GNU Health/Gynecology and Obstetrics
Gynecology and Obstetrics
This module includes all the information related to the health of the female reproductive system and all women's reproductive tracts and their children during the pregnancy (prenatal period), childbirth and the postnatal period.
Within the module there are 4 different tabs:
- Pap / Colpo
This first menu provides a general overview of the basic gynecological conditions of the patient. We can discriminate whether the patient is in a fertil age, is currently pregnant or is menopausal.
GNU Health has a menstrual history with specific information including items such as date of last menstrual period, length, frequency or volume. You can create new records in this History as needed and study the evolution.
Screening is a strategy used in a population to detect a disease in individuals without signs or symptoms of that disease. These tests are performed on people without any clinical sign of disease. The intention of screening is to identify early disease in a community, thus enabling earlier intervention and management in the hope to reduce mortality and suffering from a disease.
GNU Health has a checklist that helps the physician to determine if the patient carries out the necessary tests and its results or remarks. This is the best way to detect medical conditions at an early stage before symptoms present while treatment is more effective than for later detection.
Pap / Colpo
The PAP test is a screening test used to detect potencially pre-cancerous and cancerous processes in the endocervical canal of the female reproductive system. Many premalignant lesions and malignant lesions in these areas have characteristics that can be detected through a colposcopy examination.
Because of the importance of these tests, GNU Health has a specific tab to record the results of the PAP History and the Colposcopy History.
This is a very complete menu that deals with the care of all women's reproductive tracts and their children through specific tabs of perinatal and puerperium info. This section considers important factors such as the number of pregnancies and prenatal evaluations, perinatal info, puerperium monitors or characteristics of the fetus.
In the next example of the patient Ana Betz, from a quick glance we can see that she has had one pregnancy with a live birth and that she is currently pregnant. It is remarkable that placing the date of the last menstrual period, LMP, GNU Health throws automatically the pregnancy due date.
Within each of the pregnancies we find all information about the different evaluations during the pregnancy and perinatal, puerperium and fetus info. For each obstetric evaluation GNU Health provides key information for the proper monitoring of pregnancy including not only the mother information but also the fetus information. We can check the status of the hypertension of the mother, preeclampsia, overweight, diabetes, placenta previa, vasia previa... Concerning to the fetus, we can check the fundal height, fetus heart rate, EFW and fetal biometry data.
Within the perinatal info tab, we find full information refered to everything that happens immediately before or after the birth of the baby, that is, from week 28 of gestation until about the first seven days after birth.
The main information includes the number of gestational weeks, date and time of admission, delivery mode (vaginal – spontaneous, vacuum extraction, forceps, c-section), and fetus presentation (cephalic, breech, shoulder).
The monitors section includes all vital signs of both mother and fetus. GNU Health has critical information about this period, including records of systolic pressure, diastolic pressure, heart frequency or temperature. It also has an area of free text notes to include any additional relevant information.
There is an additional info tab that includes key information concerning to the episiotomy, lacerations, hematoma and placenta anomalies (incomplete, retained, abruptio placentae)
GNU Health also takes care of the Puerperium, the period beginning immediately after the birth of a child and extending for about six weeks. It is a time in wich the mother's body, including hormone levels and uterus size, returns to a non-pregnant state.
GNU Health has critical information about this period, including records of systolic pressure, diastolic pressure, heart frequency or temperature. Lochia is a post-partum vaginal discharge, containing blood, mucus and placental tissue. GNU Health also includes the amount, color and odor of the lochia.
Regarding to the information about the fetus, we can include data such as the number of fetuses, IUGR (Intrauterine growth restriction), end of pregnancy and the result including live birth, abortion or stillbirth, depending on the control stage.
It is remarkable to emphasize the importance of the IUGR data. The Intrauterine growth restriction refers to poor growth of a baby while in the mother's womb during pregnancy. The causes can be many, but most often involve poor maternal nutrition or lack of adequate oxygen supply to the fetus. GNU Health lets you classify between the 2 categories of IUGR: symmetrical and asymmetrical.