If the woman gets suspicion that she might be pregnant, she can test by using urine pregnancy kit.
It is easy method can be done at home and works on basis of presence of beta hCG in the urine.
It can be done within one week of missed period.
Blood test for pregnancy gives more accurate result and can be done on the date of missed period itself.
Pregnancy can also confirmed by doing the manual examination and noting changes in the cervical mucosa, size of the uterus etc.
Ultrasound both trans abdominal and trans vaginal can be used for confirmation of pregnancy.
After confirmation of pregnancy the patient to be carefully followed.
She has to be instructed that she should come to hospital once in a month in the first 7 months and in the 8 month she has to come twice in the month in the 9 month till delivery she has to come weekly.
In the first trimester:
The patient should maintain a record of her visits and investigations.
In her first visit after confirmation of pregnancy her last menstrual period to be enquired.
According to it her expected date of delivery can be calculated as 9 months and 7 days from that last date.
But for it the woman should have at least 3 regular cycles before conception.
And there should be no usage of oral pills for at least 6 months before conception.
In woman who cannot remember their last menstrual period any festival related to the date or date of fruitful coitus etc can be enquired.
Ultrasound can give the expected date of delivery when performed carefully with accuracy.
The previous obstetric history of the patient to be taken like number of live children, number of abortions, number of deaths.
History of twins, hypertension, anemia, diabetes, preterm delivery etc in the previous pregnancy to be noted.
The mode of delivery in the previous pregnancy like previous caesarean section or normal delivery or instrumental delivery to be noted as it will influence the mode of delivery in the present pregnancy.
According to above history the woman can be graded as high risk or normal pregnancy.
The marital life of the women to be enquired, history of consanguinity to be noted as some diseases are common in consanguineous marriages.
Any treatment for infertility to be noted.
Family history of twins, hypertension, diabetes, heart diseases etc to be asked as they may affect her in present pregnancy.
Part -2: Examination and investigations
It is easy method can be done at home and works on basis of presence of beta hCG in the urine.
It can be done within one week of missed period.
Blood test for pregnancy gives more accurate result and can be done on the date of missed period itself.
Pregnancy can also confirmed by doing the manual examination and noting changes in the cervical mucosa, size of the uterus etc.
Ultrasound both trans abdominal and trans vaginal can be used for confirmation of pregnancy.
After confirmation of pregnancy the patient to be carefully followed.
She has to be instructed that she should come to hospital once in a month in the first 7 months and in the 8 month she has to come twice in the month in the 9 month till delivery she has to come weekly.
In the first trimester:
The patient should maintain a record of her visits and investigations.
In her first visit after confirmation of pregnancy her last menstrual period to be enquired.
According to it her expected date of delivery can be calculated as 9 months and 7 days from that last date.
But for it the woman should have at least 3 regular cycles before conception.
And there should be no usage of oral pills for at least 6 months before conception.
In woman who cannot remember their last menstrual period any festival related to the date or date of fruitful coitus etc can be enquired.
Ultrasound can give the expected date of delivery when performed carefully with accuracy.
The previous obstetric history of the patient to be taken like number of live children, number of abortions, number of deaths.
History of twins, hypertension, anemia, diabetes, preterm delivery etc in the previous pregnancy to be noted.
The mode of delivery in the previous pregnancy like previous caesarean section or normal delivery or instrumental delivery to be noted as it will influence the mode of delivery in the present pregnancy.
According to above history the woman can be graded as high risk or normal pregnancy.
The marital life of the women to be enquired, history of consanguinity to be noted as some diseases are common in consanguineous marriages.
Any treatment for infertility to be noted.
Family history of twins, hypertension, diabetes, heart diseases etc to be asked as they may affect her in present pregnancy.
Part -2: Examination and investigations
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