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How do you document OB 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.

How do you write past obstetric history?

First, ask about the gestational age of the pregnancy. Gestation is described as weeks+days (e.g. 8+4; 30+7; 40+12 \u2013 post-dates). The last menstrual period date (LMP) can be used to estimate gestation, with Naegele's rule the most common method (to the first day of the LMP add 1 year, subtract 3 months, add 7 days).

What should a gynecological 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 take history of obstetrics and gynecology?

Obstetric History Gravidity. Number of times pregnant. Parity. Number of live births. Miscarriages. Terminations. Previous Pregnancies. Length, mode of delivery. Length of Pregnancy. Gestational age at delivery. Induction. Spontaneous / induced. Mode of Delivery. Vaginal, forceps, suction, elective / emergency caesarean.

What is Gynaecological history?

A gynaecological history is an assessment of the female reproductive system. It can be a delicate subject for some women, and it is important to treat any information divulged with sensitivity and respect. However, the clinician cannot shy away from asking clinically relevant questions.

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