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Antenatal Examination

The document provides guidelines for conducting an antenatal examination, including greeting the patient, ensuring privacy and comfort, and performing a general examination checking pulse, weight, and signs of issues like anemia. It then details inspection of the abdomen contour and features, palpation including fundal height measurement, auscultation of the fetal heart, and concluding with a urinalysis and diagnosis of details like parity, gestational age, and any issues found.

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JunaidahMubarakAli
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2K views

Antenatal Examination

The document provides guidelines for conducting an antenatal examination, including greeting the patient, ensuring privacy and comfort, and performing a general examination checking pulse, weight, and signs of issues like anemia. It then details inspection of the abdomen contour and features, palpation including fundal height measurement, auscultation of the fetal heart, and concluding with a urinalysis and diagnosis of details like parity, gestational age, and any issues found.

Uploaded by

JunaidahMubarakAli
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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SEMESTER 6

FAMILY MEDICINE POSTING

ANTENATAL EXAMINATION
Greets patient warmly.
Ensures privacy, modesty and comfort of patient. Male students should be accompanied by
a female chaperone at all times.
Area of focus to be properly exposed, with drapes in place [cover-uncover].
General examination
1. pulse and blood pressure.
2. height and weight , general build and stature of patient- average, small, obese.
3. look for anaemia, ankle oedema, varicose veins.
4. examine for thyroid enlargement, examine breasts and cardio-vascular system.

Inspection
1. contour or overall shape of abdomen, if looks unduly large or small.
2. linea nigra
3. stria gravidarum
4. umbilicus everted /depressed /flushed with abdominal surface
5. visible foetal movements / foetal parts
6. presence of any surgical scars
Palpation
1. Fundal pole determined with fingers or lateral border of left hand.
2. fundal height determined using inch-side of measuring tape[quoted in cms and
with +/- 2 weeks if after 22 weeks].
3. Leopolds Obstetric Grips-1. (facing the patient s face) fundal grip
2. lateral grip.
3. (facing the patients feet ) pelvic grip.

Auscultation
1. Foetal heart - with Pinnards fetoscope or handheld daptone.
Investigation
1. Urinalysis for glucose and protein.
Diagnosis
Parity
Gestational age
Number of foetuses
Lie
Presentation
Engagement of head
Any pathology? / Normal pregnancy?

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