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

Symptoms Ammenorrhoa Nausea & vomiting Breasts 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

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

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

2. Pelvic Organs 3. Uterus Chadwicks’ Sign Hegar Sign 8 weeks 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

Hegar’s Sign

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%