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Women s Health Center of Northfield Hospital 2000 North Avenue Northfield, MN 55057-1697 Patient Information Sticker Date: Personal Medical and Obstetrical History Allergies Medications Please list.

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How to fill out the Obstetrical History Form online

Completing the Obstetrical History Form online is a crucial step in managing your health during pregnancy. This guide will walk you through each section of the form, ensuring you provide all the necessary information in a clear and efficient manner.

Follow the steps to fill out the form correctly and thoroughly.

  1. Click the ‘Get Form’ button to obtain the form and open it in your preferred editor. This allows you to start entering your information online.
  2. Begin with the patient information sticker by entering the date and ensuring all personal details are accurate. This section is essential for identifying your records.
  3. In the personal medical and obstetrical history section, list any allergies you have. This is crucial for your healthcare provider to know before prescribing any treatment.
  4. Next, provide a comprehensive list of medications you are currently taking, including vitamins and over-the-counter drugs. Include the name of the medication, dosage, and frequency of use.
  5. Fill out your past obstetrical history by detailing the number of pregnancies, dates, and types of delivery for each pregnancy. Ensure you complete any additional information on the back of the sheet if necessary.
  6. Input the date of your last menstrual period and last Pap smear. If applicable, indicate whether you have had any abnormal Pap smears or sexually transmitted infections.
  7. Indicate any relevant medical history by checking the conditions that apply to you. This may include chronic illnesses or past surgeries.
  8. Proceed to the social history section. Select your current relationship status and occupation, while also noting any religious or cultural needs that may be relevant.
  9. Complete the family and genetic history section by answering questions about family health and any history of genetic conditions.
  10. Finally, ensure that all fields are filled out accurately and review your responses for completeness. You can then save changes, download, print, or share the form as needed.

Start filling out your Obstetrical History Form online to ensure your health information is accurately recorded.

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Abstract. A carefully obtained obstetric history can provide the family physician with useful clues to his patients' health risks. A previous infant's birth weight and certain congenital malformations may indicate a predisposition to vascular hypertensive or diabetic illness.

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.

PAST OBSTETRIC HISTORY INCLUDES: Details of all previous pregnancies (including miscarriages and terminations). Length of gestation. Date and place of delivery. Onset of labor (including details of induction of labor).

Last menstrual period (LMP) - date of first day of bleeding. Cycle length and frequency - eg, 5/28, 5 days of bleeding every 28 days. Heaviness of bleeding. ... Presence or absence of intermenstrual bleeding (IMB). Presence or absence of postcoital bleeding (PCB). Age of menarche/menopause.

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