SIGNS OF PREGNANCY. 



37 



RATIONAL SIGNS. 



7, Kiestine in the urine. 



SENSIBLE SIGNS. 



sufficiently open to admit the half of the 

 first phalangeal bone. 



During the Seventh and Eighth Months, 



•1. Suppression of the catamenia. 



2. Nausea, vomiting, &,c. ordinarily 

 absent. 



.S. Abdominal tumour much increas. 

 ed in size. 



4. Pouting of the navel. 



5. Increased discoloration of the are- 

 olae, -wxih enlargement of the sebaceous 

 follicles, and increased prominence of 

 the nipple. 



6. The milk may now be pressed 

 from the swollen mammae. 



7. Kiestine still exists in the urine. 



1. Increase in the size of the abdo- 

 men. 



2. The fundus uteri, at the end of the 

 seventh month, has risen two and a 

 half inches above the umbilicus : at the 

 eighth, it is placed within the epigas- 

 tric region. 



3. Active movement of the foetus. 



4. The foetal pulsations and the bruit 

 de souffle still continue. 



5. Ballottement perfectly felt during 

 the seventh month, becomes obscure in 

 the subsequent months of pregnancy, 

 on account of the increase in the size 

 of the foetus. 



6. The ramollissement of the cervix 

 is more extensive, and at the end of the 

 eighth month is nearly complete. 



7. In the primiparne, the cervix is 

 ovoid and somewhat shortened ; the os 

 uteri is still closed. 



8. In the multiparae, the os uteri is 

 wide enough open to admit the whole 

 of the first phalangeal bone ; the upper 

 orifice is firmly closed. 



During the first half of the ISinth Month, 



1. Re-appearance of vomiting, not 

 from nausea, but from pressure of the 

 gravid uterus against the stomach. 



2. The abdominal tumour is increas. 

 ed in size. 



3. Respiration difficult, 



4. All the other symptoms are aug- 

 mented in intensity. 



1 . The fundus uteri occupies the epi- 

 gastric region. 



2. The movements of the foetus; the 

 pulsation of the foetal heart are still 

 present. At this time, ballottement has 

 disappeared. 



3. The whole cervix uteri is softened, 

 except the internal orifice, which re- 

 mains firm and closed. The os uteri 

 in primiparfB is slightly opened, though 

 not sufficiently to admit the finger, as 

 is the case in multiparee. 



During the last half of the Ninth Month, 



1. The vomiting ceases, as the abdo- 

 minal tumour sinks from the epigas- 

 trium. 



2. Respiration less oppressed. 



3. Considerable difficulty exists in 

 walking, owing to the sinking of the 

 presenting part into the pelvic excava. 

 tion. 



1. The fundus uteri has sunk lower 

 down in the abdomen. 



2. The sensible signs still persist, 

 except ballottement, which is usually, 

 though not always, absent after the 

 foetus has acquired considerable size. 



3. In multiparae, the internal orifice 

 of the cervix is softened and dilated, so 



