13.05.29 Obstetric history

Top of clerking

• • Name

  • Age

  • Occupation

  • Gravida / Para

  • LMP

  • EDD

  • Gestational age

  • Gestational age at booking

  • Cycle

  • Cervical smear

  • Contraception

  • Planned/unplanned pregnancy

Complaints

• • PC

  • HPC

Current pregnancy history

• • 1st trimester

    • Booking visit

    • Blood test

    • Nuchal scan

    • Bleeding

    • Vomiting

    • Abdominal pain

  • 2nd trimester

    • Anomaly scan

    • Placental position

    • Foetal movements

    • Bleeding

    • Abdominal pain

    • Watery discharge PV

    • Associated problems with pregnancy

  • 3rd trimester

    • Foetal movements

    • Bleeding

    • Abdominal pain

    • Watery discharge PV

    • Associated problems with pregnancy

Obstetric history

• • Antenatal

  • Labour

  • Postnatal

Menstrual history

• • Menarche

  • Timing

    • How often

    • How long

  • Regularity

  • Amount

  • Clots

  • IMB

  • PCB

  • Associated pain

Sexual history

• • Partner

• Previous partners

• Previous contraception

General medical history

• • PMH

    • Medical

    • Surgical

    • Gynae

  • Drugs

  • Allergies

  • Social

Family history

• • Multiple pregnancy

  • Ectopic pregnancy

  • Miscarriages

  • Diabetes

  • Hypertension