Burdened obstetric anamnesis as a factor of complications of pregnancy and childbirth. Burdened obstetric-gynecological history

State budgetary educational institution higher professional education

"Bashkir State medical University»

Ministry of Health Russian Federation

Department of Obstetrics and Gynecology No. 1

Head department: professor, d.m.s. U.R. Khamadyanov

Teacher:

HISTORY OF BIRTH
Surname, name, patronymic of the mother

FULL NAME.__________________________________________________________________

Curator:

4th year student

Groups ________

FULL NAME.______________________

Academic year

Birth history plan

I. Passport part

1. Surname, name, patronymic

2. Age

3. Profession

4. Date and hour of admission

5. Sanitary treatment of women in labor upon admission to maternity hospital according to order No. 808N dated 02.10.2009. Ministry of Health of the SR RF "On approval of the procedure for the provision of obstetric and gynecological care."

II. Complaints on admission

III. Anamnesis of life(including working and living conditions)

IV. Somatic history

1. Heredity (including the presence of multiple pregnancy in parents and close relatives)

2. Transferred common diseases, including hepatitis (viral), indicate the year; note the transferred blood transfusions.

3. Allergic history (specify factors contributing to allergies)

V. Obstetric and gynecological history

1. Menstrual function: at what age did menstruation begin, when did it last for how many days, after what time, the amount of blood lost (abundant, moderate, scanty), soreness.

2. sex life: from what years did it start, what kind of marriage is in a row, is the marriage registered, the age of the husband and information about his health, protection from pregnancy.

3. Transferred gynecological diseases (including their consequences).

4. Childbearing function. List all pregnancies in chronological order with outcomes. For births, indicate: normal or abnormal, on time, premature, late, whether there were obstetric operations, newborn weight, treatment postpartum period, whether the child is alive, In relation to abortion, indicate: spontaneous and artificial, at what time it occurred or was performed. In case of spontaneous or community-acquired abortion, indicate whether there was a subsequent curettage of the uterine cavity. The course after the abortion period. How many children alive, stillborn, died (cause of death).

5. Current real pregnancy:

6. Date of last menstrual period

7. Course of the first half of pregnancy

8. Date of first fetal movement

9. The course of the second half of pregnancy, taking into account information from antenatal clinic(when and at what time did you first turn to a consultation, how many times did you visit, data from blood and urine tests in dynamics, blood pressure dynamics, blood type, Rh - affiliation and the presence of anti-Rh - antibodies, Wasserman reaction, HIV, specialist consultation, outpatient treatment, physiopsychoprophylactic preparation for childbirth, date of granting prenatal leave).

OAGA is a term that accompanies the management of pregnancy with any deviation from the norm. According to statistics, in Russia about 80% of women have OAHA, their number does not decrease from year to year. When compiling an anamnesis, all previous pregnancies are taken into account, regardless of their outcome, as well as gynecological diseases and operations.

OAGA: the essence of the problem

The abbreviation OAGA stands for burdened obstetric and gynecological history. This is the presence in each individual patient of factors associated with past pregnancies, as well as with gynecological health, which can complicate the current condition, have Negative influence to the fruit. In medical practice, this diagnosis is made when a woman has a premature birth, miscarriage, stillbirth, abortion, birth of children with malformations and death of a child within 28 days after birth. The anamnesis also complicates the pathology of the uterus and ovaries, infertility of any genesis, hormonal imbalance, Rhesus conflict.

What can a woman do

If a woman has already had unsuccessful pregnancies in her life or there are gynecological diseases in her medical history, then each new conception planning should be taken very seriously. Accidental pregnancies should not be allowed, especially if the terms recommended by the gynecologist are not observed after miscarriages, childbirth and induced abortions. It is important for a woman with OAHA to register with a antenatal clinic or a private clinic as early as possible, since, for example, the first screening for the detection of genetic pathologies in the fetus must be carried out strictly before 12 weeks of gestation. The patient should inform the gynecologist about each episode associated with previous pregnancies, abortions, surgical treatment uterus and appendages, chronic gynecological diseases. Only with the complete frankness of a woman, the doctor will be able to minimize the factors that complicate the course of pregnancy and entail pathology or death of the fetus.

Fight infections!

