Chao-xing is visiting her OB/GYN for the first time. Chao-xing is a full-time homemaker and attends college online. She immigrated to the United States 3 years ago with her husband and 4 year old daughter, from the northern part of China. Her husband is employed in the auto industry. She lives in a two bedroom apartment with her family. She has no family here in the United States except for her husband and child. She reports that her last menstrual period was 5/28 of this year, with an EDD of 3/5 of next year, making her 11 weeks? gestation today. She is a poor historian for her deliveries in China, which the first pregnancy ended with the child ?dying in childbirth? and the other is her current daughter.? Considering this patient?s cultural
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When your first child died during birth, did they explain to you what caused it?
Rationale: This needs to be assessed because we really don?t know what happened. Was the baby still born? Was there trauma during birth? Was the birth canal too small for the fetus to pass? Chinese women tend to be petite, so a correct measurement of the pelvis is needed.
Did you ever have an illegal or legal abortion (important to ask with husband not present)?
Rationale: It is possible that she could have been pregnant before marriage or after, but didn?t tell her husband. Abortion is done for numerous means in China, if she thought the baby a girl, she was unwed, or didn?t have the financial means.
Have you ever had a vaginal infection, was it treated or untreated?
Rationale: Traditionally it has been shameful for a women to get a vaginal infection, there womanhood and fidelity is challenged if found out to have one.
Have you ever had a papsmear and/or when was your last pap smear?
Rationale: Due to many factors in China, preventative or routine reproductive healthcare is not always
When your first child died during birth, did they explain to you what caused it?
Rationale: This needs to be assessed because we really don?t know what happened. Was the baby still born? Was there trauma during birth? Was the birth canal too small for the fetus to pass? Chinese women tend to be petite, so a correct measurement of the pelvis is needed.
Did you ever have an illegal or legal abortion (important to ask with husband not present)?
Rationale: It is possible that she could have been pregnant before marriage or after, but didn?t tell her husband. Abortion is done for numerous means in China, if she thought the baby a girl, she was unwed, or didn?t have the financial means.
Have you ever had a vaginal infection, was it treated or untreated?
Rationale: Traditionally it has been shameful for a women to get a vaginal infection, there womanhood and fidelity is challenged if found out to have one.
Have you ever had a papsmear and/or when was your last pap smear?
Rationale: Due to many factors in China, preventative or routine reproductive healthcare is not always