Obs history Flashcards
Questions for presenting complaint in Obs
Onset Duration Severity Course Intermittent or continuous Precipitating Relieving Associated factors Previous episodes
Key obstetric symptoms to ask about
Nausea and vomitting Reduced fetal movements Vaginal bleeding Urological symptoms Abdo pain Vaginal discharge Headache, visual disturbance, epigastric pain Itching
Why ask about N and V
Start around 5 weeks, finish by 20 weeks.
When does the baby start moving
16 to 24 weeks
Questions to ask about vaginal discharge
Changes Volume Colour Consistency Smell
Describe preeclampsia symptoms
Headache Oedema Epigastric tenderness Visual disturbance Reduced fetal movements
Questions about current pregnancy
Gestation Scan results Have they opted for screening? Did they take folic acid? Planned mode of delivery? Medical illness? Vaccinations? MHx
Questions for previous obstetric history
Gravidity and Parity Term Pregnancies Still Birth Miscarriage Termination of pregnancy Ectopic
Define gravidity
The number of times a woman has been pregnant regardless of the outcome
Define Parity
The total number of pregnancies which exceeded 24 weeks
Questions to ask about previous term pregnancies
Gestation at delivery Birth weight Mode of delivery Complications Assisted reporduction
Questions to ask about non successful pregnancies
Gestation
Management
Questions for gynae history
Cervical screening
Previous gynae issues
Questions for PMH
Diabetes Hypothyroid Epilepsy vte Genetic disease
Surgical history questions
Abdominal or pelvic surgery
C section