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Women who have previously given birth have more relaxed uterine muscles which are more sensitive to fetal motion during subsequent pregnancies. For them fetal motion can sometimes be felt as early as 14 weeks. [4] Quickening indicates the start of fetal movements, usually felt 14–26 weeks after conception, or between the fourth and sixth month.
The decision to perform an induction must be made after weighing the risks and benefits, but is safer after 39 weeks. [17] Events after 42 weeks are considered postterm. [62] When a pregnancy exceeds 42 weeks, the risk of complications for both the woman and the fetus increases significantly.
It begins between the 4 and 8 weeks of pregnancy and usually subsides by 14 to 16 weeks. The exact cause of nausea is not fully understood but it correlates with the rise in the levels of human chorionic gonadotropin , progesterone , and the resulting relaxation of smooth muscle of the stomach.
Typically an abdominal pregnancy is a secondary implantation which means that it originated from a tubal (less common an ovarian) pregnancy and re-implanted. [11] Other mechanisms for secondary abdominal pregnancy include uterine rupture, rupture of a uterine rudimentary horn and fimbrial abortion. [17]
[16] [17] It manifests as pain, numbness, and tingling in the thumb, index finger, middle finger and the thumb side of the ring finger. [18] The symptoms of carpal tunnel syndrome during pregnancy are usually mild and do not require treatment. However, if necessary, wrist splinting at night is the initial treatment that is recommended. [17]
Varicosities, [7] e.g. enlargement of the blood vessels of the round ligament can occur during pregnancy, causing pain and swelling. The varicocoele starts at the veins draining the round ligament and the inguinal canal and is associated with engorgement of the veins of the ovaries and the pelvis during pregnancy.
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