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Please try again. Sometimes a woman gets pregnant, but a tumour grows instead of a baby. This is called a molar pregnancy Figure Blood spotting and tissue sometimes shaped like grapes may be discharged from her vagina. If you detect the signs and symptoms of a molar pregnancy, refer the woman to a hospital as soon as possible. The tumour can become a cancer and kill her, sometimes very quickly.
If you do not have the right equipment to check her blood pressure, and the uterus is growing too slowly, refer her to the nearest health centre for evaluation. If you suspect that the baby may have died, refer the mother to a health centre for the stillbirth. If the mother is five months pregnant or more, ask if she has felt the baby move recently.
If the baby has not moved for two days, something may be wrong. If the woman reports no fetal movements and you cannot hear the heartbeat, the baby may have died. If so, it is important for a dead baby stillbirth to be delivered soon, because the woman may bleed more than other mothers, and she is at more risk of infection. When a mother loses a baby, she needs love, care and understanding Figure Make sure that she does not go through labour alone. If she gives birth to a dead baby in the hospital, someone she trusts should stay there with her during the birth.
In this study session, you have learned how to measure the fundal height, using your fingers and a measuring tape. You have also learned to interpret of your measurements and take the appropriate actions.
Now that you have completed this study session, you can assess how well you have achieved its Learning Outcomes by answering the questions below Case Study You can check your answers with the Notes on the Self-Assessment Questions at the end of this Module. Abebech is a pregnant woman, whose duration of gestation based on her last normal menstrual period LNMP is six months. When you examine her, you can feel that the fundus is four finger-widths above her bellybutton and you can hear a fetal heartbeat clearly.
The gestational age based on fundal height is one month more than expected from the date of the LNMP. Therefore, the uterus is bigger than expected from the date of the LNMP. The uterus may be bigger than expected because the date of the LNMP may be incorrect, and Abebech is really seven months pregnant.
This is not a problem, but it is important to investigate other possible explanations. For example, she may have too much amniotic fluid water surrounding the baby in the uterus; you should refer her to a health facility where she can have an ultrasound examination to find out if this is the problem.
Or she could have a twin pregnancy. If you suspect she is having twins, refer her to the nearest health facility. In short this allows you to use the content throughout the world without payment for non-commercial purposes in accordance with the Creative Commons non commercial sharealike licence. Please read this licence in full along with OpenLearn terms and conditions before making use of the content. When using the content you must attribute us The Open University the OU and any identified author in accordance with the terms of the Creative Commons Licence.
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Printable page generated Friday, 12 Nov , Use 'Print preview' to check the number of pages and printer settings. Print functionality varies between browsers. Printable page generated Friday, 12 Nov , Antenatal Care Module: Learning Outcomes for Study Session 10 When you have studied this session, you should be able to: Healthy signs The height of the uterus matches the gestational age of the fetus, i.
Warning signs The height of the uterus does not match the number of weeks or months of pregnancy. The top of the uterus rises more than, or less than, two finger-widths or 4 cm every month. It is called the fundus. Box View larger image. Figure Then see how many months pregnant the woman is by comparing the number of fingers with Figure The woman is lying on her back. Each line represents the width of two fingers. See Figure Babies may drop lower in the weeks just before birth look back at Box How would you record the measurements shown in Figure Follow the curve of her abdomen, and hold the tape at the top of her uterus Figure Write down the number of centimetres cm from the top of the pubic bone to the top of the uterus.
Place the 0 zero of the tape measure here.
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