Post on 19-Dec-2015
Goals
Every student completes O&G programme successfully
Every individual is competent to provide basic care in O&G as a qualified doctor
Objectives
Obstetric history and examination
Antenatal care / Healthy pregnancy
Formative assessment
Components of History
Basics – Name - AgeDating of pregnancyPast Obstetric historyPast Medical/Surgical/Gynae historyFamily historySocial historyAntenatal coursePresenting complaint
Dating
Menses – regular, length, sureContraceptionNaegles ruleFirst trimester ultrasound scanLater ultrasound scan
Past Obstetric History
GravidaParity
Outcomes Gestational age Mode of delivery Birth weight Complications
Family History
Hypertension / CardiovascularVenous thromboembolismPregnancy complicationsTwinsInherited diseaseCongenital malformations
Social History
OccupationMarital status / supportSmokingAlcoholDrugsDomestic violenceChildcare / Housing
Antenatal course
When bookedFolic acidScreening BloodsRhesusDown’s screeningAnomaly / Placental siteVisitsPrevious admissions
Presenting complaint
Vaginal bleedingColour / mucusVolumeProvokedAssociated painAssociated contractionsLoss of liquorUnwellFetus
Intelligent history
Comprehensive but efficientDifferential diagnosisTargeted questioning
Prioritising diagnosisFocussed examination
Further management
Differential diagnosisRevise/Prioritise diagnosisInvestigationsTreatment / Management
Exclude placenta praeviaSpeculum examination
Objectives
Obstetric history and examination
Antenatal care / Healthy pregnancy
Formative assessment
Objectives
Obstetric history and examination
Antenatal care / Healthy pregnancy
Formative assessment