How do you document obstetric history?

Accompanied by Arabic numbers, G, P, and A (or Ab) describe the patient’s obstetric history. Roman numerals are not used. Separate GPA sections by commas. Alternatively, spell out the terms in lower case.

What is obstetric history taking?

< Obstetrics and Gynecology. Obstetric history taking involves a series of methodical questioning of an obstetric patient with the aim of developing a diagnosis or a differential diagnosis on which further management of the patient can be arranged.

What should an OB GYN history include?

For the gynecologic history, doctors ask about the problem prompting the visit, past and present menstrual periods, past pregnancies, sexual activities, and gynecologic symptoms, disorders, and treatments that the woman has had in the past.

How do you write antenatal history?

History taking of an ante-natal woman includes

  1. Recording LMP.
  2. Asking for symptoms.
  3. Obstetric history.
  4. Any current / past systemic illnesses or allergies.
  5. Family history of systemic illness.
  6. History of Intake of drugs, alcohol, tobacco etc.
  7. History of domestic violence.

How do I present an OBS exam?


  1. Facing the patient’s head, place hands on either side of the top of the uterus and gently apply pressure.
  2. Move the hands and palpate down the abdomen.
  3. One side will feel fuller and firmer – this is the back. Fetal limbs may be palpable on the opposing side.

Why is it important to take obstetric history?

A carefully obtained obstetric history can provide the family physician with useful clues to his patients’ health risks. A previous infant’s birth weight and certain congenital malformations may indicate a predisposition to vascular hypertensive or diabetic illness.

What is obstetric data?

An obstetric data analyzer (fetal status data analyzer) is a device used during labor to analyze electronic signal data obtained from fetal and maternal monitors. The obstetric data analyzer provides clinical diagnosis of fetal status and recommendations for labor management and clinical interventions.

What does G3P2 mean in pregnancy?

third pregnancy & 2 deliveries
G3P2 (third pregnancy & 2 deliveries) ▪G5P2 (1,1,3,2)=full term, preterm, miscarriage or abortions, living. ▪ Trauma in OB, treat the Mom ▪O2, 2x large bore IV’s, left lateral position if able based on trauma.

What is lie in OBG?

Definitions. Lie – the relationship between the long axis of the fetus and the mother. Longitudinal, transverse or oblique.

What is Vasa Previa?

Vasa previa occurs when unprotected fetal blood vessels run through the amniotic membranes and traverse the cervix. Complications include fetal hemorrhage, exsanguination, or death. Diagnosis by ultrasound.

What is placenta Percreta?

Placenta percreta is a condition where placenta attaches itself and grows through the uterus and potentially to the nearby organs (such as the bladder).

What is bpd in pregnancy?

BPD (biparietal diameter), the diameter of your baby’s head. HC (head circumference), the length going around your baby’s head. CRL (crown-rump length), the length from the top of the head to your baby’s bottom, measurement taken in the first trimester.

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