OBG

Updates
RECENT TOPICS OF 2017-18 EXAMS

PREGNANCY SCALE PAGE

1
PREGNANCY SCALE
0 HOUR FERTILIZATION (=DAY 14 AFTER OVULATION)

5th day- blastocyst formation

P
Implantation 6th day -------
(It correspionds to the 20th day Pregnancy c/b diagnosed earliest by presence of -hCG
R
Embryonic Age

8 days -
of regular menstrual cycle)

ES
(= on 22nd day from LMP or day 8 post ovulation)
using Radioreceptor assay or serum -hCG, amnion forma
n

9-10 days - Pregnancy diagnosis on 25th day from LMP using

radioimmune assay (urine pregnancy test/ UPT),
implantation completed, chorion forman i
3 wk (21 days) Fetoplacental circulation established

AT
FETAL DEVELOPMENT 4 wk ... Gestational sac by TVS
(LMP is used below)
M
Transabdominal
5 wk ... Gestatioal ring bty TVS
USG can detect all

PD 6 wk ... Cardiac activity by TVS,

Gestational sac, yolk sac, fetal poles
these events 1-2
wk later E
7 wk ... Cardiac activity by TAS

Glucagon 8 wk Genotypes, Ovary/testes distinguishable..... 8 wk ... Embryonic movements

S
Swallowing, 10 wks 9 wk ... CRL for gestational age gives best predictive value
fetal inulin
10 wk ...
Breathing 11 wks
movement

U
11 wk Chorionic villous sampling (CVS)/ biopsy
Urine, 12 wks
TU
Intestines in abdomen, ¢nger, toes, skin, nails+ 12 wk ... Uterus at L/o pubic symphysis
Thyroid,
FSH/LH Sex distinguishable, externally, penis/ vagina 14 wk 1st trimester screening for NTDs, Down's (11-14 wk)
Meconium
production
16 wks 15 wk
P
Surfactant 20 wks Radiological e/o fetal skeletal shadow.......... 16 wk ... Quickening starts in multipara
- height of uterus midway b/n P.S. & umbilicus
synthesis
begins,
Fetal weight
2nd trimester screening for NTDs 18 wk Quckening starts in primi
Ideal time for USG screening of gross congenital anomaly
P
Anomaly scan (18-20 wk)
N

300 gm
20 wk ... Iron prophylaxis in pregnancy started
Sucking,
Hearing
24 wks Surfactant synthesis starts, lanugo hairs+
22 wk ... L
Light 28 wks Spinal cord extends to S1.......................... 24 wk ... Fundal height of uterus at L/o umbilicus
CE

E
perception
Eye Opening ............................ 26 wk Universal screening for GDM by GIT
Surfactant 37 wks
appears in Fetal weight ~ 1000 gm ......................... 28 wk ...
AF

30 wk
Prophylactic anti-D to all unsensitized Rh-ve women
M
RE

32 wk

34 wk E
36 wk ... Uterus fundal height at L/o xiphsternum
m

N
Term, maturity attained ..................... 37 wk ... Max volume fo amniotic Ÿuid

38 wk ... Engagement in primi

40 wk ... EDD

(age from LMP = gestational age) 42+ wk ... Post term pregnancy
©VDA
T
These Updates are from Primes Supplement 2018