1. kemo2009

2. Abdominal Examination kemo2009

3. Procedure of Abdominal Examination Definition Abdominal examination during pregnancy is a visual, tactile and audible examination of the woman’s abdomen. kemo2009

4. 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. kemo2009

5. terminology kemo2009

6. 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 kemo2009

7. 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 kemo2009

8. 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. kemo2009

9. 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 kemo2009

10. Fetal Positions kemo2009

11. Flexed Vertex Presentation 8 Possibilities LOL ROL LOA ROA ROP LOP OP OA ROL LOL OP ROA LOA ROP LOP kemo2009

15. Thank You kemo2009