Template for obstetrics history and examination:
HISTORY:
Name
Age
Occupation
Place (How many km from here)
Husband’s name
Husband’s occupation(qualify with salary)
SES(check from the modified kuppuswamy’s scale from the archive)
Booked(depends)
Hospital no.
Obstetrics score:
LMP
Previous menstrual cycles
Gestational age(weeks, days)
EDC
Presenting complaint: admitted for…
HOPC
Obstetrics history(previous pregnancies and current)
· Duration of marriage
· Consanguineous or not
· Relation
· For PRIMI GRAVIDA only:
o Conception after how many yrs of marriage
o Conceived [...]


