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
