Obstetric history checklist in OSCE

Obstetric "To ask" checklist / History Taking. 

We often feel clueless or unsure what to ask when we are in the obstetric department.
This post is an example of the template I had in my notes while I am in med school, just want to share with everyone.
There are 10 aspects we can ask from to understand them better.
All of them are for references only, use them wisely😀

Demographic

• Name, Age 
• Occupation
• Ethnic
• Chief Complain

Current Pregnancy History

• Gestation , LMP/EDD
• Date from ultrasound
•  Single/Multiple chorionicity
• Details from Chief Complain
• What action has been taken
• any other problems
• any bleeding, contraction or loss of fluid vaginally?
• Is there a plan for the rest of the pregnancy

Ultrasound History

• What scan? why?
• Any problems?

Past Obstetric History

• List of previous pregnancy
• G. P. A.
• Vaginal birth or C-section
• complication?
• baby weight
• Full Term? Pre-term.
• Baby's condition. eg. bluish, difficulty breathing,,, 

Gynecology History

• Periods history
• when is the last period
• any abnormal or irregular menses. 
• Contraceptive history
• Previous infection and treatment did
• When is the last cervical smear or screening. Is it normal ? and any treatment?
• Any history of surgery

Post medical and surgical

• Any medical related issues. eg. IDA, diabetes...
• any previous operations?

Psychiatry

• Postpartum Blues
• Depression
• Major illness, eg: schizo

Family History

• Diabetes
• Hypertension & etc. (chronic illness)
• Psychiatry
• Genetic

Social history

• Smoking/ alcohol/ drugs, etc...
• Marital status and their relationship
• Partner's occupation
• Financial status. eg: any helper at home? etc. 

Drug History

• Any folate supplement used (for pregnant lady)
• Allergies to food/ medicine 
• if yes, what are the symptoms.

SO that's all that you need to ask whe you approach a pregnant lady. Every lady has a different situation and problem, so you will also need to make a decision which question you would like to "double click" and understand more about the details that you need to make a primary diagnosis. 

Hope this article helps, Good luck!