History and Physical Examination of The Neonate

Written by Dr.Md.Redwanul Huq (Masum)
Monday, 16 January 2012 06:45

History of the neonate:

History of the neonate includes-

I) Maternal and paternal medical and genetic history
II) Maternal past obstetric history
III) Maternal current antepartum and intrapartum obstetric history.

Maternal medical history:

Maternal medical history includes-

  • Chronic illness
  • Drugs taken during pregnancy
  • Unusual dietary habits
  • Social history
  • History of child abuse
  • Smoking history
  • Occupational exposure to chemicals
  • Infections of potential risk to the fetus.

Maternal genetic history:

History of genetic disease in family.

Maternal past obstetric history:

  • Maternal age
  • Gravidity
  • Parity
  • Blood grouping and Rh typing
  • Past pregnancy results.

Maternal current antepartum and intrapartum obstetric history:

i) Findings of investigations during the current pregnancy- USG, amniocentesis, screening tests like rubella antibody, HBsAg, HIV
ii) Results of antepartum tests of fetal well-being like- biophysical profiles, doppler assessment of fetal blood flow patterns, nonstress tests
iii) Query about pregnancy-related maternal complications like UTI, pre-eclampsia, eclampsia, vaginal bleeding, preterm labor, gestational diabetes etc
iv) History about peripartum events like maternal fever, duration of ruptured membranes, fetal distress, meconium-stained amniotic fluid, type of delivery – NVD or C/S, reason for operative or forceps delivery, infant status at birth, resuscitative measures taken for the infant, APGAR scores, anesthesia and analgesia used.

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