A mandatory analysis before conception is a test for TORCH infection - the determination of antibodies to rubella, cytomegalovirus, herpes and toxoplasmosis, as well as sexually transmitted diseases. Remember: rubella infection during pregnancy is almost always an indication for its artificial interruption at any time, as it entails fetal pathologies - deafness, blindness, and other malformations. With continued gestation, fetal death is noted in 20 percent of cases. If there are no antibodies to the rubella virus, it is worth getting vaccinated against it no later than two months before the planned conception.
Rubella infection during pregnancy - an indication for abortion

With toxoplasmosis, the severity of the prognosis directly depends on the time of infection. With the introduction of Toxoplasma into the body of the fetus in the first trimester, spontaneous abortions and severe developmental pathologies are possible. Late congenital toxoplasmosis is characterized by intracranial calcification, chorioretinitis, convulsions, dropsy of the brain. Fixed. CMV infection during pregnancy also provokes the onset of perinatal pathology- prematurity, stillbirth, defects of organs and systems. Infection with herpes is most dangerous in the first 20 weeks of pregnancy, vertical infection of the fetus is possible with the subsequent development of pathologies.

What is important to remember about infection? You can become infected at any time, even a few days before conception, which means that the absence of certain pathogens in your body does not guarantee you a positive outcome of your pregnancy. Therefore, most doctors argue that the carriage of a number of infectious agents (not all, of course) is much better than their absence in the body. Why? Because when in contact with a sick person, you are not threatened with re-infection - you already have protection against this type of pathogen. This does not apply to bacteria and fungi, where the mechanism of protection against these microorganisms is different, so you can become infected with many bacterial and fungal infections several times.

Elena Berezovskaya

http://lib.komarovskiy.net/mify-ob-infekciyax.html

Hormonal swing

During the planning period for pregnancy, it is important for a woman to examine and normalize hormonal background. Start with hormones thyroid gland. This organ produces triiodothyronine (T3) and tetraiodothyronine (T4, thyroxine). Thyroid-stimulating hormone(TSH) is produced in the pituitary gland. Thyroid dysfunction can cause menstrual irregularities, miscarriage, and fetal pathology.

Table of norms of thyroid hormones

by gender

Sex hormones should be checked for menstrual irregularities, body hair growth along male type, missed pregnancies in history, overweight, PCOS.

Video about hormone tests before a planned pregnancy

Ultrasound will show the output

The release of the egg from the ovary, which will help the woman determine the period possible conception, and will also give an objective picture of the state of the uterus and appendages. The procedure is prescribed on days 9–10 of a 28-day cycle (to control ovulation) or on its 5–7 days to detect possible pathological changes.

OAGA: medical tactics

The belonging of the expectant mother to a certain risk group, taking into account OAGA, is determined by an obstetrician-gynecologist after clinical and laboratory studies. Entered into the patient's chart individual plan observations with appointment modern methods maternal and fetal examinations. It also contains information on recommended preventive hospitalizations, as well as an indication of where the birth will take place - in a regular or specialized maternity hospital.

At-risk groups

In Russia, obstetrician-gynecologists use a systematic approach to determine the degree of perinatal risk. The first - low - includes pregnant women repeatedly with a maximum of three calm births in history. This group also includes primarily pregnant women who do not have obstetric complications and non-gynecological pathologies, one uncomplicated abortion is allowed in their medical history.
The second degree of risk is childbirth in women with compensated pathological conditions of cardio-vascular system, not heavy diabetes, kidney diseases, hepatitis, blood diseases.

Also complicate the anamnesis:

• pregnancy after 30 years;
• placenta previa;
• clinically narrow pelvis;
• large fruit;
• his wrong position;
• perinatal mortality recorded in previous pregnancies;
• preeclampsia;
• uterine surgery.

The third degree of risk includes women with severe pathologies of the heart and blood vessels, exacerbation of systemic ailments of the connective tissue, blood, placental abruption, shock during childbirth, complications during anesthesia.

Just what the doctor ordered

Pregnant women high groups risk, a consultation with a geneticist with possible chorion biopsy, amnio-, cordo-, placentocentesis with the determination of deviations in the development of the unborn child. The most accessible of all these studies is amniocentesis. With it, by micro-puncture of the amniotic membrane, a portion is obtained amniotic fluid which contains the cells of the embryo. They are examined for the presence or absence of genetic damage.
The study of amniotic fluid will help determine the pathology of the fetus

All pregnant women with OAHA, according to indications, are referred for a consultation with narrow specialists to resolve the issue of prolonging pregnancy. In cases where it is necessary to conduct examinations in a hospital, the patient is placed in the gynecological department of the hospital or maternity hospital.

