1/3/14

Predicting the Due Date (Nägele’s Rule)

Predicting the Due Date (Nägele’s Rule)

■ Add 7 days to the first day of the LNMP.
■ Subtract 3 months.
■ Add 1 year.
■ See example to right →
1st day of LNMP 10/14/01
■ Add 7 days 10/21/01
■ Subtract 3 months 7/21/01
■ Add 1 yr (EDD) 7/21/02


Comparison of True and False Labor

True Labor
False Labor
Contractions Consistent
                        pattern
Contractions  Inconsistent
                         pattern
■ Frequency Progressively increasing
■ Duration Progressively increasing
■ Intensity Progressively increasing; increases with walking
■ Frequency Inconsistent
■ Duration Inconsistent
■ Intensity Inconsistent; subsides or does not increase with walking
Cervix   Progressive
               effacement
               and dilation
Cervix  No significant
              change
Discomfort Mostly                             low
                      back and
                     abdominal
Discomfort  Mostly
                       abdominal
                       abdominal
                       and groin

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