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1、Chapter 3Diagnosis of pregnancyDongyang Liuchapter 3 diagnosis of pregnancy1 1 1 1Chapter 3Diagnosis of pregnancyDongyang Liufirst trimester 25mIU/L-HCG: 25mIU/L2.Ultrasonography1)Enlargement of uterus2)Gestational sac3)Embryo or fetal pulseChapter 3Diagnosis of pregnancyDongyang LiuDiagnosis of Ear
2、ly Pregnancy3.Other tests1)Cervical mucus examination2)Basal body temperature (BBT)Chapter 3Diagnosis of pregnancyDongyang LiuDiagnosis of 2rd and 3ndpregnancySymptoms and signs1.EDC: +9 or 3 (month), +7 (day)2.Enlargement of uterusChapter 3Diagnosis of pregnancyDongyang LiuDiagnosis of mid or late
3、pregnancy3.Fetal movement (FM)1)The first perception: in the 18th 20th weeks2)Diagnosis of pregnancy, duration of pregnancy, the safety of fetus3)Count: 3 times per day, 1 hour per time. sum4= FM/12 hours. Normal: 30/12 hoursChapter 3Diagnosis of pregnancyDongyang LiuDiagnosis of mid or late pregnan
4、cy4.Fetal heart tones1)Heared: the 18th 20th weeks2)Normal rate: 120-160bpm3)Differentiation: umbilical souffle (脐带杂音脐带杂音)5.Fetal body Palpated: outlines of the fetus (the 20th week). Chapter 3Diagnosis of pregnancyDongyang LiuDiagnosis of mid or late pregnancyLaboratory tests1.Ultrasonography1)The
5、number of fetus2)Fetal lie3)Fetal presentation4)Fetal position5)Fetal dead or not 6)Placenta and cord (velocity of flow)7)Size of fetusChapter 3Diagnosis of pregnancyDongyang LiuDiagnosis of mid or late pregnancy2.Fetal electrocardiography, FECG 12th weekChapter 3Diagnosis of pregnancyDongyang LiuFe
6、tal AttitudeFetal lie Refers to the relationship of the long axis of the fetus to the long axis of the mother1.Longitudinal lie The long axis of the fetus is parallel with that of the mother2.Transverse lie The long axis of the fetus crosses that of the mother verticallyChapter 3Diagnosis of pregnan
7、cyDongyang LiuFetal lieChapter 3Diagnosis of pregnancyDongyang LiuFetal AttitudeFetal presentation1.head presentation Occiput presentation (95%), brow presentation and face presentation.2.Breech presentation1)Complete breech presentation2)Frank breech presentation3)Incomplete breech presentation: fo
8、otling presentationChapter 3Diagnosis of pregnancyDongyang LiuHead presentation or breechChapter 3Diagnosis of pregnancyDongyang LiuFetal AttitudeFetal position Refers to the relationship of the point of direction of the presenting part to one of the 4 quadrants of the pelvis or to the transverse di
9、ameter of the maternal pelvis.1.Occiput presentation: the occiput, O. LOA,LOT,LOP2.Face presentation: the chin, M. LMA,LMT,LMP3.Breech presentation: the sacrum, S.LSA,LST,LSPChapter 3Diagnosis of pregnancyDongyang LiuFetal positionChapter 3Diagnosis of pregnancyDongyang LiuChapter 3Diagnosis of pregnancyDongyang LiuChapter 3Diagnosis of pregnancyDongyang LiuEND
