Pregnancy History and ExamAdapted from Mosbys Guide to Physical Examination, 6th Ed. HistorySincepregnancy is a normal! occurrence, the usual format of the clinical history should be modified"ot your typical # parameters! Should Include:$urrent Pregnancy %PG&Past PregnanciesMedical 'x$ontracepti(e 'x)amily 'xPsychological 'xPlans for $hildbirth*is+ )actors Chief ComplaintPatients ageMarital statusGra(idity and parity,ast menstrual period %,MP&Pre(ious usual menstrual period %P-MP&Expected date of deli(ery %E..&/ccupation)ather of the baby and his occupation Present Problem.escription of current PGPre(ious medical0health careAttention should be gi(en to specific problems"ausea1omiting)atigueEdema Obstetric History2nformation on each pre(ious pregnancy.ate of deli(ery,ength of PG3eight and sex of infant,ength of labor Obstetric History cont!d"4ype of deli(erySpontaneous (aginal2nduced (aginal$esareanSpontaneous or electi(e abortion$omplications Pregnancy,aborPostpartumor 5ith the 2nfant #edical History4ypical medical history 5ith the addition of ris+ factors forA2.S'epatitis4uberculosisExposure to en(ironmental and occupational ha6ards #edical History"/4E7 A mother who herself had intrauterine growth restriction (IUGR) carries this risk factor for her children. $amily History2n addition to the usual family 'x8Genetic conditions45ins$ongenital anomolies Personal % Social HistoryAdditional information includes)eelings to5ards the PG3hether the PG 5as plannedPreference for sex of childSocial supports a(ailableExperiences 5ith mothering'istory of abuse in relationships &e'ie( of SystemsEffects of PG are seen in all systems.Special attention is gi(en to7*eproducti(e system$ardio(ascular system &e'ie( of Systems cont!d"Endocrine system.iabetes-rinary tract2nfection9idney function*espiratory functionMay be compromised8later PGtocolytic therapy for preterm labor &is) *ssessment2dentify from the 'x and physical examthose conditions that threaten the 5ell:being of the mother and0or fetus..iabetesPre:term laborPreeclampsiaEclampsiaPregnancy:induced hypertension %P2'& +eight ,ain +eight ,ainProgressi(e 5eight gain is expected during pregnancy, but the amount (aries among 5omen. +eight ,ain4he gro5ing fetus accounts for only ;:lood and fluid (olume>reasts)at reser(esSee )igure ;.6 +eight ,ain3eight gain should follo5 a cur(e through the trimesters of pregnancySlo5 during the first trimester*apid during the second,ess rapid during the third +eight ,ainMaternal tissue gro5th accounts for most of the 5eight gain in the M2See )ig ;:?@ Expected +eight ,ainIdeal Prepregnancy -#I ./0123405"4rimester 3eight Gain