Patient's question:
Just got pregnant and want to do a comprehensive check-up.Doctor's answer:
Please help translate the following content into English, where line breaks () do not need to be translated and should remain as they are. All other Chinese text should be translated into English, including age, parity, occupation, menstrual history, understanding of menarche age and menstrual cycle, and if the patient is a multiparous prenatal checkup, her previous delivery history, including a history of dystocia, stillbirth, delivery method, date of the last delivery or miscarriage, neonatal condition, medical history of hypertension, heart disease, etc.; the current pregnancy process, duration and severity of morning sickness, fever, viral infection, and other discomforts, medication use, etc.; the health status of the husband, family history, noting any congenital defects or genetic diseases.Calculating the Estimated Due Date
Method: Count from the first day of the last menstrual period. Subtract 3 months or add 9 months to the month, and add 7 days to the day (280 days, or 40 weeks, is equivalent to 9 months and 7 days). For example, if the last menstrual period was March 5, the estimated due date would be December 12. The actual delivery date may differ from the estimated due date by 1–2 weeks. If the last menstrual period is unclear or irregular, the estimated due date can be estimated based on the duration of morning sickness, the start date of fetal movement, the size of the uterus, and ultrasound measurement of the biparietal diameter.
General Examination
Observe development, nutritional status, gait, and height. Check the heart, lungs, liver, spleen, thyroid, and breasts for normality. Examine the spine and limbs for deformities and edema.
Obstetric Examination
Abdominal Examination: After urination, note the abdominal shape, measure the height of the fundus, perform four-quadrant palpation to determine the fetal position, and listen to the fetal heart.
Pelvic Measurement: Divided into external and internal measurements. External measurement provides a rough estimate of the pelvic inlet, while internal measurement assesses the pelvic cavity.
Vaginal Examination: Avoid unnecessary examinations. If necessary, perform external genital hygiene and wear sterile gloves to prevent infection.
Digital Examination.
Prenatal Examination
Auxiliary Tests
Routine laboratory tests include blood, urine, liver function, etc. Ultrasound can help determine fetal position, fetal viability, and the presence of abnormalities.
Special Tests: For patients with a history of stillbirth, fetal abnormalities, or genetic diseases, amniocentesis may be performed.