Friday, August 2, 2013

Pregnancy Family history-Pregnancy

Pregnancy Family history


pregnancy picture


 Socio- economic status – Patients belonging to poor families have a higher incidence of anaernia, preterm labour, growth retarded babies and so on. Working women who have to undertake long road journeys, have a higher incidence of recurrent abortion or premature labour.
Ø  Family history of diabetes, pypertension or multiple pregnancy (maternal Sid) , congenital malformation.
Examination:
General physical Examination
Ø Height: Below 150 cm particularly below 145 cm in our county
ØWeight: Overweight or underweight Body Mass Index (BMI): Weight/ height) 2 BMI: 20-24 is accepted as normal (see p. 365)
Ø High blood pressure
Ø Anemia
ØCardiac or pulmonary disease
Ø Orthopedic problems
Pelvic Examination
imageØUterine size - disproportionately smaller or bigger
Ø Genital prolapse
ØLacerations or dilatations of the cervix
ØAssociated tumour

Ø Pelvic inadequacy 



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