Forensic Medicine · Forensic Sexology & Obstetrics

Signs of Pregnancy

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Classification

  • Signs of Pregnancy
    • Presumptive Signs
    • Probable Signs
    • Positive Signs

1. Presumptive Signs

Symptoms experienced by the woman.

  • Amenorrhea
  • Morning sickness
  • Breast changes
  • Quickening
  • Frequency of micturition

2. Probable Signs

Signs detected by examiner.

  • Enlargement of uterus
  • Hegar's sign
  • Goodell's sign
  • Chadwick's sign
  • Braxton Hicks contractions
  • Positive pregnancy test

3. Positive Signs of Pregnancy

These establish the presence of a living fetus.

Fetal Heart Sounds

  • Heard by stethoscope/Doppler.
  • Usually detectable from mid-pregnancy.

Fetal Movements Felt by Examiner

  • Active fetal movements palpated by examiner.

Demonstration of Fetus by Imaging

  • Ultrasonography (USG): visualization of fetus.
  • X-Ray (historical): demonstration of fetal skeleton in advanced pregnancy.
High Yield

Positive signs (the three that establish a living fetus):

Fetal heart sounds + fetal movements felt by examiner + demonstration of fetus by USG.