妇产科学英语课件之段定红-Diagnosis of Pregnancy.pptVIP

Fetal Presentation: fetal part that is the most dependent structure in the birth canal Shoulder Presentation Fetal Presentation: fetal part that is the most dependent structure in the birth canal Compound Presentation Fetal Position: Relationship of an arbitrary reference point on the fetus to a specific point in the maternal pelvic Left occipital posterior（LOP) Right occipital posterior （ROP) Fetal Position: Relationship of an arbitrary reference point on the fetus to a specific point in the maternal pelvic Right sacrum posterior（LSP) Left scapulo anterior（LScA) Example of pregnancy diagnosis： Early pregnancy 13W+3 Pregnancy G2P0 Pregnancy 37W+3 LOA Chapter5 Diagnosis of Pregnancy Stage： ≤12w Early pregnancy 13-27w Mid-term pregnancy ≥28w Late pregnancy Ⅰ Diagnosis of Early Pregnancy  [History and symptoms] [Physical examination and signs] [Accessory examinations] [Differential diagnosis] Ⅰ Diagnosis of Early Pregnancy  [History and symptoms] 1.Amenorrhea 2.Morning sickness: nausea, vomiting 3.Urinary frequency and urgency [Examination and signs] 1．Breast changes 2．Genitalia Breast changes enlargement, vascular engorgement, colostrum Ⅰ Diagnosis of Early Pregnancy Skin changes chloasma Ⅰ Diagnosis of Early Pregnancy  [Accessory examinations] 1.Ultrasound：B-ultrasound, Doppler ultrasound 2.Pregnancy test 3.Cervical mucus phlegm test 4.Basic body temperature, BBT Ⅰ Diagnosis of Early Pregnancy [Differential diagnosis] 1．Ovarian cyst 2. Uterine leiomyoma 3. Urinary retention 4. Pseudopregnancy Ⅱ Diagnosis of mid-term and late Pregnancy  [History and symptoms] Early pregnancy experience Abdominal enlargement Perception of fetal movement [Physical examination and signs] Enlargement of the uterus Fetal movement Fetal body Fetal heart sounds [Accessory examinations] Ultrasound Fetal electrocardiography, FECG Diagnosis of mi