Obstetric History Taking

Question 1

What are the principles of taking an obstetric history?

Answer 1

• Establishing pregnancy (LNMP > 4 weeks ago, nausea, breast tenderness, nipple discharge, frequency) - urinary and serum bHCG
• Name, age, parity, gestation, presenting problem
  
  • Gestation (Day 1 LNMP + 9 months 7 days)
• Other pregnancies (year, gestation, outcome, management)
• Gynae history (menstrual, sexual, PCOS, fertility, surgery)
• Medications and allergies (folate! teratogens, penicillins)
• FHx - diabetes, pregnancies
• SHx - smoking/EtOH/drugs, relationships/support/domestic violence, support, occupation, diet, exercise