USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

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THIRD TRIMESTER


Assuming a 40-menstrual-week pregnancy, the third trimester is assumed to
extend from 26–40 weeks.


Normal  symptoms    include decreased   libido, lower   back    and leg pain,   urinary
frequency, and Braxton-Hicks contractions.
Lightening describes descent of the fetal head into the pelvis resulting in
easier maternal breathing, pelvic pressure.
Bloody show describes vaginal passage of bloody endocervical mucus, the
result of cervical dilation before labor.
Average weight gain is 1 pound per week after 20 weeks.
Complications include premature membrane rupture, premature labor,
preeclampsia, urinary tract infection, anemia, and gestational diabetes.

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