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cce_obsgyn_history (summary (Ms. is (years old), G()P(), at () weeks of…
cce_obsgyn_history
summary
Ms. is (years old), G()P()
at () weeks of gestation of her pregnancy, she presented with (chief complaint) for (duration)
in the last pregnancy, she was diagnosed with (disease)/(Caesarian section), she has a past history of (disease)
(planned, natural) (no date problem) (singleton/multiple) unremarkable antenatal course up to now
she experienced (chief complaint) for (duration), associated with (symptoms), (factors), no (important negative)
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social history
smoking, drinking, substance, diet, exercise
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index pregnancy
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antenatal: blood, urine, DSS1
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morphology: singleton/multiple, sex, low-lying placenta (OGTT, others)
planned/unplanned but wanted, natural conception/ART
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sexual history
(current, previous) contraceptive method
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(current, previous) sexual partners
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primary amenorrhea (14 yr: x mensis, x secondary sexual characteristics) (16 yr: x mensis, v seccondary sexual characteristics)
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