It is often accompanied by bleeding, which can range from a small amount of dark blood to larger amounts of bright red blood with clots. You should always see a doctor urgently if you think you might be pregnant and are experiencing right lower quadrant RLQ pain.
You could have an ectopic pregnancy. Previous article Right Lower Quadrant Pain. Next article Causes in Children. Are you protected against flu? Further reading and references. Join the discussion on the forums. Health Tools Feeling unwell? Assess your symptoms online with our free symptom checker.
Start symptom checker. If the baby is not head down when labour starts, it is safer for the mother to give birth in a hospital. The midwife, health officer or physician can use forceps pulling tools if the baby gets stuck. Or they can do a caesarean surgery. If the baby turns head down at any time — even on the day the mother goes into labour — it is OK for her to give birth at home or at the Health Post.
A baby lying sideways must be delivered by caesarean surgery in a hospital. Do not attempt to turn a sideways baby by hand. This is just as dangerous as trying to turn a breech baby, and should be done only by a doctor in a hospital. The uterus grows faster or larger than normal. You can hear two heartbeats this is not easy, but it may be possible in the last few months.
Find the heartbeat of one baby. Ask a helper to listen for other places where the heartbeat is easy to hear, and both of you tap the rhythm of the heartbeats. After you have finished checking the fetus and the mother, and following the instructions for any warning signs, find out if the woman has any more questions, or needs to talk about anything else.
If she has any warning signs, carefully explain what the warning sign is, and what she must do to care for herself. If this is a return antenatal check-up, evaluate what you did for her at the previous check-up. Decide what else you may need to do for her. If she needs to be referred to a higher-level health facility, be sure she knows where and when to go.
In this session, you have learned how to examine the abdomen of a pregnant woman so that you can determine the position of the baby, its presenting part head or bottom, or whether it is lying sideways , and how to check the wellbeing of the fetus by listening to the fetal heartbeat and asking the mother about fetal kick.
Now that you have completed this study session, you can assess how well you have achieved its Learning Outcomes by answering these questions.
You can check your answers with the Notes on the Self-Assessment Questions at the end of this Module. B When the fetal head is down and the bottom of the fetus is up in the fundus, it is called a vertical lie.
B True. When the fetal head is down and the bottom of the fetus is up in the fundus, it is called a vertical lie. E False. Bekelech came for her antenatal check-up at the eighth month of pregnancy. When you palpated her abdomen, you found a hard, round mass in the fundus of the uterus, and a soft, irregular, bulky mass towards the symphysis pubic.
Explain how you reached your conclusion. What is the presenting part in this case? What do you call a fetus presenting in such a manner? This is a vertical lie. The bottom is the presenting part. This is called a breech presentation. Look again at Figure You should refer her to a health facility immediately. In short this allows you to use the content throughout the world without payment for non-commercial purposes in accordance with the Creative Commons non commercial sharealike licence.
Please read this licence in full along with OpenLearn terms and conditions before making use of the content. When using the content you must attribute us The Open University the OU and any identified author in accordance with the terms of the Creative Commons Licence. The Acknowledgements section is used to list, amongst other things, third party Proprietary , licensed content which is not subject to Creative Commons licensing.
Proprietary content must be used retained intact and in context to the content at all times. The Acknowledgements section is also used to bring to your attention any other Special Restrictions which may apply to the content. Pain in this region is generally associated with colitis inflammation of the large intestine as well as pelvic inflammatory disease and ovarian cysts in females.
The nine divisions of the abdominopelvic region are smaller than the four quadrants, allowing for a more detailed discussion. These divisions are marked by two parasagittal and two transverse planes centered around the navel.
Most organs are part of multiple regions, including the gallbladder, duodenum, stomach, kidneys, spleen, small intestine and colon. The perineum the area beneath the hypogastric region at the bottom of the pelvic cavity is sometimes considered to be a tenth division in this system.
The right hypochondriac region contains the right portion of the liver, the gallbladder, the right kidney, and parts of the small intestine. The left hypochondriac region contains part of the spleen, the left kidney, part of the stomach, the pancreas, and parts of the colon. The epigastric above stomach region contains the majority of the stomach, part of the liver, part of the pancreas, part of the duodenum, part of the spleen, and the adrenal glands. This region pushes out when the diaphragm contracts during breathing.
The right lumbar region consists of the gallbladder, the left kidney, part of the liver, and the ascending colon. The left lumbar region consists of the descending colon, the left kidney, and part of the spleen.
The umbilical region contains the umbilicus navel , and many parts of the small intestine, such as part of the duodenum, the jejunum, and the illeum. It also contains the transverse colon the section between the ascending and descending colons and the bottom portions of both the left and right kidney. The right iliac region contains the appendix, cecum, and the right iliac fossa. It is also commonly referred to as the right inguinal region. Pain in this area is generally associated with appendicitis.
The left illiac region contains part of the descending colon, the sigmoid colon, and the left illiac fossa. For details see our conditions. In this series. You should always contact a doctor urgently if you think you might be pregnant and are experiencing LLQ pain. You could have an ectopic pregnancy.
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