Ob gyn history form 2025

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Obstetric and gynecologic history are often considered a distinct part of the medical history. This history includes past medical history related to reproductive and overall gynecologic health, including pregnancies, medical conditions, medications, and procedures.
The basic obstetric history is documented in a specific format, noting gravidity and parity. Gravidity (G) is the number of confirmed pregnancies; a gravida is a term for a person who has had at least one pregnancy. Parity (P) is the number of deliveries at 20 weeks of gestation.
Gravidity and Parity Patient is currently pregnant; had two previous deliveries = G3 P2. Patient is not pregnant, had one previous delivery = G1 P1. Patient is currently pregnant, had one previous delivery and one previous miscarriage = G3 P1+1 (the +1 refers to a pregnancy not carried to 24+0).
Past gynaecological history Infection: Any past history of pelvic inflammatory disease (PID). Whether it was adequately treated, including contact tracing. Any known contact with sexually transmitted infections. Gynaecological operations. Smear history - date and result of last cervical smear, previous abnormalities.
Begin with a brief summary of the patients age, parity, date of last menstrual period (LMP), and any current concerns the patient may have. Vaginal bleeding should be evaluated based on the following: Amount (e.g., spotting, heavy flow)
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GTPAL is an acronym used by doctors and nurses to sum up the obstetric history of a woman: Gravida, Term births, Preterm births, Abortions, Living children.

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