1. Diagnosis of Pregnancy

2. HEGAR’ S SIGN

3. SECOND TRIMESTER ( 13 – 28 WEEKS )
• Chloasma
• Breast changes
Abdominal Examination
 Inspection
 Palpation

4. • Auscultation
* FHS
* Uterine soufflé
* Funic or fetal soufflé
• Vaginal Examination
* Internal ballottement
• Investigations
* Sonography

5. EXTERNAL BALLOTTEMENT

7. LAST TRIMESTER ( 29 - 40 WEEKS )
• Symptoms
• Signs
• Fundal height :
* The distance between the umbilicus and the
ensiform cartilage is divided into three equal parts.
* 32 weeks - corresponds to the junction of the
upper and middle third
* 36th week – up to the level of ensiform cartilage
* 40th week - comes down to 32 week level at 40th week