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    Fetal and

    Uploaded by

    Nhoydaleen Sandoval
    This document provides information about prenatal care visits and checkups. It recommends that during the first trimester a woman has her first prenatal visit, and during the second and third trimesters she has additional visits every 4 weeks until week 28, then every 2 weeks until week 36, and weekly until delivery. It also defines terms related to pregnancy such as primigravida, multigravida, nulligravida, and discusses methods for estimating gestational age and fetal growth.

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    Fetal and

    Uploaded by

    Nhoydaleen Sandoval
    53 views23 pages
    This document provides information about prenatal care visits and checkups. It recommends that during the first trimester a woman has her first prenatal visit, and during the second and third trimesters she has additional visits every 4 weeks until week 28, then every 2 weeks until week 36, and weekly until delivery. It also defines terms related to pregnancy such as primigravida, multigravida, nulligravida, and discusses methods for estimating gestational age and fetal growth.

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    FETAL AND

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    This document provides information about prenatal care visits and checkups. It recommends that during the first trimester a woman has her first prenatal visit, and during the second and third trimesters she has additional visits every 4 weeks until week 28, then every 2 weeks until week 36, and weekly until delivery. It also defines terms related to pregnancy such as primigravida, multigravida, nulligravida, and discusses methods for estimating gestational age and fetal growth.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    53 views23 pages

    Fetal and

    Uploaded by

    Nhoydaleen Sandoval
    This document provides information about prenatal care visits and checkups. It recommends that during the first trimester a woman has her first prenatal visit, and during the second and third trimesters she has additional visits every 4 weeks until week 28, then every 2 weeks until week 36, and weekly until delivery. It also defines terms related to pregnancy such as primigravida, multigravida, nulligravida, and discusses methods for estimating gestational age and fetal growth.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 23

    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

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