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

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SECOND TRIMESTER


Assuming a 40-menstrual-week pregnancy, the second trimester is assumed to
extend from 13–26 weeks.


Normal  symptoms    are an  improved    feeling of  general well-being.
Round ligament pain is common.
Braxton-Hicks contractions are painless, low-intensity, long-duration
contractions that can be palpated as early as 14 weeks.
Quickening (maternal awareness of fetal movement) is detected at 18–20
weeks by primigravidas and 16–20 weeks by multigravidas.
Average weight gain is 1 pound per week after 20 weeks.
Complications include incompetent cervix (painless cervical dilation leading
to delivery of a nonviable fetus), premature membrane rupture, and premature
labor.

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