Obstetrics | Master Of Medicine

Category Archives: Obstetrics

Mannings score and Bishops score

The three most important scores in Obtetrics are Mannings score,Bishops score and APGAR score.

Mannings score/Biophysical Profile(BPP)

The components of Biophysical profile are:

  1. Non Stress Test(NST)
  2. Amniotic Fluid Index
  3. Foetal breathing movements
  4. Foetal gross body movement
  5. Fetal tone

Modified BPP/Vintzileos scoring test

  1. Non Stress Test
  2. Amniotic Fluid Index

Bishops Score

The Bishop score grades patients who would be most likely to achieve a successful induction. The duration of labor is inversely correlated with the Bishop score; a score that exceeds 8 describes the patient most likely to achieve a successful vaginal birth. Bishop scores of less than 6 usually require that a cervical ripening method be used before other methods.

Each components is given a score of 0-2 or 0-3. The highest possible score is 13.

Named signs of pregnancy in first trimester.

Placental sign- Bleeding at the time of next menstruation

Hartman sign- Implantation bleeding

Jacquemier’s sign(Chadwick’s sign) -Blue hue of vagina

Osiander’s sign - Increased pulsation felt through lateral fornix by 8 weeks.

Goodell’s sign – Softening of cervix

Piskacek’s sign – One half more firm than other half(site of implantation)

Hegar’s sign – Upper part of body of uterus enlarged,lower part empty(6-10wks)

Palmer’s sign – Rhythmic uterine contraction during bimanual examination

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