教程10级大5上妇产科学04diagnosis of pregnancy antenatal care示教.pptxVIP

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2021-09-05 发布于北京
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教程10级大5上妇产科学04diagnosis of pregnancy antenatal care示教.pptx

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Diagnosis of pregnancy Antenatal care Ou Wenjun;Learning objectives;Part one Diagnosis of pregnancy ;Stages of pregnancy;Purpose: to confirm pregnancy, embryo number, and gestational age to exclude ectopic pregnancy or other pathologic condition;Diagnosis of the first-trimester pregnancy;Symptoms and signs;Amenorrhea;Morning sickness;Bladder frequency;Changes of breast;Changes in the genital organs;Changes in the genital organs;Assistant examination;Pregnancy test;Ultrasound examination;Ultrasound examination;Conclusion;Diagnosis of the secend- and third-trimester pregnancy;Diagnosis of the secend- and third-trimester pregnancy;Diagnosis of the secend- and third-trimester pregnancy;Diagnosis of the secend- and third-trimester pregnancy;Diagnosis of the secend- and third-trimester pregnancy;Fetal attitude Fetal lie Fetal presentation Fetal position;fetal head flexion, chin bending to chest, spine bending forward, limbs inflection in front of chest and abdomen.;Definition: relative position between fetal and maternal longitudinal?axis Longitudinal lie Transverse lie;Definition: the part of fetus which first gets into pelvic inlet Fetal presentation of longitudinal lie: Head presentation Breech presentation Fetal presentation of transverse lie: Shoulder presentation;Head presentation;Breech presentation;Fetal position;Fetal position of Occipital presentation;Fetal position of Occipital presentation;Part twoAntenatal care;Purpose;Definition;Time of antenatal care;Initial office visit;History;EDC (month)= LMP (month)-3 (or+9) EDC (date)= LMP (date)+7;Physical examination;Assistant examination;health education;病史年龄职业推算预产期月经史、既往孕产史既往史及手术史本次妊娠过程家族史丈夫健康状况 ;Content of subsequent visits;Antenatal care during second- and third-trimester ;Four maneuvers of Leopold;External pelvimetry;髂棘间径Interspinal diameter (IS);髂嵴间径 Intercristal diameter (IC);骶耻外径 External conjugate (EC);坐骨结节间径或称出口横径 Intertuberous diameter, or Transverse outlet;出口后矢状径 Posterior sagittal di