Diagnosis /Signs of Pregnancy –

1 POSSIBLE SIGN :

• Early breast changes (Montgomery tubercles, 2° areola)
• Amenorrhoea (absence of menses)
• Morning sickness (vomiting)
• Bladder irritability (urge to void frequently)
• Quickening (fetal movement felt by mothers)

2 PROBABLE SIGN :

• Presence of hCG in urine or blood
• Hegar sign (softening in the consistency of the uterus)
• Chadwick’s sign (bluish discoloration of the cervix, vagina, and labia due to increased blood flow)
• Osiander’s sign (a vaginal pulsation felt at lateral fornices)
• Uterine growth
• Changes in skin pigmentation (chloasma gravidarum, striae albicans, linea nigra)
• Uterine souffle (soft, blowing sound synchronous with the pulse of the mother)
• Braxton Hicks contractions
• Ballottement of uterus

3 POSITIVE SIGN :

• Visualization of a gestational sac by Transvaginal or Transabdominal ultrasound (4-5 week)
• Visualization of heart pulsation by TVS, TAS (5-6 week)
• Fetal heart sound by Doppler (11-12 week), stethoscope (20week)
• Fetal movement palpable (22 weeks)
• Visualization of a fetus by X-ray (16 weeks)

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