Obtain a detailed history from Mrs B including the following: general medical history, lifestyle habits, work history and reproductive history. The reproductive history should include menstrual function, past pelvic surgery or gynaecological procedures, pregnancy and birth outcomes, sexually transmitted diseases, contraception, and familial illness.
The physical examination should assess her overall health status. You should ask for any available medical reports and refer her for a full refer full obstetric and gynaecological assessment at an early stage in the pregnancy.
Postgraduate Diploma in Occupational Health (DOH) - Modules 3: Occupational Medicine & Toxicology (Basic) by Profs Mohamed Jeebhay and Rodney Ehrlich, Health Sciences UCT is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 2.5 South Africa License. Major contributors: Mohamed Jeebhay, Rodney Ehrlich, Jonny Myers, Leslie London, Sophie Kisting, Rajen Naidoo, Saloshni Naidoo. Source available from here. For any updates to the material, or more permissions beyond the scope of this license, please email healthoer@uct.ac.za or visit www.healthedu.uct.ac.za.
Last updated Jan 2007.
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