Important mood

Women with OAHA are often pessimistic about their pregnancy. The need to visit a doctor more often, to lie in a hospital worsen their mood. Add problems and constant thoughts about the upcoming birth, the health of the unborn child. Soft psychological relaxation techniques, which are owned by psychologists who lead courses for expectant mothers at maternity hospitals and antenatal clinics, can come to the rescue. It is shown, of course, with the permission of the gynecologist observing the woman and physical activity: walking, swimming in the pool, yoga. It must be remembered that OAGA is not a sentence, but an indication to the doctor in choosing the best way to manage pregnancy.
Yoga benefits during pregnancy

Forecast for the future

It is worth knowing that childbirth with a burdened obstetric and gynecological history, as a rule, ends with the birth of a healthy child. Only in some cases is not a simple anamnesis of the mother can affect the health of the newborn. For example, in the presence of genital infections in a woman, infection of the fetus during childbirth can occur. And also inherited predisposition to certain diseases - hypertension, diabetes. They can complicate future pregnancies of the born girl. But OAGA itself is by no means a hereditary phenomenon, but medical history specific person.

Although this concept has not received official recognition in medical reference books, where there are concepts of hereditary history, professional, social and epidemiological, not a single obstetrician will deny the significance of OAA.

What is considered a burdened obstetric history? If a woman has had artificial childbirth, single or multiple abortions, miscarriages, anomalies of placental attachment and its premature detachment, the birth canal was injured, there are adhesions on fallopian tubes, scars on the uterus, there was a threat of uterine rupture, an anatomically narrow pelvis by nature, there was fetal asphyxia (when the umbilical cord was wrapped around the neck) or childbirth ended in stillbirth - this affects subsequent pregnancies and their outcome. Also, the obstetric history is affected by the perinatal mortality of children born to a woman, the condition of previous children after birth, birth trauma children and the presence of congenital defects and pathologies in them.

All these features should be taken into account in order to minimize the development of pathologies in next fetus. If the issue of caesarean section is being considered, then the doctor's arguments should be supported, for example, by X-ray of the fetus.

Timely clarification of the causes of stillbirth and infant mortality in the perinatal period positive influence for other pregnancies and childbirth. Often stillbirth and birth defects have several causes at once: for example, intracranial trauma at birth large fruit in a woman with an anatomical narrow pelvis, incompatibility of mother and child according to the Rh factor, childbirth in adulthood in the presence of hemolytic disease newborns (incompatibility of blood of mother and child by antibodies).

Women diagnosed with a burdened obstetric history (OAA) in Russia

The number of women in Russia diagnosed with OAA is about 80%, and this number does not decrease from year to year and remains at the same level. Against this background, the frequency of threatened abortion also remains high. Every fourth woman undergoes treatment in an obstetric hospital several times during the entire pregnancy.

Chronic fetal hypoxia is diagnosed in almost all pregnant women. This condition is due to the fact that oxygen is supplied to the fetus in smaller quantities or not at all. As a result, carbon dioxide and incompletely oxidized metabolic products accumulate in the fetus's body.

In a burdened obstetric history, there is the term " miscarriage". They designate spontaneous abortion for up to 37 weeks. The incidence of this pathology can reach up to 50% in the first trimester, up to 20% in the second, and up to 30% in the third.

Miscarriage between conception and 22 weeks is called spontaneous miscarriage. preterm birth denote the birth of an immature, but viable child weighing up to 2.5 kg and up to 45 cm in height. Factors affecting miscarriage can be divided into several groups.

Socio-biological factors

These include low socioeconomic status, low income, low level education, malnutrition, work-related physical activity and stress.

Obstetric and gynecological analysis data

The age of the woman in labor is under 16 and over 30 years old (this applies to nulliparous mothers), burdened obstetric history.

Presence of diseases

Diseases of the cardiovascular system, bronchial asthma, arterial hypertension, kidney disease, long-term smoking, and the use of alcohol and drugs.

Complications of current pregnancy

Pelvic diligence of the fetus, intrauterine infection, intrauterine infection fetus, severe toxicosis first trimester, late toxicosis, placental abruption.

