Presentation on theme: "HISTORY IN OB/GY AHMED ABDULWAHAB. Personal history, age,occupation, duration of marriage if she is married. Last menstrual period LMP. Complaint."— Presentation transcript:
HISTORY IN OB/GY AHMED ABDULWAHAB
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.
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
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
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 13- 09 – 2011. EDD IS 20- 06- 2012. Regular cycle or not
Dysmenorheoa, painful menstruation Dyspareunia, painful coitus. Post coital bleeding Contraceptions. Vaginal discharge. In infertility case you should take history from the husband.
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.
EXAMPLES. A woman who is having 3 deliveries before and one abortion and now she is pregnant You will say she is gravida 4 para 3+1 First pregnancy will call them primigravida.
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