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Obstetric History OSCE Checklist for Medical Student Finals
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Checklist for Obstetric History Taking as a medical student.
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Recent sca n results:Obstetric History Checklist 20-week anomaly scan results
Position of place nta
Growth of fo etus
History of Pres enting Complaint
Foetal moveme nts – started? Changes?
Confirm curre nt gestation + EDD
Any ill nesses +/- t reat ments since concept ion
Experie nced any fetal moveme nts? Any changes?
Materna l me ntal healt h
Ante part um haemor rhage i.e. vaginal bleeding
Plan for delivery, at present
Onset, duration, co lour, consistency, volume
Vaginal discharge / fluid loss
Previous pregn ancies
Abdo minal pain / cra mps / ti ghte ning / co ntractions
Gravidity – how many times have you been pregna nt?
Nause a or vomiting
Have you ever bee n pregnant before?
Headaches
Parity – how many chil dren do you have?
Visual dist urbance
Ask sensitively about miscarriages, st ill bi rths,
Itch
terminat ion of pregnancy and ectopic pregnancy
(Unilateral) leg swelling
Years of del iver y
Oedema ( ha nds, face, other)
Gestation a nd bi rth weight on de livery
Chest pain
Mode of delivery
Shortne ss of Bre ath
Previous compl icat ions during pregnanc ies
Urinar y sympto ms
Ectopic / Molar pregnancies
Dysuria, frequency, urgency, leak of urine
Gestational hyperte nsi on / pre-ecl ampsia
Fever
Gestational diabetes
Fatigue
Placenta pra evia
Weight loss
Previous compl icat ions during de liver ies
Shoulder dystocia
Current Pregnancy
Post-partum hae morr hage
Confirm date of L ast Menstrua l Period and EDD +
Retai ned placenta
concorda nce of scans
Third degree perineal tears
Singl eton or ulti ple pregnancy
Mental he alth
Planned or unplanned pregnancy
First tr imester folic acid
Rhesus Status, if known
Immunisation status
Flu, whoopi ng cough, Hep B, Covid
Screeni ng / a mniocentesis performe d
Any attenda nces at Ea rly Pregnancy Proble m Clinic?
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