundal height comes down but flanks are full.
Check up before 12 weeks
1. Health status of mother
2. Record the pregnant women B, P. Weight, Hb, and Routine urine test.
3. Screen and detect risk factors.
4. Record of the last menstrual period (LMP).
5. Making a proper and good report.
Check up before 20 weeks
1. Detail history.
2. Hb estimation.
3. Screen for risk factors and medical conditions.
4. Record BP, weight and height.
5. General examination from head to toe.
6. Screen anemia.
7. Test urine for protein and sugar.
8. Take tetanus toxoid 1st dose.
9. Health education and counseling on diet, rest, sleep, exercise, clothing, sexual relationship and danger signals.
Women at risk in pregnancy or delivery are as follows-\
1. Age less than 18 years and more than 35 years.
2. Weight less than 38 kg and more than 70 kg.
3. Short status less than 4 feet and 10 inch or 145 cm.
4. Heart disease, diabetes and other medical problems.
5. More than 4 deliveries.
6. Problems in previous delivery.
Danger signs of pregnancy are as follows.
Bleeding or vaginal discharge, breathlessness, convulsion, swelling of face and hands, high grade fever, labor pain more than 12 hours, blurring or vision, epigastria pain, jaundice, excessive or less number of foetal movements, excessive vomiting, etc.
Every pregnant woman must get at least 3 check-ups during pregnancy.

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