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DEFINITION
UTERINE ENLARGEMENT
The foetal heart starts beating at the sixth week and can
be heard by 20th week with a fetoscope during abdominal
examination of the mother. However, it can be heard
between 12th and 20th week with ultrasonic instruments.
Fetal heart tones must be differentiated from two other
sound-
(1) The uterine soufflé-a soft blowing and systolic murmur
heard low down at the sides of the uterus, best on the left
side. The sound is due to increase in blood flow through
the dilated uterine vessels and is synchronous with the
maternal pulse.
(2) The funic soufflé-the sound of blood rushing through
the umbilical arteries. It is a soft blowing murmur
synchronous with the foetal heart sounds
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