Obstetric history taking Flashcards
1
Q
Opening the consultation?
A
- WIPER
- Confirm gestational age, gravity and parity early on in the consultation
2
Q
Key obstetric symptoms to screen for?
A
- N+V
- Reduced fetal movements
- Vaginal bleeding/ discharge/ fluid loss
- Abdominal pain, chest pain, SOB
- headaches, visual disturbance
- Oedema, pruritis
- Unilateral leg swelling
- Fatigue, fever, weight loss
3
Q
Ask about current pregnancy?
A
- Clarify gestation age
- Ask about recent scan results
- Ask about screening
- Ask about immunisations
- Ask about maternal mental health
- Clarify other details (eg. singleton, folic acid, mode of delivery, medical illness(
4
Q
Previous obstetric history?
A
- Clarify gravity and parity
- For term pregnancies (>24 weeks) clarify: gestation at delivery, birth weight, mode of delivery, complications, stillbirths, use of reproductive techniques
- Ask sensitively about miscarriages, termination of pregnancy and ectopic pregnancy
5
Q
Gynaecological history?
A
- Ask about recent and previous cervical screening results
- Ask about previous gynaecological conditions and treatments
6
Q
Past medical history?
A
- Ask if patient has any medical conditions
- Ask if patient has recently undergone any surgery or procedures
- Ask if any allergies and the type of reaction
7
Q
Drug history?
A
- Ask if the patient is currently taking any prescribed medications or over-the-counter remedies
- Ask if patient was using contraception prior to falling pregnant and if this has stopped/ removed
8
Q
Family history?
A
- Ask if there is any family history of genetic conditions, type 2 diabetes or pre-eclampsia
9
Q
Social history?
A
- Explore the patient’s general social context (accommodation, who the patient lives with, support)
- Take a smoking history
- Take an alcohol history
- Ask about recreational drug use
- Ask about diet, weight and occupation
- Ask about domestic abuse
