How do you write a present obstetric history?
First, ask about the gestational age of the pregnancy. Gestation is described as weeks+days (e.g. 8+4; 30+7; 40+12 – post-dates). The last menstrual period date (LMP) can be used to estimate gestation, with Naegele’s rule the most common method (to the first day of the LMP add 1 year, subtract 3 months, add 7 days).
What is obstetrics history?
An obstetric history involves asking questions relevant to a patient’s current and previous pregnancies. Some of the questions are highly personal, therefore good communication skills and a respectful manner are absolutely essential.
How do you read obstetric history?
When one or more of the numbers is 0, the preferred form is to write out the terms: gravida 2, para 0, abortus 2.
- G: gravida (number of pregnancies)
- P: para (number of births of viable offspring)
- A or Ab: abortus (abortions)
- nulligravida gravida 0: no pregnancies.
- primigravida gravida 1, G1: 1 pregnancy.
What is obstetric examination?
Obstetric examination focuses on uterine size, fundal height (in cm above the symphysis pubis), fetal heart rate and activity, and maternal diet, weight gain, and overall well-being. Speculum and bimanual examination is usually not needed unless vaginal discharge or bleeding, leakage of fluid, or pain is present.
What is the obstetric score?
Gravida indicates the number of times a woman is or has been pregnant, regardless of the pregnancy outcome. A current pregnancy, if any, is included in this count. Multiple pregnancy is counted as 1.
How do you do an obstetric exam?
Lie
- Facing the patient’s head, place hands on either side of the top of the uterus and gently apply pressure.
- Move the hands and palpate down the abdomen.
- One side will feel fuller and firmer – this is the back. Fetal limbs may be palpable on the opposing side.
What is BOH profile?
Introduction. Bad obstetric history (BOH) implies previous unfavorable fetal outcome in terms of two or more consecutive spontaneous abortions, early neonatal deaths, stillbirths, intrauterine fetal deaths, intrauterine growth retardation and congenital anomalies.
What kind of obstetric history does a woman have?
If a woman has been pregnant twice and had a live birth in one pregnancy and an abortion in another, she would have an obstetric history of G2P1A1. Living children refers to children who are currently living. This is where multiple gestation births matter.
How is obstetrics related to the Old Testament?
Prehistoric figures and ancient Egyptian drawings show women giving birth in the sitting or squatting position. Birthing stools and midwives are also mentioned in the Old Testament. The history of obstetrics is inextricably linked with the history of midwifery.
How to spell obstetric history in Microsoft Word?
Separate GPA sections by commas. Alternatively, spell out the terms, using lower case. Obstetric history: G4, P3, A1 or Obstetric history: gravida 4, para 3, abortus 1. When one or more of the numbers is 0, the preferred form is to write out the terms. gravida 2, para 0, abortus 2 Title Microsoft Word – OBGYN TERMINOLOGY AND DEFINITION Author
When does a stillbirth become an obstetric history?
If the fetus dies after 20 weeks into the pregnancy, it is considered a stillbirth. If a woman has been pregnant twice and had a live birth in one pregnancy and an abortion in another, she would have an obstetric history of G2P1A1.