Obstetric research

Midwifery research - a survey of pregnant women and new mothers. Obstetric research includes: collection of anamnesis, objective examination, clinical, biochemical, and serological laboratory and some special methods (urological, x-ray and others).
The history should include the following questions:
1. Surname, name, patronymic, address.
2. Age. The most favorable for the first birth age from 18 to 26 years. First childbirth at the age of 26 years are more long-term, often accompanied primary or secondary weakness generic activities; when they occur more often breaks crotch.
3. The profession. The nature of the work, sanitary and hygienic conditions, the duration of the working day; the presence of occupational hazards.
4. Living conditions. The nature of domestic work, rest, nutrition, bad habits (Smoking, alcohol consumption).
5. The disease. Information on previous diseases in many ways facilitate the establishment of a correct forecast of births and detection of pathological changes of the pelvis. The consequence of rickets is flat rachitic pelvis; tuberculosis of the knee, hip joints, injury bones of the lower limbs can cause defects of the pelvis (compostelana the pelvis). Transferred in childhood and adolescence periods scarlet fever, diphtheria, sore throat, influenza, articular rheumatism, pneumonia sometimes complicated by the disease of kidneys, liver, heart and other organs. These complications can be a cause of toxicosis of pregnancy, and thus worsen the prognosis of birth. It is necessary to consider gynaecologic illnesses and operations (on the uterus, vagina, perineum).
6. Menstrual function. The timing and nature of the first appearance of menstruation, the nature of menstrual function in the future before this pregnancy. Normal menstrual cycle characterized by the strict rhythm, certain duration (3-5 days), moderate blood loss, usually painless over.
Later the onset of the first menstruation or long their absence indicates the underdevelopment of the body (General infantilism, infantilism genital organs). Women with such deviations from normal development may be the weakness of labor activity, uterine atony, complications associated with a narrow pelvis, etc. Should be identified, there has been a change menstrual function after marriage, after childbirth, abortion, establish the period of the last menstrual period, on which the calculation of the expected date of childbirth.
7. Sex life. Not recommended sexual life in the first three months of pregnancy (abortion) and in the last two months, especially shortly before delivery (danger of infection, premature birth).
8. Generative function. Details of the course and the outcome of each pregnancy, childbirth, succession, postpartum (post-abortion) periods. The nature of the complications of former pregnancies and childbirth (premature rupture of the amniotic fluid, premature birth, prolonged confinement, the weakness of labor activity, bleeding, operation - turn the fetus, forceps delivery, removing the fetus through the vacuum extractor, Podorozhnaya operations, caesarean section). Pre multiple abortions (especially community-acquired) may adversely affect the development of pregnancy, can cause complications during childbirth, in succession and early postnatal periods (hypotonic, unusual bleeding). It should be clarified weight and destiny of infants under the previous childbirth (born alive, asphyxia, dead), taking into account that the weight of the fetus with subsequent birth is slightly higher than the previous one. Timely detection of aggravated obstetric anamnesis allows the doctor to be alert and timely perform a number of treatment and prevention activities (stationary treatment, prophylaxis of intrauterine asphyxia fruit, bleeding in succession and early postnatal periods, timely transition to radical methods of delivery).
9. During this pregnancy. The presence of early pregnancy nausea, vomiting; whether swelling, the time of their appearance, location and amount of the distribution; the function of bowels and bladder. If a woman for the first time examined in the second half of pregnancy, you should become familiar with the data urine analysis, blood pressure, situation and heart rate of the fetus during pregnancy. Pay special attention to complaints of headaches, vision problems, increase swelling, pain in podlojecna area. Like syndrome in the presence of protein in the urine and the blood pressure indicates the toxemia of pregnancy. You should install: did in pregnant advice; what were conducted treatment and prevention activities, and with what effect; when for the first time noted the movement of the fetus; whether there has been physical and psycho preparation for childbirth.