HISTORY: Obstetric

Question 1

What areas should you investigate about the current pregnancy?

Answer 1

LMP 
Contraception 
EDD
Diagnosis
Scans (anomalies, growth, placental location)
Planned method delivery and feeding 
Medical illnesses during pregnancy 
Fetal movements, labour pains

Question 2

What are early signs of pregnancy?

Answer 2

Amenorrheoa, nausea, increased frequency micturition, tiredness, mood changes

Question 3

What are important symptoms to investigate in a pregnant woman?

Answer 3

N+V
Abdo pain
Vaginal bleeding (fresh, clots, tissue)
Dysuria/frequency
Fatigue
Head-ache/visual changes

Question 4

What areas should you investigate about previous pregnancy?

Answer 4

Gravidity, Parity, No. lost
Pregnancy details: Date of delivery, length of labour, multiple fetuses, induction of labour, mode of delivery, weight and health of babies
Complications (antenatal/postnatal/labour)
Miscarriages/terminations/still-births

Question 5

General PMHx

Answer 5

Relevant medical conditions (e.g. thromboembolic diseases, diabetes, pre-eclampsia, epilepsy, hypothyroidism, neoplasia, psychiatry, HIV)
Medical surgeries
Immunisations

Question 6

Drug History

Answer 6

Pregnancy medications: Folic acid, iron, antiemetics, antacids
Teratogenics: ACEi, sodium valproate, methotrexate, retinoids, trimethoprim
Alllergies

Question 7

Family History

Answer 7

Inherited genetic conditions
Congenital abnormalities
Pregnancy loss
Twins

Question 8

Social History

Answer 8

Smoking, Alcohol, Recreational drugs
Living situation
Occupation (revised duties, maternity leave)
Daily activities

Question 9

Systemic and basic details

Answer 9

Any systemic problems
Planned place of confinement
Blood group
Pre-pregnancy care and counselling