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Clinical Note

Summary

Transcript

Obstetric Assessment

Demographics

Name:

Age:

Hospital No:

Date:

Time:

Obstetric History

Gravida:

Para:

EDD:

Gestation: weeks

Previous Deliveries:

Current Pregnancy

Antenatal Care:

Blood Group:

Rhesus:

Booking BMI:

Complications:

Current Assessment

Presenting Complaint:

Contractions:

Fetal Movements:

Vaginal Loss:

Examination

BP:

Pulse:

Temp:

Fundal Height: cm

Lie:

Presentation:

FH: bpm

Prompt for issues:

Prompt for guidelines:

Prompt for note generator: