Obstetric History OSCE Checklist for Medical Student Finals

 Recent sca n results:
Obstetric History Checklist  20-week anomaly scan results
 Position of place nta
 Growth of fo etus
History of Pres enting Complaint
 Foetal moveme nts – started? Changes?
 Confirm curre nt gestation + EDD
 Any ill nesses +/- t reat ments since concept ion
 Experie nced any fetal moveme nts? Any changes?
 Materna l me ntal healt h
 Ante part um haemor rhage i.e. vaginal bleeding
 Plan for delivery, at present
 Onset, duration, co lour, consistency, volume
 Vaginal discharge / fluid loss
Previous pregn ancies
 Abdo minal pain / cra mps / ti ghte ning / co ntractions
 Gravidity – how many times have you been pregna nt?
 Nause a or vomiting
Have you ever bee n pregnant before?
 Headaches
 Parity – how many chil dren do you have?
 Visual dist urbance
 Ask sensitively about miscarriages, st ill bi rths,
 Itch
terminat ion of pregnancy and ectopic pregnancy
 (Unilateral) leg swelling
 Years of del iver y
 Oedema ( ha nds, face, other)
 Gestation a nd bi rth weight on de livery
 Chest pain
 Mode of delivery
 Shortne ss of Bre ath
 Previous compl icat ions during pregnanc ies
 Urinar y sympto ms
 Ectopic / Molar pregnancies
 Dysuria, frequency, urgency, leak of urine
 Gestational hyperte nsi on / pre-ecl ampsia
 Fever
 Gestational diabetes
 Fatigue
 Placenta pra evia
 Weight loss
 Previous compl icat ions during de liver ies
 Shoulder dystocia
Current Pregnancy
 Post-partum hae morr hage
 Confirm date of L ast Menstrua l Period and EDD +
 Retai ned placenta
concorda nce of scans
 Third degree perineal tears
 Singl eton or ulti ple pregnancy
 Mental he alth
 Planned or unplanned pregnancy
 First tr imester folic acid
 Rhesus Status, if known
 Immunisation status
 Flu, whoopi ng cough, Hep B, Covid
 Screeni ng / a mniocentesis performe d
 Any attenda nces at Ea rly Pregnancy Proble m Clinic?