How do you take an obstetric history?

How do you take 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).

What should an obstetric history include?

Obstetric History

1. Gravidity. Number of times pregnant.
2. Parity. Number of live births.
3. Miscarriages.
4. Terminations.
5. Previous Pregnancies. Length, mode of delivery.
6. Length of Pregnancy. Gestational age at delivery.
7. Induction. Spontaneous / induced.
8. Mode of Delivery. Vaginal, forceps, suction, elective / emergency caesarean.

How do I document my Obgyn history?

GYN History and Physical Chief Complaint: HPI – First sentence should include age, parity, LMP and present problem (details about cc and other relevant information).

What is GPAL in pregnancy?

The GPAL feature allows the user to view patients pregnancy information with respect to Gravida and Para. Gravia is the number of Pregnancies. Para consist of number of termed pregnancies, preterm pregnancies, abortions and living children.

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 is postnatal history?

Following the birth history is the postnatal history, which covers details about the wellbeing of the child immediate postnatal period including APGAR scores if known, birth weight, and if any resuscitation was required.

What is an obstetric history?

An obstetric history involves asking questions relevant to a patient’s current and previous pregnancies. Some of the questions are highly personal, therefore good communication skills and a respectful manner are absolutely essential.

What is obstetric history?

When should I take my obstetric history?

It’s also worth noting that before 18 weeks gestation, most obstetric conditions are unlikely, therefore your history should be gynaecology focussed (e.g. abdominal pain at 8 weeks gestation could be an ectopic pregnancy). Download the obstetric history taking PDF OSCE checklist, or use our interactive OSCE checklist.

How do I take a history from a patient?

You may also be interested in our gynaecological history taking guide. Wash your hands and don PPE if appropriate. Introduce yourself to the patient including your name and role. Confirm the patient’s name and date of birth. Explain that you’d like to take a history from the patient. Gain consent to proceed with history taking.

What is an obstetric history and why is it important?

This field is for validation purposes and should be left unchanged. An obstetric history involves asking questions relevant to a patient’s current and previous pregnancies. Some of the questions are highly personal, therefore good communication skills and a respectful manner are absolutely essential.

Is a patient’s past medical history relevant during pregnancy?

A patient’s past medical history is particularly relevant during pregnancy, as some medical conditions may worsen during pregnancy and/or have implications for the developing fetus. Ask if the patient has any medical conditions: