Diagnosis Of Pregnancy

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Diagnosis Of Pregnancy
Diagnosis Of Pregnancy
Video: Diagnosis Of Pregnancy
Video: Diagnosis of pregnancy | Reproductive system physiology | NCLEX-RN | Khan Academy 2023, February
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Pregnancy: diagnosis

Missing menstruation, morning sickness, or breast tenderness are possible signs of pregnancy. Many women want to know as soon as possible whether they are actually expecting a baby. A pregnancy test provides a reliable indication. The presence of a pregnancy can be confirmed by an ultrasound examination by the gynecologist.

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  • How does a pregnancy test work?
  • How is pregnancy confirmed?
  • Whom can I ask?
  • How are the costs going to be covered?

How does a pregnancy test work?

Pregnancy tests, such as those available over the counter in pharmacies, drugstores and drugstores, measure whether the so-called pregnancy hormone hCG (human chorionic gonadotropin) is present in the urine. If fertilization has taken place, the newly formed organism begins to produce the hormone hCG after just a few days. It ensures that the pregnancy is preserved and that the embryo and placenta can develop correctly. More on the topic: A pregnancy begins

The hCG concentration increases continuously until the end of the first trimester of pregnancy; in the first few weeks it doubles every two to three days. Once it is high enough, it can be detected in the urine. This is the case with normal pregnancy tests about two days after a missed menstruation.

Performing a pregnancy test takes a few minutes. The test strip usually has to be dipped into urine for a few seconds, and the result is visible after a short waiting time of around two minutes. The exact application and interpretation of the result must be taken from the respective package insert. The reliability of pregnancy tests is usually high; it depends, among other things, on the accuracy of the test and on correct use.

In addition, so-called early tests are available, with which a pregnancy can be detected before the expected next menstrual bleeding. However, the earlier the test is performed, the lower the hCG level in the urine and the more difficult it is to obtain a reliable measurement. The result of an early test should therefore always be repeated after about a week.

A positive pregnancy test alone is not enough to safely confirm pregnancy. This always requires a medical examination.

Note Even with an ectopic pregnancy, the pregnancy test is positive. In addition, the use of certain medications or certain diseases can cause a false positive result.

A negative pregnancy test should also be checked by a doctor if the woman notices signs of pregnancy.

How is pregnancy confirmed?

A doctor will diagnose a pregnancy. The anamnesis is given at the beginning of the doctor's visit. The doctor asks about possible physical signs of pregnancy, the date of the last menstrual period, the possible date of fertilization and any general symptoms.

To clarify a pregnancy, the doctor can prescribe a hormonal pregnancy test using a urine or blood sample. A blood test can be used to prove pregnancy earlier than a urine test; it can provide reliable information even before the expected menstrual bleeding (from the sixth to ninth day after fertilization).

An ultrasound examination is also carried out. In the first few weeks of pregnancy, this takes place through the vagina (transvaginally). The fruit cavity and the pregnancy structure in the uterus can be seen on ultrasound from the fourth to fifth week of pregnancy. From the sixth week of pregnancy, the doctor can detect the heartbeat of the embryo on ultrasound.

If the pregnancy is secured, the doctor will issue a mother-child passport within the first twelve weeks. This means that important preventive examinations can be taken advantage of. The doctor may suggest an appointment for the first mother-child pass examination.

The medical diagnosis has consequences under labor law and social security law. It is a prerequisite for maternity leave and the associated protection against dismissal and dismissal, as well as the payment of maternity allowance.

Whom can I ask?

To diagnose pregnancy, contact the following offices. Here you will also find personal advice, support and other help on all aspects of pregnancy:

  • Resident specialists for gynecology and obstetrics,
  • Outpatient departments for gynecology and obstetrics of the health insurance companies,
  • Doctors in family counseling centers with a focus on pregnancy counseling,
  • registered general practitioners (family doctors).

How are the costs going to be covered?

Your health insurance will cover the costs of diagnosing a pregnancy and the services required for this if the services were provided by a resident contract doctor or a specialist outpatient clinic at a public hospital. People without health insurance valid in Austria can also contact a family counseling center free of charge.

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