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If people had to absolutely know for sure before the woman shows signs, they would inject rabbits and rats with the woman's urine. If the animal goes into heat, then she is pregnant. Rabbits usually died anyway from the urine injections, and they used to use a phrase 'the rabbit died' to inform people they were pregnant.

But most of the time, women were just patient to wait and see; the periods stop, belly/hips getting bigger, morning sickness.... the basic signs are the indicator that was used for centuries.

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Q: How did they test for pregnancy in the 1950's?
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