Pregnancy Period

NORMAL - Traditionally a human pregnancy is considered to last approximately 40 weeks (280 days) from the LMP, or 38 weeks (266 days) from the date of fertilization.

TWINS/ TRIPLETS - The length of pregnancy decreases with each additional baby. On average, most singleton pregnancies last 39 weeks; for twins, 35 weeks; for triplets, 33 weeks; and for quadruplets, 29 weeks.

Fraternal twins- separate placenta
Identical twins- share the same placenta

• What is effacement, and how significant is 2cm dilation?
  Effacement - thinning of the cervix
  2cm dilation is an indicator for labour (first stage of labour)

• What does the urinalysis suggest?
  Rachel: Blood + protein in urine - suggestive for UTI
  ↑Glucose level -gestational diabetes
  protein - suggestive for eclampsia

• Why MSU? - to reduce contamination
  For every sample, these are performed: Microscopic, sensitivity, culture (basic histology test)
  To detect the specific bacteria thus MSU is taken first before administering ampicilin
  Can choose which antibiotic to be used
  Antibiotic can only be given if bacteria presence

prepared by: SRI MURNIATI ROSLI