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HISTORY IN OB/GY AHMED ABDULWAHAB.  Personal history, age,occupation, duration of marriage if she is married.  Last menstrual period LMP.  Complaint.

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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:

1 HISTORY IN OB/GY AHMED ABDULWAHAB

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 13- 09 – 2011.  EDD IS 20- 06- 2012.  Regular cycle or not

6  Dysmenorheoa, painful menstruation  Dyspareunia, painful coitus.  Post coital bleeding  Contraceptions.  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 pregnant  You will say she is gravida 4 para 3+1  First 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


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