History

Question 1

Current Pregnancy

GETS(2) A FAMILY mneumonic

Answer 1

Gestation (wk+days) 
EDD
Twins/singleton 
Specialist in charge - midwife or consultant 
Scans ok 

Anticipated pregnancy

Folic (a)cid
Movement of foetus
Illness during pregnancy
Your choices

Question 2

Current Pregnancy

When many wks before they’d expect movements of the foetus?

What can make LMP inaccurate?

Answer 2

20 wks - if they’ve had 1 child - primiparous

16 wks - if they've had more than 1 child - multiparous 
----
Irregular cycles
Long cycles 
Hormonal contraception

Question 3

Past Obstetrics History:

What other types of pregnancy should you not forget to ask about? - 2

What do you ask about in previous pregnancies? - 5

Answer 3

Miscarriages and terminations (+reason for termination)

Year
Gestation
Problems during pregnancy -
Delivery method - vaginal, assisted, C-section
Delivery complications - shoulder dystocia etc.
Baby - birthweight/sex

Question 4

Past Obstetrics History:

Gravidity - what is it?

Parity - what is it?

Answer 4

Number of pregnancies that a woman has had to any stage, including the current one

Pregnancies that resulted in delivery beyond 24 wks gestation

Question 5

Past gynaecological history:

What should you ask about?

Answer 5

Just do a quick gynae history!!!!

Contraception 
Pre-conception 
Difficulties with conception 
Smear history 
Previous gynae problems or procedures

Question 6

Past medical history:

Klot DEATHS

Answer 6

Kidney disease
Clotting problems - DVT, PE, thrombophilia, sickle cell etc.

DM
Epilepsy - anti-epileptics are teratogenic
Asthma - may get worse in pregnancy
Thyroid disease
HTN and heart problems - Increased CO might cause strain
Smears up to date?

Question 7

Family History:

What to ask about? - 2

Pregnancy complications that may run in the family?

Answer 7

History of diseases or congenital abnormalities:

• Genetic disease
• Learning difficulties

Ask about issues with current children

Miscarriages
Abnormal labour
Pre-eclampsia
DVT/PE

Question 8

Drug history:

What drugs may they be raking during pregnancy? - 2

What should you make sure to ask about?

Answer 8

Iron
Folic acid

Allergies - latex and anaesthetic agents

Question 9

Social history:

What to ask about? - 4

Answer 9

Alcohol and smoking + RD
Support at home
Domestic violence - escalates in pregnancy
Martial status