items of obstetric diagnosis (8)

lie

r

def :the relationship between the longitudinal axis of the fetus to that dothe mother.

longitudinal lie

transverse lie

oblique lie

previous diseases or surgical procedures that can affect the management of the current pregnancy : e.g.

maternal cardiac disease

diabetes mellitus

uterine anomalies

fibroids

previous uterine scar

complications of the current pregnancy : e.g.

pre-eclampsia

ante-partum hemorrhage

premature rupture of fetal membranes

fetal malformation

fetal death

Rh-iso-immunization

position

r

def :position of the fetal back in relation to anterior abdominal wall of themother.

left anterior (anterior to the left)

right anterior (anterior to the right)

right posterior (posterior to the right)

left posterior (posterior to the left)

duration of the current pregnancy (calculated in weeks)

Naegele's formula (method)

provided that

human pregnancy is 40 weeks

the 1st day of last normal menstrual period (LNMP) is certainly known

calculate

the expected date of delivery (EDD)

equals to = 1st day of LNMP + 7 days & 9 months

Gestational age

equals to = 40 weeks - ( EDD - today date)

other clinical methods

fundal level

symphysis-fundal length

date of quickening

presentation

r

def :which part of the fetus is in relation to the pelvic inlet and 1st feltduring vaginal examination.

head ( cephalic presentation )

buttocks with or without feet ( breech presentation )

in transverse lie ( shoulder presentation )

Parity

r

def :number of deliveries beyond 28 gestational weeks (medico-legalviability in Egypt)

all deliveries

beyond medico-legal viability

regardless of the outcome

Gravidity

r

def :the number of pregnancies including the current one regardless of theoutcome.

the current one

the abnormal ones

the abortions and delivery too

regardless of the outcome