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Abdominal Examination

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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Abdominal Examination

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  1. Abdominal Examination

  2. Procedure of Abdominal Examination Definition Abdominal examination during pregnancy is a visual, tactile and audible examination of the woman’s abdomen.

  3. 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.

  4. terminology

  5. 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

  6. 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

  7. 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 .

  8. 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

  9. Fetal Positions

  10. Flexed Vertex Presentation8 Possibilities LOL ROL LOA ROA ROP LOP OP OA OA LOA ROA LOL ROL ROP OP LOP

  11. Thank You kamlya Balgoon

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