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Flashcards in Antenatal Booking Deck (12)
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1
Q
  1. Introduction
A
  1. Introduction
    • Appropriate introduction (full name + role)
    • Establishes reason for visit
2
Q
  1. Presenting compliant
A
  1. Presenting compliant
    • First visit? Seen any other doctor? Any previous scans? And what were the results?
    • Planned? Natural or IVF?
3
Q

2a

• Dating history

A

i. LNMP
1. Add 9 months and 7 days

ii. Regular 28 day cycle
iii. Recent COCP use (up to 6 months before)
iv. Whether had dating scan (no)
v. Fertility treatment

4
Q

2b

• Symptoms

A

i. nausea + vomiting,
ii. breast tenderness
iii. frequency
iv. Positive test? (how was the pregnancy confirmed - home test? Etc)

5
Q

2c

• Problems

A

i. Any problems (pv bleeding, pain, rash)

6
Q
  1. Obstetrics history
A
  1. Obstetrics history
    • Parity and gravidity
    • Number previous pregnancies
    i. Duration (full term) , TOPs, miscarriages, ectopics
  2. For above, how were they managed (ERCP?)
    ii. Fertility treatment, multiple pregnancies and/or birth defects
    • birth weight - mode of delivery (why? C section) - feeding type
    • any complications with labour/delivery or previous pregnancies
7
Q
  1. Past Medical History:
A
  1. past medical history:
    • Major medical illnesses and treatment
    • Surgical operations
8
Q
  1. Gynae history
A
5.	Gynae history 
•	Fibroids
•	Polpys
•	adenomyosis
•	Surgery 
•	Last cervical smear - when? Normal?
•	STD/HIV – STI check up?
9
Q
  1. Drug history
A
  1. Drug history
    • folic acid
    • any regular medications
    i. tetratogenics must be notified!
10
Q
  1. Family history
A
FH
•	 heart disease, hypertension and diabetes
•	Thromboembolic 
i.	sickle cell disease
•	Pre-ecampsia
•	Psychotic 

Genetic conditions

i. Pku
ii. Cf
iii. Thyroid disease
iv. MCADD (medium chain acyl coenzyme a dehydrogenase deficiency)
v. Congenital adrenal hyperplasia

11
Q
  1. Social
A

• Partner

i. Married
ii. Long-term relationship
iii. Partner not involved

• Home

i. what is living situation like?
ii. Well supported at home?
iii. If previous deliveries - Who do other children live with?

• Work

i. what kind of work
ii. Support at work
iii. Financial worries?

• Lifestyle

i. Smoking and Alcohol
ii. Exercise
iii. Illicit drugs

12
Q
  1. After History
A

What next:

  • Blood test
  • Dating scan
  • Urine dip
  • Screening test
  1. Elicits patient’s concerns and responds sensitively
  2. Invite questions
  3. Give booklets and leaflets
  4. Thank patient