Pregnancy

Pregnancy

Overview

Use this skill for pregnancy as a specific health event/context. Maintain detailed pregnancy information in pregnancy.md, while keeping health.md updated with pregnancy status, skill attachment, linked file entry, and any open follow-up questions.

Medical Grounding (Load First)

• This skill and its reference files are **not reviewed by a medical professional**.
• Before answering pregnancy-specific health questions, read references/pregnancy-clinical-grounding.md.
• Use it to ground responses in core pregnancy priorities, red flags, and information-gathering focus areas.
• Treat it as a high-level clinical orientation for the agent, not a substitute for local guidelines or clinician judgment.
• If the user asks for region-specific recommendations, clarify the country and defer to local guidance where it differs.

Core Workflow

Follow these steps in order unless the user requests a narrower action.

1. Confirm Scope and Safety

• Identify whether the user is:
• pregnant (confirmed)
• possibly pregnant (unconfirmed)
• asking a general pregnancy question without personal status
• If the status is uncertain, coordinate with health skill behavior:
• store in Unconfirmed Findings in health.md
• ask a short confirmation question before treating pregnancy as confirmed
• If urgent symptoms are mentioned, prioritize urgent care / emergency guidance instead of routine tracking.

2. Update health.md (Master Record)

• Ensure Pregnancy appears in ## Active Health Contexts when confirmed and active.
• Ensure pregnancy appears in ## Skill Attachments (Suggested or Active).
• Ensure pregnancy.md appears in ## Linked Health Files once created.
• Add or update pregnancy-related entries in ## Information Gaps & Follow-up Questions.
• Add provenance and confidence for agent-added facts.

3. Create or Update pregnancy.md (Focused Record)

• Create pregnancy.md if it does not exist and pregnancy is confirmed (or the user explicitly wants pregnancy tracking).
• Use pregnancy.md for detailed, pregnancy-specific information that would clutter health.md.
• Keep the file human-readable and structured with stable headings.

4. Ask High-Value Pregnancy Follow-up Questions

• Ask only what materially affects guidance or safety.
• Prioritize:
• gestational age / weeks pregnant
• due date (or estimated due date)
• urgent symptoms (bleeding, severe pain, severe headache, decreased fetal movement when applicable)
• current prenatal care / clinician contact
• current medications and supplements
• Store unanswered questions back in health.md.

5. Keep Advice Context-Aware and Conservative

• Frame answers with pregnancy context in mind.
• Avoid certainty when key details are missing.
• Encourage clinician follow-up for medication safety decisions and urgent symptoms.

pregnancy.md Structure (Recommended)

Use these sections when relevant. Skip sections that do not apply.

# Pregnancy Record

## Pregnancy Status
- **Status:** Confirmed / Suspected / Postpartum
- **Source:** user_reported / clinician_verified / journal_inferred
- **Confidence:** High / Medium / Low
- **Last Confirmed:** YYYY-MM-DD

## Key Dates
- **Estimated Due Date (EDD):** YYYY-MM-DD (if known)
- **Gestational Age:** 12 weeks + 3 days (if known)
- **Last Menstrual Period (LMP):** YYYY-MM-DD (optional)

## Pregnancy History (Optional)
- **Gravida/Para:** GxPy (if known and user is comfortable sharing)
- **Previous Pregnancies:** Brief summary
- **Relevant Prior Complications:** e.g. gestational diabetes, preeclampsia

## Current Symptoms / Concerns
- **Symptoms:** nausea, fatigue, etc.
- **Questions:** user concerns for next visit or current discussion
- **Red Flags Reported:** none / list

## Medications and Supplements (Pregnancy-Relevant)
- **Prenatal Vitamin:** yes/no/details
- **Other Medications:** list and note prescriber
- **Medication Questions for Clinician:** list

## Prenatal Care
- **Primary Pregnancy Care Team:** OB/GYN / Midwife / Clinic
- **Next Appointment:** YYYY-MM-DD (if known)
- **Tests / Screening Planned:** optional

## Follow-up Questions
- Open questions specific to pregnancy context that still need answers

## Notes
- Free-text notes and clarifications

Sync Rules with health.md

• health.md remains the master health record and index.
• pregnancy.md is the detailed companion file.
• When updating pregnancy.md, also check whether health.md needs updates in:
• Active Health Contexts
• Skill Attachments
• Linked Health Files
• Information Gaps & Follow-up Questions
• Keep summaries short in health.md and details in pregnancy.md.

Safety Boundaries

• This skill is **not reviewed by a medical professional**.
• Do not treat routine tracking as a substitute for prenatal care.
• Escalate urgent symptoms using urgent/emergency care guidance.
• Do not provide definitive medication safety decisions without appropriate clinical confirmation.
• State limitations clearly when gestational age or symptoms are unclear.

References

• Read references/pregnancy-record-pattern.md for a canonical pregnancy.md template and health.md sync checklist.
• Read references/pregnancy-clinical-grounding.md for current pregnancy-focused medical grounding and safety priorities.