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Taking an Unintended Pregnancy History


Here is what the experts suggest that you include in your focused history:

First off, establish what this pregnancy means to her - is it unplanned and unwanted, or is it unplanned but wanted?  Don’t assume that she is unhappy about being pregnant just because she appears to be single or just because it was unplanned - ask her how she feels about being pregnant and what it means to her in the context of her current life situation.  How does being pregnant fit with her belief system, her current social situation, her support network, finances, educational and career goals?  Is she excited about the responsibility of parenting or will this pregnancy have a negative impact on her life right now?  Has she discussed the pregnancy with her partner, family, or friends and does she feel safe and comfortable discussing it?  Finally, has she already decided whether she would like to continue the pregnancy or not?  Once you’ve established what this pregnancy means to her, then you can consider taking the more detailed obstetrical history listed below if it seems appropriate at this time.

  • Gravity and parity & past obstetrical history

  • Symptoms of current pregnancy

  • Date of last normal menstrual period, regular cycles, duration, contraceptive use, condom use

  • Gynecological history – sexually transmitted infections, abnormal and last pap smears

  • Partner age, involvement and knowledge

  • Past medical, surgical, and psychiatric history

  • Family history of genetic disease, birth defects, multiple gestations

  • Medications, herbal treatments (including vitamins), and allergies/drug sensitivities

  • Smoking, alcohol, drugs, nutrition, exercise, and screen for abuse

  • Risks for STIs - eg. happened at party with unknown partner

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