Diagnosis: Signs & Symptoms of Pregnancy

1. Diagnosis: Signs & Symptoms of Pregnancy Dr Irum Sohail Assist Professor

2. Symptoms • Ammenorrhoa • Nausea & vomiting Incidence 50% Most common 2 – 12 weeks of gestation • Breasts • Mastodynia 6 weeks • Primary areola 8 weeks • Montgomery tubercles 6 – 8 weeks • Colostrum secretion 16 weeks • Secondary areola 20 weeks

3. Continued • Bladder Irritability • Frequency • Nocturia • Quickening • 18 – 20 weeks Primigravida • 14 – 16 weeks Multigravida

4. Signs • Skin •  Pigmentation • Nipples • External Genitalia • Anal Region • Chloasma “Mask of Pregnancy” • Linea Nigra • Stria Gravidarum • Spider Telangiectasia • Vascular stellate marks

5. 2. Pelvic Organs • Chadwicks’ Sign • Bluish discolouration of vagina’ cervix • Hegar Sign 8 weeks • Uterine Souffle 3. Uterus • Fundal Height • Palpation of fetus 25 weeks • Fetal Heart Sounds 20 weeks

6. Hegar’s Sign

7. Laboratory Investigations 1. Urine for pregnancy test 2. BHCG in serum 10 days 3. USG Examination • Gestational sac 6 wks • Fetal Pole 7 wks • Cardiac Flicker 8 wks • Accuracy of Gest Age CRL 10–13 wks 95% BPD 16–20 wks 90%