diagnosis of pregnancy in third trimester

 Third trimester (29-40 weeks)

6-9 months

1. Subjective symptoms

2. Objective symptoms

1. Subjective symptoms

a. Lightening

Descending of fetus into pelvis.

(Engagement of presentating part).

b. Frequency of micturition

c. Fetal movement felt

4. Braxton-Hicks contraction evident

5. Palpation of fetal part 

2. Objective Symptoms

1. Cutaneous change

Striae more pigmented.

2. Uterine shape spherical (36th week)

3. Fundal height increases

If head is floating (32 weeks pregnancy)

If head engaged (37 week pregnancy)

4. Four grips in pregnancy

4 steps of leopold's maneuver;

1. Fundal grip 

(Maneuver one)

2. Lateral grip

(Maneuver two)

3. Pawlick's grip

(Maneuver three)

4. Pelvic grip

(Maneuver four)