PNC History Taking

Introduction

• Focus on Postnatal Care (PNC) history taking
• Essential to gather complete and precise information about the woman and the newborn

Initial Vital Information

• Age and name of the woman
• Date and time of delivery
• Full-term or preterm baby
• Sex of the child (male or female)
• Baby's weight (e.g., 3 kgs, 2 kgs)

History of Presenting Complaints

• Nine months of amenorrhea
• True labor pains
• Duration until birth
• Details on whether it was a full-term or preterm delivery
• Baby’s gender and weight

Delivery Details

• Type of delivery: normal or C-section
• Episiotomy given or not
• Any postpartum hemorrhage or pregnancy-induced hypertension
• Time taken for mother to pass urine after delivery

Status of the Baby

• Full-term or preterm birth
• Gender of the child
• Birth weight
• Whether the baby cried immediately after birth
• Passage of meconium
• Initiation and timing of breastfeeding

History of Present Pregnancy

• Antenatal visits and booking status
• Immunization status
• Medication or radiation exposure during pregnancy
• Medical or surgical complications
• Features of hyperemesis and threatened abortion in the first trimester
• Polyhydramnios in the second trimester
• Anemia, pre-eclampsia, and antepartum hemorrhage in the third trimester

Obstetric History

• Gravida and para status
• Previous obstetric events (details available in another video on ANC history taking)

Menstrual History

• Age at menarche
• Menstrual cycle duration, blood flow amount
• First day of the last menstrual period (LMP)
• Expected delivery date (EDD) using Naegele's rule: Add 9 months and 7 days or subtract 3 months and add 7 days from LMP
  • Example: LMP = 1st January; EDD = 8th October

Past History

• Similar complaints in the past
• History of surgeries or major illnesses
• Inquiry about heart disease, renal disease, tuberculosis, urinary tract infection, and prior hospitalizations
• Treatment received during present pregnancy

Family History

• History of pre-eclampsia or eclampsia
• Tuberculosis, hypertension, multiple pregnancies, recurrent pregnancy loss

Personal History

• Diet, appetite, sleep, bowel, and bladder habits
• Addictions: alcohol or smoking
• Method of contraception
• Drug allergies

Conclusion

• PNC history taking is comprehensive and requires attention to detail.
• Stay tuned for the next video on PNC examination.
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