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