Best confirmation for pregnancy at six weeks?
Ans. is a, i.e. USG for cardiac activityRef. Dutta Obs. 7/e, p 147With transvaginal scanning, cardiac activity is reliably seen in the uterus by 6 weeks, and by TAS cardiac activity by 7 weeks, cardiac activity confirms pregnancy.The level of hCG are not the best confirmatory test for pregnancy as hCG in plasma and urine are strikingly increased in women with hydatiform mole.Bimanual palpation can only detect uterine enlargement but the cause of uterine enlargement can only be detected by ultrasound.Confirmation of cardiac activity by Doppler can be done only at 10 weeks and not 6 weeks.
USG for cardiac activity
Doppler
Estimation of serum beta-hCG in urine
Bimanual palpation
Diagnosis in Obstetrics