OBSTETRICAL ANAMNESIS. GYNECOLOGICAL ANAMNESIS. HEMOTRANSFUSION ANAMNESIS. MENSTRUAL FUNCTION. Regular menstruation from the beginning. CLINICAL EXAMINATION. EXTERNAL EXAMINATION. SPECIAL OBSTETRICAL INVESTIGATION. Pelvimetry. Palpation of abdomen

OBSTETRICAL ANAMNESIS

by GP system: G1 P0, No problem with pregnancy; the course of current pregnancy: 40 weeks of pregnancy

GYNECOLOGICAL ANAMNESIS

Gynecological diseases: --- endometritis

operations: ---- none.

HEMOTRANSFUSION ANAMNESIS

There is no hemotransfusion.

ANAMNESIS ALLERGIC:

There is no allergic problem. S he has no history of drug and food allergies.

MENSTRUAL FUNCTION

Date/age of menarche: 13years of age

Regular menstruation from the beginning

Duration of flow: 5days

Menstruation occurs every 28 days

Volume of blood loss: about 50ml

CLINICAL EXAMINATION

EXTERNAL EXAMINATION

Her skin colour is normal. There are no any rashes, pigmentation, hemorrhage and external tumors.

Mucous membrane is moist and pinkish red.

Joints are regular in shape, not painful during movement.

Darkening of skin on white line can be seen, linea nigra and little pigmentation on face is present as the signs of pregnancy.

Temperature of body - 36. 7 º C

Height - 155 cm

Weight - 70kg

BMI - 29. 1

SPECIAL OBSTETRICAL INVESTIGATION

AC (Abdominal Circumferences): 95cm

SFH (Symphysis-Fundal Height): 35cm

Wrist circumferences: 16 cm

Expected body weight of fetus: 3. 5 kg

Pelvimetry

Distantia spinarum: 27cm

Distantia cristarum: 28cm

Distantia trochanterica: 32cm

External conjugate: 18cm {norm= 20-21cm}

Diagonal conjugate: 11cm {norm= more than 12cm}

Obstetric conjugate: 9cm (external conjugate-9) {norm= 11cm}

Anterior posterior diameter of the inlet: 9cm (diagonal conjugate-2)

{norm= 11cm}

Palpation of abdomen

The 1^st obstetrical grip: Longitudinal lie of the fetus

The 2^nd grip: fetus back is corresponding to the right side of the mother

The 3^rd grip: presentation is cephalic

The 4^th grip: convergence possible