Professional Documents
Culture Documents
OBSTETRICS
December 9, 2015
HISTORY TAKING 2.) Mother D consults at 34 weeks AOG, with the following
obstetrical history:
1sT Pregnancy: Ectopic Pregnancy, 8 weeks; right
Prenatal check-up is usually done in the clinic
salpingectomy
History
2nd Pregnancy: Full term, vaginal delivery, girl, alive
1. Socio-demographic risks
3rd Pregnancy: Full term, vaginal delivery, boy alive
2. Obstetric
4th Pregnancy: Twins baby boys, 35 weeks, CS, both alive
3. Menstrual
Answer: G5 P3 (2-2-1-4)
4. Sexual
*1ST 3 numbers: always total to the gravid
5. Contraceptive
6. Family and Genetic
7. Medical
8. Nutritional
MENSTRUAL HISTORY
9. Infection
Age of menarche, characteristics and # of pads use
10. Psychological
Subsequent menses: # of days and pads used
OBSTETRIC HISTORY
- Past obstetrical history: OBSTETRICAL INDEX
Previous operative interventions (forceps, cesarean
section, ectopic pregnancy, etc.)
Abnormal presentations
Placental abnormalities (placenta previa, abruption)
Assess for Risk Factors:
GP (TPAL) SCORING Obstetrical history
G: number of pregnancy irrespective of the pregnancy 1. Multiple pregnancy
outcome 2. Diabetes Mellitus
3. UTI
P: Number of pregnancies that have reached the age of 4. Hypertension disorder
viability (20 weeks). Delivery of pregnancy: ONE if 5. Multiparity
delivered, ZERO if aborted 6. Prolonged pregnancy
7. Macrosomia
T: number of full term pregnancies (37 weeks & 1 day up 8. Premature rupture of membranes
to 40 weeks) 9. Poly or oligohydramnios
10. Uterine and ovarian abnormalities
P: number of premature babies (<37 weeks) 11. IUGR (Intra-uterine Growth Restriction)
Step 2:
March 29
April 30
May 31
June 30
July 31
2. Timing of ovulation August 31
Add 267 days to the date of the last ovulation to September 30
estimate the date of delivery October 31
November 30
December 6 (6 po kasi un ang present day)
TOTAL: 279
Step 3:
OBSTETRICS: History Taking
279 / 7 = 39 remainder 6
(279 is from the total. 7 po is constant. Remainder 6 yan po
ung remainder pag manual divide ung as in lapis at papel
method )
Step 4:
39 remainder 6 is translated to 39 weeks and 6 days
4. Ultrasound
determines the gestational age prior to the 3rd
trimester