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Building a history profile: where to start?

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When building a history profile, a clear identifiable process can be followed. Assimilation of the perinatal history can be challenging, and therefore the first point of reference is the maternal medical records. However, knowing what to look for and having some order of assemblage in the gathering of information is crucial if the task is to be efficient and not time‐consuming. The maternal booking history often yields the most significant information alongside the serology results. The maternal early booking history will, in the main, provide most of the baseline history. This should provide the medical and surgical history of the mother as well as the maternal well‐being so far during the current pregnancy.

Reliance upon the maternal medical records alone will not provide all of the information needed. It is therefore necessary to question the mother and/or father on family history to extract those risk factors that parallel the national standards (PHE 2018a).

The NHS Antenatal and Newborn Screening Programme should be used as the benchmark for identifying risk factors for the newborn examination (see Table 1.1). The maternal antenatal screening tests undertaken will provide a framework of investigative results for the NIPE practitioner that will provide the foundation for the history profile.

Examination of the Newborn

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