Placenta position – check it is clear of the internal os.Be sure to review the findings of this scan: Uptake and results of Down’s syndrome screening (if scanned between 11+0 and 13+6).Īt 18+0 to 20+6, women are offered a scan to check for fetal anomalies.Agreed estimated date of delivery (EDD): this date is when the woman will be 40+0.Has there been use of folate prior to conception and currently.In the history of current pregnancy, ask about: Instead, pregnancies are dated based on the crown-rump length (CRL), measured by ultrasound scan between 10+0 and 13+6. This way, we avoid unnecessary inductions for ‘post-dates’ based on LMP recalled later than in reality, and we can monitor labours where the LMP date suggests is over 37+0 but the scan suggests is preterm. This can be imprecise, as it requires accurate recall of LMP dates as well as regular menstruation. The last menstrual period date (LMP) can be used to estimate gestation, with Naegele’s rule the most common method (to the first day of the LMP add 1 year, subtract 3 months, add 7 days). Gestation is described as weeks+days (e.g. Management: expectant (monitoring of serum hCG levels), medical (methotrexate injection), surgical (laparoscopy or laparotomy salpingectomy (removal of tube) or -otomy (cutting of tube and suctioning of trophoblastic tissue))įirst, ask about the gestational age of the pregnancy.abnormal parental karyotype, fetal anomaly. Identified causes of miscarriage / stillbirth – e.g.Terminations – method of management: medical or surgical.Miscarriages – outcome (spontaneous, medical management, surgical management – evacuation of retained products of conception).Gestation – miscarriages can be classified into early pregnancy (12 weeks or less) or second trimester (13-24 weeks).Other Pregnanciesįor pregnancies not carried beyond 24 weeks, inquire about: In addition, use of ARTs can increase the risk of pre-eclampsia during pregnancy. Care providers – was the patient’s care completely with a midwife or was there previous obstetric input, if so, whyĪRT pregnancies are often conceived after a long period of time and after much psychological distress it is important to be aware of this.ovulation induction with clomiphene, IVF.
Birth weight – a previous small for gestational age (SGA) baby increases the risk of a subsequent one.Mode of delivery – spontaneous vaginal, assisted vaginal or Caesarean.Gestation – previous preterm labour is a risk factor for subsequent preterm labour.Term Pregnanciesįor each previous pregnancy carried beyond 24 weeks, inquire about the following: Next, sensitively ask about miscarriages, stillbirths, ectopics and terminations. A good starting point is to ask about number of children the patient has given birth to.
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