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

2. 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

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

4. 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

5. 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

6. Hegar’s Sign

7. Laboratory Investigations
1. Urine for pregnancy test
2. BHCG in serum 10 days
3. USG Examination
Gestational sac wks
Fetal Pole wks
Cardiac Flicker 8 wks
Accuracy of Gest Age CRL 10–13 wks 95%
BPD 16–20 wks 90%