Then general examination of the patient to be carried out like height of the patient, height below 145 cms to be considered as short stature and they may have problems during delivery.
Weight to be recorded.
Any signs of anemia to be noted and the blood pressure of the patient to be recorded.
After taking all the above history the patient to be examined.
As in first 2 to 3 months uterus cannot be felt abdominally, per vaginal examination to be done to note the signs of pregnancy, size of the uterus and to note the adnexal masses if present etc.
In case of doubt or for confirmation the woman can advised to undergo ultrasound examination.
She should be advised to undergo investigations like urine for albumin, sugar, microscopy and blood investigations like hemoglobin, blood grouping and typing, screening for retrovirus, hepatitis and VDRL etc.
After this initial visit she has to come monthly for consultation.
In case of any emergency like pain abdomen or bleeding per vaginum etc indicating impending abortion or ectopic pregnancy she has to visit the hospital immediately.
In the next visits up to 7 months she has to come monthly.
During these visits per abdominal examination to be done to note the size of the uterus and to note the progress.
In this examination the uterus will come up to the symphysis pubis and can be felt abdominally after 12 weeks.
At 16 weeks it will reach four fingers above the symphysis pubis.
It will be just below the umbilicus at 20 weeks, at the level of umbilicus at 22 weeks, just above the umbilicus at 24 weeks, four fingers above it will be 28 weeks, further four fingers above is 32 weeks at the level of xiphysternum is 36 weeks, then the uterus comedown as the head stars descending into pelvis, two fingers below xiphysternum with flanks full is 38 weeks, still two fingers below with flanks full is 40 weeks.
First trimester is 1 to 12 weeks. Patient should be advised to take folic acid prophylaxis during the first trimester.
She should be instructed regarding the diet that it should include the cereals, vegetables, milk, fruits etc.
Regarding coitus better to avoid in first trimester especially those with history of miscarriage.
She should better avoid long travels in first trimester.
Train journey is preferred than road journey.
Part 1: Confirmation of pregnancy, care to be taken
Weight to be recorded.
Any signs of anemia to be noted and the blood pressure of the patient to be recorded.
After taking all the above history the patient to be examined.
As in first 2 to 3 months uterus cannot be felt abdominally, per vaginal examination to be done to note the signs of pregnancy, size of the uterus and to note the adnexal masses if present etc.
In case of doubt or for confirmation the woman can advised to undergo ultrasound examination.
She should be advised to undergo investigations like urine for albumin, sugar, microscopy and blood investigations like hemoglobin, blood grouping and typing, screening for retrovirus, hepatitis and VDRL etc.
After this initial visit she has to come monthly for consultation.
In case of any emergency like pain abdomen or bleeding per vaginum etc indicating impending abortion or ectopic pregnancy she has to visit the hospital immediately.
In the next visits up to 7 months she has to come monthly.
During these visits per abdominal examination to be done to note the size of the uterus and to note the progress.
In this examination the uterus will come up to the symphysis pubis and can be felt abdominally after 12 weeks.
 |
| Height of the uterus according to months |
At 16 weeks it will reach four fingers above the symphysis pubis.
It will be just below the umbilicus at 20 weeks, at the level of umbilicus at 22 weeks, just above the umbilicus at 24 weeks, four fingers above it will be 28 weeks, further four fingers above is 32 weeks at the level of xiphysternum is 36 weeks, then the uterus comedown as the head stars descending into pelvis, two fingers below xiphysternum with flanks full is 38 weeks, still two fingers below with flanks full is 40 weeks.
First trimester is 1 to 12 weeks. Patient should be advised to take folic acid prophylaxis during the first trimester.
She should be instructed regarding the diet that it should include the cereals, vegetables, milk, fruits etc.
Regarding coitus better to avoid in first trimester especially those with history of miscarriage.
She should better avoid long travels in first trimester.
Train journey is preferred than road journey.
Part 1: Confirmation of pregnancy, care to be taken
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