Perinatal Medical History Taking; gathering detailed information about mother’s pregnancy

Описание: Perinatal medical history taking involves gathering detailed information about the mother and baby during the prenatal, intrapartum, and immediate postnatal periods. This process is essential for identifying risk factors and guiding neonatal care.

Here’s a structured guide to perinatal history taking:

🧠 Key Components of Perinatal History
1. Maternal History
Demographics: Maternal age, occupation, and socioeconomic status.

Obstetric History:

Gravida and Para (number of pregnancies and deliveries).

Previous pregnancy outcomes (miscarriages, stillbirths, preterm births).

Medical History:

Chronic illnesses (e.g., diabetes, hypertension).

Infections (e.g., TORCH, HIV, Hepatitis B/C).

Surgical history and allergies.

Medication and Substance Use:

Prescription and over-the-counter drugs.

Alcohol, tobacco, or illicit drug use.

Antenatal Care:

Number and timing of visits.

Ultrasound findings and screening tests.

Immunizations (e.g., tetanus toxoid).

2. Pregnancy and Labor History
Gestational Age: Based on last menstrual period or ultrasound.

Complications:

Preeclampsia, gestational diabetes, bleeding, infections.

Labor Details:

Onset: spontaneous or induced.

Duration and progression.

Mode of delivery: vaginal, assisted, or cesarean.

Use of anesthesia or analgesia.

Rupture of membranes: time and nature (clear or meconium-stained).

3. Neonatal History
Birth Details:

Date, time, and place of birth.

Birth weight and length.

Apgar scores at 1 and 5 minutes.

Resuscitation:

Need for oxygen, suctioning, or advanced support.

Immediate Postnatal Events:

Breastfeeding initiation.

Temperature regulation and bonding.

Any signs of distress or congenital anomalies.

4. Family and Social History
Genetic Conditions: Family history of inherited diseases.

Consanguinity: Parental relationship.

Home Environment: Safety, support, and caregiving capacity.

🩺 Why It Matters
Early detection of neonatal complications.



#Perinatal