IA M S 2012

V a g in a

Obstetrics Chapter -PHYSIOLOGICAL CHANGES DURING i PREGNANCY

1 . Jacq u em ier's / C h ad w ick sign : t V ascu larityH-D IS C O L O R A T IO N O F V A G IN A L W A L L B L U IS 2 . V ag in al c yto lo g y: a. N A V IC U L A R C E L L S -(P R E G N A N C Y C E L L S ) O R IN T C E L LE D IA T E ERM S b. V esicular N uclei w itho ut cyto plasm called as N A K E D nu clei c. G lyco gen co ntent in va ginal epith elium T d. L acto bacilli t

U terus:

Pregnant 1000- N o n P reg n an t 1100 gm5 liter - 70 gm - C av ity 1 0 m l 35 cm Soft - L en g th 7 .5 cm - F eelin g F irm -

muscles: hypertrophy, hyperplasia, stretching Supporting fibrous / Elastic "- tissue f, Size and No. of B V, Lymphatics | Hypertrophy of uterine muscles: st During 1 12 weeks: Mainly by oestrogen;Partly by progesterone. Not by mechanical distension by POC After 12 weeks - Due to mechanical distension by POC Uterine enlargement is not symmetrical Most Marked in Fundus Sizeofuterus:Size of an egg = at 6 weeks A cricket ball = at 8 weeks Size of fetal head at 12 weeks Upto 12 weeks: Uterus Pelvic organ > After 12 weeks: -+ Abdominal organ Dextro-rotation of uterus occurs A t te r m w eig h t o f u ter u s = lO O O g m s J u st a fte r d e liv e r y , w eig h t o f u ter u s = lO O O g m s th A t 2 8 e e k o f g e sta tio n , fe ta l w e ig h t = lO O O g m s w

Braxton Hicks Contractions

P ain less, irreg u lar, in freq u en t sp asm o d ic con tractio n s w ith ou t an y effect o n d ilatatio n o f cerv ix , p resen t th ro u gh o u t in p reg n an c y A L S O F E L T IN S u b m u co u s F IB R O ID (sp ecia lly p ed u n cu la ted ), H A E M A T O M E T R A A B S E N T IN : A B D O M IN A L P R E G N A N C Y

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