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Abdominal Examination. Procedure of Abdominal Examination. Definition Abdominal examination during pregnancy is a visual, tactile and audible examination of the woman’s abdomen. Objectives Of Abdominal Examination are to :-. Confirm pregnancy. Estimate the period of gestation
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Procedure of Abdominal Examination Definition Abdominal examination during pregnancy is a visual, tactile and audible examination of the woman’s abdomen.
Objectives Of Abdominal Examination are to :- • Confirm pregnancy. • Estimate the period of gestation • Assess fetal health, size & growth. • Diagnose the location of fetal parts ( presentation, lie, position and engagement). • Assess fetal movement & fetal heart sound ( FHS) • Detect any deviation from normal.
lie • long axis of the fetus ( spine )is aligned to the mother’s • Longitudinal • long axis of the fetus ( vertically )is aligned to the mother’s • this is the only NORMAL position • Transverse • long axis of the fetus is horizontally to that of the mother’s
Oblique • long axis of the fetus is 0-90 degrees (or 90-180 degrees) to that of the mother’s • This midway between transverse & oblique lie
Lightening Descent of the presenting part of the fetus into the pelvic, occurs 2-4 week before birth especially in primigravida. It can occurs day of labour for multiparas .
Position: • Relationship of the fetal back to the front, sides, or back of the mother pelvis. • Pelvis is divided into four section based on right . Left , front ,back • Right anterior • Left anterior • Right posterior • Left posterior
Flexed Vertex Presentation8 Possibilities LOL ROL LOA ROA ROP LOP OP OA OA LOA ROA LOL ROL ROP OP LOP
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