Doctgor： Good morning. What can I do for you？
Patient： There's something wrong with my period. It's 25 days late . I believe.
D： I want to know when your last period was .
P： Oh ， let me see I think it was my 17th ， on time . I'd like to know if I am pregnant.
D： Well ， any discomfort" And your appetite？
P： Discomfort？ Yes . I have tenderness of my breast and poor appetite . I feel nauseous in the morning ， but I don't feel like vomiting.
D： In that case ， I suggest you have a pelvic examination . It is necessary.
P： OK， I'll have that .
D： Well ， your uterus in enlarged and rather soft . Your pregnancy is about 6 weeks . Now we need some urine for a test.
D： Positive . You are pregnant . Congratulations！ Please take good care of yourself.
Ptient： doctor ， what shall I do for an antinatal examination？
Doctor： We'll take your weight and have you measured . We have to take your blood pressure ， too.
P： My blood pressure is always OK.
D： But this is a special time.
P： OK.
D： I'd like to know when your last menstruation was.
P： It was on Aug . 14，1986.
D： Are your menstual cycles regular？
P： Yes ， they are ， I think .
D： In that case ， your due date will be May 21，1987.
P： In May . It's good . I mean the weather ， of course.
D： Yes . And if you have bleding ， watery discharge ， pain in your lower abdomen and legs ， please tell me .
P： when I am tired ， I have some pain in my legs.
D： If you have heriditary disease . You'd better not hide it from your doctor ， for he'll tell you what to do in order to make your delivery safe.
P： I don't think I have any. form www.med66.com
D： I suggest that you have an examination of routine blood and urine ， liver function and blood group， take more nourishment and avoid sexual relations.
P： Thank you .I'll remember
Patient： Doctor ， I really worry about my feet. They are swollen ， and my fingers . too .
Dctor ： do you have any dizziness ， nausea ， vomithing ， headache or vision blurrig？
P： Only some headache.
D： Well ， your blood pressure is 160/95mmHg…… And your eyelids ， a little bit swollen ， any bleeding？
P： No.
D： Your routine urine exam shows that the urine albumin is positive with 2 plus . Omit salt . We call your problem as toemia of pregnancy . You've got to be admitted to hospital .
P：Then I'd like to be admitted tomorrow.
Patient： Doctor ， It's berrible . I saw some blood discharge today . This is 8day be fore my due date.
Doctor ： Don't worry . we can help you .do you feel any pain in your abdomen？
P： Rather mild pain but not regular.
D： Any watery discharge？
P： No
D： Is this your first pregnancy？
P： No ， it's the second time.
D： What about the first delivery？
P： It was quick ， but I bled a lot soon after the baby was born.
D： if the placenta remains in the uterus for too long ， you bleed.
P： I see
D： This time your fetus is in a right position and the head is deeply engaged . The fetal heart is strong and the beat is regular . There is slight bleeding from the vaginal . You know ， this is the preliminary stage of labor.
P： But I feel contractions .
D： Well ， I'll see The cervix is open about 3cm . Your baby will be delivered boday.
P： I hope so .
Patient： Right this morning ， I began to bleed profusely ， doctor ， I'm afraid something berrible will happen .
D： Do you feel contractions in your uterus？
P： Yes ， terrible contractions and pain in lower abdonmen ， too .
D： Your amniotic fluid has escaped and you must be admitted into hospital at once.
Patient ： Oh！ It's so painful！
Doctor ： It's the labor pain and it's normal . How long is the interval between contractions？
P： About 2-3 minutes.
D： Now ， please take a deep breath Hold your breath Breathe out Breathe rapidly as if you were panting Oh ， you've born a daughter. Congratulatilons.
Patient： I have pain in my lower abdomen and some bleeding . doctor.
Doctor： profuse？
P： Yes ， and I missed two periods.
D： We need some urine for a prednancy test.
P： I'll try.
D： The test is positive. You are pregnant ， but with a possible miscarriage .If your pain recurs frequently and the cervix is open so that the fetus can be seen ， blood transfusion is needed and you should be admitted to the hospital at once.
Patient：I have been married for 6 years without a child . And I am 36years old now .
Doctor ： Have you had any illness before？ And how about your husband's halth？ Has he had his semen examined？
P： I'm healthy and my husband's semen is normal in number and activity with less abnormality .
D： Your uterus is small in size . I'll take a vaginal smear to check the estrogen level and a special test to see if the tubes are blocked or not.
D： Do you have severe premenstrual pain？
P： Yes ， but it disappears the second day of periods.
D： It usually comes with headache ， backache ， pain in your stomach and heavy legs . We call it dysmenorrhea accompanied by premenstrual stress.
P： Is there any medicine for it ？
D： Some hormone extracts or some medicine for muscle relaxation ， diuresis and analgesics.
Patient： Doctor ， my periods have become irregular afger delivery.
Doctor ： How old is your child？
P： He is one year old.
D： Do you feed the baby now？
P： With my own milk and cow milk.
D： That is the problem. Stop breast feeding now and you'll be OK， because the menstruation is controlled by sexhormones.
Patient： Doctor ， I think I'll have some contraceptives.
Doctor ： The pill.
P： That's what I want.
D： Is your mestruation regular？
P： As a matter of fact ， my periods are always regular.
