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Obstetric history (Current
pregnancy (Antenatal tests
Scans: more…
Obstetric history
Current
pregnancy
Antenatal tests
Scans: more reliable EDD, any problems
Bloods: foetal anaomaly, BBV, DM, Rh
Menstrual history
1st day of LMP to calculate expected delivery date (EDD), using Naegele's formula: [LMP + 1y 7d] - [3m]
Basis is that delivery occurs 38w from ovulation, and ovulation is 2w before missed period
Normal menses and cycle duration, regularity
LMP normal and on time?
Contraception at time?
General health
Tiredness, malaise, N+V
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Pregnancy to date
Admissions, problems
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Past obstetric
history
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Conception
Natural, ART, surrogate
Labour and deliveries
Date and place
Onset of labour (induced, spontaneous)
Length of labour, complications
Delivery method: natural, assisted (ventouse, forceps), CS (EmCS, ElCS)
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Complications
Foetus or mother
Antenatal, intrapartum, postpartum
Past gynae
history
Menses
Cycle length and regularity
Heavy, intermenstrual, post-coital bleeds
Known gynae conditions
Endometriosis, fibroids etc.
Previous gynae procedures
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Sexual history
STIs (previous and risk)
Discharge, dyspareunia, ulcers
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FH
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Pregnancy complications e.g.
pre-eclampsia, miscarriages
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SH
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Alcohol, smoking,
recreational drugs
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PMH/PSH
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Medical conditions
e.g. DM, HTN, VTE
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