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 Yincheng M.D., Ph.D., Professor M.D., Ph.D., Professor Dep. of Obstet. & Gynecol. Renji Hospital Affiliated to SJTU School of Medicine