During the first prenatal visit, a prenatal health history is taken to give the doctor insight into any potential problems that may be faced during the pregnancy. The prenatal health history includes mother, father, siblings, children, and grandparents. Health problems facing other blood relatives may also be pertinent. • Careful History Taking and Examination (General and Obstetrical) is a part of Antenatal care. 5. Aims & Objectives: • To screen the High risk cases. • To treat the complications detected early by examination. • To educate mother by demonstrating the labour. • To ensure continued Medical Surveillance and Prophylaxis. 6. It should be in few lines, explaining the general information of patient and then key points. Always reach 5 points during medical history taking :-. C/C (Chief Complaints) of patient. Organ system affected. Onset of symptoms (Acute/Chronic) Etiology (Infectious, inflammatory, traumatic, genetic, etc.) Possible diagnosis. Take an adequate history. Perform a good general examination. Test the patient's urine. Perform and interpret a pregnancy test. History taking. The purpose of taking a history is to assess the past and present obstetrical, medical and surgical problems in order to detect risk factors for the patient and her fetus. A. ANTENATAL HISTORY FORMAT I. Patient profile Full name Age (in years) Hospital No. I. P. No. Marital status Education status Occupation Husbands name Age (in years) Education status Occupation Type of family Per capita income Date of booking Date of last antenatal visit Date of admission Obstetric score Gravida Para Abortion Living Still born II. Please list any medications you are now taking (including eye drops, birth control pills, vitamins or over the Eye History: Do you have or have you ever had any of the following problems: o Blindness o o Cataracts o We will file all insurance forms if Riverfront Eyecare is a participating provider for your plan. o history taking are crucial issues during history taking. Information should flow in a logical and chronological sequence, in a paragraph format (as in a story). History taking should not be simply translating the patients words into medical English language, but should guide the clinician to form a provisional diagnosis that he/she would plan General information. Age: Pediatric patients generally have their age reported in days until 2 weeks old, in weeks until 2 months old, and in months until 2 years old. However, this may vary from institution to institution. Sex; Other relevant identifying information; Informant: the person accompanying the patient and assisting in providing history and their relationship with the patient (e.g PRENATAL HISTORY QUESTIONNAIRE - 2 Date 15. Which statement best describes your smoking status? I have never smoked or have smoked less than 100 cigarettes in my lifetime. I stopped smoking before I found out I was pregnant, and I am not smoking now. I stopped smoking after I found out I was pregnant, and I am not smoking now. History The history is one of the most important elements of the first prenatal visit. The woman may fill out a written questionnaire, and the nurse or physician will then con-firm the answers. Some practitioners prefer to obtain the history exclusively by face-to-face interview. Whatever method is chosen, review the history thoroughly and re- carefully recorded in the infant's file so it can be compared later with