Maternal Assessment 1

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University of Babylon / College of Nursing University of Babylon College of Nursing MATERNAL ASSESSMENT 1 SUPERVISOR BY : - DR.AMEAN STUDEND NAME: - ZAINAB ALI HUSSEIN ROSSUL HAMZA ALYAA NEMIA The aim of maternal assessment 2 1- to identify the high risk of cases 2- to prevent and treat early complication 3- to ensure from contained risk assessment and provide on going to primary health care 4- educate the mother about physiology of pregnancy and labor and care newborn The procedures of the first visit 3 1- Demographic data ( age – occupation- LMP- EDD- P G A- type of labor – blood group + RH) 2- Family history 3- past history 4 -obstetric history 5 -mensterial history Signs of pregnancy 4 - Breast changes - Nausea & vomiting - Amenorrhea - Frequent urination - Fatigue & uterine enlargement - Line anigra - Melasma - Goodell signs - Hegar signs - Braxton contraction First Trimester 5 * (Subjective symptoms) - Amenorrhoea - Morning sickness - Frequent of micturation - Breast discomfort - Fatigue - breast changes Objective signs 6 - breast changes - abdominal enlargment - pelvic changes * ( THE TESTING FOR DIAGNOSIS OF PREGNANCCY IN FIRST TRIMESTER ( BHCG) AND ( U/S) 7 -gestational sac( 29-35) day of gestation - gastational age to determine by the detecting the following structures - cardiac activity in (6 week) and heart rate at (10 weeks) - embryo growth by 7 weeks Second trimester 8 General examination - Breast changes - Enlargment of lower abdomen - abdomenal examination :- included:- a-inspaction:- included lineanigra 9 b- palpation:- include - fundal height - the uterus feel soft & elastic - braxton s – hicks contraction - active fetal movement - palpation of fetal parts C – auscultation:- included ( fetal heart sound ) Third trimester 10 * symptoms :- - amenorrhoea - enlargment of abdominal - frequency of urine - fetal movement * signs :- - cutaneous changes - uterine shape:- change from cylindrical to spherical at 36 weeks 11 * fundal height ( from 32 to 38 the fetal head down engagement should be tested) * fetal movement s are easily felt *- Braxton contraction * palpation of fetal parts * Sonography :- ( aminotic fluid assessment ) Physical Examination 12 - Baseline measurment height and weight - check vital signs - head and scaple - Eye - Ear - Nose and Mouth and oral cavity - Neck - Breast - thorax - back - skin Abdominal Examination 13 - Preliminaries - Inspaction - Palpation :- - hight of uterus - obstetric grips - Ausculation - The relationship of the uterus and fetal:- (lie– presentation – attitude –position and engagment ) Labortory test @ Blood studies:- 14 - CBC - Genetic screen - Blood group + RH - antibodies such as hepatities B & rubella - HIV testing - Glucouse test B- Urinalysis (GUE ) Signs of complication during pregnancy 15 @ Vaginal bleeding @ persistent vomiting @ chill and fever @ abdominal or chest pain @ increase or decrease fetal movement 16 Any question Thank you with best wishes .

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Symphysio Fundal Height (SFH) Measurement As a Predictor of Birth Weight
Faridpur Med. Coll. J. 2012;7(2):54-58 � Original Article Symphysio Fundal Height (SFH) Measurement as a Predictor of Birth Weight Z Parvin1, S Shafiuddin2, MA Uddin3, F Begum4 Abstract : Fetal weight is a very important factor to make a decision about labor and delivery. Assuming that in large fetuses, dystocia and other complications like cerebral edema, neurological damage, hypoxia and asphyxia may result during or after the delivery. On the other hand, one of the causes of high perinatal mortality in our country is high rate of low birth weight. Rural people may not have access to ultrasonography which is one of the methods to predict birth weight. For these people alternative easy method is necessary. So we can assess fetal birth weight by measuring symphysio-fundal height. Total 100 consecutive pregnant women of gestational age more than 32 weeks admitted for delivery in the Obstetric and Gynaecology department of Faridpur General Hospital were the subject of this study. After selection of cases, a thorough clinical history was taken and elaborate physical examination was done. Common criteria for collection of data were followed in every case. The fetal weight estimated by Johnson's formula was recorded in the predesigned data sheet and then was compared with birth weight following delivery of the fetus. Collected data were compiled and relevant statistical calculations were done using computer based software. Statistical tests (Correlation) were done between actual birth weight (taken as dependant variable) and fetal weight (found by Johnson's Formula), symphysio fundal height (SFH), pre-delivery weight and height of the patients (taken as independent variables) and the tests revealed that actual birth weight was significantly correlated with fetal weight (found by Johnson's Formula), SFH, pre-delivery weight and height of the patients.
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