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! Taking a history and performing an obstetric
examination are quite different from their
medical and surgical equivalents.
! Not only will the type of questions change
with gestation but also will the purpose of the
examination
! àlways introduce yourself; tell the patient who
you are and say why you have come to see
them.
! Sensitive to intensely private data.
! Some women will wish another person
(chaperon) to be present if the doctor or
students is male, even just to take a history,
and this wish should be respected.
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! "#"
$
% P to build rapport and reflects good
bedside manner.
% P as a general rule, the very young (<18
years) and the elderly (>35 years) are more likely
to be associated with problems.
%
- this would give us an idea of the
social class of the patient.
&%
ñ! |
'
a) Gravida - total number of pregnancy regardless
of how they ended.
b) Parity - is the number of live births at any
gestation or stillbirths after 24 (?) weeks.
c) EDD:
! Naegele͛s rule [EDD = (LMP + 1yr + 7dys) P (3
mths). àpplied for: 28 day cycle, regular, no
recent use of OCP.
! Ultrasound P PD, àC*, FL, HC
! Gestation Calculator (Wheel)
d) Singleton/Multiple fetus
¬!
(|
a) Menarche
b) Cycle Regularity (28-30 day)
c) Duration of Menses P e.g. 7 day with 3 heavy
flow,
d) Pads used
e) Planned / Unplanned pregnancy
f) ooking P date of booking started
! Test results: Ht, Wt, P, VDRL, TPHà, HIV,
Hep , à O, Rh, F C, Hgb, etc.
! Numbers of check-up attended P where?
Eventful? CTG?
! Earlier & Latest USS P when? What finding?
!'
(
a) Reason admitted
b) Test done