Pregnancy is a difficult period for many women, associated with difficult bearing, anxiety and unrest, unstable emotional state. In addition, doctors often scare future mother her diagnoses. In exchange cards, you can sometimes find such an abbreviation as OAA during pregnancy. What is it and how scary is it? You will find answers to these questions in the article.

OAA during pregnancy: transcript

The abbreviation "OAA" means "burdened obstetric history." Let's break it down piece by piece. Anamnesis is the history of the disease from its onset to the visit to the doctor. But pregnancy is not a disease, but a condition. Therefore, in this area, an obstetric history is everything that is interconnected with other pregnancies and their course. What does the word "burdened" mean? Previously, there could be some that have an impact on the bearing of the unborn baby and successful delivery.

What is OAA?

We got a little acquainted with the concept of OAA during pregnancy. The decoding is known to us, but the essence is not yet entirely clear. This term includes:

• abortions;
• miscarriage;
• childbirth that occurred ahead of time;
• the birth of a child with various defects, malnutrition;
• stillbirth;
• early detachment of the placenta;
• anomalies of attachment of the placenta;
• birth canal injuries;
• adhesions, scars;
• narrowness of the pelvis;
• fetal asphyxia;
• condition of other children after birth;
• congenital defects and complications in previous children;
• other complications.

These factors have a huge impact on the course of subsequent pregnancies and their outcome, so they must be taken into account by the doctor in order to reduce possible risks to the maximum.

There is a concept similar to OAA - OGA, which means "aggravated gynecological history." It includes everything related to a woman's health in terms of gynecology: menstrual cycles, failures in them, transferred sexual diseases. The concept of OGA is closely interconnected with OAA, therefore they are often called by the general words "burdened obstetric and gynecological history".

It should be noted that the diagnosis of OAA during pregnancy (what it is, we explained above) is made by very many women. So in Russia their number is about 80 percent. A high probability, unfortunately, is not uncommon.

How to minimize risks?

Since OAA is directly related to the state of health of the pregnant woman, it is first of all necessary to prepare for a new expectation of the child in advance. There is a special preconception training for such women, which can be completed without OAA, but in this case it will be simpler.

OAA during pregnancy - what is it and how to minimize the risks? With this diagnosis, a woman must undergo a series of examinations, as well as preventive measures:

• Be examined for infections, and if they are found, be cured.
• Examine the hormonal background and adjust it, if necessary.
• Treatment of concomitant diseases of pregnancy various systems and many others.

Thanks to such methods, the risk of possible involuntary termination of pregnancy is significantly reduced and the health of the expectant mother is preserved.

In addition, if a woman knows that she has OAA, then it is important to register as early as possible, since lost time can affect the preservation of the child's life and its proper development.

The doctor should be aware of everything related to the health of the pregnant woman. It happens that a woman has previously terminated a pregnancy in a medical way or had a miscarriage for some reason. In this case, with a new pregnancy, these factors may still remain. Moreover, termination of pregnancy causes trauma to the uterus. Therefore, the presence and influence of such factors on new pregnancy.

Also, the presence of complications in previous pregnancies may be due to the fact that there were features in the structure of the organs that cannot be changed.

Measures taken

Do you have OAA during pregnancy? How to treat? In this matter, you need to completely trust your doctor and strictly follow his instructions. Knowing that the pregnant woman had OAA in the past, the specialist should take necessary measures for prevention possible complications. To do this, the following is done: a risk group is determined, individual measures are selected to accompany pregnancy. In some cases, for example, a woman needs to be hospitalized in certain deadlines when the risk is highest. In addition, women with OAA are most often hospitalized two weeks before the upcoming birth.

Unfortunately, many women do not tell their doctor if they have had an abortion or miscarriage in the past. A specialist, not knowing about such phenomena, may underestimate the possible risks, and the consequences in the future will be disastrous. It is best to tell the doctor everything.

C-section

For women expecting their second child C-section during the first pregnancy is also a risk factor, since a scar remains after it. Moreover, it is possible that it can lead to the death of both the baby and his mother.

After operations on the uterus, a caesarean section is indicated for subsequent births, because in this case, the passage of the child through the natural birth canal is risky. Throughout pregnancy, specialists fill out exchange card, the anamnesis, the history of diseases is carefully studied, the presence of unfavorable heredity is found out. All this information serves to decide whether the birth will be natural or by caesarean.

Often, the second pregnancy can also end tragically, like the first: the intrauterine death of the child for some reason. Medical personnel must identify possible ongoing pathological processes and take all measures to prevent a tragic outcome. In order to avoid possible terrible consequences, it is necessary to plan a pregnancy in advance.

