Common

How do you present an obstetric history?

How do you present an obstetric history?

First, ask about the gestational age of the pregnancy. Gestation is described as weeks+days (e.g. 8+4; 30+7; 40+12 – post-dates). The last menstrual period date (LMP) can be used to estimate gestation, with Naegele’s rule the most common method (to the first day of the LMP add 1 year, subtract 3 months, add 7 days).

How do you take case history in obstetrics and Gynaecology?

Obstetric History Taking – OSCE Guide

  1. Opening the consultation.
  2. Presenting complaint.
  3. History of presenting complaint.
  4. Systemic enquiry.
  5. Current pregnancy.
  6. Previous obstetric history.
  7. Gynaecological history.
  8. Past medical history.

How do you document period history?

Menstrual history

  1. Last menstrual period (LMP) – date of first day of bleeding.
  2. Cycle length and frequency – eg, 5/28, five days of bleeding every 28 days.
  3. Heaviness of bleeding.
  4. Presence or absence of intermenstrual bleeding (IMB).
  5. Presence or absence of postcoital bleeding (PCB).
  6. Age of menarche/menopause.
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How do you take postnatal history?

Post natal check-up Schedule

  1. First visit – If the delivery has not happened in the health centre, the first visit is to be within 24 hours of delivery.
  2. Second visit – 3rd day after delivery.
  3. Third visit – 7th day after delivery.
  4. Fourth visit – 6 weeks after delivery.

What should I ask at antenatal history?

Ask about the number of previous pregnancies. Confirm whether they were all live births, and if there was any stillbirth, abortion or any child who died. Ascertain the date and outcome of each event, along with the birth weight, if known.

What is gynecological history?

A gynaecological history is an assessment of the female reproductive system. It can be a delicate subject for some women, and it is important to treat any information divulged with sensitivity and respect.

Why menstrual history is important?

Improving menstrual hygiene is important from the point of view of personal comfort and increased mobility. It also reduces the likelihood of infections resulting from poor hygiene practices during menstruation.

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What are the major components of obstetrical history?

Obstetric History

  • Gravidity. Number of times pregnant.
  • Parity. Number of live births.
  • Miscarriages.
  • Terminations.
  • Previous Pregnancies. Length, mode of delivery.
  • Length of Pregnancy. Gestational age at delivery.
  • Induction. Spontaneous / induced.
  • Mode of Delivery. Vaginal, forceps, suction, elective / emergency caesarean.

What does G and P stand for in pregnancy?

Gravida is the number of pregnancies a woman has had. A multiple gestation counts as a single pregnancy. Para is the number of completed pregnancies beyond 20 weeks gestation (whether viable or nonviable). A multiple gestation counts as a single birth.