items of obstetric diagnosis

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items of obstetric diagnosis (8)

Gravidity

def :

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

the abortions and delivery too

the abnormal ones

the current one

Parity

def :

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

regardless of the outcome

beyond medico-legal viability

all deliveries

presentation

def :

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

in transverse lie ( shoulder presentation )

buttocks with or without feet ( breech presentation )

head ( cephalic presentation )

duration of the current pregnancy (calculated in weeks)

other clinical methods

date of quickening

symphysis-fundal length

fundal level

Naegele's formula (method)

calculate

Gestational age

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

the expected date of delivery (EDD)

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

provided that

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

human pregnancy is 40 weeks

position

def :

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

left posterior (posterior to the left)

right posterior (posterior to the right)

right anterior (anterior to the right)

left anterior (anterior to the left)

complications of the current pregnancy : e.g.

Rh-iso-immunization

fetal death

fetal malformation

premature rupture of fetal membranes

ante-partum hemorrhage

pre-eclampsia

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

previous uterine scar

fibroids

uterine anomalies

diabetes mellitus

maternal cardiac disease

lie

def :

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

oblique lie

transverse lie

longitudinal lie