2 Personal history , age ,occupation, duration of marriage if she is married . Last menstrual period LMP.Complaint . On the patients own wards.History of present illness.Starts from the time of the complain .Some patients may not have a complain as those admitted from the clinic.
3 History of present illness should describe the full analysis of the complain , onset, duration , characteristic of the main complain any associated problems and systemic inquiries .OBSTETRIC HISTORY.Previous pregnancies should be reviewed in chronologic order with these information
4 Date of delivery.Duration of gestation in weeks .Type of delivery. SVD , C/S, or instrumental delivery forceps or ventouse.Duration of labor .Maternal complications.Neonate weight gender and any complications
5 Gynecological or menstrual history. How to calculate the expected date of delivery. Nageles rule , add 7 days to the first of menstrual cycle and subtract 3 from the month.Example. LMP – 2011.EDD ISRegular cycle or not
6 Dysmenorheoa, painful menstruation Dyspareunia, painful coitus .Post coital bleedingContraceptions .Vaginal discharge .In infertility case you should take history from the husband .
7 HOW YOU LAY DOWN NUMBER OF PREGNANCIES AND ABORTIONS ? Gravida means the patient is pregnant now . Parity is used for the number of previous pregnancies more than 24 weeks+ is used for the number of abortions, ectopic pregnancy , molar pregnancy.
8 EXAMPLES .A woman who is having 3 deliveries before and one abortion and now she is pregnantYou will say she is gravida 4 para 3+1First pregnancy will call them primigravida.
9 Medical history any significant medical diseases DM , HTN . Surgical history for any significant surgical procedures .Social history , habits , smoking, alcohol, drugs abuse .standard of life, socioeconomic status .Drugs and sensitivity