Child health and TAA

Do you have OAA during pregnancy? What is it and how can it affect the health of the child? This diagnosis can have a significant impact on the health of the baby. For example, the presence infectious diseases genital tract, due to which this diagnosis was made, can lead to infection of the child during childbirth. But if the doctor is a competent specialist, then this simply cannot happen.

It is also necessary to remember that hereditary factors can also have a huge impact on the bearing of a child. A pregnant woman with diseases such as hypertension, diabetes, can pass them on to her daughter, for whom they will become a real problem at the time of expecting her child.

OAA itself is not hereditary. However, often hereditary diseases can manifest themselves precisely during the period of expectation of the child. Therefore, at the stage of pregnancy planning, you need to know well detailed information about the health of relatives. Doesn't interfere with genetic testing.

Emotional mood

Women with OAA during / during pregnancy are at risk of possible complications during childbearing and childbirth. But it is connected not only with physiology. Such women have a completely different attitude towards a new pregnancy than women with a favorable anamnesis.

Such pregnant women must attend a variety of preventive and therapeutic measures held in the antenatal clinic and the hospital.

It must be remembered that OAA during pregnancy is not a sentence, but rather an indication to the doctor to choose the right way No need to be scared if the abbreviation OAA is found in the card. It is possible that there will be no complications during pregnancy. But in case of ignorance of the doctor about OAA, the occurrence of risks is most possible.

Do you have OAA during pregnancy? What it is, you now know. And now there is no need to panic, it is better to listen to some advice. For correct and full development pregnancy, it is necessary to attend consultations of specialists, follow all the recommendations and appointments prescribed by them, conduct correct image life. It is important not to miss appointments with the doctor, and also to tell him truthfully all the necessary information in order to future baby was born healthy.

A lot depends on the mother herself, so every effort must be made to make the pregnancy easy, and upcoming birth passed successfully.

Before diagnostic measures doctors try to get as much information from the patient as possible. This helps not only to suggest a possible diagnosis, but also to establish the scope of the upcoming examinations. The totality of the data obtained is designated by the term "anamnesis". What it is, what it is for - many patients do not know.

Anamnesis - what is it in medicine?

To understand what the word "anamnesis" means in medicine, you can refer to the dictionary of medical terminology. By this definition, it is customary to designate the totality of all information about the patient, his diseases, which are obtained by interviewing the patient himself and his relatives, close ones. The resulting information is used to establish the cause of the disease, make a diagnosis, and for the purpose of further choosing a method of treatment and prevention.

The method of questioning patients was purposefully developed and introduced into clinical practice by the following well-known figures in medicine: Zakharyin, Mudrov, Ostroumov. Even in modern medicine the anamnesis continues to occupy a leading position in the process of obtaining information about the disease and the patient's state of health. It is given paramount importance in the process of diagnosing mental diseases and a number of somatic diseases.

Uncomplicated history

Having dealt with the term anamnesis, what it is, it is necessary to highlight its main forms. When collecting information about the patient, further diagnosis, doctors pay attention to the features of the anamnesis. About such a variety as an unburdened history, doctors say if the patient does not have.

Chronic inflammatory and infectious processes in the body, the patient's water-salt balance is normal. In other words, an unburdened history is complete absence prerequisites for the development of the alleged pathology. IN clinical practice this is rare, since the disease is almost always the result of a violation or malfunction in the human body.

Burdened anamnesis

The term "burdened anamnesis" is used by physicians when the patient's history contains information about the presence of other pathologies that affect the outcome of the underlying disease. The term "burdened obstetric history" is often used - it is applicable to a situation where there is serious threat for the process prenatal development fetus and normal delivery. In obstetric practice, this history is used based on the presence of concomitant problems that occurred during previous gestations:

Anamnesis of life

The anamnesis of this type is almost the entire history of the patient's life. The history of life includes information about the physical, mental and social development subject. The amount of information received varies and depends directly on the conditions in which they provide medical care. In the case of emergency conditions, doctors find out only the main points that are necessary for diagnosis and treatment. The more details the anamnesis of life contains, the better doctor can understand the patient, his individual characteristics.

Possessing this information, doctors are able to accurately diagnose, make a prognosis regarding the identified disease, and give individual recommendations regarding the prevention of complications. Among the main information obtained during the collection of an anamnesis of life:

• features of mental and physical development;
• living conditions and features of family life;
• bad habits;
• past illnesses;
• allergic history.

