LABOUR SUMMARY Type Of Labour Mode Of Delivery : : Spontaneous / Induced Vaginal / Instrumental

Date Onset of labour ervi! fully dilated "irt# of ne$ born %!pulsion of placenta Lengt# of labour : : : : : &st stage mins. 'nd stage mins. (rd stage mins. Total mins. #rs. #rs. #rs. #rs. . . . .

Time . . . .

delivered by : .

.

Supervised "y:

CONDITION ONE HOUR AFTER DELIVERY

Mother:

pulse ".).

: :

/min /mm of *g

ull -ood / . "reast feeding initiated : 2es / /o3 #rs.eig#t : Meconium : +rine Vit 0 : : 1ny congenital anomalies : specify .ard on "aby transferred to /I + : 2es / /o at #rs.air / )oor gms. )assed / /ot passed )assed / /ot passed -iven / /ot given 2es / /o 3 If yes condition : . after delivery TRANSFER NOTE Mot#er 4 baby transferred to postnatal . %!plain t#e reason of transfer : Date Supervisor Signature of .+terus "leeding "ladder Neonate: : : : contracted / soft Mild / Moderate / Severe %mpty / .

Lengt# 9 min. yes / no If yes describe in brief. '5 Vacumm (5 .T/D )erineum %pisiotomy Type 1naest#esia used %pisiotomy suturing done 8describe t#e steps in brief5 . cms. cms. spontaneous / 1rtificial #rs. cms #est 1ny resuscitation measures carried out : .LABOUR NOTES b5 'nd stage #rs. -eneral condition of mot#er : "aby 8/%O/1T%5 "aby born Se! 1pgar *ead : : : on Male / female & min. at #rs.orceps : : : : : yes / no 7igid / La!ed -iven / /ot given lateral / median Membranes ruptured at olour of li6uor : ervi! fully dilated at Types of delivery : &5 .

ml.c5 (rd stage : placenta and membranes delivered at placenta $it# membrane : complete / incomplete insertion of cord : marginal / central / velamentous $eig#t of placenta 1ppro!imate blood loss : gms. 1ny abnormality of placenta observed : ondition of uterus after e!pulsion of placenta $ell contracted / flaccid #rs. .

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