Diagnosis and Treatment I.Dating the pregnancy Date the LMP Positive Serum HCG at 5 weeks Fetal heart tones auscultated with a stethoscope at 18~20 weeks,with electronic device in 10 weeks Physical exam of uterus:height of fundus, 8 Maternal perception of quickening Ultrasound:crown-rump length,diameter of BPD (biparietal diameter) 6
6 Diagnosis and Treatment 1. Dating the pregnancy Date the LMP Positive Serum HCG at 5 weeks Fetal heart tones auscultated with a stethoscope at 18~20 weeks, with electronic device in 10 weeks Physical exam of uterus: height of fundus, Maternal perception of quickening Ultrasound: crown-rump length, diameter of BPD (biparietal diameter)
2.Evaluation of the fetus A kick count:normal fetal movement >10beats/12h 8 Electronic fetal monitoring:NST,CST,2~3 times weekly 8 Ultrasound evaluation biophysical profile)BPP: twice weekly,<4 abnormal Ultrasound measurement of the amount of amniotic fluid:AFI(amniotic fluid index)>8 in normal,<5 is oligohydramnios,twice weekly Check for meconium in the amniotic fluid:greenish
7 2. Evaluation of the fetus A kick count:normal fetal movement 10beats/12h Electronic fetal monitoring: NST, CST, 2~3 times weekly Ultrasound evaluation ( biophysical profile) BPP: twice weekly, 4 abnormal Ultrasound measurement of the amount of amniotic fluid: AFI( amniotic fluid index)>8 in normal, <5 is oligohydramnios, twice weekly Check for meconium in the amniotic fluid: greenish