Obstetric clinical skills

Question 1

What is gravidity and parity?

Answer 1

Gravidity - number of times a woman has been pregnant
Parity - X + (any live or stillbirth after 24 weeks) Y (any birth before 24 weeks) - including miscarriage, terminations, ectopics

Question 2

Foe each pregnancy ask about?

Answer 2

Current age of child
Birth weight and gestation at delivery.
Complications of pregnancy.
Mode of delivery and complications.
Postnatal recovery

Question 3

Important questions to ask in obstetrics history taking about current pregnancy

Answer 3

Enquire about fetal movements.
Abdominal pain.
Vaginal discharge/leakage/bleeding.
Headaches/visual disturbence/oedema
Current gestation
Singleton/multiple,
Rh status,
Events during this pregnancy

Question 4

Examination process in obstetrics?

Answer 4

Intro - Introduction, consent, ?empty bladder
Inspection - Hands, face and abdomen.
Palpate - fundus of uterus, palpate fetal lie and assess presenting part of fetus.
Measure symphyseal-fundal height.
Assess fetal heart rate.
Do BP and urinalysis

Question 5

Gynaecology history taking

Answer 5

Smear history
Menarche/menopause/LMP
Current contraception
Menstrual cycle
Parity