OBGYN Module — Antenatal Care, Gynaecology & Fertility

# OBGYN Module

ClinIT's OBGYN module covers the full spectrum of obstetrics and gynaecology: antenatal care, ultrasound, gynaecology consultation, colposcopy, contraception, and fertility.

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Pregnancy (Obstetric) Workflow

### Booking a Pregnancy

1. Patient chart → Pregnancies → + New Pregnancy.
2. Record:

- LMP (Last Menstrual Period) — EDD auto-calculated (Naegele's rule).

- EDD by dating scan (if different).

- Parity (gravida / para / aborta).

- Pregnancy type: Spontaneous / ART.

- High-risk flags: Hypertension, Diabetes, Previous CS, Age >35.

### Antenatal Visit Record

Each visit in a pregnancy creates an OBGYNAntenatalVisit record:

### Ultrasound Records

1. During or after an ultrasound appointment, add an OBGYNUltrasound record:
2. Fields: GA by scan, BPD, HC, AC, FL, EFW (estimated fetal weight), AFI, placenta position, cervical length.
3. Upload the scan report/image.

The AI OBGYN Risk Narrative analyses the antenatal data and flags risk factors (pre-eclampsia, FGR, GDM, etc.).

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Gynaecology Consultation

The gynaecology exam form records:

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Menstrual Charting

For cycle disorders (PCOS, endometriosis, anovulation):

1. Patient chart → Menstrual Charts.
2. Enter each cycle: start date, duration, flow intensity, pain score.
3. Charts visualise cycle regularity and symptom patterns.

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Colposcopy

For abnormal cervical cytology (CIN, LSIL, HSIL):

1. Patient chart → Colposcopies → + Colposcopy.
2. Record:

- Indication (LSIL / HSIL / Persistent borderline).

- Colposcopy findings (transformation zone, acetowhite changes, vascular patterns).

- Biopsy taken (site, histology result when available).

- Management: Observation / LLETZ / Cone biopsy.

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Contraception

Record contraceptive consultations:

• Method chosen.
• Date initiated.
• Next review date.
• Side-effects noted.

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Fertility Workup

For couples seeking conception:

1. Patient chart → Fertility Workup → + New Workup.
2. Record investigations for both partners:

1. Record treatment plan: Ovulation induction / IUI / IVF / ICSI.

The AI OBGYN Risk Narrative can generate a fertility counselling summary from the workup data.

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OBGYN Procedures

Document minor procedures:

• IUD insertion / removal.
• Endometrial biopsy.
• Hysteroscopy.
• LLETZ (large loop excision).

Each procedure record stores operative details, anaesthesia used, intraoperative findings, and post-procedure instructions.