METHODS OF EXAMINATION

Anamnesis women
When taking history clarifies the following issues: 1)
Passport part: last name, first name, age,
pregnancy, occupation, address, phone, and 2)
carried diseases: childhood, adulthood, pregnancy,
and 3) family history, and 4) working and living
conditions, and 5) special history: menstrual, sexual,
reproductive and secretory functions, 6) the
occurrence of pregnancy.

METHODS OF EXAMINATION

Overview pregnant
During the general examination pay attention
to height, body structure, completeness,
condition of skin, shape of the abdomen,
development of breasts and nipples, pubic
hair growth

METHODS OF EXAMINATION

External measurement
In order to have an idea
about the size of the fetus,
measure the size of the
abdomen measuring tape:
sight abdoman. In the
supine position at the navel
at the end of pregnancy.

METHODS OF EXAMINATION

External examination
External examination -LeopoldLevitsky manuvers:
The first external method
Obstetrician sits to the right of the
pregnant woman, facing her. Palmar
surface of the hand puts the fundus of
the uterus, is trying to bring together
the nail phalanges. This reception
determine the height of standing and
form the uterus (normal, saddle, twohorned), the part of fetus that is at its
fundus .

METHODS OF EXAMINATION

The second external method..

pulls the two arms of the uterus
on the side wall of the abdomen
and one by one, then another
hand, carries palpation. If it finds
one side smooth, wide, curved
surface - back (left - the first
position to the right - the second
position), which is facing forward
(front view) or back (posterior
view.

METHODS OF EXAMINATION

The third external method .

palm and thumb and other four
fingers of his right hand covers
and squeezes the fetus placed
above the entrance to a
smallpelvis, attempts to displace it
to the right or left side, verifying
the presence or absence of
symptoms ballotment. If above the
pubic joints palpated soft and
broad, it can be suspected breech
presentation, and if solid and
rounded -cefalic .

METHODS OF EXAMINATION

Fourth external method is

performed as follows:
stands face to legs bent at
the knees pregnant tips and
palmar surfaces of the
fingers of both hands gently
and gradually slides along
the side of the head down,
gets between her and the
plane door in a small bowl
and returns back up,
checking the results

METHODS OF EXAMINATION

Vaginal examination
Vaginal examination is required in the
following cases: the first - at the time of
admission to the hospital pregnant, the
second - after the discharge of amniotic fluid
or early labor activity and the third - when
changing obstetric situation; fourth - early in
the second stage of labor
Vaginal examination provides information
on the status of the genital tract before birth.

Estimation of diagonal conjugate

METHODS OF EXAMINATION

Ultrasonic dating of the pregnancy and

an ultrasonic fetal survey to detect gross
abnormalities have been recommended
in some clinics as a routine part of early
prenatal care. Routine ultrasonography
is most cost effective in patients in
whom the date of the last menstrual
period is uncertain and in patients with a
family history of congenital anomalies.
Considerable individualization should be
exercised in making the decision to order
this evaluation. If ultrasonography is
performed, it is most informative between
11-13 and18-20 weeks.

METHODS OF EXAMINATION

Auscultation. In cephalic presentation,

the point of maximal intensity of fetal
heart sounds is usually midway between
the maternal umbilicus and the
anterior-superior spine of her ilium.