D： You'd better try an intrauterine device or the pill ， but those who suffer from disabetes or liver trouble must be careful.
P：The I don't have to worry.
D： One pill each day from the 5th day.
P： Well ， that'll be 22 days.
医生：早晨好，您有什么不舒服吗？
病人：我月经出了问题，迟了准有25天。
医生：我想知道您上次来月经是什么时候。
病人：噢，让我想想……我想是5月17日，准日子。我想知道是不是怀孕了。
医生：嗯，有什么不舒服吗？您胃口怎么样？
病人：不舒服？可不是。乳房发胀而且胃口不好。早晨恶心可又不想吐。
医生：要是那样的话，我建议您检查一下盆腔。这很必要。
病人：那好，我就查查吧。
医生：瞧，您的子宫大了，还相当软。您怀孕大约6周了。取点尿化验一下吧。
医生：阳性的。您是怀孕了。给您道喜了！请多保重。
病人：大夫，我该怎样进行产前检查呢？
医生：先给您量体重和身高，也得量血压。
病人：我血压一惯正常。
医生：不过现在不同已往。
病人：那好吧。
医生：我想知道您上次月经的日期。
病人：上次是1986年8月14日。
医生：您例假准吗？
病人：是的，我认为很准。
医生：这样的话，您的预产期就是1987年5月21日。
病人：五月生，那太好了。当然，我是说天气。
医生：当然。如果您出血，或排出水状物，或有小腹痛和腿痛，请对我说。
病人：我一累就会腿痛。
医生：您要是有什么遗传病，可千万别不跟在夫说，因为他知道了这些会告诉您怎样去做，以保证安全生产。
病人：我想，我没有什么遗传病。
医生：我看您应该做个血常规和尿常规，查查肝功能，验验血型，多吃营养，不要同房。
病人：谢谢您。我会记住的。
病人：大夫，我真担心自己的脚，都肿了，连手指头也肿了。
医生：您有头晕，恶心、呕吐、头疼或视力模糊的问题吗？
病人：就是有点儿头疼。
医生：好，您高压160，低压95.看看眼皮，有点心肿，出血 吗？
病人：不出。
医生：您的尿常规反映是尿蛋折两个加号。应忌盐。我们管您的病叫妊娠中毒，您应住院。
病人：那么我明天再住吧。
病人：大夫，太吓人了。今天开始流血了，可离预产期还有8天呢。
医生：别急，我们会帮助您，肚子疼过吗？
病人：疼倒不是很疼，而且是一阵阵的。
医生：流过水状物吗？
病人：没有。
医生：这是第一胎吗？
病人：不，这是第二胎。
医生：第一胎的情况如何？
病人：很快，但出血很多。
医生，如果胎盘在子宫内停留过长，就会出血。
病人：我懂了。
医生：这次您的胎儿位正，头已经固定，胎心很强，也很规律。阻道少量出血，您知道，这是要临产了。
病人：可我已经感到宫缩。
医生：好，让我看看……宫口开了3厘米，今天能生。
病人：但愿如此。
病人：今天早晨我大出血，怕要出什么事了。
医生：有宫缩吗？
病人：缩得厉害，小肚子也疼得厉害。
医生：您已出羊水了，必须马上住院。
病人：哦！疼死了！
医生：这是产痛，正常现象。宫缩间隙是多少？
病人：大约二三分钟。
医生：好，请深呼吸，吸气……呼气！用力呼吸！好，给您道喜，您生了女孩儿。
病人：大夫，我小肚子痛，而且流血了。
医生：出血多吗？
病人：多啊，还有，我两个月没来例假了。
医生：我们得取点尿做妊娠化验。
病人：我这就去。
……
医生：阳性的。您怀孕了，不过看来要流产。要是腹痛频繁发作，宫口开裂到看见胎儿的话，那就得马上输血住院。
病人：我结婚都6年了，可还是没有孩子。而且我已经36岁了。
医生：过去有过多病吗？您丈夫的身体情况怎样？他做过精液检查吗？
病人：我没病，他的精液中精子数和成活率都可以，畸形也较少。
医生：您的子宫太小。我要给您做阻道涂片，看看雌激素水平，再做个特别检验，看看输卵管是不是堵了。
医生：月经前疼得很厉害吗？
病人：晃的，但是月经第二天就不疼了。
医生：一疼起来，常伴有头痛、背痛、胃痛和腿肿，我们称之为痛经并伴有经前紧张症。
病人：有什么药可以治吗？
医生：有些激素药可以治，还有肌肉舒张剂、利尿剂和止痛剂等药物。
病人：大夫，我生完孩子以后，月经就不准了。
医生：您孩子多大了？
病人：1岁了。
医生：吃母奶吗？
病人：母奶也吃，牛奶也吃。
医生：问题就在这儿。不要让孩子吃母奶，这样您月经就准了，这是因为月经受性激素控制。
病人：大夫，我想取些避孕药。
医生：口服药是吗？
病人：正是。
医生：您月经准吗？
病人：事实上很难。
医生：您最好试用避孕环或口服避孕药，但是糖尿病或肝炎患者必须小心。
病人：那么说我没事了。
医生：从月经第五天开始服，每日1片。
病人：那就得服22天了。
