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OB-GYNE WARD
NAEGELE’S RULE
Naegele’s rule is a standard way of calculating the due date for a pregnancy when
assuming a gestational age of 280 days at childbirth. The rule estimates the expected
date of delivery (EDD) by adding a year, subtracting three months, and adding seven
days to the origin of gestational age.
Formula:
Use the first day of last menstrual period
ADD 7 days
SUBTRACT 3 months
ADD 1 year
EXERCISES
Compute for EDC and AOG of the following LMP. Date of consultaion is September 5,
2018.
1. Feb. 14, 2018 5. May 28, 2018
◦G5 P3 ( T2 P1 A1 L3)
EXAMPLE
◦1ST Pregnancy---39 weeks
◦2nd pregnancy– 35 weeks
◦3rd pregnancy present
◦Number of children 2
ANSWER
A. G 4 P2 ( T3 P 1 A 0 L 3)
B. G 3 P3 (T1 P0 A0 L2)
C. G3 P2 (T2 P0 A0 L2)
D. G4 P2 (T1 P1 A0 L2)
EXERCISES
◦ Ms. M. has had 3 pregnancies and is pregnant again. (At home,
she has full-term twins and a child born at 36 weeks.) She also has
had a fetus that spontaneously aborted at 10 weeks.
◦ A. G4 P2 (T1 P1 A1 L3)
◦ B. G3 P1 (T1 P1 A0 L2)
◦ C. G3 P0 (T1 P1 A0 L2)
◦ D. G4 P2 (T1 P0A0 L2)
QUIZ
1. Ms. T. has 7 living children who were full-term infants and also
had 2 spontaneous abortions at 12 and 15 weeks respectively.
2. Ms. S. has had three deliveries at term, one
preterm delivery, and two abortions. She has four
living children.
◦ FALSE TRUE
◦ Begin and remain irregular begin irregulary but become regular and
predictable
◦ Felt fist abdominally and remained felt first in the lower back and sweep around
Confined to the abdomen and groin to the abdomen in a wave
Often disappear with ambulation continue no matter what the women’s
And sleep level of activity
Do not increase in duration, frequency increase in duration, frequency and intensity
Or intensity
Do not achieve cervical dilatation achieve cervical dilatation
SIGNS OF LABOR
◦ 1. LIGHTENING- in primiparas, lightening or descend of the fetal
presenting part into the pelvis, approximately 10-14 days before labor begins.
This changes a woman’s abdominal contour, because the uterus becomes
lower and more anterior. It gives a woman relief from diaphragmatic pressure
and shortness of breath that she has been experiencing and in this way
lightens her load. Lightening probably occurs early in primiparas because of
tight abdominal muscles. In multi paras, it is not dramatic and usually occurs
on the day of the labor or even after the labor has begun. As the fetus sinks
lower in the pelvis, the mother may experience shooting leg pains form the
increased pressure on the sciatic nerve, increased amounts of vaginal
discharge, urinary frequency from pressure of the bladder.
◦ INCREASE LEVEL OF ACTIVITY
◦ A woman may awaken on the morning full of energy, in contract of feeling
of chronic fatigue during the previous months. The increase in activity is
related to an increase in epinephrine release that is initiated in decrease in
progesterone produced by the placenta
◦ Show- When the mucus plug dislodges from your cervix it's called the show, or a
bloody show. The jelly-like plug is often blood-tinged or streaked with old, brownish
blood when it comes away.