《妇产科学》课程教学课件（PPT讲稿）3.1 Hos DIAGNOSIS OF PREGNANCY ＆ ANTENATAL CARE

DIAGNOSIS OF PREGNANCY & ANTENATAL CARE

1 DIAGNOSIS OF PREGNANCY ＆ ANTENATAL CARE

2 *Stage of pregnancy First-trimester of pregnancy before the 12th week Second-trimester of pregnancy 13th to 27th week Third-trimester of pregnancy after the 28th week

2 First-trimester of pregnancy before the 12th week Second- trimester of pregnancy 13th to 27th week Third- trimester of pregnancy after the 28th week Stage of pregnancy

First-trimester Cessation of menstruation amenorrhea)） Morning sickness Urinary frequency and urgency Breast symptoms

3 First-trimester Symptoms and signs: • Cessation of menstruation (amenorrhea) • Morning sickness • Urinary frequency and urgency • Breast symptoms

4 First-trimester Cessation of menstruation: amenorrhea is the earliest and the most important symptoms of pregnancy,but not the differential one

4 First-trimester Cessation of menstruation: amenorrhea is the earliest and the most important symptoms of pregnancy, but not the differential one

First-trimester Morning sickness: about 60%pregnant women have the symptoms such as nausea,vomiting,sleepy, acidophilus and so on. last 2 months and then disappear

5 First-trimester Morning sickness: about 60% pregnant women have the symptoms such as nausea, vomiting, sleepy, acidophilus and so on. last 2 months and then disappear

6 First-trimester Urinary frequency and urgency Appears during the early pregnancy Disappear after the uterus enlarges so much and reaches out the pelvic cavity

6 First-trimester Urinary frequency and urgency : Appears during the early pregnancy Disappear after the uterus enlarges so much and reaches out the pelvic cavity

First-trimester Breast some tenderness and fullness of the breast Engorgement of the surface veins Pigmentation of the primary areola Montgomery's tubercles

7 Breast some tenderness and fullness of the breast Engorgement of the surface veins Pigmentation of the primary areola Montgomery’s tubercles First-trimester

8 First-trimester Pelvic organs Enlargement of the uterus globular shape of the uterus Blue coloration of the vagina Softening of the cervix Uterine contraction palpable on bimanual examination

8 Pelvic organs Enlargement of the uterus globular shape of the uterus Blue coloration of the vagina Softening of the cervix Uterine contraction palpable on bimanual examination First-trimester

First-trimester Pelvic organs Hegar's sign- appearing during the 6th and 8th week The cervix and the uterus felt not joined because of the softening isthmus

9 Pelvic organs Hegar’s sign— appearing during the 6th and 8th week The cervix and the uterus felt not joined because of the softening isthmus First-trimester

10 First-trimester BEAF31KK30381A066866* pregnancy test cervical mucus examination Basal body temperature(BBT) Ultrasound diagnosis of pregnancy

10 Laboratory examinations: • pregnancy test • cervical mucus examination • Basal body temperature(BBT) • Ultrasound diagnosis of pregnancy First-trimester