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Carole Baker
Shape.
May give an indication to the fetal position or presentation. A dip at the umbilicus may be indicative of an occipito-posterior presentation.
Skin Changes
Linea nigra. Striae gravidarum Signs of previous abdominal surgery.
Fetal Movements
Fundal Palpation
Assess the estimated period of gestation by assessing fundal height. Suggest the indication of lie and presentation of the fetus, according to the presence of the fetal pole (head, buttocks).
Lateral Palpation.
Assess the main body of the uterus to identify the fetal position and confirm the lie.
Pelvic Palpation
Pelvic presentation assesses the presentation, i.e. the part of the fetus lying in the lower segment of the uterus or at the pelvic brim.
Engagement.
Engagement into the pelvis is assessed according to the passage of the widest transverse diameter through the pelvic brim. In a cephalic presentation this is the biparietal diameter (9.5cms). In a primigravida this usually occurs after 36 weeks.
Engagement.
This is generally measured in fifths. The measurement recorded is the amount that is not in the pelvic brim.
Auscultation.
Every examination or after every investigation. The fetal heart sounds are heard through the fetal shoulder. Assess its presence Rate 110-160. Regularity Veriability
Records. (UKCC,1998)
Fundal height Lie Presentation and degree of engagement. Position. Fetal heart rate and the equipment used. Fetal movements felt. Any additional info. i.e. Contractions, scars, liquor volume, (Date Sign & print name)