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Pregancy

This document discusses a patient's obstetric history including details about menstruation, contraceptive use, pregnancies, deliveries, and complications. It provides guidance on calculating gestational age based on the first day of the last menstrual period. Key details include asking about menarche, menstrual flow, discomfort, cycle regularity, contraceptive history, gravida and para values, abortion definition, delivery type, multiple births, and maternal/fetal/neonatal complications. Gestational age calculation examples are provided based on reported first day of last menstrual period.

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Fatima Julian
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31 views5 pages

Pregancy

This document discusses a patient's obstetric history including details about menstruation, contraceptive use, pregnancies, deliveries, and complications. It provides guidance on calculating gestational age based on the first day of the last menstrual period. Key details include asking about menarche, menstrual flow, discomfort, cycle regularity, contraceptive history, gravida and para values, abortion definition, delivery type, multiple births, and maternal/fetal/neonatal complications. Gestational age calculation examples are provided based on reported first day of last menstrual period.

Uploaded by

Fatima Julian
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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a.

Maternal – placenta
b. Fetal and neonatal - can be
seen on ultrasound.
6. Bleeding complication –

1. Menarche – first menstrual period


2. Flow – heavy, regular, or weak flow.
How many pads the patient consumes
3. Menstrual discomfort – ask patient.
a. Dysmenorrhea – pain in pelvic
1. 1st day of the menstrual period to
area.
compute the
4. Menstrual cycle – is it 28 days cycle? Is
2. What if the patient cannot remember
it every month?
the exact date of the 1st of last
Contraceptive history – menstrual period?

Preterm – below 38 weeks Abortion – intentionally or unintentionally (even


2. Abortion – 20th week only if the mother is in danger it is still considered
abortion)
3. Type of delivery – is it normal

Multiple births –
G – no. of pregnancies regardless of duration /
5. Maternal, fetal, and neonatal abortion
complications –
The pubic symphysis is a joint sandwiched
Para – beyond 20 weeks
between your left pelvic bone and your right
Abortion – pregnancy terminated less than 20 pelvic bone. It also helps separate your pelvic
weeks bones to prepare for vaginal childbirth

- Third-time pregnancy
- 1st pregnancy – abortion
2. March (LMP 31- 31) = 0
a. April = 30
b. June = 31
c. July = 30
d. Aug = 31
1. Feb (LMP 26 – 28) = 2 days e. Sept = 30
a. March = 31 f. Oct = 31
b. April = 30 g. Nov = 30
c. May = 31 h. Dec = 20
d. June = 30 i. Total =
e. July = 31
3. Nov (LMP 24 – 30) = 6 days
a. Dec = 31
b. Jan = 15
c. Total = 52 days
d. 52 / 7 = 7 weeks

Jan – March do not add 1 in the year

f. Aug = 14
g. Total = 186 days
h. 186 / 7 = 26. 5
i. 26 – 27 weeks
Use the bell of the stethoscope to listen to the
heart of the baby.

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