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  • New Patient History Form - Department Of Obstetrics And Gynecology - Columbiaobgyn

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Print Form OBSTETRICS AND GYNECOLOGY NEW PATIENT HISTORY Name: Date of Birth: Today s Date: Primary Care Physician: Preferred Pharmacy: Phone: Pharmacy Address: Reason for today s visit: Date of last.

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Previous Obstetric History. A good starting point is to ask about number of children the patient has given birth to. Next, sensitively ask about miscarriages, stillbirths, ectopics and terminations.

Gynecologic history Begin with a brief summary of the patient's age, parity. , date of. last menstrual period. ( LMP. ... Common chief concerns in gynecology. Vaginal bleeding should be evaluated based on the following: Amount (e.g., spotting, heavy flow) Relation to menstrual cycle/ menopause.

Gynecologic History How old the woman was when menstrual bleeding began (menarche) How often, regular, and long menstrual periods are. How heavy menstrual bleeding is. When did the last menstrual period begin and end. Whether the woman has symptoms (such as pain, cramps, headaches, or loose stools) during menstrual periods.

An obstetric history involves asking questions relevant to a patient's current and previous pregnancies. Some of the questions are highly personal, therefore good communication skills and a respectful manner are absolutely essential.

A comprehensive history is one of the most important aspects of a well-woman visit. This history includes symptoms; medications; allergies; and medical, surgical, family, social, and gynecologic history, including questions on reproductive, sexual, and mental health (using screening tools as indicated).

The obstetric history consists of a history of preeclampsia/eclampsia, history of abortion, parity, pregnancy plan, and gestational distance.

The basic obstetric history is documented in a specific format, noting gravidity and parity. Gravidity (G) is the number of confirmed pregnancies; a gravida is a term for a person who has had at least one pregnancy. Parity (P) is the number of deliveries at ≥ 20 weeks of gestation.

For the gynecologic history, clinicians ask about past and present menstrual periods, past pregnancies, sexual activities, and gynecologic symptoms, disorders, and treatments that a woman has had in the past or is currently experiencing.

How often, regular, and long menstrual periods are. How heavy menstrual bleeding is. When the last menstrual period began and ended. Whether a woman has symptoms (such as pain, cramps, headaches, or loose stools) during menstrual periods.

Taking an obstetric history usually begins with asking about previous pregnancies, including dates, outcomes, and complications. For pregnant patients, a more detailed obstetric history is taken regarding prior pregnancies and the current pregnancy.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232