HISTORY: Obstetric Flashcards

1
Q

What areas should you investigate about the current pregnancy?

A
LMP 
Contraception 
EDD
Diagnosis
Scans (anomalies, growth, placental location)
Planned method delivery and feeding 
Medical illnesses during pregnancy 
Fetal movements, labour pains
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are early signs of pregnancy?

A

Amenorrheoa, nausea, increased frequency micturition, tiredness, mood changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are important symptoms to investigate in a pregnant woman?

A
N+V
Abdo pain
Vaginal bleeding (fresh, clots, tissue)
Dysuria/frequency
Fatigue
Head-ache/visual changes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What areas should you investigate about previous pregnancy?

A

Gravidity, Parity, No. lost
Pregnancy details: Date of delivery, length of labour, multiple fetuses, induction of labour, mode of delivery, weight and health of babies
Complications (antenatal/postnatal/labour)
Miscarriages/terminations/still-births

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

General PMHx

A

Relevant medical conditions (e.g. thromboembolic diseases, diabetes, pre-eclampsia, epilepsy, hypothyroidism, neoplasia, psychiatry, HIV)
Medical surgeries
Immunisations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Drug History

A

Pregnancy medications: Folic acid, iron, antiemetics, antacids
Teratogenics: ACEi, sodium valproate, methotrexate, retinoids, trimethoprim
Alllergies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Family History

A

Inherited genetic conditions
Congenital abnormalities
Pregnancy loss
Twins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Social History

A

Smoking, Alcohol, Recreational drugs
Living situation
Occupation (revised duties, maternity leave)
Daily activities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Systemic and basic details

A

Any systemic problems
Planned place of confinement
Blood group
Pre-pregnancy care and counselling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly