Obstetric history

From WikiLectures

  • During the first interview, the doctor should be calm, matter-of-fact, friendly in order to gain the trust of the pregnant woman.
  • RA and OA must express a genetic, epidemiological and social component.
  • We always specify important data from pre-disease in the sense of "when, where, what, how and subsequent complications."

Family history[edit | edit source]

  • Diseases with a tendency to hereditary occurrence (DM, hypertension, oncological diseases, VVV and VSV, psychiatry, multiple pregnancies , coagulation disorders).
  • Chronic and acute infections occurring in the family (TB, hepatitis, ...).

Personal History[edit | edit source]

We proceed systematically from childhood, examining the occurrence of congenital developmental defects.


We ask about:

Gynecological history:[edit | edit source]

  • period of menarche;
  • regularity of the cycle (disorders call into question the correct estimation of the due date);
  • inflammations (PID), tumors, incontinence, breast diseases;
  • intrauterine device (IUD);
  • hormonal anticonception;
  • sexually transmitted diseases (STDs);
  • we will describe in detail past pregnancies;
  • miscarriages and abortions – we are interested in the week of gestation, method and causes, complications, detected fetal anomalies;
  • for surgical procedures, cesarean sections – we are interested in causal indications for the procedure;
  • we ask about the course of sixteen months, infections, uterine involution disorders, healing disorders, lactation, …
  • we are interested in the course of the current pregnancy – planned/unplanned, how easily the woman got pregnant, questions about previous prenatal care and screening results, gestational diabetes mellitus, bleeding during pregnancy, GBS positivity/negativity, hospitalization during pregnancy, …

Links[edit | edit source]

Related Articles[edit | edit source]

Source[edit | edit source]

  • BENEŠ, Jiří. Studijní materiály [online]. ©2009. [cit. 2010]. <http://jirben.wz.cz>.