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A similar physical sign had been described by Carl von Fernwald Braun. [2] It comes from an era when laboratory tests for pregnancy had not been developed, but experience gained in pelvic examination during early pregnancy by western gynecologists led them to publish their physical findings, allowing clinical diagnosis of pregnancy. [ 3 ]
The sign is usually present from 4–6 weeks [2] until the 12th week of pregnancy. Hegar's sign is more difficult to recognize in multiparous women. Interpretation: On bimanual examination (two fingers in the anterior fornix and two fingers below the uterus per abdomen), the abdominal and vaginal fingers seem to oppose below the body of uterus ...
[15] [16] It is estimated to affect 0.3–3.6% of pregnant women and is the greatest contributor to hospitalizations under 20 weeks of gestation. Most often, nausea and vomiting symptoms during pregnancy resolve in the first trimester, however, some continue to experience symptoms.
Women who are underweight (BMI of less than 18.5), should gain between 12.7 and 18 kg (28–40 lb), while those who are overweight (BMI of 25–29.9) are advised to gain between 6.8 and 11.3 kg (15–25 lb) and those who are obese (BMI ≥ 30) should gain between 5–9 kg (11–20 lb). [105]
The plus sign (+) is a binary operator that indicates addition, as in 2 + 3 = 5. It can also serve as a unary operator that leaves its operand unchanged (+ x means the same as x ). This notation may be used when it is desired to emphasize the positiveness of a number, especially in contrast with the negative numbers (+5 versus −5).
In Microsoft Windows menus, labels, and other captions, the ampersand is used to denote the next letter as a keyboard shortcut (called an "Access key" by Microsoft). [40] For instance setting a button label to "&Print" makes it display as P rint and for Alt+P to be a shortcut equivalent to pressing that button. A double ampersand is needed in ...