扬州大学：《妇产科学》课程教学课件（PPT讲稿）05 妊娠诊断 Diagnosis of pregnancy 1/2

AeoprendfeDiagnosis of pregnancy

Diagnosis of pregnancy

diagnosis of early pregnancy1.Historymenstraul cycles (different time between 21 daysand 60 days), amenorrhea, missed periodPay attention to young women if she missed thenormal menstraul and has sax activity

diagnosis of early pregnancy 1.History menstraul cycles (different time between 21 days and 60 days)，amenorrhea, missed period Pay attention to young women if she missed the normal menstraul and has sax activity

2.Symptomsfatiguenausea/vomiting----morning sicknessbreast tendernessurinary frequency

2.Symptoms fatigue nausea/vomiting-morning sickness breast tenderness urinary frequency

3.physical examinationbreast:mastodynia,enlargementsoftening of the cervixpelvic examinationenlargement of the uterus4.assistant examinationhCG testpregnancy testprogesterone testcervicalmucus examinationBBTUltrasound examination

3.physical examination breast: mastodynia,enlargement, pelvic examination softening of the cervix enlargement of the uterus 4.assistant examination ❖ pregnancy test hCG test ❖ progesterone test ❖ cervical mucus examination ❖ BBT ❖ Ultrasound examination

01/06110021410O孕5~6周超声图像

Middle and late pregnancy diagnosisSymptoms and sign1.enlargement of the uterus fundal height2.fetal movement :17 weeks3.fetal heart activity : 20weeksauscultation听诊uterine souffle杂音umbilical souffle4.fetal bodypalpation触诊Assistant examinationUltrasonographyFetal electrocardiography

Middle and late pregnancy diagnosis Symptoms and sign 1.enlargement of the uterus fundal height 2.fetal movement :17 weeks 3.fetal heart activity : 20weeks auscultation听诊 uterine souffle杂音 umbilical souffle 4.fetal body palpation触诊 Assistant examination Ultrasonography Fetal electrocardiography

表2-1-7不同孕期的子宫高度尺测耻骨上胎龄手触宫高子宫长度（cm）12周末耻骨联合上2~3指16周末脐耻之间20周末脐下1横指18(15.3~21.4)24周末脐上1横指24(22.025.1)28周末脐上3横指26(22.4~29.0)32周末脐与剑突之间29(25.3~32.0)36周末剑突下2横指32(29.8~34.5）40周末脐与剑突之间或略高33(30.0~35.3)

9CS36周末32.40周末28周末TunhtC用24周末020周末16周末l12周末图2-1-11不同孕周的子宫高度

: Expected date of confinement(EDC)Average 280 days from LMP: Before EDC 3 weeks and after 2 weeks belong tonormal labour EDC the first day of LMP month +9 or -3day+7

• Expected date of confinement(EDC) • Average 280 days from LMP • Before EDC 3 weeks and after 2 weeks belong to normal labour. • EDC the first day of LMP month +9 or -3 • day +7

Assessment of Gestational Age.Definitions:: Gestational age:the time of pregnancy countingfrom first day of the last menstrual period: Developmental age:the time of pregnancycounting from fertilization First trimester: 0-14 weeksSecond trimester:14-28 weeks Third trimester: 28 weeks-birth

Assessment of Gestational Age • Definitions: • Gestational age:the time of pregnancy counting from first day of the last menstrual period • Developmental age:the time of pregnancy counting from fertilization • First trimester: 0-14 weeks • Second trimester:14-28 weeks • Third trimester: 28 weeks-birth