Fertility History: Assessment of Performance and Quality Improvement

Karim Abdallah, David J. Walker


Background: Many fertility clinics use their own standard history sheet. Currently, no standard history sheet is in use in our unit. This audit project aimed at assessing the quality of the history obtained from couples with sub-fertility without using a standard history sheet followed by designing and introducing a standardized history sheet and re-auditing the quality of the history obtained to assess if introducing a standardized history sheet into our unit will improve the quality of the service provided.

Methods: We started by designing a standardized history sheet which is simple, non-time consuming and contains all the basic information required at that very early stage of managing couples with sub-fertility. Data were collected from 50 notes retrospectively where we made sure that the notes included were for patients seen by different registrars at their first consultation. The standardized sheet was then introduced and all doctors were asked to use it for history taking during the first consultation with new couples seen in the clinic. Data were then collected from 50 notes where the standardized sheet was used.

Results: The quality of the history taken at the first consultation is inconsistent and variable. The quality may be improved if a simple form of standard history sheet is used by all doctors doing the fertility clinic.

Conclusion: History taking is a fundamental step in the management of sub-fertile couples. Couples complaining of sub-fertility will have their history taken during their first consultation at the reproductive medicine clinic. As the gynecology trainees running the clinic can be alternating, the quality of the history taken from these patients can vary. Obtaining accurate and complete information will help in making the management of those patients a smoother process with reducing the number of consultations and increasing patient satisfaction.

J Clin Gynecol Obstet. 2016;5(3):77-80
doi: http://dx.doi.org/10.14740/jcgo411w



Fertility; History; Standard

Full Text: HTML PDF

Browse  Journals  


Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

Journal of Neurology Research

International Journal of Clinical Pediatrics






Journal of Clinical Gynecology & Obstetrics, quarterly, ISSN 1927-1271 (print), 1927-128X (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal, the authors retain the copyright, the journal is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International
License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.jcgo.org   editorial contact: editor@jcgo.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.