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OBG PT ASSESSMENT
Sagar Naik,
PT
Obstetrics & Gynecology PT Assessment
Sagar Naik,
PT
Acknowledgement: Dr. Prerana Ma’am
The obstetric woman may attend the physiotherapy throughout the year.Physiotherapist may have to monitor them and screen them in regular intervals.
Subjective Examination:
General Details
•
Name
•
Age
•
Address
•
Marital status-
Duration of marriage-
Consanguinity marriage
Chief Complains
(Present problems of the woman)
•
Period of amenorrhea
•
Nausea, vomiting
•
Musculoskeletal Problems-
Low backache-
Radiating pain-
Numbness or tingling sensations-
Cramps
•
Frequency of micturition
•
Weakness
•
Blood pressure
•
Headache, epigastric pain
•
Swelling in both the limbs
Obstetric History
•
Gravida & Parity
•
Multiple pregnancies (duration between pregnancies)
•
Number of living children (Boys & Girls, Twins)
•
History of previous deliveries-
Full-term normal delivery-
Low section cesarean section-
Episiotomy
OBG PT ASSESSMENT
Sagar Naik,
PT
•
Health status of previous baby (any congenital abnormalities)
•
History of previous abortions-
Still born or death after birth-
Spontaneous abortion or Induced abortion
•
Details about menstruation
•
History of any diseases during pregnancy (pelvic inflammatory disease)
•
History of rubella or cytomegalovirus, toxoplasmosis infection
•
History of dizziness while sudden change of position from lying to sitting orstanding (postural hypotension)
•
Any trauma during pregnancy
•
Any itching over the perineal area (piles)
•
Place of delivery
•
Details about anesthesia (postnatally)
•
Type of labour (induced or spontaneous)
•
History of breast-feeding (postnatally)
History for Genitourinary System
•
Any burning sensations during micturition
•
Retention of urine
•
Polyuria or Oligouria (Diabetes symptoms)
History of Incontinence
•
Dribbling of urine during coughing, or other activities
•
Feeling of something descending down per vaginum
History for Gastrointestinal System
•
Loss of appetite
•
Loss of weight
•
Constipation
•
Heartburn
•
Piles
Pain History
•
Onset of symptoms
•
Duration of symptoms
•
Type & location of pain
•
Aggravating and Relieving factors
•
Ask similar symptoms felt during previous pregnancies
Past History
•
Any history of Tuberculosis
•
Bronchial Asthma
•
Blood Pressure
•
Diabetes Mellitus
•
Hyperthyroidism or Hypothyroidism
OBG PT ASSESSMENT
Sagar Naik,
PT
•
Cardiac Problems
•
HIV
•
Anemia (sickle cell anemia, thalassemia)
•
Any history of seizures or convulsions
•
Autoimmune disorders like myasthenia gravis
Personal History
•
Any addiction – smoking or alcoholism
•
Sleeping habits
•
Lifestyle of the client
Drug History
•
Any drugs taken during pregnancy
•
Allergic to any drugs
•
History about contraceptive measures taken
•
Any Rh compatibility injections taken during previous pregnancy
Family History
•
History of twin pregnancy in family
•
History of congenital defects present in any family member
Socio-economic History
•
Occupation of the client & her husband
•
Number of family members (any help can be obtained for household activitiesduring pregnancy)
•
Cast and economic status of the client
Medical & Surgical History
•
Any surgical procedure done during delivery or during previous deliveries
Psychological History
•
Any emotional disturbances
•
Anxiety or depression
•
Any stress to the client during pregnancy
•
Knowledge about the pregnancy and physiological changes, which occur duringpregnancy
Objective Examination:
On Observation:
General condition
•
Ectomorph
•
Endomorph
•
Mesomorph
Edema
(over leg & foot)
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