NMS Dec 2016

Page 96

Stages Of Pregnancy As Detected By Palpation

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70 days – The enlarging uterus is readily felt. The amnion sac feels like a solid oval ball (about 2 ¼ inches in diameter) floating within it. 90 days – The uterus is usually still resting up near the pelvic brim, with the pregnant horn about 3 ½ inches wide and the nonpregnant horn about 2 inches wide. The fetus can sometimes be felt in the pregnant horn. 110 days (3.5 months) – The enlarging uterus has dropped below the pelvic brim (the cervix lies at the brim) and there is fluid distention in the lower part of the uterus. 4 to 5.5 months – It is possible to feel the fetus in about half the cases. 5.5 to 7.5 months – It’s more difficult to reach the uterus, but if so, you may be able to touch the fetus’ head or flexed limbs that lie just beyond the pelvic brim. 7.5 months to birth – It’s often easier to feel the fetus because it has grown so much that the front legs are closer to the pelvis. If you can’t reach the uterus you may be able to feel large cotyledons or a strong vibrating pulse in the enlarged uterine arteries.

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DECEMBER 2016


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