CHN

1st visit ASAP before 4 months During the 1st TRIMESTER

2nd visit During the 2nd TTIMESTER 3rd visit During the 3rd TRIMESTER Every 2 weeks AFTER the 8th month until delivery

OB
Follow-up visit

Every 4 weeks through the 28th week Every 2 weeks through the 36th week Every week until delivery

The

health care given to a woman and her family during pregnancy

The earliest age at which fetuses could survive if they were born at that time.

20 24 weeks Weighs at least 500g

Any pregnancy terminated before the age of variability

TREATENED bleeding, cramping and

softening of uterus with CLOSED CERVIX

BEDREST, no intercourse, monitor bleeding

INEVITABLE unpreventable cervical dilation

persistent hemorrhage, and severe cramping

Save and count pads, monitor hemorrhage

 COMPLETE expulsion of all part of

conception Observe; may be given oxytocin

INCOMPLETE expulsion of some

part of conception D&C, Oxytocin, IV/Blood transfusion

 MISSED Fetus dies in utero and has

not been expelled as cervix maybe closed. D&C, monitor for infection

HABITUAL with history of three or

more abortion, commonly due to incompetent cervix

An

infant born at 37 weeks to the end of 42 weeks

An

infant born before 37 weeks

An

infant beyond 42 weeks

PRIMIGRAVIDA
A woman who is pregnant for the first time

MULTIGRAVIDA
A woman with a second or later pregnancy

NULLIGRAVIDA
A woman who has never been pregnant and is

not currently pregnant

PRIMIPARA
A woman who has completed one pregnancy to

viability

NULLIPARA
A woman who has not carried a pregnancy

to viability

MULTIPARA
A woman who has carried two or more

pregnancies to viability

GRAND MULTIPARA
A woman who has 6 or more viable

pregnancy

GP

GRAVIDITY (G)
Number of pregnancies irrespective of

gestational age

PARITY (P)
Number or pregnancies that reached

viability NOT the number of Fetuses born

GTPAL

G- Number of pregnancies irrespective of gestational age P- is broken down into: T - Term Birth P- Preterm Birth A- Abortion L - Living children

GTPALM G- Number of pregnancies irrespective of gestational age P I broken down into:

TPALM-

Term Infant Preterm Infant Abortion Living children Multiple pregnancies

ESTIMATE DATE OF BIRTH / DATE OF DELIVERY NEGELES RULE

Standard method used to predict the length of

a pregnancy Approximates that pregnancy lasts 40 weeks(280days) from LMP

Count back three months from 1st day of last

mense and add seven days and one year.

Womans last mense began on Sept.10, 2003, what is her EDD? Month 9 3 Day 10 + 7 Year 03 + 1 =6 = 17 = 04

June 17, 2004 is her Estimated date of delivery

Estimate Fetal Growth

McDonalds rule
Common method of determining fetal

growth in utero

The distance from the symphysis pubis to the

utrine fundus in cm is equal to the week of gestation between 20th and 31st week of pregnancy

To estimate AOG Fundic height in cm X 2/7 = AOG in month

Fundic height in Cm X 8/7 = AOG in weeks

Then 1cm/wk until 36 weeks AOG

(at xiphoid)

BARTHOLOMEWS RULE
To

estimate AOG 12 weeks = Symphysis pubis 16 weeks = halfway 20 weeks = Umbilicus 30 weeks = halfway 36 weeks = Xiphoid process