1. HISTORY IN OB/GY
AHMED ABDULWAHAB

2. Personal history , age ,occupation, duration of marriage if she is married .
Last menstrual period LMP.
Complaint . On the patients own wards.
History of present illness.
Starts from the time of the complain .
Some patients may not have a complain as those admitted from the clinic.

3. History of present illness should describe the full analysis of the complain , onset, duration , characteristic of the main complain any associated problems and systemic inquiries .
OBSTETRIC HISTORY.
Previous pregnancies should be reviewed in chronologic order with these information

4. Date of delivery.
Duration of gestation in weeks .
Type of delivery. SVD , C/S, or instrumental delivery forceps or ventouse.
Duration of labor .
Maternal complications.
Neonate weight gender and any complications

5. Gynecological or menstrual history.
How to calculate the expected date of delivery. Nageles rule , add 7 days to the first of menstrual cycle and subtract 3 from the month.
Example. LMP – 2011.
EDD IS
Regular cycle or not

6. Dysmenorheoa, painful menstruation
Dyspareunia, painful coitus .
Post coital bleeding
Contraceptions .
Vaginal discharge .
In infertility case you should take history from the husband .

7. HOW YOU LAY DOWN NUMBER OF PREGNANCIES AND ABORTIONS ?
Gravida means the patient is pregnant now . Parity is used for the number of previous pregnancies more than 24 weeks
+ is used for the number of abortions, ectopic pregnancy , molar pregnancy.

8. EXAMPLES .
A woman who is having 3 deliveries before and one abortion and now she is pregnant
You will say she is gravida 4 para 3+1
First pregnancy will call them primigravida.

9. Medical history any significant medical diseases DM , HTN .
Surgical history for any significant surgical procedures .
Social history , habits , smoking, alcohol, drugs abuse .standard of life, socioeconomic status .
Drugs and sensitivity