CHAPTER 3 PREGNANCY DIAGNOSIS

SECTION 1:DIAGNOSIS OF EARLY PREGNANCY

1. Diagnosis

1.1 Clinical Manifestations

1.1.1 Symptom: ①Amenorrhoea. ②Morning sickness.③Frequency of micturition. ④Breast enlargement.

1.1.2 Signs: ①Breast examination(BE)and Montgomery's tubercles. ②Hegar sign.

1.2 Auxiliary Examination

1.2.1 Pregnancy test:Urine HCG or blood-βHCG.

1.2.2 Ultrasonic examination is a quick and accurate method for the diagnosis of pregnancy.

1.2.3 Cervix Mucus examination: Cervix Mucus is scanty and less elastic in the early pregnancy, Fern pattern under light microscope disappears.

1.2.4 The determination of basal body temperature (BBT).

1.2.5 Progesterone test: used very rarely.

2. Differential Diagnosis

2.1 Uterine fibroid.

2.2 Ovarian cyst.

2.3 Pseudopregnancy.

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