I had my L&D first. There is a steep learning curve, but you will adapt quickly. For what its worth, I found that becoming really comfortable doing quick triage H&P's is half the battle (since much of it will carry over to clinic as well).
Some high-lights to think about for L&D triage history taking:
Big 4 questions for every patient: Fetal movement, bleeding, loss of fluid, contractions
Other important ROS: Headaches, Changes in vision, dizziness, Abdominal pain/tenderness, RUQ pain specifically, lower back pain, swelling/edema, SOB, chills, fever, nausea, vomitting, urinary symptoms, trauma or toxic exposures?
Some History biggies: Know age, G's and P's, gestational age, method of determining GA, prior delivery Hx (SVD, C/S?), previous deliveries term or pre-term? Pertinant medical, surgical, and Ob Hx (obviously) (HTN, GDM, Pre-E, previa, accreta, Hx Pre term labor?, ...), most recent ultrasound, GBS status (and when tested?), Rh status (need Rhogam?), Hx of STD's, Last PAP (any abnormal?), any cervical procedures (LEEP? Cold knife cone?), current meds, prenatal care, known allergies (especially to iodine, betadine, shellfish, latex, as well as any drugs), social Hx (smoker? drinker?, Drugs?), recent sexual activity, precipitating factors?, ect ....
At least thats some of the biggies that have been drilled into me the past couple of weeks (for pretty much any patient presentation). Also of course look up recent labs and prior notes if available, check vitals, review fetal heart strip, and perform a good focused physical exam.
If you can, grab the ultrasound and get comfortable verifying fetal position and checking amniotic fluid levels (not hard), and measure your fingers for estimating dilation/effacement if you get the chance. If you have sharp elbows, you can catch some babies. But being early in the year the interns are still trying to get as many as they can.
