O&G Histories Flashcards
History of current pregnancy
Dates Multiple Pregnancy? Complications? Bleeding/Discharge? Attended appointments?
Past Gynae History
Periods: Menarche, regularity. Heavy? Painful?
Contraception: Type, past type
Sexual History: Regular partners, STI?
Past Obstetric history
Number Gestation? Delivery? Complications: Maternal/Neonatal Neonatal Weight
MOSC
Menstrual: Menarche, Regularity, duration, heavy? Painful? Last one? Menopause? HRT?
Obstetric: Gravidity, parity, miscarriages, stillbirths, plan to have more children? Gestation, scans, appointments, infections, pain, nausea and vomiting
Sexual: STIs? Number of partners. Last screen. Last cervical swab
Contraception: Methods, barrier?
How would you conduct a gynaecological systems review?
Abdominal pain
Bleeding (when, after sex? when in menstrual period, menopause?)
Discharge
Painful sex
Vulval skin changes
Fever, tiredness, weight loss (FLAWS)
Bowel changes (Endometriosis, cancer)
Bloating, abdominal distension
Shoulder tip pain
How would you characterise vaginal discharge?
Volume
Colour
Consistency
Smell
How would you ask about past gynae history?
Previous gynae conditions/surgeries
Cervical Screening
What should you ask about in a contraception station?
MOSC Past STIs (PID) Migraine with Aura Hx of breast cancer (Fhx) Bleeding disorders VTE
What must you ask about in an O&G medication history?
Meds Side Effects Contraception HRT Allergies Non-prescribed drugs or herbal remedies
What must you ask in a past obstetric history section?
Previous pregnancies, gender, complications, birth weight, mode of delivery
Miscarriages, cause?
TOP, reason?
Stillbirth, reason why?
Ectopic?
What must you ask about in a current pregnancy?
Folate?
Dating?
Multiple?
Abnormalities screening?
Placenta?Estimated wight/growth?
Supported? Mental Health?
What is important to enquire about in past medical history of a pregnant woman?
Diabetes Hypertension Viral Infection/HIV Epilepsy Medications within past couple of years