Family history

Family or genealogical history - information about the patient regarding the composition of his family, the situation in it, the diseases of its individual members. The family history contains information about the age of the patient's parents, the characteristics of their profession, and the financial condition of the family. Information is collected in detail about each member of the family:

• when and what childhood illnesses did he suffer from;
• how many children are in the family;
• developmental features of each child.

Such an anamnesis may also contain information about the visit. preschool institutions, schools, features of the daily routine, academic performance and additional loads. Full picture helps to identify all predisposing factors to the development of a particular pathology. Special attention is paid to the identification of hereditary diseases.

Medical history

When a medical history is compiled by doctors, the anamnesis is always one of its first components. Specialists collect information about the occurrence and course of the disease. Cases have been established when the pathology, after the appearance of the first symptoms, does not manifest itself in any way, but then a complication develops, which experts mistakenly take as the onset of the disease. Install separately:

• sequence of complaints;
• features of the onset of the disease.

The information obtained gives grounds to suspect whether the process is malignant, acute or chronic. pathological process. Given this option, doctors first try to establish the causative factors and circumstances that contribute to the development of the disease. Then pay attention to the reason that served as the basis for contacting doctors. The medical history details:

• the sequence of the course of the disease;
• change in subjective and objective information about the disease;
• the presence of periods of remission and their duration.

Gynecological history

Girls who first turn to a gynecologist are unfamiliar with the term anamnesis: what it is in gynecology, what it is used for, they do not know. This type information is obtained directly from the patient herself. Questions asked by the doctor about reproductive function women. The specialist establishes the nature of menstruation, their frequency, the amount of discharge. He also draws attention to the presence of abortions or miscarriages in the past. The gynecological history contains information about the transferred gynecological diseases, time of onset of menopause and menopause.

Obstetric history

Obstetric medical history - component a life history that contains information regarding generative function female body. Doctors determine the number of pregnancies, the features of their course and the process of delivery, the nature of the complications that have arisen. Pay attention to:

• regimen of a pregnant woman;
• number of births in the past;
• from what and for how long the treatment was carried out.

Later find out:

• whether the pregnancy ended on time;
• whether the baby was not full term or was born late due date;
• what childbirth aid was used.

Allergological history

This type of anamnesis includes information about identified allergic diseases the patient and his relatives. Allergic reactions can develop when exposed to the body a wide range allergens. So, the pharmacological and allergic history contains information about the patient's intolerance to certain groups of drugs. If possible, establish the type of allergen. When compiling an anamnesis, the observed manifestations of allergies are clarified:

• hives;
• swelling of the mucous membranes of the nose.

Psychological history

The psychological history contains full information regarding features mental development patient, his heredity. Experts pay attention to:

• warehouse personality;
• features of professional activity;
• range of interests of the patient.

Special attention is paid to family relationships - misunderstanding, lack of constant contact with loved ones can lead to the development serious pathologies psyche. It should be noted that the psychological history can be subjective and objective.

Doctors pay much attention to the second type of anamnesis. This is due to the peculiarities of the development of pathology: the patient, due to his illness, cannot normally interpret what happened to him in the past. During the survey, doctors should carefully examine the hereditary burden:

• mother's condition during pregnancy;
• features of the birth process;
• early delivery;
• physical and.

How is history taken?

Young professionals who know almost everything about the anamnesis: what it is, what it is for, do not always know how to collect it correctly. The collection of anamnesis is carried out taking into account the rules of deontology. During this procedure, the doctor should try to reach mutual understanding in communicating with the patient.

The dialogue should be built on trust - this way the specialist will be able to collect more valuable information that patients are not always ready to share. Specialists must guarantee the observance of medical secrecy, so the collection of anamnesis is carried out in the absence of other patients. First, the doctor listens to the patient, fixing everything he says, and then begins to ask questions.

History data

Before taking an anamnesis, doctors conduct a thorough examination of the patient. This suggests the type possible pathology, which determines the nature and number of questions addressed to the patient. The list of specified parameters may change. However, there are a number of questions that the specialist asks all patients. The information obtained is entered into the medical history.

Case history - example

A correctly collected anamnesis (what it is, we have already found out) helps to make a preliminary diagnosis. The patient's medical history is recorded in his medical history.