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OBSTETRIC's CLERKING in 10 points.

1. BIODATA: 2. REPRODUCTIVE
PROFILE: EDD
NATROMA. EGA
GRAVIDITY LCB
PARITY WEIGHT &
LMP HEIGHT(BMI)

3. PC:

USUALY PRESENTS FOR ROUTINE ANC VISIT WITH NO FRESH COMPLAINT (if there
are, usually symptoms of pregnancy-may be exaggerated, anaemia, malaria, UTI,
etc).

4. HPC:

History of PCs if there are, followed by that of the index pregnancy as follows:
(B.I.F.I.I.M):

FIRST, STATE THE NUMBER OF ANC VISIT AND WETHER THE PREGNANCY WAS
DESIRED OR NOT.

B: BOOKING (where & at what GA) & BP at booking

I: INDICATION FOR BOOKING (such as pregnancy symptoms, amenorrhea (e.g.


missing her period for 3 consecutive months) and positive pregnancy test-HcG in
urine produced from the 6th day of conception)

F: 1st FETAL MOVEMENTS or QUICKENING

I: INVESTIGATIONS DONE WITH RESULTS

1st trimester USS/obstetric Hb genotype-SCA,


scan-multiple gestation+ foetal RBS-DM,
viability+ dysenbryogenesis, MPs-malaria,
RVS-PMTCT, VDRL-syphilis,
blood group-rhesus PCV-anaemia, etc)
incompatibility,

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I: IMMUNIZATION (Tetanus Toxoid-TT: number of doses and GA at which they are
given) please know the TT immunization schedule with years &/percentage
of protection it confers.

M: MEDICATIONS she is on:

ANTIMALARIALS (FANSIDAR)
HAEMATINICS (FESOLATE & FOLIC ACID)
OTHERS (anti hypertensive, oral hypoglycaemic agents or
anticonvulsants)

5. SYSTEMIC REVIEW

6. PAST OBSTETRIC Hx: reported according to the obstetric chronology-


pregnancy-labour-delivery-puerperium. (Here repeat of gravidity & parity is optional
as an opening statement).

Eg;-1st pregnancy was in 2001, desired, booked at 3 months of gestation here in this
facility on account of 3 months of consecutive amenorrhoea, supervised, carried to
term and was uneventful. Labour lasted 3 hours and delivery was spontaneous per
vaginum (SVD). Or delivery was per abdomen (via C.S-emergency or elective) on
account of the indication for the C.S (e.g. CPD, Failed induction, PROM, obstructed
labour, Post date,breech presentation, etc).she delivered a singleton baby boy who
weighed 3.4kg and said to alive and healthy. Puerperium was uneventful.

The same thing should be done for the remaining pregnancies whether carried to
term or not.

7. PAST GYNAECOLOGICAL Hx.

KATAMANIA(K13 4-5/28;-meaning DYSPAREUNIA,


that she attends menarche at 13yrs CONTRACEPTION METHODS (type,
old, menstruates for 4-5days in a duration, has she ever changed
regular cycle of 28days). contraception-pregnancy interval)
MENORRHAGIA, ABORTION(GO ALL ROUND THE
INTERMENSTRUAL BLEEDING & EVENT: number, when, what GA,
POST COITAL BLEEDING. care received where and by who)
DYSMENORRHEA, CERVICAL CANCER & PAP SMEAR.

8. PAST MEDICAL Hx:

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9. FAMILY AND SOCIAL Hx: Family history of:

MULTIPLE GESTATION is blood group A Rh +ve in a


DIABETES MELLITUS polygamous setting where she is
HYPERTENTION the 2nd wife.
SICKLE CELLE ANAEMIA ALCOHOL/SMOKING
MARRIAGE SETTING;-for example;-
husband is a 42 yr old driver who

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10. SUMMARY: for example:

She is G3 P 1+2(or a
primigravida/multigravida/grandmultipara as the
case may be) at term (with bad obstetric history)
presenting for routine ANC visit with no fresh
complaint.

Please know the definition of bad obstetric history


and the circumstances it applies to, avoid
abbreviations while reporting the reproductive
profile and the examination of gravid uterus.

Keep practicing verbally, PRACTICE MAKES


PERFECT.

MAY ALLAH MAKE IT EASY, AMIN. WRITEN

BY TARI M. & FARUK A.M.