Obs and gyn basics Flashcards
specific elements of a gynaecology history 5
parity
smear history
menarch/menopausa/LMP
current contraception
menstrual cycle
define gravidity
number of times a women has been pregnant regardless of outcome
how is parity defined
X+Y
X= any live or still birth after 24 weeks
Y= any births before 24 weeks
what is imporant to ask about for every pregnancy 5
current age of child
birth weight
mode of delivery
complications
postnatal recovery (including mental health)
cervical screening programme in sctoland
every 3 years 25-49yo
every 5 years 50-64
average age of menarche in uk
-what issues should prompt investigations
average 13yo
- if <8yo or >16yo investigate
define menopause
-what questions can be asked in relation to menopause 3
1 year of no menses
-any PMB
-any HRT
-menopausal symptoms - flushes, skin changes, mood
define LMP regarding gynaecology
last menstural period
questions to ask regarding contraception hisotry
what
how long
feriltity intention
STI risk
questions to ask regarding menarche history
number days bleeding
numnber of days for each cycle (between 1st day of each period)
regular?
bleeding too little, too much or at the wrong time
specific aspects of a obsetrics history 4
parity
LMP/EDD(expected date of delivery)/current gestation
Rh status
events during this pregnancy
define EDD and naegele rule (obsterics)
Expected date of develiovery - 40 weeks from LMP
naegeles rule - add 1 year, subtract 3 months + 10 days
-assuming a 28 day cycle
how and what should be recorded for event during pregnancy
list important events in chronological order
results of scans and screening tests
any unscheduled reviews or admissions
any new medication or changes to health
history taking in obstertics 4
enquire about fetal movements
abdominal pain
vaginal discahrge/leakage/bleeding
headcahe/visual disturbances/oedema
examination popints in obesterics 4
examine pregnant abdomen
measure BP
performa dn interpret urinalysis
ascultate fetal heart
