Obstetric Past Medical History (PMH)

Last updated 25.08.13

 

Past Pregnancies

-  Gravida (G)

-  Number of times pregnant

-  Includes TOP, ectopics, miscarriages, gestation trophoblastic disease

-  Ix as appropritate: infertility, recurrent M/C

-  Para (P)

-  Number of times delivered (including LUSCS)

-  Twins = +1

-  Neonatal death = -1

-  Notation: GxPx, ie:

-  G1P0 = primip, pregnant not yet delivered

-  G2P1 = mulip, 1 previous delivery & either currently pregnant or previous M/C or TOP

-  G2P1-1 = multip, x2 previous deliveries, loss of one child

-  G2P2+1 = multip, x2 previous deliveries, one set of twins

-  Antenatal Issues

-  Premature babies

-  Pre-eclampsia (esp <32/40), HTN

-  GDM, LGA

-  IUGR, SGA

-  Labour

-  Induced vs spontaneous

-  Duration

-  Analgesia: reactions, effectiveness, Epidural, NO

-  Liqour: ARM, SROM, MSL

-  Intrapartum haemorrhage

-  Delivery

-  Mode: NVD, instrumental or LUSCS

-  Indication: FTP, fetal distress, emergency management

-   If emergency LUSCS how far progressed in labour (?cm)

-  Assisted: Ventousse, forceps, episiotomy

-  Plan for this delivery: VBAC, elective LUSCS

-  LUSCS: elective or emergency

-  PPH, episiotomy, blood transfusion

-  Prolonged third stage

-  Babies

-  Gestation at delivery: prematurity, post dates

-  Birth weights

-  Neonatal outcomes

-  Postnatal Complications

-  IPH/PPH

-  PND

-  Eclampsia

-  Post partum infection

 

General

-  Gynae surgery

-  Uterine surgery: Ashermans Syndrome

-  LUSCS

-  Procedures

-  TOP

-  D&C

-  Cone biopsy: cervical incompetence

-  Previous blood transfusion: Rh sensitisation

-  Medications

-  Teratogenic: Lithium, Warfarin..

-  DM: DM in pregnancy

-  Hypothyroidism, Hyperthyroidism: Thyroid disease in pregnancy

-  HTN: HTN in pregnancy

-  CRF, epilepsy, asthma

-  SLE: miscarriage

-  Infections

-  HSV: HSV in pregnancy

-  HBV, HCV, HIV, Syphilus

   

 

 

References