Diagnosis of pregnancy

Teng Yincheng M.D., Ph.D., Professor

Department Of Obstetrics & Gynecology

Renji Hospital Affiliated to SJTU School of Medicine

diagnosis of early pregnancy

1.History menstraul cycles

missed period

2.Symptoms fatigue

nausea/vomitting----morning sickness

breast tenderness

urinary frequency

3.physical examination

breast

pelvic examination softening of the cervix

enlargement of the uterus

4.assistant examination

pregnancy test β-HCG: >6μg/ml

progesterone test

cervical mucus examination

BBT

Ultrasound examination

Middle and late pregnancy diagnosis

Symptoms and sign

1.enlargement of the uterus fundal height

2.fetal movement

3.fetal heart activity

auscultation uterine souffle umbilical souffle

4.fetal body palpation

Assistant examination Ultrasonography

Fetal electrocardiography

Fetal lie: transverse lie longitudinal lie

Fetal presentation:

Fetal position

Fetal Assessment

Growth

fundal height

abdominal circumference

biparietal diameter of the skull

femur length

Well-being

fetal movement

fetal heart rate

electronic fetal monitoring

non-stress test, NST

oxytocin challenge test, OCT

ultrasonography

biophysical profile(manning score)

amnioscopy

Placental function

Maturity

L/S

phosphatidylglycerol(PG)

THANKS FOR YOUR ATTENTION

Teng YinchengTeng Yincheng

M.D., Ph.D., ProfessorM.D., Ph.D., Professor

Dep. of Obstet. & Gynecol.Dep. of Obstet. & Gynecol.

Renji Hospital Affiliated to SJTU School of MedicineRenji Hospital Affiliated to SJTU School of Medicine