lesson - antepartal (skills)

PARA

the number of pregnancies that reached viability (age of viability is 24 weeks), regard of whether the infants were born alive or not.

GRAVIDA

a woman who is or has been pregnant

PRIMIGRAVIDA

a woman who is pregnant for the first time.

PRIMIPARA

a woman who has given birth to one child past of viability.

MULTIGRAVIDA

a woman who has been pregnant previously.

MULTIPARA

a woman who has carried two or more pregnancies to viability.

NULLIGRAVIDA

a woman who has never been and is not currently pregnant.

Prenatal care

refers to the medical and supportive care provided to pregnant individuals to ensure the health and well-being of both the pregnant person and their developing fetus

Age of gestation

AOG means

Estimated date of delivery

EDD means

Estimated Date of Birth

EDB mean

Estimated Date of Confinement

EDC means

last menstrual period

LMP means

McDonald’s Rule

Helps in estimating fetal gestational age using fundic height.

Fundal height (cm) x 2 / 7

Formula for lunar months

Fundal height (cm) x 8 / 7

Formula for computing lunar weeks

Fundal height

is measured in centimeters from the pubis symphysis to the topmost portion of the uterus.

About 32 weeks and over

When is leopold’s maneuver done?

Leopold’s Manuever

Are systematic abdominal palpation to determine the position and presentation of the fetus. They are done at about 32 weeks and over.

1. Fundal grip

2. Umbilical grip

3. Pawlik’s grip

4. Pelvic grip

What are the 4 manuever?

Bartholomew’s rule

Measures the AOG by determining the position of the uterus in the abdominal cavity.

Fundal grip

Palpate upper portion of abdomen (buttocks -globular but soft and ballotable; head - globular but hard and mass).

Umbilical grip

Side to side (looking for fetal back to auscultate - flat; toes and fingers - if another side is an irregular shape).

Pawlik’s grip

In the symphysis pubis (which part of the fetal body occupies the pelvic inlet; engage or not engage; ballottement).

Pelvic grip

Determine the fetal attitude and degree of fetal extension/ flexion (we maneuver the baby to be in cephalic presentation)

Intrapartum

time from the onset of true labor until the birth of the infant and placenta

Postpartum

time from the delivery of the placenta and membranes until the woman’s body returns to a nonpregnant condition.

Preterm or premature labor

labor that occurs after 20 weeks but before completion of 37 weeks gestation.

Antepartal period / prenatal period

encompasses the time from conception to the onset of labor. This crucial period is characterized by profound physiological and psychological changes in the expectant mother’s body, preparing her for the remarkable journey of motherhood.

Antepartum

Time between conception and the onset of labor, usually used to describe the period during which a woman is pregnant, used interchangeably with prenatal.

Perinatal period

Time frame from one year before to 18 - 24 months after the birth of the child

Maternal care

Refers to all aspects of antepartum, Intrapartum, and postpartum care.

Nullipara

A woman who has not had a birth at more that 20 weeks gestation; never completed pregnancy to the period

of viability.