Easy explanation .

11. Implantation Process

12.  Proliferative phase/ Follicular / Pre ovulatory / Oestrogen
phase .
Duration: 5 to 14th Days.
 Secretory phase / Luteal / progesterone phase.
Duration: 15 to 28th days.
 Menstrual phase .
Duration: 1 to 4 days.

13. Follicular Phase.
Luteal Phase.

15. Menstruation & Ovulation Cycle

20. 1.Haemodynamic Changes.
2.Cardiovascular changes.
3.Changes in Hormone activity.
4.Weight gain.
5.Changes in the breast.

22. • 1st trimester : 1st 12 weeks of pregnancy.
• 2nd trimester : 13 – 28 weeks of pregnancy.
• 3rd trimester : 29- 40 weeks of pregnancy.

24. 1st trimester of pregnancy ( First 12 weeks)
Amenorrhoea.
Morning Sickness.
Frequent micturition.
Breast discomfort.
Fatigue.
Per abdomen : Uterus remains a pelvic organ until 12th
week, it may be just felt per abdomen as a suprapubic bulge.

25. Chloasma / Acne.
Breast Changes: Colostrum becomes thick & yellow by 16th weeks,
Secondary areola become demarcated at about 20weeks.
Linea nigra. .
Striae ( both pink & white)
Fundal height:
16th weeks: Midway between the symphysis pubis & umbilicus.
24th weeks: At the level of umbilicus.
28th weeks: Lower 1/3rd & upper 2/3rd of distance between the
umbilicus & ensiform cartilage( Xiphoid process).

26. Amenorrhoea persists.
Progressive enlargement of the abdomen.
Fetal movement are more pronounced.
Frequency of micturition.
More prominent with increased pigmentation & striae .
Uterine changes cylindrical to spherical beyond 36th weeks.
Fundal Height:
At 32th weeks : The fundal height corresponds to the junction of the upper & middle third .
At 36th weeks: It corresponds to the level of xiphoid process.
At 40th weeks: It comes down to 32th weeks level because of engagement of the
presenting Part. If the head is floating it is 32th weeks pregnancy & If the head is engaged
it is of 40th weeks of pregnancy.
Palpation of the fetal parts & their identification become much easier. i.e Lie ,
Presentation & Position of the uterus are determined. (Lightening)

27. FUNDAL HEIGHT / SYMPHYSIO FUNDAL HEIGHT.

31. Noman Ahmad
23/09/2020