Obstetric history

During the first interview, the doctor should be calm, matter-of-fact, friendly in order to gain the trust of the pregnant woman.
RA and OA must express a genetic, epidemiological and social component.
We always specify important data from pre-disease in the sense of "when, where, what, how and subsequent complications."

Family history[edit | edit source]

Diseases with a tendency to hereditary occurrence (DM, hypertension, oncological diseases, VVV and VSV, psychiatry, multiple pregnancies , coagulation disorders).
Chronic and acute infections occurring in the family (TB, hepatitis, ...).

We proceed systematically from childhood, examining the occurrence of congenital developmental defects.

We ask about:

common childhood diseases;
disorders of somatic development, nutrition, locomotor system (mainly pelvis and hips);
internal disease, whether takes any drugs;
allergy;
experienced infectious diseases (especially for infectious mononucleosis, infectious hepatitis);
psychiatric diseases;
epilepsy.

period of menarche;
regularity of the cycle (disorders call into question the correct estimation of the due date);
inflammations (PID), tumors, incontinence, breast diseases;
intrauterine device (IUD);
hormonal anticonception;
sexually transmitted diseases (STDs);
we will describe in detail past pregnancies;
miscarriages and abortions – we are interested in the week of gestation, method and causes, complications, detected fetal anomalies;
for surgical procedures, cesarean sections – we are interested in causal indications for the procedure;
we ask about the course of sixteen months, infections, uterine involution disorders, healing disorders, lactation, …
we are interested in the course of the current pregnancy – planned/unplanned, how easily the woman got pregnant, questions about previous prenatal care and screening results, gestational diabetes mellitus, bleeding during pregnancy, GBS positivity/negativity, hospitalization during pregnancy, …