History taking in obstetrics
1. Big picture
History taking in obstetrics is not just “asking questions.” It is a structured clinical risk assessment of two patients at once: the mother and the fetus.
A good obstetric history must answer five exam questions:
- Is she pregnant?
- How far pregnant is she?
- Is the mother stable?
- Is the fetus at risk?
- Does she need urgent investigation, admission, delivery, or reassurance?
Core oral-exam sentence:
Obstetric history taking begins with maternal safety, pregnancy dating, and identification of red flags such as bleeding, pain, hypertension symptoms, reduced fetal movements, rupture of membranes, fever, contractions, previous cesare
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