Congenital abnormalities are uncommon and are usually diagnosed at birth or in childhood. The most gross abnormality is ectopia vesicae, which requires surgical reconstruction during the neonatal period. Other less obvious congenital abnormalities include epispadias, which can be diagnosed by the bifid clitoris. This abnormality is difficult to treat and may require reconstruction in the form of a neourethra. An ectopic ureter may open into the vagina and cause urinary incontinence which is not diagnosed until childhood, and spina bifida occulta may present with urinary symptoms during the prepubertal growth spurt.
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The first trimester is very important for the mother and the baby. For most women it is common to find out about their pregnancy after they have missed their menstrual cycle. Since, not all women note their menstrual cycle and dates of intercourse, it may cause slight confusion about the exact date of conception. That is why most women find out that they are pregnant only after one month of pregnancy.