1. Sign & Symptoms of pregnancy

2. 1. 8 . 2. 8 . 3. 21 . 3. 4. - . . . 4. Lets look at the membranes more closely!Chorion Amnion- 5. . . , . , , / / . 6. Fetus in Amniotic fluid 7. . . . 8. Placental Development 3 12 . . 9. 10. Placenta:The Wonderful Organ! 11. . . . 12. 12 . . 38-42 . 13. Placental Hormones Human chorionic gonadotropin (hCG) Human placental lactogen (hPL) Estrogen Progesterone // // , . 14. Placental Hormones Human chorionic gonadotropin (hCG) // . , - . 7-10 . 15. Placental Hormones Human placental lactogen (hPL) // , . . 16. Placental Hormones Estrogen , . . . 17. Placental Hormones Progesterone . . . 18. The Fetal Period 8 . , . . 19. . 2 , 1 . ( 1% 1 ) / / . 20. The umbilical cord: The lifeline of the baby . 21. The Fetal Period 8 week old fetus 8 , . 22. Third Lunar Month 9-12 1. 10 6,1 , 14 . 2. 3. 4. , 5. . 6. 23. Third Lunar Month 24. Fourth Lunar Months 13-16 14 12- , 110 . , . . 25. Fifth Lunar Months 17-20 18 16 - , 320 . 2 . . 26. Fifth Lunar Months 27. Sixth Lunar Months 21-24 22 21 , 630 . . , . . 28. Seventh Lunar Months 25-28 26 25 , 1000 . . . 29. Seventh Lunar Months 30. Eighth Lunar Months 29-32 30 28 , 1700 . . , . , 31. Ninth Lunar Months 33-36 34 32 , 2500 . , , 32. Ninth Lunar Months 33. Tenth Lunar Months 37-40 38 36, 3400 . 37 38 . 42 . 42 . 34. Fetal Circulation 1. . . 2. . 35. Fetal Circulation 5. . . 36. Fetal Circulation 37. Fetal circulation 1. Placenta / liver, sinusoid, / Umblical vein hepatic veins / inferior vena cava / / ductus venosus 2. Inferior vena cava / right atrium foramen ovale/ left atrium left ventricle aorta 3.Suferior vena cava / right atrium / right ventricle / pulmonary artery / small amount to non fuctional lung but most of it through ductus arteriosus aorta/ hypogastric artery umbrical artery/ placenta / mothers vein 38. Estimated Date of Confinement : 7- , 3 9 : 2011 9 25 . 9(month) -3=6, 25+7(day)=32, 2012 7 2. 39. + - 2 = 38-42 40. Manifestation of pregnancy: Sign & Symptoms of pregnancy ? 41. Sign & Symptoms of pregnancy . , 42. Presumptive Signs and Symptoms 1. : 10 . 2. a) , / b) c) 2- , d) , / / 43. Presumptive Signs and Symptoms 3. //- , . , , . 4. / / . . 5. / / - 16-20 44. Presumptive Signs and Symptoms 6. . a) b) . c) . 7. - 45. Probable Signs and Symptoms 1. 1. 12 , 2, , , a) b) - 6-8 46. Probable Signs and Symptoms 3. a) . b) : 4 . 4. : , 28 . , . 47. Probable Signs and Symptoms 5. : . 6. : . 7. : 48. Pregnancy test Urine testing device Positive result shown 49. Positive Signs and Symptoms 1. : 16-20 . 2. : 20 . 3. . 4. 8 . 50. Pregnancy ultrasound Fetus at 11 weeks /11