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The Obstetric History - Coggle Diagram

- - - - Less than 13+5
    - - 14+0 - 27+6
    - - Over 28+0
    - - <23+0
    - - 23+0 - 26+6
    - - 37+0
    - - 40+0
    - - Over 40+0
    - - Over 41+0
- - - - Mood
        Sleep habit
        Headaches
        Seizures
        (Pre-eclampsia)
    - - Chest pain
        SOB
        (PE), anaemia
    - - Breastfeeding
        Mastitis
        (Pain redness swelling warmth
    - - Eating
        Drinking
    - - Passing urine
        Dysuria
        Catheter removal if relevant
        Urinary incontinence
    - - Motions
        Faecal / flatal incontinence
        (obs anal sphincter injuries)
    - - Lochia (volume , odour)
        Perineal wound
    - - Scar healing
        (Gaping, apin, redness, swelling, discharge , warmth)
    - - Mobilising
        Calf pain (DVT)
- - - - Miscarriage
        Ectopic pregnancy
        Cervical ectropion
        No obvious cause
    - - Ectopic pregnancy
        Miscarriage
        Round ligament pain
        UTI
    - - Candidiasis
        BActerial vaginosis
        STI
    - - Hyperemesis
        Pyelonephritis
  - - - Placental praevia
        Placental abruption
        Vasa praevia
        Cervical ectroption
        No identifiable causes
    - - Preterm labour
        Placental abruption
        Pelvic girdle pain
        Sciatica
    - - Candidiasis
        Bacterial vaginosis
        STI
        SPontaneous rupture of membranes
        PPROM
    - - UTI
    - - Pre-eclampsia
    - - PUPP
        Obstetric cholestasis
    - - PE
        Anaemia
    - - Intrauterine growth restriction
  - - - PPH
        Endometritis
        Retained products of conception
    - - Wound infection
    - - Anaemia
    - - UTI
    - - DVT
        PE
    - - Mastitis
    - - Perineal awound infection
    - - Sepsis
- - - - Regular pains of increasing intensity and frequency - labour pains
        
        Gush / tricjle of fluid
        
        Colour (blood, meconium)
        
        Odour (chorioamniotisis
        
        GBS status
    - - Indication
      - Method
        Propess
        Prostin
        Artificial rupture of membranes
      - Timings
    - - Gestational age at onset of labour
        
        Time of propess / prostin - each dose
        
        Time pains started
        
        Time water broke (prolonged rupture of membranes)
        
        Time of presentation to hopsital
        
        Time when transferred to labour ward
        
        Time when baby born
  - - - Induction
        Artificial rupture of membranes
        Oxytocin infusion
        IV abx
      - Analgesia
        Non hormonal
        Entonox (gas and air)
        Epidural
        Was it sufficient
- - - - Conservative
      - Medical
      - Surgical
- - - - Clarify if cycle is regular, length of cycle and certainty of dates
    - - Corresponds to 40+0 gestation
      - (LMP + 1 yr + 7 days) - 3 months
        OR
      - LMP + 9 months + 7 days
      - If the cycle is longer or shorter than 28 days:
        Add or substract the difference to EDD
        
        Add 2 days to calculated EDD in a 30 day cycle
        
        Subtract 3 days from calculated EDD in a 25 day cycle
  - - - PTs with irregular periods
      - Unsure of LMP
      - Concieve withing 3 months of stopping contraception
    - - Combining featl biometry measurements (abdominal circuference [AC], head circumference [HC], biparietal diameter [BPD] and femure length [FL]
        Accurate +/- 7-10 days
    - - Can no longer be assessed acsurately
    - - Crown Rump Length
        Accurate +/- 5-7 days
        Most accurate