II. Indication

  1. Diagnosis of early pregnancy

III. Physiology

  1. Occurs during first trimester of pregnancy
  2. Softening of Uterus at junction with Cervix (isthmus)

IV. Signs

  1. Softened lower uterine segment on bimanual exam
    1. Cervix may seem to separate from fundus
  2. Contrast with firmness of uterine fundus

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