items of obstetric diagnosis (8)
by Aladdin Alhoseany
1. previous diseases or surgical procedures that can affect the management of the current pregnancy : e.g.
1.1. maternal cardiac disease
1.2. diabetes mellitus
1.3. uterine anomalies
1.4. fibroids
1.5. previous uterine scar
2. complications of the current pregnancy : e.g.
2.1. pre-eclampsia
2.2. ante-partum hemorrhage
2.3. premature rupture of fetal membranes
2.4. fetal malformation
2.5. fetal death
2.6. Rh-iso-immunization
3. position
3.1. left anterior (anterior to the left)
3.2. right anterior (anterior to the right)
3.3. right posterior (posterior to the right)
3.4. left posterior (posterior to the left)
4. presentation
4.1. head ( cephalic presentation )
4.2. buttocks with or without feet ( breech presentation )
4.3. in transverse lie ( shoulder presentation )
5. example
6. lie
6.1. longitudinal lie
6.2. transverse lie
6.3. oblique lie
7. duration of the current pregnancy (calculated in weeks)
7.1. Naegele's formula (method)
7.1.1. provided that
7.1.1.1. human pregnancy is 40 weeks
7.1.1.2. the 1st day of last normal menstrual period (LNMP) is certainly known
7.1.2. calculate
7.1.2.1. the expected date of delivery (EDD)
7.1.2.1.1. equals to = 1st day of LNMP + 7 days & 9 months
7.1.2.2. Gestational age
7.1.2.2.1. equals to = 40 weeks - ( EDD - today date)
7.2. other clinical methods
7.2.1. fundal level
7.2.2. symphysis-fundal length
7.2.3. date of quickening